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Announcement
Date Started:
Date Ended:
Positions Receiving:
October 20, 2014
October 27, 2014
Global - PowerChart, FirstNet, and SurgiNet
1. oneChart System Upgrade – All Facilities – PLEASE READ
2. Order Changes and Alerts – Please read below for impacted facilities and roles
3. Documentation Changes – Please read below for impacted facilities and roles
1. Subject: oneChart System Upgrade
*October 22, 2014 Changes*
Facilities Impacted – All Facilities (Acute and Ambulatory) – All Users
Effective October 22, 2014, the oneChart (Cerner) system will be upgraded to a new code level, 2012.01.29 on the morning of
Wednesday, October 22, 2014. More specific information will be provided in a flyer, which will be distributed prior to the
implementation date.
2. Subject: Order Changes and Alerts
*October 21, 2014 Changes*
Facilities Impacted – All Adult Facilities
Formulary Antibiotics Plan, Sepsis 6 Hour Bundle Plan, and Severe Sepsis 6 Hour Bundle Plan – Physicians, Physician
Related Roles, and Nursing
The Antibiotic Formulary Plan will be renamed Commonly Used Antibiotics Plan. The Commonly Used Antibiotics Plan will
be added to the Sepsis 6 Hour Bundle Plan and the Severe Sepsis 6 Hour Bundle Plan.
Facilities Impacted – All Adult Facilities
TTE Adult Echo W/Contrast if Necessary and Transesophageal Echocardiogram Adult Orders – Physicians, Physician
Related Roles, and Nursing
The TTE Adult Echo W/Contrast if Necessary (Transthoracic Echo Adult) order will be renamed TTE Echo W/Contrst or 3D if
needed and the Transesophageal Echocardiogram Adult order will be renamed Transesophageal W/3D if needed in the
oneChart system and the Cardiology PACS system.
*October 28, 2014 Changes*
Facilities Impacted – All Facilities
Parent/Child Orders – Physicians, Physician Related Roles, and Nursing
When orders are placed to be completed on a recurring basis, the orders will display with a parent order and child orders. To
view orders with multiple instances, click the Displayed blue hyperlink in the Orders tab, select the Show individual
instances for continuing orders option in the Miscellaneous pane, and click Apply in the Advanced Filters window. After the
Show individual instances for continuing orders option is selected, a delta will precede the parent order(s). Click the delta to
view the recurring orders or individual instances associated with the parent order. Canceling/discontinuing the parent order of
most orders will cancel/discontinue the individual order instances to prevent any active child orders from being completed. It is
important to review the child orders to ensure the individual instances have been canceled/discontinued. Lab orders, which have
been dispatched, will usually remain in an ordered status. Nursing must call the Laboratory department to cancel/discontinue
dispatched lab orders. When necessary, the individual child orders may be completed, canceled/discontinued, or voided. Nurses
will need to address the related Activity List tasks on both the Scheduled and Nurse Collect tabs.
Facilities Impacted – All Adult Facilities
ANES Sleep Apnea Plan – Physicians, Physician Related Roles, and Nursing
The Oxygen Saturation Continuous Monitoring RT T;N, Routine order will replace the O2 Sat Continuous Monitoring NSG
order in the ANES Sleep Apnea Plan.
Facilities Impacted – All Adult Facilities
NM Myocardial Perf SPECT Mult Study ( Cardiac Stress Test- Non specified) Order – Physicians, Physician Related
Roles, and Nursing
A prebuilt order sentence with the choice to order for Today will be added to the NM Myocardial Perf SPECT Mult Study
(Cardiac Stress Test – Non specified) order. This order sentence option will be added to the NM Myocardial Perf SPECT Mult
Study (Cardiac Stress Test – Non specified) order in the Cardiac Stress Test Orders Careset.
Facilities Impacted – All Facilities
Mechanically Ventilated Patient Orders Careset – Physicians, Physician Related Roles, and Nursing
The new order, Reposition ETT QD, will be added to the Mechanically Ventilated Patient Orders Careset. When the Reposition
ETT QD order is placed, a task, Collaborate with Respiratory Therapy to ensure ETT is repositioned, will display on the
nurse’s Activity List.
Facilities Impacted – All Adult Facilities
Announcement
Neuro Stroke Labs Plan – Physicians, Physician Related Roles, and Nursing
The new PowerPlan, Neuro Stroke Labs Plan, will be available for use.
Facilities Impacted – All Adult Facilities
PEG Pre-insertion Plan – Physicians, Physician Related Roles, and Nursing
The new PowerPlan, PEG Pre-insertion Plan, will be available for use.
Facilities Impacted – All Adult Facilities
RAD Chemoembolization Pre Proc Plan – Physicians, Physician Related Roles, and Nursing
Modifications will be made to the start date and time on multiple orders, and the collection priority will be changed from Routine
to STAT on all laboratory orders in the RAD Chemoembolization Pre Proc Phase of the RAD Chemoembolization Pre Proc
Plan.
Facilities Impacted – All Adult Facilities
Radiology MRI Contrast Plan – Physicians, Physician Related Roles, and Nursing
The order, Magevist 15 mL, IV Push, N/A, Routine, Comments: RAD BILL ONLY, will be added to the Radiology MRI
Contrast Plan.
Facilities Impacted – All Adult Facilities except Fayette
LEB ED Febrile Neonate Plan and PED ED Febrile Neonate Orders Careset – ED Physicians, ED Physician Related
Roles, and ED Nurses
Multiple revisions will be made to orders in the LEB ED Febrile Neonate Plan and in the PED ED Febrile Neonate Orders
Careset.
Facilities Impacted – Le Bonheur
Le Bonheur NICU Admission PowerPlans – Physicians, Physician Related Roles, and Nursing
The Consult Case Management T;N, Reason for Consult: Discharge Planning order will be preselected in all LEB NICU
admission PowerPlans.
3. Subject: Documentation Changes
*October 21, 2014 Changes*
Facilities Impacted – All Facilities
Iview Visitation/Education Band, Medication Education Section, Medication Education Topics Field – Nursing,
Pharmacy, Dietary, Rehabilitation, and Respiratory Therapy
A free-text field will replace the list of options in the Medication education topics field in the Medication Education section of
the Visitation/Education band in Iview.
Facilities Impacted – All Facilities
PNED ED Provider Note Pain Assessment – ED Physicians, ED Physician Related Roles, and ED Nurses
The Pain Assessment sentence will be added to the Physical Examination paragraph of the ED Provider Note templates in
PNED. The Pain Assessment sentence will contain the term, Pain Level: include nursing pain assessment, which will add
the pain scale from the ED nurse’s documentation in the ED provider’s note. In addition, the Pain Assessment sentence will
contain the Pain management: Refuses initial offer of pain medication term to assist ED providers in documenting the
patient’s refusal of initial pain medication in order to meet CMS requirements.
*October 28, 2014 Changes*
Facilities Impacted – All Adult Facilities
ED Triage Form ED Sepsis Screening Tool Section – ED Physicians, ED Physician Related Roles, and ED Nurses
When the Pt > or = 18 and not at Le Bonheur option is selected in the Sepsis screen field of the ED Triage Form, the ED
Sepsis Screening Tool section will display for further documentation.
When the Positive sepsis screen option is selected in the Sepsis screening result field, the Severe sepsis criteria field
becomes required in the ED Sepsis Screening Tool. In addition, a rule will automatically place the following lab orders: CBC,
CMP, and Lactic Acid Level. The system will place the Blood Culture q15 min x 2 order when the Positive sepsis screen option
is selected in the Sepsis screening result field and the Temp < or = 36 or > or = 38 deg C is selected in the SIRS screen field
of the ED Sepsis Screening Tool.
Facilities Impacted – All Adult Facilities
Handoff Form and ED Depart Form – ED Physicians, ED Physician Related Roles, and ED Nurses
A new field, Sepsis Alert Criteria met, which will contain Yes and No options, will be added to the Handoff Form and the ED
Depart Form.
Associates - For questions or concerns, please call the Help Desk at 516-0000.
Physicians - For questions or concerns, please call the Help Desk at 516-3111.