[epicproviders] Epigram: In-house DNR Workflow Education

[Epic - All Provider Staff]

Epigram
DNR Workflow and Order Changes (Going live Monday June 26)

The DNR order (In-house patients) and its workflow will be updated Monday. The companion paper forms will no longer be needed- all information will be collected by the Epic order. Please note the following information and linked education materials.

  *   The DNR order will collect all the needed information. Questions will change dynamically while you complete the order so you only see the fields you need to complete.
  *   The DNR status is shown on the storyboard- point and hover to it to see the current order's detail and history of prior orders from the updated system.
  *   Orders placed by residents must be co-signed by an attending within. 24 hours
     *   Co-signatures can be done by inbox either in Hyperspace (the full computer version of Epic) or in Haiku. You do not need to find and sign paperwork on the unit after this change.
     *   Any appropriate attending can also co-sign- the need to do so will be listed on the storyboard and other places in Epic that show orders that need co-signatures (like the summary report)
  *   The updated policy (CM E-17) supporting this new workflow will be in MCN Monday.

What you should do:

  *   Before the update: review education materials (listed below and also see emails from the training center)
  *   After the update: please discontinue and re-write existing DNR orders so all current documentation can be found in Epic instead of needing to look at the bedside paper chart.

Education Materials:

  *   Watch a quick video (3-5 min in length), click here<https://library-upstate-edu.libproxy1.upstate.edu/epic/intra/media/Inpatient/IPMD033%20Inpatient%20Provider%20DNRDNI%20Orders/index.html?pk_vid=0ab925423f92dfd71687436766a10300>
  *   To learn more about the Adult Electronic DNR/DNI Orders, click here<https://www-upstate-edu.libproxy1.upstate.edu/training/intra/epic/documents/adult_electronic_dnr_dni_orders_upstate_system_update_bulletin.pdf>.
  *   To learn more about the Pediatric Electronic DNR/DNI Orders, click here<https://www-upstate-edu.libproxy1.upstate.edu/training/intra/epic/documents/pediatric_electronic_dnr_dni_orders_upstate_system_update_bulletin.pdf>.
  *   To learn more about the DNR/DNI Order Patient List, click here<https://www-upstate-edu.libproxy1.upstate.edu/training/intra/epic/documents/dnr_dni_order_patient_list_upstate_system_update_bulletin.pdf>.

During Downtime: If needed, the use downtime order forms (including the DNR forms) to write the DNR order. The downtime forms can be found in the MCN system. At the end of downtime, please enter the DNR order into Epic at the earliest opportunity.
________________________________

>From the Desk of the CMIO

Neal Seidberg, MD

seidbern at upstate.edu

315-464-750

[cid:204fcc6c-c8f8-4319-b163-507ade2b4b95]<https://www.upstate.edu/training/intra/epic/hyperdrive.php>

-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://lists.upstate.edu/pipermail/epicproviders/attachments/20230622/f447b090/attachment-0001.html>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: Outlook-lej32x0i.png
Type: image/png
Size: 14178 bytes
Desc: Outlook-lej32x0i.png
URL: <http://lists.upstate.edu/pipermail/epicproviders/attachments/20230622/f447b090/attachment-0001.png>