Discharge Transfer Workflow – WGH to Community Hospitals
Early December
Discharge Transfer functionality in Discharge Plan can be used for inpatients transferring from WGH to a community hospital.
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.
Patients must be fully discharged from WGH for the orders to cross/be visible to the receiving hospital
Loperamide and Acetaminophen will now have a max dose rule built into the MAR.
A warning will appear if the maximum dose is reached in a 24hr period.
The user will be asked to indicate a reason why they want to exceed that maximum dose.
If the prescriber inputs an alternative max dose that will appear in the label comment, nursing will need to calculate the 24 cumulative dose and ensure the max dose is not exceeded. This is the current workflow
Decrease risk of accidental administration over max dose range
PLC
P & T
Inactive Home Meds
Dec. 6
Inactive Home Medications will display in PURPLE
to highlight that they are inactive
Easily differentiate between inactive and active medications
NAHLC
Discharge Document Barriers to Discharge
Dec. 5
Barriers are identical to old assessment, built new assessment to fix previous issues
Specific status boards with barriers will be updated to display old and new queries will exist on these status boards until the last patient using the old query is discharged.
Recall function will not work on new query until first documented
Barriers to Discharge will no longer recall visit to visit.
SME’s
NAHLC
Home Care – Special Indicator
Dec. 7
New Special Indicator for Home Care that is available to all YHC locations
When expanded it will display the home care coordinator and phone number if documented
Available on the secondary status board, as part of the special indicators
Will be removed from barriers documentation since moving to special indicator
Maternity Specific Clinical Panels have been added for Nursing
One place to see patient data in a simple format
Mat/Newborn
Committee
PKU Order
December
When ordering a PKU the Specimen query will now default to “Send someone to collect” instead of “Nurse to Collect”
Reduce number of order entry errors
Mat/Newborn
Committee
FOR INFORMATION
Item
Summary
Review/Approval
BPMH Status Added to PHA Med Reconciliation Assessment
When the BPMH Status query is updated through the assessment, it updates the BPMH Status throughout MEDITECH.
Pharmacy Manager
New Reg Type POSTMORTEM
Lab will be able to register Referred-In accounts for expired patients.
Lab
Health Records
Gastrointestinal
Assessment
“Obese” and “Gravid” can now be documented under the description of the Abdomen assessment.
“Rigid” is now an option under palpation
Nursing
Home Medication Widget on Snapshot
A Home Medication Widget has been added to the snapshot for all inpatients.
The widget will display if the home medications are with the patient and the disposition (i.e. “Locked up”)
Nursing
Postpartum Intervention
An acute pain scale is now embedded into the Postpartum Intervention for Maternity
Maternity Nursing
Isosource Order
Isosource 1.2 w Fiber (1.5L) has been added to MEDITECH
Dietary
MRS Caseload Report
An MRS Caseload Report can now be pulled for the MRS team
MRS
Social Work Census
A Social Work Census Report can now be pulled for the Social Work team
Social Work
Reminder:Admission Cancellations in ED
The below is the workflow when an admission of an ED patient has been cancelled:
ED Physician cancels Admission Order
ED Physician adjusts all document and report types
Nursing to notify the Registration Clerk of the cancellation; this should be done as soon as the admission is canceled and no later than when the patient leaves the ED.
Reg Clerk will undo the admission and bring the account back to an ED visit
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 at YHC-HELPDESK@wgh.yk.ca
