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ATTENTION: PHYSICIANS & STAFF

 

 

IMPORTANT

 

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.

 


DUPLICATE ORDERS

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.

 

Please note:

  • 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. 


 


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SUSPECTED BLOOD TRANSFUSION REACTION PROCESS CHANGES EFFECTIVE MARCH 15, 2016

 

MEC and Board approved a change in the transfusion reaction process as follows: a suspected transfusion reaction investigation will automatically be conducted in response to signs and symptoms of a possible transfusion reaction.

 Urticaria (hives) or itching only, is an exception and the patient’s attending physician may continue the transfusion uninterrupted.

Any transfusion reaction investigation will be completed by OneBlood Transfusion Service, who will report their findings to the unit where the patient is located.  In the event of a serious reaction, the OneBlood Medical Director will contact the patient’s attending physician directly. 

Only after receiving the verbal preliminary report from the OneBlood Medical Director should routine transfusion(s) be resumed. 


NEWS TO USE 

 

Medicare, Medicaid, and Children's Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process

 

A Proposed Rule by the Centers for Medicare & Medicaid Services on 03/01/2016

 

 "Revoke a physician's or eligible professional's Medicare enrollment if he or she has a pattern or practice of ordering, certifying, referring or prescribing Medicare Part A or B services, items or drugs that is abusive, represents a threat to the health and safety of Medicare beneficiaries or otherwise fails to meet Medicare requirements."


 

 


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