1. HOI ANESTHESIA OVERVIEW OF EPIC UPGRADE 4.2019

2. WHAT’S NEW/CHANGING?? Anesthesia reminders Anesthesia tracking events
Note writer Improvements
Pain management rounding workflow
Medication administration improvements
Pull the Last PACU vitals to post eval note
Code Status order changes
Fast discharge

3. Anesthesia Reminders
New Reminders are added and some reminders renamed

4. Anesthesia Tracking Events

5. Anesthesia Tracking Events

6. NoteWriter Improvements
Pre Eval Note: the side bar does NOT open by default. Click the “edit note” to open sidebar

7. NoteWriter Improvements
Pre Eval: You have more tabs to choose from for more information. Hyperlinks can direct you to that area of the chart quickly. You have the option to Hide Report When done or show report on right or left

8. NoteWriter Improvements
ROS/Med Hx: A blue highlighted sentence with a check mark "This note is preliminary and needs final review by the anesthesiologist caring for the patient on the day of the surgery" is visible at the top. This will be visible until the anesthesia provider selects an ASA in the Anesthesia Plan tab.
"Reviewed" for Medical, anesthesia drug, allergy histories, NPO status verified is now highlighted RED until a checkmark is provided in the box.
ROS/Med Hx: A question if the Pre procedure Beta-Blocker is given or taken on the day of the procedure can now be answered with a Yes or No
A new Autopopulate button in a yellow bar is available. This allows the Anesthesia provider to save time by getting information easily into the NoteWriter with a click of a button, Autopopulate

9. NoteWriter Improvements
Anesthesia Plan: Select ASA score: Notice the statement "This note is preliminary …." that used to be highlighted blue is now unchecked and is no longer highlighted

10. NoteWriter Improvements
Anesthesia Plan: In the Explicit consent items discussed, when blood transfusion is clicked, It opens a section for additional documentation on blood.
Other section: can document
interpreter used and Consult billing
requirements can be completed

11. Pain management Rounding Workflow
Specific medications and procedures
would trigger the automatic inclusion of
patients into the Patient Lists to facilitate
pain management rounding. In addition,
providers can now track recently discharged
patients for continued follow up care.

12. Medication Administration Improvements
Clinicians can now link a one-step medication to an existing line right in the Medication Administration window in Intraprocedure.

13. Medication Administration Improvements
Medication can be added while you do your Procedure Documentation (barcode scanning workflows will not work with this functionality)

14. Medication Administration Improvements
You can now document the administration of mixture medications with QS bases the same way you do other medications in the Intraprocedure activity

15. Pull the last set of Vitals into Post Procedure Eval note
In the past, only validated vital signs can be pulled into a note but this update will allow unvalidated device data to be pulled in the note. A warning will show if the data is unvalidated to make the clinician aware.

16. Code Status Current options are Update: Removing partial code
Implementing new smart form for providers that display limits to interventions, otherwise it defaults to “not addressed”
Appears on nursing summary

17. Fast Discharge
Patients will be identified as Fast Discharge (ERP) by the Surgery Schedulers. They will be identified as Joint Replacement –No overnight stay or Joint Replacement – Overnight stay as indicated.
All ERP THA, TKA and UKA will be identified as Fast Discharge Joint Replacement – No overnight stay unless indicated by the physician order to stay overnight.

18. Fast Discharge
All Staff will see the banner in the Communication section of their respective navigators, communication and on the statusboards