Changes to Colorectal Cancer Screening in HM have been made to allow us to differentiate between the guaiac cards results and an immunoassay guaiac test. This required minor changes in the Point of Care-Gastrointestinal PowerForm.
Powerform changes: The Point of Care-Gastrointestinal Powerform was modified as shown below.
The highlighted section, Occult Blood Stool by FIT, provides a way to chart occult blood stool results from an immunoassay type test. A FIT or IFOBT only requires a single sample where the old guaiac cards required 3 separate samples. Results should only be charted in the appropriate field that corresponds with the type of test used. These are not interchangeable fields.
The results from this test will display as shown here.
These changes will be reflected in Health Maintenance as well. The orderable for “POC Fecal Occult Blood Dipstick (Clinic) will be replaced with an orderable that directs the provider to the POC Fecal Occult Blood Testing (Clinic) care set. The provider may then choose which order they would like to place. Each order has a brief description the help differentiate between the orders.
Current view in Health Maintenance:
New view:
POC Fecal Occult Blood Dipstick (Clinic) will be removed and POC Fecal Occult Blood Testing care set will be added.
Care set – no changes were made
Impact:
Staff will need to be instructed on the changes shown above. They will also need to be able to distinguish between the types of POC testing that is available in your clinic and how to document the results appropriately. If the orders shown above are not viewable in your clinic but should be please contact Clinical Transformations, 806.743.4357 as soon as possible so we can verify the orders are virtual viewed appropriately.
