white board
This person is in charge of the white board/ patient flow board.
Charge nurse
This signifies there is a new order for your patient.
Chart is standing upright.
Medication orders are handled in this manner.
Fax to Pharm
Pharmacy puts the orders into EPIC. (we can assist as needed)
This is how radiology knows there is an order.
HYMC--call & give paper req on transport of pt.
PW/ CULP--MUR calls radiology/ Fax order
How would I know you gave medication during down time?
Write a note when EPIC LIVE at current time, Medication___ given at ____time.
This is how the patient gets placed to a room & on board.
Charge & triage RNs communicate about open/ clean rooms. Charge writes the pt info on the board.
The chart laying sideways signifies what?
You have completed all orders.
How do you receive a patient on arrival?
Look up pt in SRO (brown EPIC icon), enter information into BCA. (Create new pt if never been to UVA before). Wrist bands are printed through excel.
This is how you get lab results.
Faxed to dept. (who mans the fax?)
What papers do you give the patient at discharge?
Pre-printed patient education, a signed copy of their discharge instructions, and any printed prescriptions (MAKE A COPY!).
This is prep for down time.
45-60 min prior: update/educate new staff on process. Print Patient tracking board list, face sheet & labels. Finish any orders before downtime.
This is where your nursing signature goes.
Sign any paged that has been used. Doc signs the H&P form & med orders pages if used.
This is how you would document your medications.
JUST LIKE you do it in Epic: Name, dose, site/route, etc. Same goes for documentation in general. Be thorough.
You have a fresh lab faxed result--now what?
Show to the provider, don't wait to let them pile up.
This is what happens to paper charts when done.
Down time labels on paper must be replaced by barcode labels when available. All properly stickered forms go into the bin marked for medical records collection to be scanned in by HIT.
This is how your patient is "arrived" in triage.
HYMC/ PW--Patient Access
CULP--tech in triage
This is where you can see orders that did not get completed prior to downtime.
SRO icon. (brown Epic icon)
IF NO intranet (thus no SRO), what steps need to be taken?
Need to go room to room to verify NAME, DOB, CC, what provider is assigned, rm number on paper.
You just drew some blood work, this is how you fill out that lab requisition.
The requisition should already be stickered with pt name so that you can verify name/ DOB. You fill in date, time drawn with your initials LEGIBLY it the proper spots on the form.
Your patient got admitted to the hospital, now what?
When EPIC available, your meds are on paper-then reconciled in EPIC, make note of time & place to floor, then move to OFF FLOOR (WTF).
This is how the Doctor/ NP/ PA assign themselves to the patient on the white board.
Charge nurse is THE RULER of the white board domain!!
This signifies your computer is an BCA (Business___computer) computer.
RED keyboard
What is the number 1 ask from your downtime nurse regarding documentation?
PLEASE do NOT back time care during downtime.
EMERGENT MRI is ordered an CANNOT wait until the system comes back up. MRI NEEDS that pre-screening done, what do you do?
There is a paper MRI pre-screening form.
This is what the charge nurse needs to reconcile a chart.
make note using current time:
Triage start time.
Pt arrived during downtime to triage @__time
CC, VS, HT, WT, allergies & Acuity
pt d/c during downtime @__time