Jehovah's Witness BB Order Alert

Go-Live: May 6, 2024

Beginning May 6, 2024, Jehovah’s Witness patients will trigger an alert to fire when blood products are ordered. The alert is based on the patient’s religion of Jehovah’s Witness and when any of the following blood products are ordered:

  • BB Cryoprecipitate for pts 25 kg or GREATER

  • BB Cryoprecipitate for pts LESS than 25kg

  • BB Plasma for pts 25 kg or GREATER

  • BB Plasma for pts LESS than 25kg

  • BB Platelet for pts 25 kg or GREATER

  • BB Platelet for pts LESS than 25kg

  • BB PRBC for pts 25 kg or GREATER

  • BB PRBC for pts LESS than 25kg

  • BB Send Blood Product for pt 25 kg or GREATER

  • BB Send Blood Product for pts LESS than 25kg

  • BB Transfuse Rh Immune  Globulin

  • NICU BB Cryoprecipitate Order

  • NICU BB Plasma Order

  • NICU BB Platelet Order

  • NICU BB PRBC's Blood Order

  • NICU BB Send Blood Product

PowerChart SkyVue Workaround

For those providers who need access to Cerner SkyVue through PowerChart, a new link has been created to allow you to launch PowerChart/Surginet/FirstNet with SkyVue (the old viewer) instead of the new Cerner Image Viewer.

http://cernerweb.teamumc.com/Citrix/SkyVueProdWeb/

NOTE:

This is the same unsupported version of Cerner SkyVue and will continue to have the same issues it previously had.  However, we will make this PowerChart SkyVue link available as a temporary workaround until the Image Viewer reaches a stable state.

Reminder on NPO Diet Orders

Diet Order Key Points

  • When an NPO Diet Order is placed and “(None)” is selected, the NPO Order will begin at THAT time. The same issue will occur if T;N NPO is selected. Therefore, the patient could unintentionally be left without a meal for an extended period of time.

  • If NPO needs to begin after midnight, ensure you are selecting “T;2359 NPO After Midnight.”

  • “(None)” cannot be removed as it is a Cerner Standard.

    • Ensure the correct NPO Order Sentence is selected based on the patient’s needs.

DISCHARGE CLOSED SURGICAL SITE INSTRUCTIONS AND DISCHARGE OPEN WOUND CARE INSTRUCTIONS

Go-live: April 24, 2024

Summary of Changes

  • On 4/24, a new order called Discharge Closed Surgical Site Care Instructions will be added to all PowerPlans with the Discharge Wound Care Instructions order.

    • This new order will include the following fields: Wound Location, Wound Care Instructions, Remove Dressing in (days), Replace with, and Additional Instructions.

    • This order should be used for closed surgical site care instructions.

  • The Discharge Wound Care Instruction Order will be renamed to Discharge Open Wound Care Instructions.

    • This order should be used for care open wound care instructions.

Discharge Closed Surgical Site Care Instructions

Discharge Open Wound Care Instructions

Impacted Plans:

  • Adult Discharge Plan

  • Adult Outpatient Ophthalmology Plan - Discharge Orders

  • Adult Outpatient Surgery Plan - Discharge Orders

  • Cardio Discharge Cardiovascular Procedure Plan

  • EC OR Adult Outpatient Surgery Plan - Discharge Orders

  • EC OR Pediatric Outpatient Surgery Plan - Discharge Orders

  • GYN ONC Outpatient Surgery Plan - Discharge Orders

  • NICU Discharge Plan

  • Outpatient Endoscopy (GI) Procedure Plan - Discharge Orders

  • Outpatient Endoscopy (Pulm) Procedure Plan - Discharge Orders

  • Outpatient Endoscopy Procedure Plan - Discharge Orders

  • Outpatient Interventional Radiology Sedation Plan - Discharge Orders

  • Pediatric Discharge Plan, Pediatric

  • Outpatient Ophthalmology Plan - Discharge Orders

  • Pediatric Outpatient Surgery Plan - Discharge Orders

New Flowsheet: Risk Scores and Assessments

Go-Live: March 5, 2024

Summary

To enhance providers' accessibility in locating crucial patient care details, a new flowsheet has been created. This flowsheet contains scores and assessment data that were previously difficult to find.

Key Points

Risk Scores and Assessments - Flowsheet contains the following assessments:

  • VTE (Venous Thromboembolism)

  • CIWA (Clinical Institute Withdrawal Assessment)

  • IBW (Ideal Body Weight)

  • PCA (Patient Controlled Analgesia)

Note: If the assessment is not documented, then it will not appear in the flowsheet. This may mean that the assessment hasn’t occurred or that the patient doesn’t meet the criteria for it.

Order Change: Removal of "Foreign Object" as a Source from All Cultures

Go-Live: March 25, 2024

Summary

Foreign Object will be removed as a source from Culture Aerobic/Anaerobic with Gram Stain, Culture Wound with Gram Stain Swab, and Culture Fungal. Foreign Object will not be an option (on any cultures) anymore for physicians. For additional questions, please contact the Microbiology Lab at 806-775-8375.

Orders Impacted

Culture Fungal

Culture Wound with Gram Strain Swab

Culture Aerobic/Anaerobic with Gram Strain

Changes to the TLSO Orders

go-live: February 8, 2024

summary

These changes guide the ordering provider to select the correct TLSO order.

key points

A synonym of ‘Apply TLSO Brace – Custom (2-4 day turnaround)’ will be added to the ‘Apply Spinal Brace/Immobilizer’ order. The ‘TLSO’ option for the Type of Immobilizer/Brace will also be modified to be “TLSO – Custom.’

A synonym of ‘Apply TLSO Brace – Adjustable (0-1 day turnaround)’ will be added to the ‘Spine Brace Fitting and PT Evaluation’ order.

These changes guide the ordering provider to select the correct TLSO order.

How to Access Favorited & Pre-Completed PowerNotes from Provider View

Summary

Users can now access Pre-Completed and Favorited PowerNotes from the Dynamic Documentation Provider View.


PowerNote How To’s

Saving a Pre-Completed PowerNote: click here to visit the site.

Saving a Favorite in PowerNote: click here to visit the site.

Steps

  • From Provider View, select the Documents Component.

  • Select the drop-down button.

    • You will now see a list of your Pre-Completed and Favorited PowerNotes.

Multi-select Dropdown Lists in Autotexts

Available now

Summary

Users are now able to create/use a multi-select dropdown list in their Autotexts.

how to create/use a multi-select dropdown list

  • Manage Autotext Tool -

    • From Provider View, navigate to the Manage Autotext Icon on a free-text component.

    • From the Menu, select the Autotext Sharing Tool and open the Manage Autotext Icon under “My Autotext Library.”

  • Create or Edit an Existing Autotext

    • Edit a current Autotext under My Phrases.

    • Copy a Public Autotext.

    • Customize a blank Autotext.

  • Click the create Drop-list Icon… OR click the existing dropdown.

  • Check the Multi-select Box.

    • Enter your dropdown choices.

    • Click “Create.”