PowerForms

Fecal Microbiota Transplant Process

Fecal Microbiota Transplant Orders, Forms and PowerPlans

This process will go-live on January 23, 2019

The current Fecal Microbiota Transplant Plan will be inactivated and unavailable for use.

The 3 new powerplans will be searchable by FMT and Fecal. These plans are route specific.

The provider will place the appropriate FMT plan and the first phase (Fecal Specimen Processing) will be initiated pending, while the other three phases are planned pending. This means that the first phase will be initiated by the provider when they sign the orders. The next three phases will be initiated by the nurse on the day of the FMT. You will note that both orders in the first phase (Fecal Specimen Processing) are prechecked/required and the route is defaulted to the appropriate route.

When the provider clicks on ORDERS FOR SIGNATURE the Fecal Microbiota Transplant Inclusion/Exclusion Criteria form will pop up and must be completed to order the FMT.

The Inclusion/Exclusion Form, three questions

After completion of the Inclusion/Exclusion form the screen will look like this, note the blue orb indicating a missing detail.

You must enter the date of the FMT into the Fecal Specimen Processing order. This will tell the lab when to start preparing the specimen. After completion of this detail the plan will be signed and the first phase initiated.

On the FMT Rectal Plan the Fecal Specimen Processing order has two order sentences and one must be chosen.

On the FMT Colonoscopy Plan the first phase has an additional order, Schedule Endoscopy Procedure.

There are three additional phases that will be initiated by the nurse on the day of the FMT.

The Policy and procedure for Inpatient FMT is available in two places on the powerplan.

Right click on the plan in the Orders View window and click Evidence.

Or click on the sheet of paper icon to the left of the Fecal Specimen Processing Order.