Downtime Binder Content
724 Access Department log
Master list of unit downtime forms/powerplans
Downtime policy
What are the contents of the Downtime Binder?
Each Shift
How often should the 724 Computer be checked?
Electronic Health Record Downtime Guidelines
What is the Downtime policy called?
Patient Label or printed Patient Name, MRN, FIN and DOB
What is required on all patient forms/order sheets?
All Documention on paper during downtime.
What needs to be scanned into the EHR unless otherwise indicated on the downtime form?
Upon receiving updated form(s) email.
How often should the Downtime Binder Master list be updated?
Correct Patients in Patient List and recent Vital Signs
What data do you check on the 724 to ensure it is pulling correctly?
A scheduled or unscheduled interruption of information technology affecting applications used that contain Electronic Health Records to document patient care.
What is a Downtime?
Clinician's signature, licensure, date and time
What is required on all patient forms/order sheets?
All patients charts.
Which patient charts need to have a clinical note entered indicating EHR Downtime occured (Date/Time from - to outage if know)?
Banner Connect Downtime page
Where can you find the Downtime Binder Contents list?
Submit IT Service Desk incident, document incident number in Downtime log.
If data isn't pulling within 2 hours in the 724, what are the steps to get it fixed?
Begins at the end of downtime.
When does Downtime Recovery start?
RN verification and 24-hour chart review
What is it called when the RN verifies/checks for order accuracy in transcription; and, when the chart is reviewed that all orders are processed, implemented, or completed if system is down past midnight?
Must wait for Pharmacy to enter medication orders.
When can you enter the medication administrations information?
Enter the name of licensed clinician who administered the medication
Enter the date and time of medication administered during downtime as noted on the paper MAR.
Complete the medication task, as indicated, for medications administered during downtime (including stop times).
Enter comment on medications recovered during downtime “See paper MAR”.
Downtime communication instructions from ancillary departments
What is the Downtime Communication Grid?
Patient Information, Lab results, Patient Care Results, Medication Administration, Orders, V/S, Documents, I&O, Microbiology Viewer, and Medication Profile
What information can you view and print from the 724 Downtime Computer?
From inside the patients’ medical record:
Click File from the upper right hand corner.
Select the Print From & To dates. Select the data (by checking off) the Sections of the chart you want to print.
IT communicates to appropriate staff via email and/or IT Communications Center regarding dates, times, and anticipated duration.
When is a Downtime officially started for both scheduled and unscheduled?
V/O
How do you document Verbal Order?
"V/O Dr Johnson, MD/SSmith, RN"
Chart "NOT DONE" with comment: Documented on paper during downtime.
Downtime instructions for CareAware apps: Connect Messenger, Connect Voice, Connect Nursing and Camera Capture.
What is the CareAware Connect Downtime Guidelines?
ROProd
What domain is Cerner Read Only?
Absolute Information Recovered into the EHR.
Recovery of Orders into the EHR.
Recovery of Essential SurgiNet Documentation into the EHR.
What are Appendix A, B, and C?
Lab orders, Medical Imaging orders, RSP-ABG orders, EKG routine orders, Echo/Stress Test routine orders.
When would you use Downtime Requisitions?
Critical Event band documentation and clinical note.
What is documented in the EHR if a patient experienced a Code Arrest during a downtime?