For our patients who return for repeated procedures, it can be onerous to fill in the pre-evaluation from scratch. There is a way to pre-populate this area with the previous evaluation.
Clicking this button will copy the previous history/ROS to your current pre-evaluation. At this point you can review the information and update with any changes to history and exam. This is a tremendous time saver for those quick repetitive procedures.
It’s Monday and hopefully everyone has taken the weekend to recover. As you may have noticed, Epic is still here. I think we can safely say it is here to stay. Yet how much smoother did this Monday go than last?
We are making progress.
Information continues to be added to the Wiki. Thank you to all contributors! Remember if you have information or an update on a topic please add it to the Wiki. We have also created a folder in the Wiki folder for helpful pdfs from the hospital OneChart blog.
As a side note, the term Wiki may confuse some and I apologize if you are not familiar. A bit of clarification:
wi·ki/ˈwikē/ Noun: A Web site developed collaboratively by a community of users, allowing any user to add and edit content.
Although our file is not technically a website, the intent is the same. It is a collection of our community’s knowledge. Let’s keep it growing.
There is not automatic device association in the isolation room for ECT. For all PACU pt’s the RN’s have to add a device and then remove it for each pt that gets assigned in any bay. The same goes for the isolation rooms in which the ECTs are performed. To add the device:
- Look at the neuron in the room and its designation. (In the ECT room it is NMC 2CPACU-isol17).
- Choose Device and Add New in the Intra-op tab. Choose GE solar 2Cpacu isol-17 and choose the data you wish to Validate and then add.
Also of note, besides removing the device from the pt at the end of the case you would want to discharge them from the GE solar monitor. This will prevent the possibility of any previous data being pulled from an earlier pt into the current pt’s record.
Thanks to Dr. Birch for this tip.
After exhausting all options for entering in One Chart, if you must use a paper record (ie: MRI), please do the following when the case is finished:
Pens: Ancient instruments used for placing marks on paper.
1 .Make a photocopy of the Anesthesia record and put it in the envelope with your narcs for Pharmacy.
2. Let the RT’s know (or give to them) the pink copy of the Anesthesia record and the green sheet for the hospital billing.
3. Send the yellow copy of the Anesthesia record to Melinda in the Anesthesia office in an intercampus envelope. She will send it to the billers.
The white/ original record will stay with the patient.
Thanks to Dr. Ellis for this tip.
- Open a patient chart and click the orders button along the top
- Scroll down and open the Order Set you want to edit by checking the box and then clicking the “Open order set” button (in red) – There may be some suggested order sets as shown below. If not, you can search for each of them in the search bar and then after you select each of them, right click and select “add to favorites”
- After you open the Order set, there will be a black hyperlink that says “manage user order sets” click on this hyperlink
- Click the “save defaults” hyperlink
- Make your preferences! You can change frequency of vitals, medication dosages, anything!
For more complete instructions with screen shots please check out the Epic Wikki file on the J-drive. Thanks to everyone for contributing to the Wikki.
Thanks to Kaitlyn Pellegrino for this tip.
Officially, the OR nurses will document incision time but many providers would like to indicate skin incision on their anesthesia record as well. This event does not appear under our general events menu but is easy to find. Until it is added to the general events tab, you can find it as follows:
1. Click Events.
2. Click L&D.
3. Click Skin Incision.
Special thanks to Dr. Miketic for pointing this tip out.
We all knew it was coming. It is remarkable how two small words – Go Live – can inspire such anxiety. Before you start rethinking the use of aersolized midazolam in pre-op, remember there are many resources available to help work through the glitches.
All superusers may be identified by their red hats. These red hats provide guidance to all of perioperative services. They can also issue “tickets” to IT.
Our department has two dedicated super-users: Kaitlyn Pellegrino and Ben Jones. You can contact them via pager (numbers are on the HL board) but they are usually close at hand in pre-op, ORs or the lounge. We also have a number of embedded superusers. These CRNAs and Physicians are available to point you in the right direction. Check out the complete list in the Epic Anesthesiology Wikki.
There are several other resources for information. Pick up one of the Anesthesia Provider Start Guides. These booklets are available in the Hixon-Lied lounge and are a great place to start. You can also check out the Epic Anesthesiology Wikki – located on the J-drive. TNMC also has a hospital-wide tips blog here. It is more general but does have some useful information.
Finally, stay tuned to this blog as we will be posting daily tips, tricks and vital info for surviving Epic.