Notifications OverviewNotifications Overviewforfor
NursesNursesPresented by:
Curtis Anderson Gary Downing
Charlotte Feldman
Camp CPRS - 2003
Welcome…
IntroductionIntroduction
• 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 TypesNotification 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 TypesNotification Types cont…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
View Alerts (VistA)View Alerts (VistA)
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
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
Enter "VA to jump to VIEW ALERTS optionEnter "VA to jump to VIEW ALERTS option
Do you know what all of these do…
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…View Alerts (GUI) Cont…
CPRS GUI V22 • Ability to sort by “Column Header”• Options from VistA will be available (Forward, Renew, etc.)
Personal Preferences for Alerts Personal Preferences for Alerts (VistA)(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
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
Personal Preferences for Alerts (VistA) Cont…
Options Available under…NO Notification Mgmt Menu ...
Char Feldman, BSN, BCChar Feldman, BSN, BC
Clinical Application CoordinatorClinical Application Coordinator
Fargo, NDFargo, ND
Practical Applications
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:New Order
Unverified Order
Unverified Medication Order
• Settings (at Fargo)Mandatory
Disabled
Mandatory
Alerts for Inpatient NursesAlerts for Inpatient Nurses
• Designed to be used by Teams
• Nurses & clerks on a team are notified when new orders are entered
New Order Notification
• Displays unverified orders from current admission
• Designed to be used by Teams of nurses
Unverified Medication Order
• Displays unverified orders from the current admission
• Designed to be used by Teams (clerks + nurses)
Unverified Orders
• Online verification by clerks and/or nurses
• Unverified Medication Orders are verified by RNs
• Printing of chart order summaries is optional
Verification of Orders
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)
When Do Alerts Go Away?
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.
To “Add” yourself from a Team, simply select a Team Name from the subscribe list and then choose
“Yes” to confirm.
Team List Cont.
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
Surrogates
• 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
Personal Team Lists
Curtis Anderson, BSCurtis Anderson, BS22, MS, MS
CPRS DeveloperCPRS Developer
Salt Lake City, UTSalt Lake City, UT
Notifications/Alerts in GUI 22