1Health Nursing & Allied Health Communication – Sept 2022
CHANGE SUMMARY
Change
Change Date
Change Summary
Benefits
Review/Approval
Admit Request
BPMH Request
Sept. 27, 2022
A new “Admit Request” order has been built for physicians. This order will trigger a RED flag to appear on the nursing ED Tracker in the new “Adm Req” column, notifying of the request for a patient admission (there will no longer be an ADM REQ status for ED patients)
This order will also create a request for BPMH (Best possible medication history – prev. MedRec) which will be visible on Physician, Pharmacy, and all Nursing status boards and trackers
Check marks will be replaced with a BPMH column. 3 status options will be visible – REQ (Requested), I/P (In progress), CMP (completed)
A standalone “BPMH Request” is available for all providers
The BPMH column will update from either the Admit Request or the BPMH Request order, and can be completed based on the provider doing the BPMH
There will be support on site from Sept 27th – Sept 29th to assist with these changes, including pharmacy and med rec tech support. Tip sheets for Admission and all other changes available here:
Standardizes admission process for all physicians (surgeons can admit from Web Acute)
Flags med rec technician that a BPMH is requested for all patients being admitted
Communicates BPMH status with new indicator on ED Trackers and Web Acute Status Board
Standalone BPMH Request order will now be available
PLC
NAHLC
ED Committee
CHCAC
PAC
New ED Tacker for DCCH and WLCH for POV accounts
Sept. 07, 2022
POV accounts can be seen on a POV Tracker.
The workflow to “Find Account” and “add to My List” will no longer be used.
ED Trackers (DCH AMBC pre-arranged ED, WLH AMBC pre-arranged ED)
Easy location for staff to find accounts
Decreased incidence of patients being missed when registered for POV’s
CHCAC
Adjusting Bed Management Desktop
Sept. 30, 2022
WGH Nursing MPA’s will be adjusted on the Bed Management desktop to only allow the functions they need.
Decrease risk for error with registration functionality
NAHLC
IMPORTANT FOR ALL
The Bedside Bulletin accessible within the Snapshot should not be used for daily charting or to communicate with the physicians. This section is not a legal part of the chart and was designed to help support the transfer of accountability at shift change for nurses only. The information here is not saved when a patient is discharged, and is not visible by physicians.
The 1Health Team has made it a priority to focus on communication within the EMR and between all providers in our upcoming sprint cycle.
FOR INFORMATION
Item
Summary
Review/Approval
Split Order Type
The split order type has been approved for use when a dose of medication requires multiple strengths (of the same medication) to provide the required dose prescribed and will be entered as a single item on the eMAR. There are instances where it is not possible to enter a prescribed dose one entry and will require two entries that will be CONCURRENT linked together. When medications are CONCURRENT linked, the eMAR will provide a pop up to alert the user and both doses should be administered.
Two examples of when entries will be CONCURRENT linked together are: Patches and Combination tablets/capsules.
Pharmacy, NAHLC, 1Health Team
Discontinue Telemetry Order
A “Discontinue Telemetry” order has been built for physicians. This order will allow specific discontinue instructions for nursing. The “Discontinue Telemetry” will be added to the nurse's worklist when ordered.
PLC
Historical Order View
Historical orders are currently set to only display the last 14 days by default. The default will be changed so that all historical orders will be displayed. A Date/Time Range can be added, if needed.
PLC, 1Health Team
Maternity Education Flowsheet
The education documentation for nursing will be simplified. GO LIVE is Sept, 27, 2022
Maternity Subject Matter Experts/ 1Health Team
Compound Ordering
Commonly prescribed compounds have been pre-built to improve ordering for inpatients. This applies only to compounds that are NOT commercially available and must be compounded by the pharmacy department.
PLC
Maternity Outpatient discharge
Nursing will now have the ability to discharge outpatients on maternity via the “Discharge Summary”, calling Registration has been removed from the workflow.
Maternity Subject Matter Experts/ 1Health Team
Maternity Worklist D/C Checklist
The Patient discharge checklist is being removed from the Worklist for Maternity; Maternity nurses will now only use the specific Maternity Patient Discharge intervention which is relevant. GO LIVE is Sep 27.
Maternity Subject Matter experts, 1Health Team
Adult Invasive Ventilation Assessment
In the Adult Invasive Ventilation assessment, the I:E Ratio query will be changed to free text from a number field, allowing nursing to document an accurate ratio.
ED/ICU Subject Matter Expert, CNE, 1Health Team
Adult Non-Invasive Ventilation Assessment
In the Adult Non-Invasive Ventilation assessment, the HFNP size query will be changed to a group response. Nursing will now be able to select Small, Medium, or Large.
ED/ICU Subject Matter Expert, CNE, 1Health Team
Nursing Assessment Categories
All nursing documentation will now be displayed under “Nursing” in the Nurse/Allied Health section of the Chart. Previously, assessments displayed under “Nursing” and notes displayed under “Nurse”.
NAHLC
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
