A new med service, Medical Weight Loss, has been added to the Referral Ambulatory order.
Powerchart Touch App and Cerner Cloud Services eSignature Updates
Release Date: March 18, 2024
Cerner is requesting that users update their Powerchart Touch App.
Versions being expired:
v. 9.4.0 is scheduled to expire. Clients should upgrade to a newer version.
In addition to Powerchart Touch, those who utilize Cerner Cloud Services eSignature must be updated from v. 8.1.0 to v. 9.0.1 for iPads running on iPadsOS 15.4 or higher.
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
Cerner iViewer Window Level Presets
Go-Live: March 1, 2024
Cerner will implement the Window Level Preset functionality within Cerner Image Viewer (iViewer) application.
Window Level Preset Tool will adjust the contrast and brightness of the image to specific values. By clicking on the Window Level Preset Tool, the following options will be presented:
Bone
Brain
Lung
Soft Tissue
New Order for Esophageal Monitoring Catheter Placement
Go-Live: February 6, 2024
summary
On 2/6, the new order Request RT for EPM placement will be replacing the Notify RT order only in the case of EPMs. This order is defaulted to BID, and the Respiratory Therapist will discontinue the order when the patient is extubated.
new order
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.
Addition of G2211 Code
Summary
The G2211 Code has now been added to the Order Catalog and will pull into the Assessment and Plan when signed.
order
Assessment and Plan
How to Set a Default Launch Page from the Menu
Summary
Users can now select a default launch page from the menu. This default will be the first page the user sees whenever a patient’s chart is opened.
Steps
Navigate to the Menu.
Right-click on the page you want to be your default view (Orders, Flowsheets, Medication List, etc.).
Click “Set as Default View.”
Autotext Sharing Tool Update: Log Out No Longer Needed
Summary
After copying another user’s autoexts, you no longer have to log out to use them. They are automatically added to your library and can be used or edited.
key points
After an autotext is copied, it will automatically be added to your library without needing to logout.
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.
How to find Shift Demand PCA Count & PCA Medication Documentation
Steps
Open Flowsheets.
Click the ellipses icon.
Search Shift Demand Count PCA.
Search PCA Medication.
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.”
Ventilator FI02 OEF Change
Go Live: December 27, 2023
Summary
Due to a deficiency from DNV, the FiO2 OEF in the Ventilator Settings order and EC Initial Ventilator Settings Protocol order have been changed to a dropdown field. All other Ventilator orders remain unchanged.
Key Points
The dropdown will contain the following options:
Titrate to keep SpO2 greater than 88%.
Titrate to keep SpO2 greater than 92%.
Titrate per ordered protocol.
Other FiO2.
COPD Plan Enhancement
Go-Live: January 17, 2024
Changes
UMC is updating and adding to the Medications section of the COPD PowerPlan. Changes include:
Removing a medication from the moderate COPD medication list (line item with doxycycline)
Adding ceftriaxone to severe COPD medication list (line item with leveFLOXacin)
Adding cefepime and piperaccillin/tazobactam to severe COPD exacerbation medication list
These changes were requested by the pharmacy.
