PowerPlans

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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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Coming Soon: Sepsis Plan

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Coming soon, a new Sepsis Plan will become available. You will notice within the plan, the Antimircrobial Therapies available for use, based on Sepsis Source.

Each of these is a sub-phase that can be ordered by itself, or within the plan. Antibiotics and guidelines for use can be found once the sub-phase is opened.

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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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Banner Bar: High Risk Discharge

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A recent recommendation by the Texas Department of Health was to make high risk discharge patients more easily recognizable. In order to meet this recommendation an indicator has been added to the Banner Bar. Beginning April 13th the indicator High Risk Discharge: will appear below Language in the Banner Bar. This field is populated when Social Services documents their admission assessment. This status is visible on inpatient and ambulatory encounters.

WHAT DOES THIS MEAN TO YOU:

  • Social Services will be identifying those patients at high risk for requiring post hospitalization services.
  • If you see this notification and you were not aware there were issues identified, immediately contact Social Services.
  • It is the provider’s responsibility to clearly understand the needs of the patient and ensure what is being recommended upon discharge.

 

Indication of High Risk Discharge:

Indication of no Social Services documentation:

To view Social Services documentation:

Clinical Notes - Look for the Multidisciplinary Discharge Plan within the Hospital folder.

PowerNote - Within the PowerNotes tab change filter to Display: All. See Multidisciplinary Discharge Plan.

 

 

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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