Q. Can medications running via the same lumen be grouped together in iView? e.g. continuous infusions, medications, etc.
Currently this is not possible. This is something under discussion as part of the eHealth IV design working group. The best place to view what is running through each line is the Infusions widget on the nursing summary page.
Q. For intermittent medication infusions, e.g. Vancomycin, is the flush volume included in the diluent volume documented in the MAR?
It is if the flush volume is incorporated into the total diluent volume (in MAR), but preference is to add the flush in iView on the continuous infusion line.
Q. In Recovery, how do nurses document opioids under a Pain Protocol? e.g. Create a dynamic group label under IV flushes - Other: "Fentanyl Pain Protocol to document volumes in.
The orders will be on the MAR, nurses are to document on the MAR like any other intermittent/bolus medication. Pharmacy & recovery have indicated support for moving to the pre-filled syringe model.
Q. Does the Imprest list remain on paper for ward stock ordering?
Yes. Paper ordering will continue to be filled twice a week for bulk ordering, and send to POW as per usual. The ward will then receive the delivery from POW pharmacy and stored appropriately.
Q. MDU- doctors normally chart meds for tomorrow, how will they do this post eMM Go-Live?
The workflow will be the same as they do in Turner at CHW. Refer to Quickstart:
https://learning.schn.health.nsw.gov.au/ordering-plans-turnermdu-patients
Nurses will need to activate the plans.
Q. Peripheral IV Cannula dressing - brown tape should not be an available option.
The ‘Access Working Party’ are currently reviewing the cannula section.
Q. After Hours non-stocked medications, do nurses need to do a Medication request?
Continue the same process for afterhours. The after-hours Nurse Manager will need to be contacted to collect medications; it can be sought after from different wards as well if needed. A med request should also be done, to notify pharmacy in the morning.
Q. Do nurses need to med request sterile pharmacy medications?
Yes, sterile pharmacy medications will be ordered the same way as all other medications.
Q. Can other nurses apart from ED (e.g. ICU & Oncology) complete the prescribing height/weight/allergies ADHOC form?
Yes this is possible if a ward/department agree.
Q. Can the filters in Care Compass also include 1 hour filter? (once you click on the number of activities you have a 2, 4 and 12 hour filter option)
The activity timeline columns at the bottom of the page show tasks due for each hour
Q. Can nurses change the route of administration within the MAR administration window? e.g. patient is vomiting paracetamol, can nurses change the route to IV.
No.
The PO/IV route that is normally done on paper is not a legal order. If the dose cannot be given in the original route, the doctor will have to re-chart a different dose as a once-off e.g. paracetamol, x mg, IV, Once. In the new code upgrade, that field will be locked down and they won't be able to change it.
Q. Fluid via an Arterial line- there is no appropriate site in MAR, how do nurses document this?
Route of intra arterial will be included in the order sentence of the medication order.
When beginning the bag in the MAR nurse can select the Site - other: add comment "arterial line". This will need to be confirmed by the Nurse Reference Group.
Q. The witness field in MAR is not always yellow and mandatory, does that mean it doesn’t need to be co-signed? E.g. witness isn’t mandatory for oral paracetamol in MAR
There are medications that are single sign only as per policy http://webapps.schn.health.nsw.gov.au/epolicy/policy/4295/download
But, just like on paper there's nothing to tell you that you need it to be co-signed and comes down to clinical knowledge and understanding of own clinical scope. If you are usually required to get it co-signed, you CAN put in a witness and SHOULD be putting in a witness as per scope of practice.
Q. On 724 Access Viewer Recovery doesn't have a patient list, why?
Recovery has not been built as a location in PowerChart. Patients don't get 'transferred' to Recovery in the eMR they stay in their area/ward. Therefore there is no list. Recovery normally has the most common wards to look up their patients.
Q. Can oxygen be prescribed on the MAR?
No, the only medicinal gas on the MAR is nitrous oxide.
Q. Will doctors be able to order a dose range for a medication e.g. oxycodone 5-10mg and nurse can choose how much to give?
Yes. Doctors will be able to free-text doses when required.
Q. What is the process for a phone order of insulin, will nurses need to order insulin as a phone order?
Yes. All phone orders regardless of medication follow the same process.
Refer to Quickstart - Phone orders: https://learning.schn.health.nsw.gov.au/phone-orders
Q. Will intrathecal nusinersen be prescribed on eMM?
Yes.
Q. Do CSF drainage volumes add to patient's Fluid Balance Output?
Yes.