ATTENTION: PHYSICIANS & STAFF
CHANGES TO CPOE
EFFECTIVE: TUESDAY, APRIL 19th
It is extremely important that orders are placed in the appropriate section as we move forward with our interfacing. Lab orders placed in the LAB SECTION, Medications placed in the MEDICATION SECTION, etc. Pharmacy will ONLY receive orders placed in the MEDICATION SECTION of CPOE. This will expedite the orders coming into pharmacy in order to better serve our patients. If you cannot locate the medication, we have added under the Medication/IV a MISC section. In addition, the following sections have a MISC order: Nursing, Activity, Studies & Procedures and Laboratory. Another of the major changes that will occur on Tuesday is the 'OTHER' Free Text Box will be removed. You can still use the OTHER Section for certain items that can be placed in this section, such as DME. However, you will not be able to FREE TEXT in this section.
WORD OF CAUTION...
HIPAA Compliant Portal Usage Rules
We require that everyone who needs Portal access to have their OWN uniquely identifiable username and password. You must login using your own identifiable information.
Usernames and passwords are NOT to be shared and any non-adherence to this policy is subject to immediate physician/mid-level suspension, employee termination or revocation of rounding nurse privileges.
Be Mindful of Existing Orders !!!
Example: If the patient is currently NPO and you then want to place them on a clear liquid diet you MUST either edit or DC the NPO order. Under daily orders click on 'Create New Orders' and then you address (uncheck to delete or click on notepad to edit) the existing order under the appropriate order section or yellow review screen.
MEDSTRACKER FOLLOW-UP APPOINTMENTS
As of Wed, March 2, Providers and Nursing will not be able to enter follow-up appointments on the Daily Orders tab due to a system constraint. Follow-up appointments can be entered on the Discharge tab as part of the final discharge or as an interim step "Sign Interim" prior to discharge.
** MEDICATION ORDERS IN MEDSTRACKER **
Please be sure to place all Medication Orders in the Medications Section in MedsTracker. Medication orders, notes, changes to meds in any other Order section will not be processed by the Pharmacy. To improve Pharmacy turnaround time, Pharmacists will no longer receive ALL order pages. They will only receive the Medication Orders placed in the Medications Order section.
MASSIVE TRANSFUSION PROTOCOL
In an effort to decrease morbidity and mortality, the Blood Management Committee has developed three massive transfusion protocols: a general Massive Transfusion Protocol, OB Massive Transfusion Protocol Level 1 and OB Massive Transfusion Protocol Level 2.
If an emergency blood situation arises, please order the MTP rather than individual blood products. OneBlood, Inc. makes the MTP orders their highest priority.
These protocols are included in the CPOE order set "Blood Product Administration" beginning January 18, 2016.
Massive Transfusion Protocols are to be initiated by ED Physicians, Intensivists, Anesthesiologists, Surgeons, or OB/Gyn ONLY.
Please see the document titled "Massive Transfusion Protocol (MTP) Blood Products" on the home tab of the Portal for details of blood products included in the MTPs.
** REMINDER **
Just a 'Friendly Reminder' that all documentation needs to be completed before leaving for the Holiday.
Is It Time to Reassess a New Blood Pressure Target?
The SPRINT trial (NEJM 2015;373:2103) found improved survival and clinical outcomes when treatment was instituted at a threshhold of 130 mmHg. Please note that diuretics were recommended as first-line therapy and that chlorthalidone was the recommended diuretic in the trial.
CPOE COMMITMENT AS OF AUGUST 4TH
Please review the policy in detail on the Home tab of the Portal. Click "Computerized Provider Order Entry Participation Policy". You can still schedule your one-on-one training with the Education Dept. by calling 351-7394 or x7394.