All about nursing
The step you take when a nurse cannot close a patient's office visit encounter after documenting a medication administration.
What is...
use sidebar to view what other close encounter checks are needed.
You check this when an MA sees the department screen during login but do not have any departments available to select
What is...
1. EMP - for what departments are available for them to select (I EMP 20820, 20830)
The steps you take when a physician wants to order oxycontin 160 mg tabs but the highest available dosage is 80mg
What is...
1. Order two tablets of the 80 mg
2. Check database tab to see if 160 mg tab is available
The steps you take when a physician orders a lab on the wrong patient
1. Discontinue the order in Order Review activity
2. Place the order on the correct patient
The steps you take when a duplicate order for an imaging study appears in Chart Review and the original order was not resulted
What is...
1. Check the status of the duplicated order
2. Review order details to see if they are truly duplicates (same ordering provider/imaging questions)
3. If truly duplicates, discontinue the one that hasn't been resulted yet in Order Review
The SER record and security points you check when a nurse cannot change the encounter provider to herself from the multi-provider schedule (2)
What is
1. SER record, I SER 40
2. EpicCare security points (82, 500)
The steps you take when Paddy Jones, a nurse, says her name is misspelled in the system
1.Verify what the right spelling should be for her name
2. Go to "About Me" settings and show her that she can update her display name (shown to patients)
3. Submit a HelpDesk request to update her EMP
The steps you take when Providers are requesting a new note type be created so they can differentiate their progress notes from other progress notes
1. Use Chart Review filters to narrow down your "Notes" tab
2. Reach out to the Physician Champion to discuss if it's needed, crate an optimization ticket if so
The steps you take when the prescription a provider signed for her patient does not print
What is...
1. Check the Order Transmittal tracking
2. Check if the med was e-prescribed
3. Confirm the med was signed
4. Reprint the med order if needed
The steps you take when the general surgery department is missing the Events button on the schedule
What is...
1. Check the toolbar menu listed in user role for MPS
2. Update menu record if needed (Menu to Extend)
The steps you take when nurses in the endocrinology department cannot access the visit Orders report
What is
1. open session information report to check what profile they are hitting
1a. for MPS: look at I LPR 989
1b. for the Sidebar: look at I LPR 34291
The steps you take when a nurse accidentally marked an InBasket message as Done and needs to get it back
What is...
1. Go to Completed Work folder, single select the message, choose "Move to My Messages"
2. If the message isn't available in Completed Work folder (ex. chart Completion, Cosign-Clinic Orders, etc.) have the TS use a RA to un-"Done" the messages
Check these when a provider is receiving all refill requests from pharmacies via fax instead of via In Basket
What is...
1. I SER 8401 to see if they have the Refill Request/Response Service Level
2. I SER 8350 for preferred communication method
The steps you take when a provider never receives a results message for his patient's lipid panel, but the result appears in Chart Review
What is...
1.Check In Basket for the message
2. Review results for the order ("Routing" link within the Lab tab in Chart review)
3. Look at the ORD ID in Record Viewer
The steps you take when a MA cannot find the pharmacy a patient wants her prescriptions sent to
What is...
1. Check that filters are not limiting pharmacy search
2. Check spelling of pharmacy
3. Search by pharmacy number
4. Validate that pharmacy batch is running
Check these when a nurse cannot find the referral her provider just ordered in her department's workqueue
What is...
1. Check that the order is correct and is signed
2. Confirm she looking at the right tab in workqueues (referrals tab)
3. Check with Cadence if they are also seeing this problem
The steps you take when a nurse reports that no navigator appears on the rooming tab for a patient's appointment when they open the encounter from the schedule
What is...
1. Check if they're still in the Pre-Charting workspace (click Start the Visit if they are)
2. Use the claw to determine what navigator template they're hitting (ctrl + alt + shift then press f12 and then f10)
3. Open session information report and check the WERule logic for patient workspace
The steps you take when a provider orders a CBC for a patient but the lab cannot see it
What is...
1. Confirm that the order was signed
2. Check Order Transmittal Tracking to see where the order landed (if it was place as an external lab)
3. Reach out to Beaker to validate lab knows where to look
INI, "app", and step you take when a physician reports that he was able to successfully e-prescribe yesterday afternoon, but now receives a warning that a medication will not be e-prescribed
What is...
1. INI: SER
2. App: Text
3. Step: check the physician's SER progile in text to make sure item SER 8400 (E-prescribing provider?) is set to Yes
The steps you take when a provider cannot find the medication he is about to administer to a patient when searching in Meds and Orders
What is...
1. Look to see if the medication actually is CAM (does it appear under a CAM header in Meds and Orders)
2. Review open orders to see if med is hidden there
3. Place an order for the CAM if needed through visit taskbar
4. Place "Unable to find" CAM order for patient-supplied meds
The steps you take when a nurse would like a custom list choice added to a flowsheet row as she can't find an appropriate one currently
1. review which flowsheet row is in question and see if there's an appropriate alternative
2. Instruct the nurse to add a comment in the comments field to supplement the entry
3. identify which SME approved the content, review if the change is appropriate
4. Bring to Nursing Informatics team to help identify a SME if the content is from FS
The steps you take when a nurse can't document specimen collection for the POCT urinalysis ordered by the physician
What is...
1. confirm that the order was actually entered
2. validate where in the specimen collection process they are
3. check EpicCare security point for Enter/Edit Result access (47)
4. Confirm access to the "Visit Orders" report on the MPS and Sidebar
What is...
1. Find out which smartlink they are using
2. Check what information they are trying to pull in
3. See what the smartlink is pointing to
4. Recommend a more appropriate smartlink
The steps you take when a provider is unable to see any of her appointments on the schedule
What is...
1. Which schedule view are they looking at (their own, another provider's, the correct department)
2. Check if there are filters on the MPS
3. If a confidential department, do they have the appropriate security to see visits in a confidential department
The linkage E2N > E2U > LVN specifies?
What is...
The linkages that specify which widescreen enabled tools users can access in a patient's chart