1Health Physician Communication - Nov 25th

CHANGE SUMMARY

Change

Change Date

Change Summary

Benefits

Review/Approval

Max Doses for Acetaminophen and Loperamide

Nov 28
  • Acetaminophen will have a rule of a max cumulative dose of 4000mg in 24 hours
  • Loperamide will have a rule of a max cumulative dose of 16mg in 24 hours.
  • These max doses will prompt nursing for an override. If the physician would like an alternate maximum, they must manually type the desired 24-hour max dose in the label comment when ordering.

Simplifies ordering

PLC (Nov 21, 2022)

VTE Order Set

Nov 30

  • The VTE Order Set will be streamlined on all admission order sets. The Reminders will also be updated and the Improve VTE Score will been added.
  • The following order sets will have “VTE Prophylaxis Not Required or Contraindicated” pre-selected: Admit GI Bleed, Admit UA or NSTEMI, Admit AMI/STEMI, Admit CVA Post Thrombolysis, Admit CVA Hemorrhagic, Admit Pulmonary Embolism

Reduces clicks

P&T (January 10, 2022)

PLC (August 22, 2022)

MAC (November 16, 2022)

Print Out of OR Bookings

Dec 1
  • A new question will be added to the Urgent/Emergent OR Booking Form and Elective Surgery OR Booking orders that will trigger a print out to the Surgical Clinic.
  • The question will default to “Yes” for all physicians working at the Surgical Clinic. It will default to “No” for all other physicians.

Improves Surgical Clinic workflow

PLC (November 7, 2022)

Discharge Transfer from WGH to Community Hospitals

Early December
  • · Discharge Transfer functionality in Discharge Plan can be used for inpatients transferring from WGH to a community hospital.
  • · Discharge Transfer allows the sending physician to suggest orders for the receiving physician. The receiving physician can then review the suggested orders and decide to continue or omit the orders.
  • With this change, Prescriptions and Problem Reconciliation are not required with a Discharge Transfer – once the discharge disposition is selected by nursing, the required red asterix will be removed.
  • Tip sheets will be posted here prior to go live.

Streamlines ordering for receiving physician

Improves BPMH process on future admissions

PLC (November 7, 2022)

Pre-Op Pediatric Analgesia Ordering

Early December
  • The Anesthesia Pre Op Pediatric order set will be updated to include a Medical Directive order for pre-op analgesia. The order will flow to the worklist for nursing to enter the Medical Directive at the time of visit when a weight has been documented.
  • An additional communication will be sent to surgical services regarding this change.

Improves workflow and accuracy for pediatric analgesia ordering at time of surgery

P&T (March 14, 2022)

PLC (June 28, 2022)

MAC (November 16, 2022)

Clearing Workload

Mid December

Physicians can opt in to having their workload cleared:

  • Only Results, CC Results, CC Documents and CC Reports will be cleared from your Workload
  • All other Workload items (e.g. *Hey Doc*, Deficiencies) will not be cleared

If you would like your Workload cleared, please email kira.becker@healthtech.ca by December 9th

Please note that this is the last time that workload clearing will be offered. To have your workload settings changed please email YHC-HELPDESK@wgh.yk.ca

Removes historical workload results

PLC (November 7, 2022)

Required Fields on Lab Orders

Ongoing

Lab orders are continually being updated to remove required fields. “Is patient on Antibiotics” is no longer required on the majority of microbiology orders.

Reduces clicks

Lab

FOR INFORMATION

Item

Summary

Review/Approval

Newborn Metabolic Screen

To ensure that PKU’s on newborns are not missed, the Newborn order sets have been updated so that these orders default to lab to collect.

Lab, Maternity

Personalized Order Sets Pop Up

To turn off the notification that a personalized order set has been updated go to Menu>Manage Personal Sets, select the order set and click “Do Not Show Again”.

Admission Cancellations in ED

When the admission of an ED patient has been cancelled, please ensure that the Admit Request order is cancelled. Nursing will follow up with Registration to have the account corrected.

To ensure Health Records and CIHI standards are met, the documentation must accurately reflect the account type. If an Admission Note has been started it will have to be adjusted to an ED Report.

1Health Team

Barriers to Discharge in Discharge Summary

Starting December 5th, a change will be made to the Barriers and Goals section in the Discharge Summary. During this transition, you may temporarily see multiple responses for barriers prior to and after December 5th.

Please note that the Barriers to Discharge section is view only and will not display on the Discharge Summary output.

1Health Team

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 at YHC-HELPDESK@wgh.yk.ca