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Welcome…. Notifications Overview for Nurses. Presented by: Curtis Anderson Gary Downing Charlotte Feldman Camp CPRS - 2003. Introduction. Notifications (also known as View Alerts) Designed to transmit important information

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Notifications overview for nurses

Welcome…

Notifications OverviewforNurses

Presented by:

Curtis Anderson

Gary Downing

Charlotte Feldman

Camp CPRS - 2003


Introduction
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


Notification types

Lab Results

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

Notification Types


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

Notification Typescont…


View alerts vista

Do you know what all of these do…

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: 88.2 03/04 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


View alerts vista cont
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



View alerts gui cont

  • CPRS GUI V22

    • Ability to sort by “Column Header”

    • Options from VistA will be available (Forward, Renew, etc.)

View Alerts (GUI) Cont…


Personal preferences for alerts vista
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


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



Preferences in cprs gui1

Can not remove!

Preferences in CPRS GUI



Char feldman bsn bc clinical application coordinator fargo nd

Practical Applications

Char Feldman, BSN, BC

Clinical Application Coordinator

Fargo, ND



What fargo does not have
What Fargo Does Not Have….

Wood chippers in the

Back yard – for those of

You who have seen the

Movie……FARGO!


Alerts for inpatient nurses

Alerts:

New Order

Unverified Order

Unverified Medication Order

Settings (at Fargo)

Mandatory

Disabled

Mandatory

Alerts for Inpatient Nurses


New Order Notification

  • Designed to be used by Teams

  • Nurses & clerks on a team are notified when new orders are entered


Unverified Medication Order

  • Displays unverified orders from current admission

  • Designed to be used by Teams of nurses


Unverified Orders

  • Displays unverified orders from the current admission

  • Designed to be used by Teams (clerks + nurses)


Bingo boards
Bingo Boards

  • Provides visual clue to New Orders being placed


Verification of Orders

  • Online verification by clerks and/or nurses

  • Unverified Medication Orders are verified by RNs

  • Printing of chart order summaries is optional


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)


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





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

Team List Cont.


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


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





Curtis anderson bs 2 ms cprs developer salt lake city ut

Notifications/Alerts in GUI 22

Curtis Anderson, BS2, MS

CPRS Developer

Salt Lake City, UT














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