December 2008 RT Cerner Enhancements FAQ December 12, 2008
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- Phoebe Stephens
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1 December RT Cerner Enhancements FAQ December 12, Facility/Audience: Check information on each item Addition of Lag Time to Assignment Shift Change In order to see your Assignment during shift change, you will need to update you Assignment List by adding one (1) hour of Lag Time. The Assignment Patient List window will display. Proper Order Entry of Circuit Change Orders for Circuit Change should be entered with the Start Date/Time requested. Example: Adult vent to begin in 30 days. December RT Cerner Enhancements FAQ v2.doc Page 1 of 9
2 MD Able to See Charted TX Pre/Post Flow When a patient is ordered to have a Peak Flow before and after their treatment, please chart these values along with all other treatment information. The physicians will now be able to see these values on the Results tab. Facility: All Clarian Date: Current Other Option for Continuous Aerosols ; Pharmacy Process flow and steps to use Other for Continuous Aerosols: If a medication other than Albuterol needs to be nebulized continuously, there is an option for Other. An example would be the pulmonary vasodilator, milrinone. Pharmacy will still enter the Continuous PowerPlan and add the milrinone medication into the Plan. Respiratory will add in the appropriate task (mask or vent) and then select Other under medication and then enter the med information and rate under Special Instructions. Tasks will fire on the MAR and SPTL/MPTL, similar to what occurs for the continuous Albuterol treatments. December RT Cerner Enhancements FAQ v2.doc Page 2 of 9
3 Note: Respiratory is in the process of building a separate PowerPlan for continuous nebulized pulmonary vasodilators. It will be completed sometime during 1 st Quarter RCP Assessment Form in Clinical Notes The RCP Assessment form will be available in Clinical Notes under Respiratory Care. ; Physicians; NP December RT Cerner Enhancements FAQ v2.doc Page 3 of 9
4 Non-RT RT New Med Ordered Rule Update Facilities: University, Riley and Clarian North Hospitals An RT Med ordered by Non RT order/task will be implemented at University, Riley and Clarian North Hospitals during December The medication order for an RT Med is placed. This has been trialed and was implemented at Methodist, Clarian West, and Clarian Arnett in October. 2. When the RCP views their Task List, an order/task will be seen for their patients. a. Complete the Respiratory to Administer task after the correct modality has been attached in the PowerForm. b. Complete the Resp Med Ordered by Non-RT task and this will complete the order. Addition of Significant Events/New Problems Section to Airway Support, Nursing (including all PeriOp areas, but not ED) A Significant Events/New Problems section will be added to forms with the Airway Support Unexpected Events question. When Self Extubation, Skin Breakdown, insertion site, Trach Change, or Emergent and Unplanned extubation are selected, the Significant Events/New Problems section will activate (open). Please chart specifically what happened. An incident report will need to be generated as well. December RT Cerner Enhancements FAQ v2.doc Page 4 of 9
5 Reorganization of Non-Invasive Monitoring & Alarms on Ventilator NB Sections The following screen shots will show the reorganization of Non-Invasive Monitoring and Alarms on the Ventilator NB form sections: December RT Cerner Enhancements FAQ v2.doc Page 5 of 9
6 Pharmacy Order Message to Respiratory Facilities/Audience: RT & Methodist, IU and Riley Hospitals There is a new Pharmacy order message to Respiratory that fires a ONCE frequency order with task. It is called Pharmacy Message to Respiratory. Respiratory will also receive a page when Pharmacy uses this new order message. This is another way Pharmacy can easily communicate a message to the therapist caring for the patient without having to determine who it is, page and then wait for a response. If after receiving the order the therapist has a question, please call pharmacy and talk to the pharmacist who entered the order. Order: Task: Updated I-Flowsheet Bands Following are screen shots of the updated I-Flowsheet Bands: December RT Cerner Enhancements FAQ v2.doc Page 6 of 9
7 CPAP/BiPAP Form Changes CPAP Flow has been moved up on the CPAP/BiPAP and SpO2 Pre/Post High/Low have been added. The Resp Charges section has also been added to the CPAP/BiPAP form. Incubator Service Charge The Incubator Service charge has been added to Misc Daily Charges. The Incubator charge was added Ventilator Support, CPAP/BiPAP and Independent Lung Ventilation forms. Possible Date: December 9, December RT Cerner Enhancements FAQ v2.doc Page 7 of 9
8 Oxygen Rounds Section Additions SpO2 Pre/Post, High/Low has been added to the Oxygen Rounds section. Adult/Peds and NB Ventilator Sections Addition Artificial Airway Leak Present has been added to the Adult/Peds and NB Ventilator sections for situations where the patients have a large leak. Adult/Peds: December RT Cerner Enhancements FAQ v2.doc Page 8 of 9
9 Newborn: December RT Cerner Enhancements FAQ v2.doc Page 9 of 9
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