1Health Physician Communication - Jan 26th, 2023

CHANGE SUMMARY

Change

Change Date

Change Summary

Benefits

Review/Approval

FN Indicator

Jan 10

A First Nation indicator will now display on the Acute Status Board and ED Tacker.

Reduces clicks

PLC (Jan 3, 2023)

Preferred Name on Status Board and Tracker

Jan 10

If applicable, the patient preferred first name will now display in brackets on the Acute Status Board and ED Trackers.

Reduces clicks

PLC (Nov 7, 2022)

POC at Community Hospital

Jan 17

i-Stat and Piccolo tests (Chem8, CG4, INR, TROP, LFTs) are interfaced as of Jan.17th.

  • The orders are placed as interventions, once the testing is performed on the instrument, results will upload to the patient's EMR.
  • Physicians can find this under Diagnostics.
  • The results will have appropriate associated comments, including critical result comments, will have the date and time associated to testing and will be trend able, like any other lab result.

Access to results in the EMR from all YHC locations.

PLC (Jan 16, 2023)
Lab

Admit ICU and Admit Med Surg PRECLICK Order Sets

Jan 17

The following pre-clicked order sets are now available. Within these new order sets, orders such as MRP Handover, Resuscitation Status, Isolation/Precaution, Diet and Activity are pre-selected to reduce clicks.

  • Admit ICU CPR/ISO
  • Admit ICU CPR/noISO
  • Admit MedSurg CPR/noDVT/ISO
  • Admit MedSurg CPR/noDVT/noISO
  • Admit MedSurg DNR/noDVT/ISO
  • Admit MedSurg DNR/noDVT/noISO

Reduces clicks and streamlines admission ordering

PLC Members (Dec 2022 and Jan 2023)

IV Solution Ordering

Jan 31

Effective Jan 31, all standalone IV fluid order strings (Normal saline, KCL large volume bags, D5W, etc.) will be housed within an order set for streamlined ordering. The order set can be accessed by searching the fluid name (ie: D5W) or by searching “IV FLUIDS”.

All existing order sets will remain formatted as they are at present.

If physicians have favorited IV Fluid standalone order strings, these will no longer be available after Jan 31st and all favorites should be saved from within the new order set

Simplifies IV Fluid ordering

PLC (Jan 16, 2023)
P&T (Jan 9, 2023)

Colonoscopy and Gastroscopy Prep

Jan 31
  • Order sets for Colonoscopy Prep and Gastroscopy Prep will now be available. The order sets can be used prior to the procedure being booked.
  • Tip Sheet is posted here prior to go live

Improves ordering process for physicians

PLC (Nov 21, 2022)

P&T (Nov 17, 2022)

ED Discharge

Early February
  • A new Meds to Go order will be available for patients in the ED.
  • Tip sheets will be posted here prior to go live.

Improves meds to go process

PLC (Jan 16, 2023)

Gen Surg Order Set Changes

Jan 27

With this change, new order sets were created providing additional pre-clicked options

Streamlines ordering and reduces clicks

PLC Members (Jan 2023)



FOR INFORMATION

Item

Summary

Review/Approval

OBS Stillborn Order Set

As of January 18th, most of the lab orders on the OBS Stillborn order set are now pre-selected. This ensures that the orders cross to lab with a consistent start time. Please note that any labs not required can be unchecked.

Lab, Maternity

Frostbite Order Set

As of December 23rd, the Frostbite Order Set was streamlined so that once the grade is selected only applicable orders display.

Lab, Pharmacy, Physicians

New Mono Test

The lab has moved to a new methodology for their Mono test.

  • There is no change to the ordering name
  • There is no change to the EMR ID or report distribution
  • Improved turnaround times will be noticed as the test will no longer be batched but processed as priority ordered.

Lab

Critical Result Comment

There is a new critical result comment that was recommended by the Medical Director to ensure the urgency of the result is verbally communicated and visually represented on the report.

  • BBK has also done a review/revision of the critical result comment associated to positive Antibody Screens in Transfusion Medicine to be more appropriately worded to the testing.

Lab

Reference Range Review/Update

As part of the preparation of the POC interface Go-Live, reference ranges of the POC tests and tests processed on the main Lab analyzers took place. Some of the reference ranges were updated as recommendations of the Medical Biochemist and Hematopathologist.

Reference Ranges updates were done on the following analytes and will continue as we review/update the remaining tests at WGH:

  • Sodium (Na)
  • Potassium (K)
  • Chloride (Cl)
  • Carbon Dioxide (CO2)
  • Creatinine (Crea)
  • Urea (BUN)
  • Glucose
  • POC Glucose (Glucometer)
  • Whole Blood Glucose (Blood Gas)

Lab, Maternity

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