Notifications

EHR Set UP in 2006

• Notifications set up at Outpatient Team Class• Consider Reviewing Annually with Medical

Staff

List of Available Notifications -1

List of Available Notifications -2

List of Available Notifications -3

Total of 75 Notification Selections

Notification Menu -1

• DET Determine RecipientsLook up patient and see pending notifications

• DIS Display Notifications a User Can ReceiveLook at a certain provider and note how they might have edited their (non mandatory notifications)

You can turn on or off these notifications EXCEPT those that are MANDATORY

ERA Erase Notifications

FLG Flag Orderable Items to Send Notifications

1. Flag inpatient orders/results & expiring

PRC Enable/Disable Notifications

REC Display Patient Alerts and Alert Recipients

UNV Set Delays for Unverified Orders ...

PAR - PARAMETERS

DEL – Set Deletion Parameter

PRG – Set Urgency Level

Recipients – PAR –PRV -1

Recipients – PAR –PRV -2

SRT- Sort Method

Non System Generated Notifications

Some sites have eliminated task all together

•Ten Order Checks to be enabled and set to mandatory:•Allergy-Contrast Media Interaction•Allergy-Drug Interaction•Critical Drug Interaction•Dangerous Meds for Patients >64•Estimated Creatinine Clearance•Glucophage-Contrast Media•Glucophage-Lab Results•No Allergy Assessment•Allergy Unassessible•Renal Functions Over Age 65

Order Checks are Not NotificationsHere are the MU Mandatory

Setting Up a Notification for a Specific Orderable Item

• Example – Restraints for Inpatient. When a restraint is ordered it can be set up to notify a team or a person of restraint use for a in-patient.

• Diet Orders – IHS does not use the Dietary Package (FH) in RPMS. Diet orders are really Nursing Orders. Dietary Staff still relies on the 24 Hour diet sheet that the cook picks up in the morning and changes are sometimes poorly communicated and patient misses a meal or diet order is not updated.

Pre-Work

• Determine the Flag need is real and appropriate. Intent of the Flag is to……

• Determine person(s) or team to receive notification

• Determine a unique Orderable Item to associate with the Flag

Diet Orders

• The Diet order sheet is picked up three times a day and new patient meals, NPO or diet changes are not done timely.

• NPO, Full Liquid, Clear Liquid based on facility policy – after 48 hours needs to reassessed for advance Nutritional Support. Unique orderable item to expire in 48 hours.

• Cooks do not use EHR – could set up an additional notification/flag to PRINT on kitchen printer

Diet Orders - Generic

Generic Order - 2

Setting Up Flag For New Diet Order

• Reviewed all Diet Orders and made sure theyhave the same orderable item “Diet”

Determine Recipients

• Dietary Printer• RD Team – RDs and Diet Technicians

RPMS Path: EHR>BEH>NOT>FLG

Inpatient Orders # 2

#1 FLAG INPT EXPIRING ORDERS – EHR Notifications

Flag Items to Send INPT ORDER Notifs may be set for the following:

1 User USR [choose from NEW PERSON] 2 Team (OE/RR) OTL [choose from OE/RR LIST] 3 Device DEV [choose from DEVICE]

Enter selection: 2 Team (OE/RR) OE/RR LISTSelect OE/RR LIST NAME: TEAM 1 TEAM MATERNAL/NEWBORN REFERRAL 2 TEAM DIET ORDERS CHOOSE 1-2: 2 TEAM TEST

- Setting Flag Items to Send INPT ORDER Notifs for Team (OE/RR): TEAM DIET ORDERSSelect Orderable Item: DIet 1 DIETICIAN 2 DIET DietCHOOSE 1-2: 2 DietAre you adding Diet as a new Orderable Item? Yes// YESOrderable Item: Diet// Diet DietSend alert for ALL inpatients?: YES

Flag/Notification in EHR

INPT Order Notification - Printer

Flag Items to Send INPT ORDER Notifs may be set for the following:

1 User USR [choose from NEW PERSON] 2 Team (OE/RR) OTL [choose from OE/RR LIST] 3 Device DEV [choose from DEVICE]

Enter selection: 3 Device DEVICESelect DEVICE NAME: Dietary Printer

------ Setting Flag Items to Send INPT ORDER Notifs for Device: PRB002 Select Orderable Item: DietSend alert for ALL inpatients?: YES

# 2 Provider Recipient

• Flag Items for INPT ORDER Providr Recip may be set for the following:

• 1 Division DIV [ DEMOHOSP]• 2 System SYS [ABRRB.D1.NA.IHS.GOV]

• Enter selection: 1 Division DEMO HOSP

• Setting Flag Items for INPT ORDER Providr Recip for Division: DEMO HOSP • Select Orderable Item: diet• 1 DIETICIAN • 2 DIET Diet• CHOOSE 1-2: 2 Diet• Are you adding Diet as a new Orderable Item? Yes// y YES

• Orderable Item: Diet// Diet Diet• Provider Recipients: ?

• One or more of 'D','I','G','P','A','T','O','M','E','R','S'.