Tag Archives: ieMR

ieMR MHA autotext

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It’s pretty common in my job to field enquiries re whether hospital inpatients should be seen by mental health even if they decline. It’s not for me to say, of course, that’s articulated elsewhere in legislation (link to Queensland (2016) Mental Health Act here – BTW it’s a 641 page PDF). My job is to do my best in clearly communicating what’s appropriate and legal.

As you’ll see in the brief (16 seconds) video above, it’s good practice to document something re these sorts of enquiries. I usually do a quick SBAR thingy, and then – for completeness – drop a plain-language summary of mental health act criteria (which I have saved as ieMR autotext) into the file entry.

For those interested, a copy of the content of this ieMR autotext is included below.

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Discussion re consent vs involuntary psychiatric assessment.

The Mental Health Act 2016 provides a legislative framework for the treatment and care of persons with a mental illness without their consent.

One of the key rights under the Act is that a person is presumed to have capacity to make decisions about their treatment and care, and the right to consent, or not consent, to healthcare.

Involuntary mental health assessment can be imposed by completing a Recommendation for Assessment. This can be completed by a doctor or authorised mental health practitioner who has examined the person within the preceding 7 days.

The Recommendation for Assessment asks for this information:

1. The reasons you believe the person may have a mental illness

2. The reasons you believe the person may not have capacity to consent to be treated for the illness:

3. The reasons you believe that not providing involuntary treatment for the illness may result in:
i. imminent serious harm to the person or others; or
ii. the person suffering serious mental or physical deterioration

4. The reason you believe that there appears to be no less restrictive way for the person to receive treatment and care for the person’s mental illness

Recommendation for Assessment can be accessed via this link: www.health.qld.gov.au/clinical-practice/guidelines-procedures/clinical-staff/mental-health/act/forms#assessment 

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So What?

The blog post is not just about the content. The idea behind doing a screen capture video is to show people the advantage of having ieMR autotext options for you/your speciality area. Is there any stuff you find yourself typing into patient notes repeatedly? You’re busy enough – get the machine to do it for you.

It’s a see-one, do-one, teach-one kind of thing.

Well, that’s the idea, anyway.

Two blog posts in two days? WTF?

It’s a “just while I’m thinking about it” thing.

Back in 2019 I shared some of the ieMR Liaison Psych Templates I use, and yesterday I plonked the ieMR autotext I use with 1:1 AINs/Specials. Also, as announced previously, I’m mothballing the meta4RN blog in a couple of months, so if I don’t get this stuff online now I never will.

Don’t worry. I’m not intending to clog-up the internet with daily blog posts. 🙂

End

That’s it. Thanks for visiting. As always, you’re welcome to leave feedback in the comments section below.

If there’s anything you’d like to re-use/adapt that’s OK with me: this work (as with all meta4RN content) is covered by Creative Commons licence BY-NC-SA 4.0).

Paul McNamara, 16 July 2022

Short URL meta4RN.com/MHA 

ieMR Liaison Psych Templates

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A Quick Explanation

In the hospital that I work in we use ieMR. I’m a fan of ieMR, even though it has made the bad art of gingerbread women/men, genograms and other diagrams obsolete (more about that here: meta4RN.com/picture).

Car vs Bike Wounds: even an illustration that completely lacks artistic merit can convey a lot of information more effectively than a page full of text.

One of the reasons I like ieMR is that it accommodates auto-text/templates, which – in turn – assists clinicians to document with better consistency and more structure than they might have otherwise. When we have students on placement I used to send them MS Word versions of my ieMR templates, and assist them to get get them set-up on their ieMR account. That’s become a bit tricky to do since my hospital has shifted to Office365, so I am liberating the templates onto this blog page simply to circumnavigate that problem.

I’ve made it clear from the very beginning that this website does not represent the opinions of anyone else or any organisation (see number 13 here: meta4RN.com/about). So, just as a reminder, I’m putting the templates here because emailing them to students as word documents doesn’t work anymore. It’s not a recommendation for you. It’s not my employer’s idea. It’s fine if you don’t like the templates. It’s fine if you never use them yourself. I’m doing this simply for the convenience of me and the students I work with, that’s all.

Making ieMR auto-text/templates

To set-up ieMR auto-text/templates It’s easiest to get someone who knows how to sit with you for 2 minutes to show you. Really, about 2 minutes is all it takes.

In the absence of a helpful human there’s videos (eg: here) and PDFs (eg: here) to guide you. Or just google your question – some hospitals have their help info behind their firewall, but many do not.

That’s all the explanation I want to give. The prime purpose of this blog post is to share the content for easy copy and paste, so let’s get on with it…

Initial/Comprehensive Psychiatric Assessment

Review

Cognitive Screening results

End of Episode/Transfer of Care

End

That’s it. I’ve only just realised now that the formatting doesn’t carry across to ieMR. Bugger.

Please let me know via the comments section below if you know how to overcome that problem easily. BTW: as you can probably tell by this very basic-looking website, i’m not a coder or computer whiz. If there’s a fix it’ll need to be pretty straight forward for me to get it right :-).

Paul McNamara, 20 June 2019

Short URL: meta4RN.com/ieMR

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This work is licensed under a Creative Commons Attribution-ShareAlike 2.5 Australia License.

A Picture is Worth a Thousand Words

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Car vs Bike Wounds: even an illustration that completely lacks artistic merit can convey a lot of information more effectively than a page full of text.

Gingerbread Person Pic “Car vs Bike Wounds”. Even an illustration that completely lacks artistic merit can convey a lot of information more effectively than a page full of text.

This week at work we have been discussing the roll-out of the ieMR (integrated electronic Medical Record). At present it is not integrated with the existing mental health system (CIMHA: Consumer Integrated Mental Health Application), the existing emergency department system (EDIS: Emergency Department Information System) or the existing intensive care unit system (CIS: Clinical Information System). Let’s not be too distracted by that though – apparently there is an integration team beavering away in a back room somewhere: they’re teaching these hospital systems to talk to each other. Once that’s sorted-out the ieMR will be the best thing since bung fritz.

A hospital file diagram such as this can assist in conveying an understanding of the patient's experience.

A hospital file diagram such as this can assist in conveying an understanding of the patient’s experience.

A different thought crossed my mind though – will the ieMR make the bad art of gingerbread women/men, genograms and other diagrams obsolete?

I hope not – even my hastily drawn-on-an-envelope examples used on Twitter during the week and in this post convey meaning quickly and easily (hopefully). Don’t get me wrong – I’m all for typing words into a digital archive (in fact, I’m doing it right now!), but there are times where it is clearer to communicate with an illustration. I hope this is not lost as we transition to an electronic medical record.

The patient is the expert. The clinician asks them about their family and draws a genogram to organise information. Sometimes genograms explain a lot.

The patient is the expert. The clinician asks them about their family and draws a genogram to organise information. Sometimes genograms explain a lot.

Does your hospital/health agency have an electronic record that easily allows illustrations still? If so (or not) I would be grateful to hear from you in the comments section below.

Paul McNamara, 21st September 2013