DISCHARGE and ADMISSION
Newly installed Pt Education program to document on every shift and to resolve all on discharge
What is Injoy?
Prefilled/ Predetermined Flowsheet (FS) row capability
What is Macro charting?
Preop checklist for bedside procedure
Macro for Circumcision (not time for TIME OUT, Equipment, and box for ”concerns”
Macro- none yet for Blood patch
Option to Individually create own Macro charting
q1-2min (Seizure), q5min (hemorrhage), q 15min (sepsis alert), q 1-2 min anaphylaxis, etc
What is required V/S documentation with corresponding emergency events?
ECH approved app and resources online
What is Uptodate? (Search engine for medical), Amion (real time on call MDs), Engage
MD orders that is not active but needs to be rechecked q shift
what is “Signed and held”
Education material/s required with d/c instruction if pt had hx of Sepsis during this hospitalization or going home with Indwelling Catheter
What is 1) Maternal sepsis 2)Indwelling catheter home care
Prefilled/Preditermined FS row for intervention for Fall Risk
What is Macro intervention for High fall risk, or standard fall risk
Scan all bag required for bolus all at once, then edit exact ordered amount under amount box
How to document IVF bolus on MAR during Sepsis alert?
Place to find policies and procedures (formerly Lippincott) not included in ECH own PolicyStat
What is EBSCO?
AI programmed consideration for High Fall risk category before it is changed to standard fall risk
What is “Voided out“?
Care Everywhere (PAMF and SMP group)
MEDIA- ECWG and Independent practice MDs
Physical copy in chart
Search Icon on EPIC
What are the areas to search for Pt History
Shortcut to seeing all required documentation for the shift.
What is “Required doc“ tab
Documentation of critical lab value received by phone call or POCT critical BG value
What is Critical lab required documentation? include no intervention as per per pt condition or protocol.
App where you can find MBU specific meeting minutes, EPDS in other languages, etc
What is Elemeno?
One of the ways to contact a physician to report a change of condition aside from phone call. Also to communicate with other personnel/department pertaining to the pt, ie pharmacy discharge meds..
What is Secure Chat? do’s and don’ts, when to use, and tips on adding people in chat.
Epic Tab that organizes documentation for admission and discharge
What is Navigator tab? Helpful to preview AVS for RX and Pharmacy
Required documentation on use of Interpreter
What is Communication FS, Interpreter?
V/S machine auto populates to EPIC Flowsheet
What is “admit” and “auto“ setting on V/S machine? Useful during emergencies and frequent V/S
Tab to Print pt labels and forms
What is Print form tabs?
Reason why L&D prohibits us from using “Flowsheet Tab” but to use Summary tab instead when accessing pt chart while pt is in L&D
what is “disabled“ Flowsheet? EPIC FS is not available to chart on if another person is concurrently on same page.
Section in pt chart that shows Time and date of admission
What is Story Board?
Useful for Hendricks (Chart only to 12 hrs of admission), protocol for c diff, sepsis, etc…
Required documentation to assess risk for pressure ulcer
What is Braden?
Chart intervention q 2hrs for score of 18 and below.
During emergencies- bring extra computer to the room.
How to do all task during emergencies- document V/S , access MAR to give meds and keep track of time meds are given, and input or check MD orders.
App to report and request service for any malfunctioning equipment
What is Service request
Update all LDAs
What to do if LDAs are not d/c’d in epic? Ie epidural cath- D/C LDAs, write on note box “not found on assessment, unknown time of date of removal”. Should not d/c pt with active LDA unless pt actually going home with LDA.