1. Notifications Overview for Nurses
Welcome…
Notifications Overview for Nurses
Presented by:
Curtis Anderson
Gary Downing
Charlotte Feldman
Camp CPRS

2. Introduction Notifications (also known as View Alerts)
Designed to transmit important information
New Orders, unsigned documents, test results, New consult request, etc.
Seen in both VistA and CPRS GUI
Two types of Alerts “Info” and “Action”
Preferences in both VistA and CPRS GUI

3. Notification Types Lab Results Imaging Results Patient Movements
New, Abnormal, Critical
Imaging Results
New, Abnormal, Amended
Patient Movements
Admission, Discharge, Transfer, Death
Order Management
New, Unsigned, STAT, Expiring, Unverified, Canceled, Flagged for Clarification

4. Notification Types cont…
Consult Request Management
New, Canceled, Held, Results
Flag Specific Orders and Results
Inpatient, Outpatient, Orderer Flagged Results
Specialty
NPO Diets > 72 hours
Food/Drug Interaction

5. View Alerts (VistA) Enter "VA to jump to VIEW ALERTS option
1. TEST,JD (T0262): [3 South] New order(s) placed.
2. TEST,JD (T0262): [3 South] New DC order(s) placed.
3. TEST, AB (L4111): Imaging Results: SHOULDER 2 OR MORE
4. TEST, AC (A2222): Critical Lab: /04 07:53
5. TEST, AD (A9898): New consult PULMONARY ARTERIAL B
Select from 1 to 5
or enter ?, A, F, S, P, M, R, or ^ to exit
Do you know what all of these do…

6. View Alerts (VistA) Cont…
“A” to process all of the pending alerts.
“I” to process all of the INFORMATION ONLY alerts.
“S” to add or remove a surrogate to receive alerts for you.
“F” to forward one or more specific alerts.
“D” to delete specific alerts (some may not be deleted)
“P” to print a copy of the pending alerts on a printer
“M” to receive a MailMan message of these pending alerts
“R” to Redisplay the available alerts

7. View Alerts (GUI)

8. View Alerts (GUI) Cont…
CPRS GUI V22
Ability to sort by “Column Header”
Options from VistA will be available (Forward, Renew, etc.)

9. Personal Preferences for Alerts (VistA)
PP Personal Preferences ...
AU Auto Patient List Update
CS GUI Cover Sheet Display Parameters
GP GUI Parameters - General
LI Team/Patient List Mgmt ...
NO Notification Mgmt Menu ...
OC Order Checking Mgmt Menu ...
PS Patient Selection Preference Mgmt ...
TD Tab Default Chart Preferences

10. Personal Preferences for Alerts (VistA) Cont…
Options Available under… NO Notification Mgmt Menu ...
1 Enable/Disable My Notifications
2 Erase All of My Notifications
3 Set Notification Display Sort Method (GUI)
4 Send me a MailMan bulletin for Flagged Orders
5 Show Me the Notifications I Can Receive

11. Preferences in CPRS GUI

12. Preferences in CPRS GUI
Can not remove!

13. Preferences in CPRS GUI

14. Char Feldman, BSN, BC Clinical Application Coordinator Fargo, ND
Practical Applications
Char Feldman, BSN, BC
Clinical Application Coordinator
Fargo, ND

15. What Fargo Has….

16. What Fargo Does Not Have….
Wood chippers in the
Back yard – for those of
You who have seen the
Movie……FARGO!

17. Alerts for Inpatient Nurses
New Order
Unverified Order
Unverified Medication Order
Settings (at Fargo)
Mandatory
Disabled

18. New Order Notification
Designed to be used by Teams
Nurses & clerks on a team are notified when new orders are entered

19. Unverified Medication Order
Displays unverified orders from current admission
Designed to be used by Teams of nurses

20. Displays unverified orders from the current admission
Designed to be used by Teams (clerks + nurses)

21. Bingo Boards
Provides visual clue to New Orders being placed

22. Verification of Orders
Online verification by clerks and/or nurses
Unverified Medication Orders are verified by RNs
Printing of chart order summaries is optional

23. When Do Alerts Go Away?
I (Individual Recipient): delete the notification for a nurse when they complete the follow-up action of verification
A (All Recipients): delete the notification for all nurses on a Team when a) any of the nurses completes the action (verification)

24. Teams & Floating Nurses
Create teams of Inpatient Nurses and/or clerks
Set up an autolink to the ward to automatically add/remove patients – updates when transfers, admits, discharges occur
As a nurse floats, they can add/delete themselves to a Team

25. Team List Setup

26. Team List Cont.

27. Team List Cont.

28. Team List Cont.
To “Add” yourself from a Team, simply select a Team Name from the subscribe list and then choose “Yes” to confirm.

29. Surrogates Can have Start/Stop date/time to send alert
Alerts can be forwarded to a Mailman surrogate after a specified period
Can be forwarded to a Supervisor
Can be forwarded to a Backup Reviewer

30. Personal Team Lists
Can have a variety of Alerts sent to you based on your Personal Team
Ex. Oncology Case Manager wants to be notified of her patients who are: admitted, deceased, come for Unscheduled appointment
Diabetic Educator: Gets lab results on her team of patients

31. Personal Team List

32. Personal Team List Cont.

33. Personal Team List Cont.

34. Curtis Anderson, BS2, MS CPRS Developer Salt Lake City, UT
Notifications/Alerts in GUI 22
Curtis Anderson, BS2, MS
CPRS Developer
Salt Lake City, UT

35. View Alerts (GUI v22)

36. Multiple Selection (GUI v22)

37. Process Info (GUI v22)

38. Sort by Patient (GUI v22)

39. Sort by Date (GUI v22)

40. Sort by Urgency (GUI v22)

41. Process Alert (GUI v22)

42. Processing Alerts (GUI v22)

43. Forwarding Alerts (GUI v22)

44. Renewing Alerts (GUI v22)

45. Renewing Alerts (GUI v22)

46. Questions ???