Attention CareAware and Cerner App users

iOS 13.4 was released overnight by Apple and appears to have introduced a previously unidentified issue with device access codes. Specifically, when users attempt to login, they will receive a "Certificate Error" after authenticating.

At this time, the only known resolution for this error is to generate a new access code via Cerner Central, which the user can claim from UMC IT.  This will replace the existing code and allow the user to authenticate normally.  It is not necessary to delete the existing provision.  Because device provisions (badges) are shared, this impacts all Cerner iOS mobile apps.

Cerner is currently investigating alternative options for resolution.  At this time we recommend that users do not upgrade to iOS 13.4 if at all possible.  We will share any updates here as they become available.  If you need an access code, please call 806.775.8255.

Apps impacted by this are:

Camera Capture                                                                Message Center

CareAware Connect Inpatient                                          Patient eSignature

CareAware Connect Messenger                                       PowerChart Touch

CareAware Connect Voice                                                Instanote

Cerner Document Imaging                                               FetaLink+

Cerner Patient Kiosk                                                         Connect Nursing

Cerner Staff Manager

 


Review attachement for more details

COVID-19 (Corona Virus) PowerPlan Education

 

 

Testing for COVID-19 will be approved by identified Medical Staff leaders:  Drs. Mike Ragain, Brian Payne, Craig Barker, Richard Winn, Jacob Nichols, Christopher Crist, Allan Haynes & Christopher Piel.  

Providers will refer to the AMiON call schedule:  COVID-19 Testing Approval Group 

These MD leaders will then notify the patient placement center and Infection prevention and control of the approved test.

**A phone call MUST be placed to the MD leader on call prior to placing this PowerPlan**

COVID-19 testing can be ordered from the inpatient encounter by searching “COVID” or “Corona” and clicking on the PowerPlan.

When the PowerPlan is signed, you will receive a “review provider” popup.   If you type in a provider that is not one of the MD Leaders to review this plan…. You will receive the message below.

If you choose an appropriate MD leader, you will not get the pop up and you will be able to click “ok”.    This will route to the MD leader’s message center for review

The PowerPlan will now show “initiated – review required” and “additional review required”.   These orders will not be active until the MD Leader has accepted the plan.

If the provider rejects the PowerPlan, the plan will read as “initiated rejected” and “Review rejected”.

Once the MD Leader has “approved or rejected” you will be able to see the status under “notify receipts”

Click here for Printable Instructions

Cerner Imaging Downtime

IT Alert Number:

ALERT-20200311-01

Subject:

Cerner CAMM Archive Quarterly Maintenance Downtime

Impact:

 Patient Care

Summary:

The Cerner CAMM Archive will be undergoing its routine quarterly maintenance. All diagnostic image viewing through Cerner SkyVue will be unavailable for a 4-hour period during this time.

Solution Category:

Cerner CAMM Archive

Event Date/Time:

March 11, 2020 from 1800 to 2200 (6:00 PM to 10:00 PM)

Role Targeted:

EC Staff, Providers, Nursing Staff, Imaging Technologists, Radiologists

Publication Date:

March 3, 2020

Details:

CHG0035957

 

 

 


 

Description

This notification is for all clinicians that access diagnostic imaging through Cerner SkyVue, views and interprets EKGs, or utilize Cerner Camera Capture.

 

Cerner is performing routine quarterly maintenance on the Cerner CAMM Archive that stores all diagnostic images, EKGs, and patient photos.  This requires a downtime while the system is being updated.

Impact Details

Patient imaging will be unavailable from the hours of 1800 to 2200 on March 11, 2020. 

Radiology reports and teleradiology services (ONRAD) will not be affected.

Workaround

SkyVue Downtime Viewers will be setup and available on designated workstations to view any recent imaging during the maintenance downtime event.

Recovery

Images captured during the downtime will be resent and available after the maintenance event.

Support

Please contact the UMC IT Service Desk (806-775-9109) or the UMC Radiology File Room (806-775-8430) for support during the downtime.

 

 

All non-UMC trademarks referenced herein are the property of their respective owners.

Print HERE printable tutorial

Proxy and Inbox Settings in Message Center

Click on the Inbox Menu to manage “Out of Office” notifications – similar to how Out of Office works on email.

Proxy access can be granted for others to help you manage message center communications.  You have control over who and what others can view and respond to.  Settings for this are found on the Proxies tab.

An educational video demonstrating this workflow can be found here:

https://youtu.be/Ph3SPI-ZwKs

Print HERE printable tutorial

Adding Nursing Orders for the PACU

Orders for general post op care are for floor nursing care, they are not applied in the PACU.  Orders specifically for PACU nursing care must be added to the PACU order plan.

Once you select the PACU order plan, you can click Add to Phase and add any order for PACU nursing care. 

And education video demonstrating this workflow is available here:

https://youtu.be/aSIWwD6jxMY

Print HERE printable tutorial

DNR Documents on File

DNR documents can now be easily accessed and viewed via Summary Views (for PowerNote users) or via the Workflow MPages (for DynDoc users).  The date the document was scanned into the record is displayed. 

 

Summary Views:

 

 

 

 

 

 

 

 

 

 

 

Workflow MPages:

An educational video demonstrating this workflow can be found here:

https://youtu.be/GvpLEaH5ets

Print HERE printable Tutorial

Upcoming Updates to Radiology Order Catalog


New Radiology Order

  •  NM PYP Cardiac Scan

 

Radiology Order Inactivation’s

  • NM Abscess Localization Limited

 

Radiology Order Changes

  • SP Drain Cerebrospinal Fluid will be updated to SP Lumbar Drain
  • DX Esophagram will be updated to options of DX Esophagram, Single Contrast and                DX Esophagram, Double Contrast
  • DX Lumbar Puncture will be updated to options of DX Lumbar Puncture, Diagnostic w/ Fluoro and DX Lumbar Puncture, Therapeutic w/ Fluoro

Tamiflu Renal Dosing

Reminder: Tamiflu Dosing

Per manufacturer recommendations,

Tamiflu should be adjusted for renal impairment.

 

Renal function should be viewable in PowerChart in Related Results while prescribing

Adult Influenza Treatment: Renal Impairment

  • Adults with renal impairment (Moderate, CrCl greater than 30 up to 60 mL/min): 30 mg orally twice daily for 5 days 
  • Adults with renal impairment (Severe, CrCl greater than 10 up to 30 mL/min): 30 mg orally once daily for 5 days
  • Adults with ESRD on hemodialysis (CrCl 10 mL/min or less): 30 mg orally immediately, then 30 mg after every hemodialysis cycle; treatment duration not to exceed 5 days from the time of the initial dose 
  • Adults with ESRD on continuous ambulatory peritoneal dialysis (CrCl 10 mL/min or less): Single 30-mg oral dose immediately 
  • Adults with ESRD not on dialysis, influenza treatment: Use not recommended

Adult Influenza Prophylaxis: Renal Impairment

  • Adults with renal impairment (Moderate, CrCl greater than 30 up to 60 mL/min): 30 mg orally once daily 
  • Adults with renal impairment (Severe, CrCl greater than 10 up to 30 mL/min): 30 mg orally every other day
  • Adults with ESRD on hemodialysis (CrCl 10 mL/min or less): 30 mg orally immediately, then 30 mg after alternate hemodialysis cycles 
  • Adults with ESRD on continuous ambulatory peritoneal dialysis (CrCl 10 mL/min or less): 30 mg orally immediately, then 30 once weekly 
  • Adults with ESRD not on dialysis, influenza prophylaxis: Use not recommended

 

 

Print HERE printable tutorial

Power Chart Touch Orders

 

Powerchart Touch Orders

Order Profile Feature:

  • Order Actions action buttons available on side panel and replace swipe actions.
  • Access to the Active and Inactive profile.
  • Medication History status face-up.
  • Positive and Negative compliance icons.

Orders Search Feature:

  • Seamless search between devices. All applications utilize same search algorithm and results.
  • Venue type selection for either prescription or in office orders on outpatient encounters.
  • Easy to navigate existing folder structures

Orders Scratchpad Feature:

  • Editing order details is done in the side panel to keep users in a natural flow of completing necessary fields.
  • KDMO or common order details assist ordering process, same content from desktop.
Uncommon details displayed faceup as a form of passive CDS.

 

Print HERE printable tutorial

Out of Office Notifications in Message Center

Education on Utilizing Out of Office Notifications in Cerner Message Center

WHO  

Setting: Ambulatory, Inpatient 

  • MD 

  • APP 

  • Resident/Fellow  

WHY  

  • Notify colleagues and care team when you are out of office and not available to reply to messages. 

  • Direct any senders to colleagues/backups while you are out of the office.  

QUICK STEPS  

  1. Select Manage Out of Office from the Inbox button on the Toolbar Menu. The Out of Office dialog box will display. 

  1. Select the I am Currently Out of the Office Until option. 

  1. Select a date. This is an optional step that notifies senders when you will return to the office. 

  1. Click OK. 

  1. The Out of Office status is valid until you turn off the indicator, regardless of the actual date entered in the Out of Office dialog box. 

DETAILED STEPS  

Manage Out of Office 

Complete the following steps to set your out of office:   

1.    Select Manage Out of Office from the Inbox button on the Toolbar Menu. The Out of Office dialog box will display.

2.    Select the I am Currently Out of the Office Until option

3.    Select a date. This is an optional step that notifies senders when you will return to the office. 

4.    Click OK. 

The Out of Office status is valid until you turn off the indicator (see below), regardless of the actual date entered in the Out of Office dialog box. (Note, The PVINBOX prompt below will not appear when accessing an inbox as proxy (i.e., viewing a colleague’s inbox).)

If an item is forwarded to a recipient with Out of Office configured, a Valid Recipients Currently Out of Office notification will be returned to the sender with the relevant date.

 

 


Print HERE printable tutorial

New Process for Lab Add On

 

Beginning Wednesday, February 19 at 0800, the Lab Add order will not be available.

·      When ordering tests on samples already in the Lab, you will no longer order Lab Add and freetext the name of the test. 

·      You will now order the test you are requesting and select the Priority of Lab Add On (priority is where you normally would enter STAT or Routine)

 

Ex. if there is a Hemoglobin and Hematocrit in the lab, you can add a full CBC as follows:

Orders for Culture Lab Add Order & Lab Add Order will not be available for Inpatients.

Orders for Laboratory Add Test & Laboratory Add Test KingsPark will not be available for clinics.

**All labs can now be ordered with a priority of Lab Add On**

 

Call the UMC Provider Support line for futher assistance or for more education 775-8255

 

Print HERE for Printable Tutorial

Novel (new ) Coronavirus Update

Update to the evolving situation for the Coronavirus. It has now been declared a Public Health Emergency of International Concern (PHEIC) by the WHO and has recently converted to human to human transmission including one in the United States.

People under investigation in the United States according to the CDC:

According to the WHO website as of 01/30/2020:

"There are now 7711 confirmed and 12167 suspected cases throughout the country of China. Of the confirmed cases, 1370 are severe and 170 people have died. 124 people have recovered and been discharged from hospital.

 

The WHO Secretariat provided an overview of the situation in other countries. There are now 83 cases in 18 countries. Of these, only 7 had no history of travel in China. There has been human-to-human transmission in 3 countries outside China. One of these cases is severe and there have been no deaths."

Here are some of URLs for your convenience.

https://www.cdc.gov/coronavirus/2019-ncov/index.html

https://www.cdc.gov/media/dpk/diseases-and-conditions/coronavirus/coronavirus-2020.html

https://www.who.int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov)

In UMC, UMCP, and TTUHSC’s continued efforts to protect our patients and staff, the infectious disease powerform has been updated to include patient reported exposure to Coronavirus (2019-nCoV) as well as the alert update to notify the next clinician/staff entering the patient chart.

 

At this time, no workflow changes have been implemented at this time. Please continue to follow best practices and department policy for addressing any infectious disease process. Thank you for your continued vigilance in this matter and keeping everyone safe.

 


Clarifying “Every AM” Frequency for radiology orders

When ordering repeating radiology orders, we currently have Every AM frequency option. This is always set to 0300, regardless of the requested state date/time. 

 

In order to reduce confusion, we are renaming Every AM option to Every 0300

 

For those that want radiology exams to be performed daily for another time other than 0300, q24h will be an available option.  Please set the requested start time for the appropriate time.

 

 This is change is taking place on Wednesday January 29th.

 

Power Plan Favorite Changes

 

 

NOTICE

 

January 29, 2020 at 0800 the IT department will remove your favorites on the powerplans listed below.

Changes are being made to the powerplans to improve order clarity.

You have been identified as having one or more of these powerplans saved as a favorite.

 

Cardio Post Cardiac/Peripheral Cath Plan

Cardio Post EP Study/Ablation Plan

Card VAD Post-Op Plan

Card Thoracotomy Post-Op Plan

Major Vascular Post-Op Plan

Cardio Post Transcatheter Aortic Valve Replacement (TAVR) Plan

 

We have created a test patient (FIN # 50348307, UMCTEST, POWERPLANFAV ONE),

if you would like a copy of your favorited powerplan before it is removed on 1/29/2020,

please go place your favorited plans on this patient.

After placing and signing the plan right click on the plan name and select print > provider summary.

On the Provider Summary pop-up please set the parameters as pictured and click ok to print.

If you need assistance recreating your favorited powerplans please follow the attached document or contact your IT support person.


,

Coronavirus Update

,

Just a quick update and developing events related to the Wuhan Coronavirus. It has spread to multiple locations in China with multiple closures/quarantines  and now there are 12 suspected cases in the United States including one suspected in College Station. A second case has been confirmed in Chicago.

 

Hence, we are updating the powerform (today) to inform end users at intake of a potential infectious disease with the following instructions and this will go out in a separate email.

 

https://www.cdc.gov/coronavirus/2019-nCoV/clinical-criteria.html

 

If travel to China in the last 14 days and fever with respiratory symptoms (cough and/or shortness of breath), please place surgical mask on patient in a private room w/door shut (neg pressure if available) and notify appropriate infection prevention department immediately. When close contact with patient use Standard, Contact, Airborne Precautions, and utilize eye protection.