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 Recipients Look up patient and see pending notifications DIS Display Notifications a User Can Receive Look 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 Notifications Here 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 they have 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 LIST Select 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 ORDERS Select Orderable Item: DIet 1 DIETICIAN 2 DIET Diet CHOOSE 1-2: 2 Diet Are you adding Diet as a new Orderable Item? Yes// YES Orderable Item: Diet// Diet Diet Send 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 DEVICE Select DEVICE NAME: Dietary Printer Setting Flag Items to Send INPT ORDER Notifs for Device: PRB002 Select Orderable Item: Diet Send 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'.