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)View Alerts (GUI)

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 ...

Preferences in CPRS GUIPreferences in CPRS GUI

Preferences in CPRS GUIPreferences in CPRS GUI

Can not remove!

Preferences in CPRS GUIPreferences in CPRS GUI

Char Feldman, BSN, BCChar Feldman, BSN, BC

Clinical Application CoordinatorClinical Application Coordinator

Fargo, NDFargo, ND

Practical Applications

What Fargo Has….What Fargo Has….

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

Bingo BoardsBingo Boards

• Provides visual clue to New Orders being placed

• 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

Team List Setup

Team List Cont.

Team List Cont.

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

Personal Team List

Personal Team List Cont.

Personal Team List Cont.

Curtis Anderson, BSCurtis Anderson, BS22, MS, MS

CPRS DeveloperCPRS Developer

Salt Lake City, UTSalt Lake City, UT

Notifications/Alerts in GUI 22

View Alerts (GUI v22)View Alerts (GUI v22)

Multiple Selection (GUI v22)Multiple Selection (GUI v22)

Process Info (GUI v22)Process Info (GUI v22)

Sort by Patient (GUI v22)Sort by Patient (GUI v22)

Sort by Date (GUI v22)Sort by Date (GUI v22)

Sort by Urgency (GUI v22)Sort by Urgency (GUI v22)

Process Alert (GUI v22)Process Alert (GUI v22)

Processing Alerts (GUI v22)Processing Alerts (GUI v22)

Forwarding Alerts (GUI v22)Forwarding Alerts (GUI v22)

Renewing Alerts (GUI v22)Renewing Alerts (GUI v22)

Renewing Alerts (GUI v22)Renewing Alerts (GUI v22)

Questions ???Questions ???