Women’s Health Newsletter
September 2012
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We have all of these Reports? OB Activity Log Report The OB Activity Log report gives nurse managers the ability to query activity level at their unit. This report utilizes a tracking group as the trigger to determine what patients should appear on the report. The OB Activity Log report is designed to be launched from the tracking shell within a Millennium environment. Extractable Birth Log Allows for comprehensive compilation and extraction of pregnancy information to record and preserve statistical data. Delivery Summary Report Defines crucial data used for hospit al s t atis tics, QA/ QI projects and required state maternal/infant reporting. Open Pregnancies by EDD/EGA Provides the ability to search for and close pregnancies that are beyond 44 weeks gestation. Fetal Well-Being Report The Fetal Well-Being Report is a report for the OB Fetal WellBeing PowerNote. This note is intended to be initiated and documented in part by the nurse but then signed by the physician after they contribute. The report is intended to identify those PowerNotes that have been initiated and requested for endorsement by the nurse but not yet signed by the provider.
Meet the Nurses of the Women’s Health Team! Our nurses include (from top left), Kathy Conder, Shelly Andrievk, Jill Meier, Sandra Preece, Ashley Auffert, Charlie Boller, Kaisha Norgren, Michelle Padgett, and Jessica Herman (not shown) Combined We have 145 years of nursing experience, in the areas of, high risk Labor and Delivery, Mother Baby, NICU, Medical Telemetry, Med/Surge, Telemetry, Perinatal Leadership, Perinatal Quality assurance, Risk management, Kidney, Liver and Pancreas transplant, Neurosurgery, Multisystem Trauma, Health Service Coordination, Childbirth Education, Dermatology, Family Practice, GI, and OR.
Maintaining Industry Awareness Epidural Fall risk It is very important to Cerner to maintain industry awareness, and to provide our clients with the most accurate and up to date content regarding current AWHONN, ACOG and Joint Commission recommendations. The Women’s Health ABU is currently working on creating a Postepidural Fall Risk Assessment Scale that can be used in our content that is specific to Women’s Health. In the past fall reduction programs have been geared towards patients over 65 years of age, as this is the age group of patients that have had the largest number of patient falls associated with it. It is important however to consider the childbearing patient population, and specific physiologic factors that contribute to falls. We have done research around scales that are currently available and been in contact with members of AWHONN to get their input on an acceptable scale. Currently AWHONN does not have a scale that is recommended, but they did communicate the desire to have one made that is specific for Women’s Health. Cerner is going to be working with an area hospital to record a case study in which we put this scale into place, and see how it decreases the number of falls in postepidural patients.
Women’s Health Newsletter
September 2012
Tips and Tricks FetaLink has the capability to “hide” fetal heart tones while viewing a fetal monitoring episode. If you are tracing multiple babies at one time and want to focus on one you can simply click on the fetal heart rate that is being recorded for the babies that you would like to hide. An example of this would be if you want to focus on Baby B, click baby A’s heart rate and baby A’s waveform will disappear. An advantage of this is that while that waveform is hidden it is still being recorded and captured. To bring baby A back into view you will just click on the heart rate once more and the waveform will re-appear. You can also do this with maternal heart rate and contractions. This is also a starting point for trouble shooting if for some reason you do not see one of these components show up on the monitor.
Community Involvement T h e Wo m e n ’ s H e a l t h t e a m
Another tip regarding PowerChart Maternity is the Labor Graph. You can launch the labor graph from IVIEW. Included in the labor graph is a Vital Sign Graph, Fetal Heart Rate Graph and a Standard Labor Graph. The graphs provide a visual representation of the clinical events recorded for a set time period. This is a great tool if you feel like your patient is not progressing, or if you feel that your patient is starting to get an infection. It allows you to see the trend of what is going on throughout the woman’s labor.
recently led Cerner’s involvement in the Susan G. Komen Race for the Cure. Not only are we passionate about improving women’s health care in the clinical environment, but we also feel very strongly about supporting philanthropic causes within our very own community. Nearly 400 Cerner associates participated in the race -- raising a combined $4,400 towards the fight of breast cancer.
What We’re Doing PowerChart Maternity Content Release: • • • • • • • • • • • • • • • • •
Package # 60628-Powerchart Maternity Ambulatory Highlights: Addition of iView Lactation Consultant band Package # 60627-Powerchart Maternity Acute Highlights: Addition of iView Lactation Consultant band Addition of Lactation IPOC Maternal Age rule This rule writes out the maternal age at delivery as a clinical event so that this information can be copied to the newborn’s chart. Maternal Delivery Complications This rule writes out delivery complications documented by nurses as problems on the problem list. This will facilitate pregnancy closure. Preterm labor rule This rule writes out Preterm labor added to the problem list (under the nursing classification) when the Preterm Labor IPOC is ordered. Admit L&D rule This rule suggests the OB Postpartum Vaginal Delivery IPOC and OB Postpartum C-Section IPOC upon admission to the Labor and Delivery unit. Pregnancy Lactation rule This rule will notify provider of potential adverse reaction while pregnant or breastfeeding if provider orders contraindicated medication.
Women’s Health Newsletter Cerner Health Conference (CHC) October 7-10, Kansas CIty, MO Wo m e n ’ s H e a l t h E d u c a t i o n Session • Out with the Old and in With the New: Cerner Transition • Taming the Wild Beast P hy s i c i a n E n g a g e m e n t in Designing PowerChart Maternity • The Key to a Successful Go-Live - Training, Training, Training! • W e ’ r e h a v i n g a b a b y ! Benefits of PowerChar t Maternity/FetaLink from Conception to Delivery • FetaLink+: From Product Conception to Birth • Delivering a New Electronic Medical Record: Benefits and Lessons Learned • A s k t h e E x p e r t s ! PowerChart Maternity and FetaLink Users Tell All
September 2012
What We’re Doing (continued): FetaLink 1 .9.3 will soon be available to all clients. An official announcement will be made once the final packaging is complete.
This new version has several features and functions that may be of interest for FetaLink users, including these listed below: • FetaLink now can remain in uptime during the fall Daylight Saving Time event, supporting continuous surveillance of your patients’ fetal monitor strips during the repeating hour • FetaLink can be configured to obscure the patient’s name when you are logged in, supporting patient confidentiality when caring for more than one patient • Alerts are no longer immediately triggered when fetal monitor leads are plugged in, reducing alert fatigue • Alerts now can be configured to ignore blood pressure of 0/0, reducing alert fatigue • Patient-level alert settings are preserved even if the Monitoring Alerts service is restarted , keeping the patient-centric alert settings • Medical Record Number now is included in PDF exports of archived monitoring episodes, enhancing positive patient identification • Grid lines in the on-screen fetal strip have been updated to improve visibility under a variety of viewing conditions • FetaLink can now support the latest CareAware iBus version: 2.0 • FetaLink now displays NHS number as a patient identifier when used in the appropriate locale This announcement can be found on https://connect.ucern.com/thread/348919
Don’t miss these atdditional Women’s Health events at CHC
Your Opinion Matters!
Wo m e n ’ s H e a l t h P h y s i c i a n Summit
The Cerner Design Team is working on ways to update the look and feel of FetaLink to improve usability. We would like to give you an opportunity to share your thoughts and ideas with us. Please fill our a short questionnaire :
Fe t a L i n k te c h n i c a l s u p p o r t training SIG Reception & site tour -hosted by Olathe Medical Center New FetaLink interface usability testing
Click for Details Register for CHC
http://s.zoomerang.com/s/FetalinkNewDesignQuestionnaire Additional comments are welcome. Your feedback is important to us!
Women’s Health Newsletter Are you a part of our social network? Become a member of our Women’s Health Collaboration Community on uCern. uCern is a great way to stay up to date on the latest developments around PowerChar t Maternity and FetaLink, hear about upcoming events, network and share tips and tricks with your peers. If you are not already a member, we hope you’ll sign up soon!
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September 2012
What We’re Doing (continued):
Neonate Summary:
Note: Information is not clinically accurate
Because of all the great feedback from our clients, we have now combined the Newborn Summary and ICU Summary to create Neonate Summary view for both well-babies and sick-babies. This new summary gives our friends in the NICU and Special Care Nurseries our end-users access to much loved components like Hyperbilirubinemia and Task Timeline without having to go to another view for components such as Apnea Bradycardia and Oxygen/Ventilation. For more information please check out: https://connect.ucern.com/thread/348573.
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Note: Information is not clinically accurate
Pregnancy Summary: A new version of the Pregnancy Summary will soon be available to all clients. This new version has an updated Initial Assessment and Physical Exam component for our Ambulatory clients that is hard-coded to display all ACOG-required fields. Each visit will now display in a ‘card’ and hover capability will allow for quick trending of information. For more information please check out: https://connect.ucern.com/thread/348550