Cerner Powerchart Touch Access (View Only)

Update as of September 27, 2024:

UMC has extended their hours for help setting up PC Touch in the McInturff to the following dates/times:

  • Saturday (9/28) from 6a - 10a

  • Sunday (9/29) from 6a - 10a

Powerchart Touch is available for providers for historical chart review on mobile devices during our IT outage. If you need an access code or help utilizing PC touch, please go to the McInturff tonight 7 pm - 11 pm or tomorrow 6 am - 8 pm . Refer to the screenshots below for information on how to download the application prior to heading to the McInturff. As a side note, if you already have Cerner apps on your phone, such as CareAware, then you already have access to PC touch. 

 

Step 1: Download the Powerchart Touch application via your mobile app store.

Step 2: Go to the McInturff to obtain the access code tonight 7p-11p or tomorrow 6a-8p, if needed.

'Do Not Turn' Order

Appropriate patients for this order:

  • Hemodynamically UNSTABLE without recovery/stabilization of vitals within 10 minutes after turning.

    • Hypotension

    • Brady/Tachycardia

    • Oxygen desaturation

    • Tachypnea

    • Increased ICP

    • Life-threatening arrhythmias

    • Active Hemorrhage

Inappropriate patients for this order:

  • Hemodynamically STABLE

  • Hemodynamically unstable with recovery/stabilization of vitals within 10 minutes after turning

  • Patients who refuse to turn

  • Patients complaining of pain

More Information:

  • Nurses can find it in the orders and Kardex!

  • Must be initiated and discontinued with a physician order.

  • Should be discontinued as soon as the patient stabilizes.

Printable Instructions

Citrix Server OS 2019 Upgrade / Migration

Visual Changes

With Citrix Server OS 2019, the frames around active application windows shift from thick bright blue border to a thin bright blue border or will seem borderless at times. Application / Window titles and font are smaller and left-aligned.

Previous View (Powerchart)

New View (Powerchart)

Previous View (PMOffice)

New View (PMOffice)

Another visual change is how idle timeout and maintenance logoff notifications are displayed. Notifications no longer display as the prominent purple banners that span the entire screen, but as light-blue modal dialog windows in the middle of the screen and will darken any applications delivered via Citrix.

Previous View

New View

Printable Instructions

Sputum and Respiratory Culture Orders

The individual Culture Sputum and Culture Respiratory orders will be removed and replaced with the Sputum Culture Plan as a sub-phase in the following plans on 8/21/24: COPD Plan, Diabetic Ketoacidosis (DKA) Plan, MICU Direct Plan, Neurosurgery Plan, NICU Sepsis Evaluation Plan, Pediatric Cystic Fibrosis Plan, Pediatric PICU Trauma Plan, PICU General Plan, PICU Respiratory Failure Plan, Pneumonia Plan, Sepsis Plan, Targeted Temperature Management Plan.

UMC will be hiding the Culture Sputum with Gram Stain for all inpatient encounters, so the providers will choose the Sputum Culture Plan instead. This is to encourage providers to order the correct culture for their patients and reduce sputum contamination rates.  This update will happen on 8/19/2024. The clinics can still order the Culture Sputum with Gram Stain, as needed.

Printable Instructions


Blood Culture Bottle Shortage Restrictions and Recommendations

Effective immediately

Go-live to stop the 2nd blood culture orders is July 22, 2024.

We are experiencing an ongoing national and critical shortage of all Blood Culture Bottles (Pedi & Adult) that is anticipated to last through the end of 2024. Our supplier has asked that we reduce utilization by 50%. Restrictions to ordering processes are vital to ensure we do not exhaust our blood culture bottle supply.

Restrictions:

  • *Blood Culture collections are restricted to 1 set (1 anaerobic and 1 lytic), in place of 2 sets.

  • *Hard stop for all Blood Cultures ordered within 48 hours of a prior culture.

  • *No future orders for all Blood Cultures

Recommendations:

  • Prevent contaminations and thoroughly disinfect & ensure proper fill volumes are collected

    • UMC is well poised for this bc our contamination rate is extremely low, regularly <2%

    • Phlebotomists and Nurses who collect blood are cultures are well trained and demonstrate a very high competence in blood culture drawing techniques

  • Blood Culture bottle fill volumes are evaluated monthly and all areas are compliant with appropriate fill volumes, which drastically reduces false negative cultures

  • Body fluids other than blood should NOT be placed in blood culture bottles for culture

  • Peripheral collections are strongly encouraged – Only draw from a line if you are trying to determine if the line is infected

  • Do NOT collect blood cultures before an order is placed

  • Do NOT discard a bottle to ‘try again’ and get a better fill

  • In addition, blood cultures are NOT recommended in the following scenarios:

    • Patient with elevated WBC & no other signs/symptoms of sepsis

    • Patient with fever but no chills, leukocytosis or other signs of sepsis

    • Stable patient with prosthetic joint infection

    • Stable patient with post operative infection, planned for I&D w/OR cultures

    • Patient with repeatedly negative blood cultures in past week

    • Patient with UTI infection

    • Patient with non-severe pneumonia

    • Patient with non-severe cellulitis

    • Daily cultures to document blood stream infection clearance

For special circumstances or requests, please call:

Marisol Martinez, Clinical Laboratory Director @ 806-775-8399 or

Jayton Zachary, Clinical Laboratory Asst. Director @ 806-775-8381 or

The Microbiology Department @ 806-775-8375

*IT Tickets have been placed for these changes to be implemented as soon as possible

Printable Instructions

Dietary Supplement for Stage 3 & 4 Pressure Injuries

Estimated Go-Live Date: July 24, 2024

Juven is a therapeutic dietary supplement that supports wound healing. National Pressure Injury Advisory Panel (NPIAP) guidelines recommend providing additional nutrients (i.e., arginine, glutamine, HMB, multi-vitamin) for the prevention and treatment of pressure injuries as a standard of care.

A dietary supplement order for for Juven BID will be added to the Stage 3 & 4 Pressure Injury Standing Delegation Order which is initiated on patients with Stage 3 or 4 pressure injuries by nursing staff.

Juven is mixed with water or juice for oral administration. Can be mixed with soft foods (i.e., applesauce or ice cream) for patients with fluid restriction concerns or patient preference. Ability to administer via feeding tube as well.

Scan QR code to learn more about Juven.

For reference material or any questions/concerns, contact:

Hanna Cunningham MSN, RN, CWOCN

Wound Care & Ostomy Services Supervisor

806-775-8873

hannah.cunningham@umchealthsystem.com

Printable Instructions

Influenza Vaccination Update

Go-Live: August 1, 2024

The 2024-25 flu vaccine is moving from a quadrivalent to a trivalent immunization.  To consolidate and ensure proper ordering and documentation, all influenza orders will only be available in a new care set called "Vaccinations Influenza w/chg".  The new set will be available beginning 8/1/2024.  You will no longer find influenza vaccines in the age-specific vaccination care sets.

Changes to the Request Medical Records from Outside Facility Order

Go-Live: June 12, 2024

Summary

On 6/12, additional fields will be added to the Request Medical Records from Outside Facility Order. These changes have been made for providers who are waiting on information that is needed for clinical decision-making and want to be notified when it comes in, regardless of the hour. These fields will let the HUCs know they can contact the provider as soon as the records arrive and include a field for provider contact information.

Key Points

The two (2) new fields within the order include:

  • “Notify provider if records received outside of normal business hours”

  • “Provider to contact name/number”

Old Order

New Order

Printable Instructions

Cerner Oracle Code Upgrade

(All Cerner Applications)

Tuesday, June 4th, 10:00 pm- 4:00 am

During this time, Cerner will be available. There will NOT be a downtime; however, there will be brief interruptions in service during the following time periods:

10:15 pm – 11:00 pm

  • Radiology Imaging

    • No new or modified radiology orders will cross to CHRS Radiology PACS.

    • No new reports will be available in PowerChart.

    • ONRAD will fax radiology reports during this time

  • RapidComm blood gas, Glucometer, iStat, and Sofia results will not populate in PowerChart.

  • Quest results will not populate into PowerChart, and orders will not send to Quest.

  • Orchard Orders and Results will not post for TTU Student Health.

  • South Plains Rehab-Encompass, Lubbock Heart Hospital, and Montford orders will not populate into Cerner, and results will not pass to the vendors.

  • Telemetry strips will not show in Clinical Notes.

  • ePrescribing

    • Prescriptions will queue up and be sent once the interfaces are back up.

    • If a prescription needs to be sent immediately, please print, or call in the prescription.

  • Teletracking will not show new, updated, or transferred patients.

  • EasyID will not show new, updated, or transferred patients.

  • IDX will not show new, updated, or transferred patients.

  • Hill-Rom

    • New patients nor transferred patients will appear on the dashboard.

    • Bed alarm automation will not be functional for new admits or newly identified fall-risk patients. Staff will need to use the downtime procedures of manually turning on/off bed alarms.

** By 11:30 pm, all patients and orders will be released, and the above systems will be updated. Radiology systems will receive the updates, and the reports will cross over once the orders are reconciled. **

10:00 pm – 12:30 am

  • Bridge will not be available. Charting will have to be completed on the compatibility tag.

11:00 pm – 11:45 pm

  • Scheduled reports will need to be printed manually (ex. Dietary reports)

  • Batch label printing (Meds/Labs) will be run early, but any new orders during that time will need to be printed manually. ** At 12:00am, all scheduled reports and batches for label printing will resume as scheduled **

You will be prompted to log out at least once during the upgrade. If you receive this notice, then please log out. You will be able to log right back in without issue. With the system being available during the upgrade, there is a potential for odd issues to occur. If you experience issues, we will wait until the upgrade is complete to troubleshoot. If you experience issues, please call the IT Helpdesk at 59109.

Printable Instructions