ADT Notification and Message Center Issue

We have discovered an issue that has caused the ADT Notifications (CMS Admission, Discharge, and Transfer Event Notifications) to fail. The following processes are impacted along with ADT Notifications:

• Messages from Message Center sent to a secure email address outside or our EMR (email address not ending in “@direct.myteamcare.com”) will potentially fail

• Sending of CCDs or ToCs to someone not using our EMR or Message Center will potentially fail

We are working diligently to correct this issue.

Do's and Don'ts for Lab Add-Ons

Before Ordering a Lab Add-On

• Check the patient's chart for lab testing that has been completed in the last 24 hours for specimen availability.

• Check patient's chart for any duplicate orders that may have already been ordered by other providers.

Do Not Use Lab Add-Ons for:

• For Future Daily Routine Orders

• If specimens are not “IN LAB” status

• for Troponin T High Sensitivity (must be collected in green lithium heparin tube)

• for tests that must be received on ice (Lactic Acid, Ammonia, Homocysteine, ACTH)

• for all reference lab orders (New collection required with special requirements)

• for protect from light tests (methotrexate)

• Coagulation tests (PT/PTT)

• GC Urine by PCR (This requires a separate collection kit)

• TEG (New collection required)

• Transfusion Testing (New collection required)

Do’s for Lab Add-On:

• Start & Stop Date are for current date & time only.

• Under Priority select LAB ADD ON

• Reporting Priority is Routine

• Frequency is not to be selected

• Collected is to be entered as NO

• Nurse Collect is be entered as NO since nothing is to be drawn

Diet Modifiers Update

Plan to update the following Diet modifiers to match IDDSI Standards and explain these diets are for dysphagia on Wednesday, January 19th, 2022.

Dysphagia: Easy to Chew (EC7)

Dysphagia: Minced & Moist (MM5)

Dysphagia: Soft and Bite Size (SB6)

Dysphagia: Pureed (PU4)

Mildly Thick Liquids (MT2)

Moderately Thick Liquids (MO3)

New Supplements to Add to Dietary Supplements: Code set 6107

Ensure Max Protein

Renaming COVID-19 to SARS-CoV-2

Death Certificate Completion

We need your help! Recently, funeral homes have begun to refuse to pick up bodies from our morgue until the physician has signed the death certificate.  This is causing a great deal of backup and congestion in the morgue at UMC. 

Nursing House Supervisors are having to do a frequent physician follow-up to get physicians to sign death certificates. Some physicians do not yet have an account with the state database. 

Please complete death certificates as quickly as you can. If you are not signed up with the Texas online database for certification, TexEver, then please contact your administrator to sign up.