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