Updated Medical Imaging Order Set in Prod

The enhanced version of the Medical Imaging Order Set is now live in production. Its ID is still 1512 but it has been modified. The main change is that selecting various routes is now done by choosing the version of the medication or contrast by display name. For instance, there will be several versions of Omnipaque 300 listed. In order to document that you gave it via "IV", you would click the arrow next to the Omnipaque 300 line. This opens up a list of all the route options for Omnipaque 300. Choose the appropriate version.

Also notice that you are given a "range" of possible dose for the items on the list. This gives you the ability to document on the MAR the exact number of ML's administered.

General Radiant Update 3/20

Spring is officially here. With that comes Bob Schmook's irrational belief that Cardinals stand a chance in the NL Central. Here are some more rational things Radiant has been looking at and planning for.

• Our work with EPIC to try and get "order modes" to default to nothing has led to new plan. What we are going to be launching soon, is a default message that indicates that the user must select an appropriate mode from the list provided. This will prevent users from selecting the default, which is not selectable, and use discretion when picking order mode. This is especially important in getting appropriate co sign messages sent to ordering MD's.
• We are investigating a plan to decrease the number of errors in the "change" order workflow. As you know, when the wrong path is taken, it leads to odd system reactions such as ending up with 99,999 occurences of an order. We have a plan in mind which will ultimatly require all "change" orders to be done ONE way and the possibility of doing it incorrectly wouldn't exist. After some testing we will launch this plan ASAP.
• We have been working hand in hand to revamp the medical imaging order set. The changes are being reviewed currently and will be released to you as soon as we get the approval from management and super users. The change will allow for easier selection of the appropriate routes of administration.
• We are going to investigate removing the MD's ability to ever enter "until specified" as a choice for IMG orders. What sounds like a simple idea has several associated ramifications both to the MD and how our current Schedule Orders Report is set up. This will not likely be fully tested until after the St Clare "go live", but is a known area for pitfalls and is being looked at
• We are looking into a request by the MD's to be able to cancel scheduled imaging orders. This of course would have far reaching consequences and we are working with the MD representive as well as the Cadence (scheduling) team to map out an appropriate compremise.
• Based on a change in corporate policy we are going to give techs access to document allergies while in the end exam navigator. We will be sending out more information on this ASAP. This will, of course, be controlled by department policy, but we will provide the tools for you to make these edits on the fly.
• We are activly researching solutions for the highly problematic issue of pre procedure orders linked to IR appointments be lost. We think we have a workable plan which will bring this to an end. There some more testing that needs to be done, but the current proposal will be painless for the tech as well as the person who originally entered the orders. We have been give the ok by the ADT team to pilot our idea in the IR department so there will be more to come on this issue.
• We have been conspiring with our EPIC technical support team to address the issue of the Nuc Med staff being painted in a corner when a cardiologist dictates on their orders prior to the order being ended in EPIC. This means the tech can no longer change/revise the exam because the status has been changed to 'preliminary'. Often the techs need to change the exam at this point but are unable to do so for this reason. EPIC has just sent a few proposals which will be discussed fully and a plan will be presented ASAP.
• We recently got back our historical time out information that was 'lost'. The information was technically there, but it took some EPIC geekery to extract it. It was an error on my part when the "time out" form was edited. The information is now available once again.
• We are also actively testing SMH workflows in test environments to ensure that non of your current functionality becomes corrupted when St Clare goes live in April.

Happy Spring!

ED Trackboard

The legend that was temporarily lost from the ED Trackboard toolbar has been "found"! There was a security setting that needed to be changed and an unitended consequence was our disapearing toolbar. It is now back, along with an icon for "comments". The was added in response to a recomendation by the ASAP (ED software) team. Any comment you, as a tech, add here will be viewable on the trackboard to the entire ER. This differs from putting a "tech to tech" comment in your tech work list. It is another communication tool and is, of course, optional.