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UWMC ORCA UPDATE REPORT

October 2, 2008 – 10:00



Enhancement / Issue Update/Resolution/Workaround

High Priority/ None

Patient Safety

Enhancement: Inpatient nurses will see an Influenza Vaccine task for

Influenza Screening selected patients. This procedure is very similar to the

Pneumococcal Screening task. A task will be generated

unless:

 the patient is less than 50 years old.

 ORCA shows history of Influenza vaccination from

this Fall (2008).

 the patient has a recorded allergy to eggs or the

influenza vaccine.

Nurses must update the Immunization tab (found in the

Patient Info tab) if a patient reports receiving a flu

vaccination in the Fall of 2008.

Medication Outpatient clinics will soon be documenting vaccine

Documentation administration on the immunization tab.

Effective October 1

Enhancement: New functionality for Nurse Medication Review will be

Nurse Review Education implemented on October 21.

Required education, which must be completed by

October 20, is now available:

1. Go to www.orcaed.washington.edu

2. Click on the Nurse Medication Review link

3. Complete the interactive module

4. Follow the links to the UWMC quiz

5. Print quiz results and turn in to your manager

This module takes approximately 10 minutes to complete.



Page 1 of 3

UWMC ORCA UPDATE REPORT

October 2, 2008 – 10:00

Enhancement / Issue Update/Resolution/Workaround

Enhancement: The Admission Information section of the Admission Hx

Pressure Ulcer, Central Line, PowerForm now includes fields to document the presence

Urethral Catheter of the following at admission:

Requirements  Pressure Ulcer(s) present on admit

 Indwelling Urinary Catheter present on admit

 Central Line present on admit

This fulfills a new CMS requirement. Nurses are to select

all that apply.

Effective October 1 at noon.

Enhancement: A Pressure Ulcer on Admit section has been added to the

Admission Hx PowerForm Admission Hx PowerForm.

When the Pressure Ulcer(s) present on admit

Documentation checkbox is selected, the Location and Stage sections for

Pressure Ulcer #1-5 will pop up. Location and stage can

be documented for up to 5 different pressure ulcers.

Once documentation on pressure ulcers is complete, click

the blue circular icon to continue documenting on the

remaining sections of the Admission Hx PowerForm.

The pressure ulcer/wound care data entered on the

Admission Hx PowerForm will be automatically added to

the Pressure Ulcer Wound Care PowerForm, which can be

completed later.

Staff will still get the pressure ulcer task on admission.

Effective October 1 at noon.







Page 2 of 3

UWMC ORCA UPDATE REPORT

October 2, 2008 – 10:00



Enhancement / Issue Update/Resolution/Workaround

Enhancement: CBI parameters have been reorganized to make charting

CBI Parameters and reviewing CBI data easier:

 Bladder Irrigation parameter is below Urethral

Catheter Data. This will group Urinary Description,

Foley Output, and CBI together.

 CBI discontinued has been added below CBI started

(see eMAR).

Effective October 1 at noon.

Documentation

Enhancement: Urine Output Description Info has been added to

Urine Output Description Data Tubes/Drains/Nets between Condom Cath Data and

Urethral Catheter Data.

Effective October 1 at noon.

Enhancement: Respiratory Therapy Teaching Outcomes have been added

Respiratory Therapy to the Respiratory Therapy Discharge Instructions section

Discharge Instructions of the Interdisciplinary Discharge Instructions PowerForm.

Effective October 1 at noon.

IT Services has completed three remediation activities in

System

conjunction with Cerner to improve system stability and

Performance

performance.









Page 3 of 3



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