1Health Physician Communication March 31, 2023

CHANGE SUMMARY

Change	Change Date	Change Summary	Benefits	Review/Approval
Priority Pack	April 25	The MEDITECH System will be upgraded on April 25th. This update is called a Priority Pack and contains several corrections to resolve software deficiencies, as well as several enhancements for workflow improvements. Lunch and Learn Sessions will be held the week of April 17^th and at the elbow support will be available for providers after the go live. The Priority Pack will include changes to Physician Documentation and HIM Deficiencies, as well as other areas. More information will be communicated in April.	System performance improvements Additional functionality	PLC
Medical Directive: Pre-op Pediatric Analgesia	April 5	Medical Directive for Surgical Services – Pre-Op Pediatric Analgesia Hold queue can be used to order Medical Directive for pre op visit, this includes: Acetaminophen dosing Ibuprofen dosing The directive will flow to the nursing worklist for the nurse to enter the medication orders once the patient is weighed. The medication order will auto calculate the proper dose if the patient is weighed, and the weight is documented in the system.	When patient is weighed on return for OR nursing will give appropriate doses of pre op medications Acetaminophen and Ibuprofen dosing will be calculated based on the patient's most current weight	PLC, NAHLC, Surgical Services, CNE’s, MAC
DKA/HSS Order Set Changes	April 12	The DKA/HHS order set will be divided into four separate order sets guided by the Protocol Steps established at YHC: DKA/HHS Step 1 DKA/HHS Step 2 DKA/HHS Step 3 and 4 DKA/HHS Step 5 Additional changes have been made to improve the workflow: Additional orders have been pre-selected, including nursing protocols for each step Anion Gap will be auto calculated and documented hourly Insulin infusion will default to 0.1 units/kg/hr if a weight has been documented for the patient ½ NS has been removed Dextrose is now a nursing worklist order and will not flow to the MAR without nursing placing an order The Adult Diabetic Ketoacidosis flowsheet will be updated to include Anion Gap	Reduces clicks and streamlines ordering Streamlines the MAR and clarifies nursing protocols	PLC (March 27, 2023) Lab Pharmacy NAHLC

FOR INFORMATION

Item	Summary	Review/Approval
Physician Support Email	The following email can be used to request MEDITECH training or support: Yukon-Hospitals-Meditech_Educators@yukonhospitals.ca	1Health Team
Hyperkalemia Order Set	A Hyperkalemia order set is now available to improve patient care.	PLC
Gestational Diabetes Order Set	The insulin sliding scale has been pre-selected as it is a required element of the protocol that is pre-selected.	Maternity
Ortho Order Sets	The following order sets have been updated with the changes requested by the orthopedic surgeons. Ortho Nausea Vomiting Ortho Fracture Pain Meds Ortho Post Op Inpatient Ortho THA Post Op Ortho Hip Fracture Pre Op Ortho Hip Fracture Post Op Ortho TKR Post Op Ortho Pain Meds Day Surgery	Orthopedic Surgery
Caesarean Section Recovery Policy	On March 13, A Caesarean Section Recovery Policy was added to the Anes Post C-Section Epimorph order set and is pre-selected. The policy will flow to the nursing worklist.	Mat Newborn Committee
ED Face Sheet	Triage Interventions have been added to the ED Face Sheet. The contact section has also been updated to display the first two contacts. If applicable, any additional contacts can be accessed within the Chart.	ED Committee
Closing Old Session and Starting New	Starting a new session can fix some general issues with your MEDITECH session Tip Sheet	General Help Tip
Ability to open 2 MEDITECH sessions	Physicians have the ability to open 2 concurrent sessions of MEDITECH Tip Sheet	General Help Tip
Clearing the Cache	Clearing the cache by itself or in combination with starting a new session can also fix some general issues Tip Sheet	General Help Tip

If you encounter any issues or have any questions about these changes, please contact the
1Health support line at ext 8601 (internal) or (867) 393-8601 (external) or through JIRA http://yhsdkb:8080/servicedesk/customer/portal/1/create/6