Currently on hold. New go live dates to come at a later date
When ordering Lab Testing for samples already in the Lab, order the test with a Priority of Lab Add On:
*For efficiency, choose (none) for the Order Sentence
Orders for Laboratory Add Test and Laboratory Add Test KingsPark will no longer be orderable:
PLACING LAB ORDERS FOR A FREQUENCY OF EVERY 2 HOURS OR LESS
What’s the problem? Lab Orders that are entered with a Routine Priority and a Frequency of every 2 hours or less, Cerner will incorrectly combine every other specimen so that labels print with duplicate times and no labels print for missing times due to the specimen netting that occurs within Cerner.
Solution: To avoid the confusion with orders for duplicate times as seen in the above example for the Urine Specific Gravity, place all Lab orders with a frequency of 2qh or 1qh with a Priority as Timed.
Example:
A Random Glucose ordered as Timed q2h for 2 days and a Urine Random Specific Gravity ordered Routine q2h for 2 days. Even though the frequency shows correct on the orders screen in PowerChart, Collections Inquiry shows incorrect times for the Glucose but correct times for the Specific Gravity.
Orders shown in Powerchart with the correct time frequency:
However, Collections Inquiry displays how the labels will print-Note the Urine Specific Gravity times are incorrect:
LABORATORY: CHANGE IN ORDERING FORMAT
What? Collection Priority and Reporting Priority will be combined into one Priority prompt for Lab tests
Why? This change will result in less confusion of the priority of the test and fewer clicks when ordering Lab tests
There will be no change in Priority selection
A new lab order, Heparin-Induced Thrombocytopenia Antibody (HIT AB) will be available January 2, 2019. This order will provide decision support for providers: 1) Is HIT AB test necessary for my patient? 2) Results from HIT AB will reflex Serotonin Release Assay (SRA) when needed.
When completed, the HIT Powerform shown below will result with a 4Ts Score of 0-8. This will be the first step to provide probability of HIT diagnosis. When signing the order, a 4Ts score of less than 3 shows a probability of 1.9%. With low probability for HIT, there is the option to Cancel or Override the order for HIT AB. When the 4Ts score is more than 3, the order for HIT AB is placed after signing.
Below are the probabilities of HIT given each HIT AB negative result along with each possible 4Ts score from the PowerForm and each positive result for HIT AB along with the possible 4Ts Score. When HIT AB is detected, the probability of HIT diagnosis increases and Serotonin Release Assay (SRA) will reflex to confirm.
