Inpatient: Medications’ Last Dose Given appears in IP After Visit Summary [Effective October 3, 2020]
- Inpatient clinicians view the last time a medication was given on the Preview AVS window
- If a medication displays with a “____,” go to the Add Med Details section of the respective discharge navigators to edit
- Clinicians view the last 7 days of recent doses in this section (will not show on the AVS)
- If the system is unable to determine when the last dose was given, e.g. ibuprofen 800mg, click the pencil to enter the appropriate dose (e.g. Current date 9/9/20 at 1058)
Ambulatory: Automatically Re-route In Basket Messages to Covering Provider [Effective October 3, 2020]
When a provider leaves JHM, use the “Departing Provider Active Care” report in Reporting Workbench to assign a single covering provider to all categories of a patient's follow-ups (A), or assign separate covering providers to the individual categories of a patient's follow-ups (B).
Inpatient & Ambulatory: Updates to COVID-19 Orders [Effective September 17, 2020]
- To assist Johns Hopkins with meeting Federal reporting requirements, the following additions were made:
- Required questions:
- Added “The patient is a frontline JHM healthcare worker, if “Is the patient a healthcare worker?” is answered “Yes”
- Added the date of symptom onset, if “Is the patient having COVID symptoms?” is answered “Yes”
- Whether or not the patient is currently hospitalized, the answer is defaulted “No” for ambulatory and ED patients and “Yes” for inpatients
- Whether or not the patient is in an ICU, the answer is defaulted “No” for ambulatory patients, but left blank for ED and inpatients
- Whether or not the patient resides in a group care setting
- Required questions:
- If the patient is asymptomatic, added options:
- For “IRB Required Testing,” the selection should be either:
- Required per JHM testing algorithm/clinical care guidelines
- Sponsor/IRB is requiring COVID-19 testing to initiate research enrollment
- For “JHM Approved Travel,” patient must meet criteria for approved travel, per the JHM Travel Policy
- For “IRB Required Testing,” the selection should be either:
- Tip sheets are available at Ambulatory COVID-19 Orders and Inpatient and ED COVID-19 Orders.
Inpatient: Updates to Tobacco Abstinence Panel [Effective September 15, 2020]
- The adult Tobacco Abstinence order panel reflects the new policy for JHH and JHBMC to be smoke-free campuses
- This panel is embedded in key admission order sets
- If a patient is documented to be an active smoker in the Tobacco or E-Cigarette section of the Social History, the Nicotine Replacement section will be “open” in the order set, and red text noting the patient’s smoking status will display
- If the panel is selected, educational text will display recommended treatment and questions for indicating the number of cigarettes smoked per day; each selection generates orders appropriate for that level of nicotine dependence
Screenshots of the above can be found here.
COVID-19 Epic Training Portal link
For more Epic Tips of the Week, click here.
