Terminology
Type of downtime when staff receive emails/notifications of upcoming maintenance procedures will temporarily make the EHR unavailable
What is scheduled downtime?
Location of paper charting forms (2)
What is SharePoint and unit downtime box/drawer?
Application interface that controls admission, discharge, and transfers and can go down independently of Cerner
What is HealthQuest?
Method for providers to send prescriptions if EHR is down
What are blank prescription pads from Pyxis (removed one at a time)?
Scan a copy of the paper prescription into the chart!
During recovery, responsible party for backloading labs for A) completed and B) future orders
(i.e. if a CBC is ordered q 6 hours x 24 hours, first CBC occurred during downtime; next draw will be during recovery)
What ia A) lab and B) floor nurse?
(Lab will attach lab results to complete lab orders)
Time period after applications/systems are back up and running during which validation of downtime orders is complete by comparing the EHR to the downtime Kardex and validating the presence of hard copy of orders within the chart
What is recovery?
Location of important downtime patient information to give quick overview of patient orders/status
What is downtime kardex?
Two ways that the Automated Dispensing Cabinet (Pyxis) will go into critical override mode during downtime
What is manual override by pharmacy staff and automatic after 30 minutes of being down?
Medications that will be sent to pharmacy twice, once during downtime to receive hand-written labeling and once during recovery to update labeling to electronic
What is patient's own medications?
During recovery, responsible party for entering radiology orders received during downtime of radiology interfaces
What is radiology staff?
They will attach images/reports to the orders as able.
What is interface downtime?
Forms that must be entered into PowerChart for new patients regardless of the duration of the downtime
What is the admission profile and essential admission data?
Password for Vista Downtime Reader Icon
What is "downt1me"?
Components required for downtime medication orders
What are two patient identifiers (other than name & room number), ordering provider, allergies, height, weight, and the complete medication order (medication name, dose, route, frequency, and PRN rationale [if needed]).
During recovery, responsible party for entering medication orders received into the EHR
What is pharmacy?
Type of downtime when servers were being cycled as part of normal maintenance, but there was a hardware failure, and functionality went down
What is unscheduled downtime?
In recovery, location in EHR where the nurse will document "See downtime forms for (date/time) through (date/time)"
What is a Significant Events Progress Note?
Vista downtime Reader time duration for MAR, after this time, a new MAR must be printed
What is 16 hours?
In recovery of a 1.5 hour downtime, method of completing medication administration documentation
What is documentation on the MAR as given, by proxy as applicable?
Responsible party for validating downtime orders on the kardex before processing, completed by signing name, date & time
What is primary RN?
Platform to find unit specific reports that are extracted from Cerner every 30 minutes and held on the designated downtime computer
What is Vista Downtime Report Viewer?
Critical documentation that each unit is responsible for that can tell emergency personnel the location of patients that must also be update with the switchboard via phone call
What is manual patient census (must include all admissions, discharges and transfers)?
Orderset used when ADT interface is down to notify ancillary units where a patient is
What is HealthQuest Downtime Orderset?
In recovery of a 2.5 hour downtime, method of completing medication administration documentation
What is a Pharmacy Communication Order, "See hardcopy documentation for medication administration during downtime" within Downtime OrderSet (with exceptions of one time orders or orders that were started and stopped during downtime).
Responsible parties for notifying staff of unscheduled downtimes and when downtime is complete
What is Service Desk and Switchboard via overhead announcement?