Orders

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Adult Outpatient Surgery Plan Update

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In an effort to align with hospital policy regarding renal dosing for enoxaparin (Lovenox), we updated the Adult Outpatient Surgery plan and subsequently destroyed any physician favorite plan that contained the affected enoxaparin order. 

This was a patient safety change that was put into policy over a year ago.  The changes to all other plans were made many months ago, but it was recently brought to our attention that the Adult Outpatient Surgery plan had been missed with that round of changes.   

We apologize for any issues this may have caused with staff and providers.  Let us know if you have any questions or need more information on what was changed.

~UMC Clinical Informatics

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UMC Ambulatory Infusion Center: IV Therapy Orders

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***Correction: Previous reports showed this as a UMCP effort. It is in fact a UMC, not UMCP, infusion center. We apologize for the inconvenience.

UMC has recently opened an Ambulatory Infusion Center.  As a result, the order for Home IV therapy will no longer display as “Social Services for Home IV Therapy”.   It will now show as “Social Services for IV therapy”.  In the details box you will be required to pick a location of either “Home” or “Ambulatory Infusion Center”


UMC SWCC - Lung Cancer Screening

Based on the results of the 2011 study from the New England Journal of Medicine on low dose CT screenings, UMC now offers lung cancer screening through the Southwest Cancer Center.

This service is covered by Medicare as health maintenance if the following guidelines are met:

  1. The patient must have a documented shared decision making visit
  2. The patient must meet the USPSTF requirements for screening
    1. Ages 55 to 80
    2. Smoking history of 30 years or more (an average of one pack a day for 30 years)
    3. Currently smoking or have quit within the last 15 years
    4. No current cancer symptoms requiring a diagnostic workup
    5. Counseling must be provided on the importance of maintaining cigarette smoking abstinence if the patient is a former smoker; or the importance of smoking cessation if the patient is a current smoker and they must furnished with information about tobacco cessation interventions, if appropriate.

Please get your patient’s their lung cancer screening by clicking on the consult/referral SWCC Lung Screening order in PowerChart

For ordering the consult/referral to the Lung Screening Navigator, select the Consult/Referral SWCC Lung Screening order in PowerChart.

 

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Alert: Patient Status Order Alert

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Currently scheduled for May 3rd, a new alert will be started on inpatient encounters.

If NO Patient Status order has been placed, when a provider opens the patient's chart they will receive an alert letting them know that this order is missing. This must be placed for every patient.

Alert:  Notification that no Patient Status order has been placed, with direct link to orders page and ADMIT PLAN

 

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'Pharmacy to Dose' order sentences in the EC

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To help insure patients that are held in the Emergency Center for extended periods of time are receiving all doses of meds new order sentences have been initiated. 'Pharmacy to Dose' order sentences are viewable on certain meds in the EC. One Time doses are displayed first. Pharmacy to Dose are at the bottom and are separated (see examples below). For more information or questions contact your pharmacist.

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PowerPlans: Intubation and EC OR Changes

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There are several upcoming changes to PowerPlans already in the system, as well as several new PowerPlans being released:

Renaming EMERGENT INTUBATION PLAN to INTUBATION MED PLAN

Two new plans will be available for use for patients going from the EC to OR then being discharged.  These plans only have the PACU phase, the OPS phase II, and the discharge orders.

  1. EC OR Adult Outpatient Surgery Plan
  2. EC OR Pediatric Outpatient Surgery Plan