Progress Notes Extra MAY 2012

Transcription

1 Good Samaritan Hospital Medical Staff Office Cathy Crabtree : (937) Deb Charles: (937) Susan Willis: (937) Tanya Webber: ( Progress Notes Extra MAY 2012 To: From: All Physicians Colleen Hughes, AMC IT Site Director Important Information - Nursing Station Airport Monitor Change WHAT: WHEN: Removing Patient Name and MRN from Nursing Station Airport Monitors across PHP Starting at 8:30 a.m. Monday, April 30th DETAILS: To comply with ODH standards, we will remove patient name and MRN from the Nursing Station Airport Monitors. This does not affect any other airport monitors including those in Surgery or ED. The airport monitors will be rebooted by Field Support staff starting at 8:30 for the change to take affect. Below are screen shots for the current screen view and the new view for Monday, April 30 th after 8:30 a.m. Current view: Shows Patient Names: this is the Epic standard build the patient name (last, first) and medical record number are available on the view. New View: Remove name completely: The patient name and MRN are both removed from the view. The icons, such as isolation, male/female, pending in/pending out will remain PHP wide change Please let me know if you have any questions. Thank you, Colleen Hughes IT Site Director

2 Documentation of the Preliminary Cause of Death It is important that you document the Preliminary Cause of Death on your expired patients. If you have any questions, please contact Deb Charles ext Delinquencies are flagged in your in Basket in EPIC. Thank you. A new Topic titled Expired Patients Only has been added to the medical staff s Discharge navigators. The Topic will be populated with a new section, Preliminary Cause of Death. From the new section, the physician will select the appropriate coded diagnosis as the preliminary cause of death. *This is NOT the legal cause of death and may differ from what is recorded on the death certificate. If the physician does not enter a preliminary cause of death at the time of discharging the patient, when the patient is discharged with a status of Expired, a chart deficiency will be sent to the attending physician s In Basket. From that deficiency, the physician can click onto the hyperlink Preliminary Cause of Death to document the preliminary cause. Once the preliminary cause of death has been entered, click the Already Done button to inform HIM.

3 Memo Date: 4/23/2012 To: All Physicians From: Tammy S. Lundstrom, MD, JD, PHP Chief Medical Officer Walter A. Reiling III, MD, PHP Chief Medical Informatics Officer Subject: Mechanical Venous Thromboembolism Prophylaxis This letter is to explain a change impacting PHP Venous Thromboembolism (VTE) and Prophylaxis smartgroups within all PHP ordersets. A selection within the mechanical prophylaxis/vte contraindications will now be required. The reason for this change is to provide better prophylaxis for our high risk patients and to improve compliance with CMS quality indicators, including Surgical Care Improvement Project (SCIP). Per CMS guidelines, if pharmacological prophylaxis is contraindicated, then mechanical prophylaxis must be ordered, or a separate contraindication must be documented. This change has been reviewed and approved through the Physician Advisory Committee. This change will be effective on Wednesday, April 25 th.

4 Dear GSH Physicians, Please be aware that there are several drugs in critical supply. There are 217 drugs on a national shortage list; 63 of those medication shortages affect GSH directly. Please use these drugs judiciously and whenever possible use an alternative drug. The following is a GSH list of the most frequently requested drugs that are in critical supply or not available: Respectfully, GSH Medication Safety Committee Medication Current Stock Anticipated Release Date (subject to change) Diazepam Limited stock Late May 2012 Etomidate Limited stock June 2012 Epinephrine Not Available June 2012 or later 1:10,000 (0.1mg/ml) prefilled syringes Fentanyl Limited stock June 2012 Hydromorphone Limited stock June 2012 (DILAUDID) (variable strengths) Mannitol 25% Not Available No release date Metoclopramide (REGLAN) Limited Stock No release date Morphine (variable strengths) Multivitamin (ADULT) Naloxone (NARCAN) prefilled syringes Prochlorperazine (COMPAZINE) Sodium Bicarbonate 8.4% pre-filled syringes & vials SMZ/TMX (BACTRIM) Limited Stock Preservative-free morphine: 4 th Quarter 2012 Injection w/preservatives (variable strengths): Mid-June 2012 Limited Stock 1 st Quarter 2013 Limited Stock Late June 2012 Not Available No release date Limited Stock December 2012 Compassionate Use Only No release date

5 Medical Staff Gear Up for Epic 2010!! Robin Coale has arranged to demonstrate the upcoming Epic 2010 Upgrades for Inpatient Medical Staff four times over the next 2 weeks. If you are interested, you only need to attend one session. You can attend the demonstration from any computer with Internet access (near a phone for the audio). If you are located at the hospital and wish to attend from a conference room, I have reserved rooms which have a computer, projector, and Bridge phone. Detailed information on the dates, times, webinar links, and Bridge lines is listed below. Click onto the desired link below to register for one of the sessions; when you register, there is an option to add the meeting to your Outlook calendar. Another method to see the upcoming changes is through the Practice environment. Sign into Epic 2010 Practice using one of the following physician IDs for Practice: e9001, e9002, or e9003 and the password php1234. The 2010 Upgrades for Inpatient Medical Staff files will be posted on the secure (password-protected) side of the Physician Portal. Tuesday, May 22 7:00 AM 8:00 AM GoToWebinar link: Audio Conf bridge # ID=138931# VIDEO ROOM LOCATIONS MVH - CNE G224 MVSH - Conf Room Board M1108 GSH - GSH - Conf Room Board AMC - Gage Board Room UVMC - Admin Conf. Room Thursday, May 24 5:30 PM 6:30 PM Audio Conf Bridge # ID=068891# GoToWebinar link: VIDEO ROOM LOCATIONS (no location available at MVH South) MVH - CNE G224 GSH - GSH - Conf Room Board AMC - Classroom 5A UVMC - Admin Conf. Room

6 Wednesday, May 30 5:30 PM 6:30 PM Audio Conf Bridge # ID=068891# GoToWebinar link: VIDEO ROOM LOCATIONS MVH - CNE G224 MVSH - Conf Room Board M1108 GSH - GSH - Conf Room Board AMC - Classroom 5A UVMC - Admin Conf. Room Thursday, May 31 7:00 AM 8:00 AM PHP Audio Conf Bridge # ID=021003# GoToWebinar link: VIDEO ROOM LOCATIONS MVH - CNE G224 MVSH - Conf Room Board M1108 GSH - GSH - Conf Room Board AMC - Classroom 5A UVMC - Admin Conf. Room Robin Coale, MHA Principal Trainer - Medical Staff Technical Education and Support Phone Pager

7 Notes for Significant Patient Events Intervention note type was developed for physicians to be able to discern quickly when reviewing notes that a patient had a significant event. Physicians had expressed concern that all the notes appeared as nursing or progress notes. In the case of a fall where nursing and pharmacy add notes to the template the note would re-file. This strategy keeps the fall note under the intervention category regardless of who addends the note. The intervention note also holds the templates for these significant events to assure that all elements of the event are charted to provide all relevant information for the physicians. The Intervention Notes include: FALLS Note o To be used for any patient who experiences a fall Post Seizure Note o To be used for any patient who has a seizure for evaluation by the physician ACT Team Note (for Act Team use only) o To be used for ACT Team members documentation in response to a call. Nursery OB Intervention Note o To be used for an Obstetrical Untoward Event o To View the Note The Note Type will be labeled Intervention Note under the Category heading in the following: Notes Activity o All Notes Tab o Progress Notes Tab Chart Review o Notes/Trans Tab

8 Fingerprinting We are installing new fingerprinting software that is more effective. It will be imperative that you have your new fingerprints in this system in order to utilize your fingerprint in EPIC. Fingerprinting will be in the Medical Staff Lounge Monday through Friday, 6:30 a.m. to 3 p.m. If these times do not work for your schedule, please contact Deb Charles ext. 1229, in order to work out a time more conducive to your schedule. We would like to have all physicians fingerprinted in the new system by the end of May 2012.

9 Know Your Dictation Number! It is always safest for the patient if the ordering provider enters their own orders. It is recognized that there are instances in which verbal/telephone orders are necessary. For nurses and others entering verbal orders a new safety practice has begun as of April 30 th. Physicians, and other ordering providers, will need to give the nurse their Good Samaritan Hospital dictation number (example: G112233) and their name when giving verbal orders. This will decrease error in physician/provider identification and reduce the number of deferred verbal orders. Nurses are to ask you for your dictation number and to enter that number with a preceding G for Good Samaritan Hospital in the ordering provider field. If you need assistance obtaining your dictation number, please contact Transcription at X 2593 or Deb Charles at X 1229 in the Physician Lounge.