General PowerChart

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November 4th - Time Change

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Annual Cerner Fall Time Change - Fall Back

Process will start with Cerner at 0045 hours, November 4th

Anticipated downtime of no longer than two hours

PopUP:

Ambiguous Time Message

This dialog could appear for some users after the time change occurs.  Please note this is not an error and perfectly normal. 

If a clinical action is scheduled to occur during the duplicate hour (from 1:00 am to 1:59 am) a user could potentially get this popup.

Select “Daylight”    If the action is to take place in the FIRST 1:00 to 1:59 hour

Select “Standard” If the action is to take place in the SECOND 1:00 to 1:59 hour

 

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Upgrade Enhancements to PowerPlans

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The system will display a phase header in the Orders for Signature view that displays the plan status and the number of orders you are about to place. The logic behind it is to bring more visibility to the clinicians on powerplans that are pending initiation.   

The first change you will notice is when placing a powerplan in a “Planned” state the button that said Orders for Signature now says Plan for Later. The intent is to ensure the provider is aware that the orders are not active at this time.

The most noticeable change will occur after clicking the Plan for Later tab.

Now the Orders for Signature button is available.

After signing, the first phase has been initiated while the others are in a planned state. Only the 3 orders in the first phase are active.

Some powerplans are set to initiate automatically such as the Admit/Observation Plan. These plan types will give you the Orders for Signature button we are used to seeing, not the Plan for Later.

When you click the Orders for Signature button you will now see a new line (or lines) at the top of your orders window telling you the action you are taking. Here we are placing 3 orders.

When a plan is discontinued or voided you will see…

Here is an example of a powerplan that has the first phase automatically initiate while the other phases remain in a planned state.

 

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Change to CV Nuclear Med Reports

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UMC has transitioned from Cerner to Phillips Intellispace Cardiovascular (ISCV) for Cardiovascular Nuclear Medicine reports. ISCV replaced Xcelera and comes with more options and enhancements.

If you are having trouble finding Final reports, follow the steps below:  

  1. Right Click the order
  2. Choose “Results”
  3. Double click the name of the study (This is usually on the far right side as shown below)
Please contact the UMC Imaging Management team for any questions - 775-9109
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Admission PowerPlan: Oncology Patient

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When admitting a patient for Oncology (typically 4E) we must use the ONC General Inpatient Plan. You can find this plan by searching the word General just like you would the General Medicine Plan.

Once in the plan you will notice several differences that is important to oncology patient care. In Patient Care you have the Access Implanted Port, and Perform Neurological Checks.

In the ONC General Inpatient Plan there is also a medication section. This section includes biotene mouthwash, lidocain-prilocains topical (lidocaine-prilocain 25%), and heparin flush.

The final difference in the plan is under Consult MD. You will see in this field a required order, Consult MD. This allows you to choose to choose what service to notify. You can notify either Oncology or Hematology.


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New Inpatient Component - Additional Significant Events

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A new component is being installed onto the Inpatient Summary View called, Additional Significant Events. It will be located next to the existing Significant Events component.

This new component is for PowerChart in the Emergency Center. When a patient presents to the EC within 30 days of inpatient discharge, the component will become visible to alert you regarding possible readmission status. The component should no longer be visible if the patient is admitted.