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<p class="MsoNormal" style="background:white"><b><span style="font-size:20.0pt;color:black">Documenting Difficult Airway in Epic</span></b><span style="font-size:14.0pt;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="background:white"><span style="font-size:14.0pt;color:black"><o:p> </o:p></span></p>
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<p class="MsoNormal" style="background:white"><span style="font-size:14.0pt;color:black">An update to Epic planned for Monday, April 24, allows for improved documentation of patients with difficult airways. With documentation of a difficult airway, a new flag
on the storyboard, "Airway Status: <b>Difficult Airway</b>",</span><span style="font-size:12.0pt;color:black"> </span><span style="font-size:14.0pt;color:black">will appear in a red box to inform you that your patient has a known difficult airway. <o:p></o:p></span></p>
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<p class="MsoNormal" style="background:white"><span style="font-size:14.0pt;color:black"><o:p> </o:p></span></p>
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<p class="MsoNormal" style="background:white"><b><span style="font-size:17.0pt;color:black">How to document a difficult airway</span></b><span style="font-size:14.0pt;color:black">:<o:p></o:p></span></p>
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<p class="MsoNormal" style="background:white"><span style="font-size:14.0pt;color:black">There are 3 ways to document that a patient has a difficult airway. All will create the flag in the storyboard. You can use the one that is most appropriate for you. <o:p></o:p></span></p>
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<b><span style="font-size:14.0pt">Documenting a difficult airway after intubation</span></b><span style="font-size:14.0pt">. Intubation procedure notes now have a section where you can indicate airway status. <o:p></o:p></span></li><li class="MsoNormal" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo3;background:white">
<b><span style="font-size:14.0pt">Problem list</span></b><span style="font-size:14.0pt">. You can add a problem of "Difficult Airway" to the problem list. For most patients, you should also make this problem a "chronic" problem. This method is best for patients
with physical findings or history indicative of a difficult airway. It is also appropriate to add this problem after noting a difficult airway in an intubation note, however, the procedure note itself is enough to turn the flag on. <o:p></o:p></span></li><li class="MsoNormal" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo3;background:white">
<b><span style="font-size:14.0pt">Patient FYI</span></b><span style="font-size:14.0pt">. The third option is to add a patient FYI of "difficult airway". Note that the first 2 options create the FYI automatically, <o:p></o:p></span></li></ol>
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<p class="MsoNormal" style="background:white"><b><span style="font-size:17.0pt;color:black">How to remove the difficult airway flag</span></b><span style="font-size:14.0pt;color:black">:<o:p></o:p></span></p>
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<p class="MsoNormal" style="background:white"><span style="font-size:14.0pt;color:black">Should the patient no longer have a difficult airway, removing the flag by completing the difficult airway FYI is possible. This will remove the flag on the storyboard
but will appropriately not remove clinical documentation in any prior intubation note. If the problem list has an entry for "Difficult Airway" you should also complete it there, however, only removing the FYI clears the storyboard flag. <o:p></o:p></span></p>
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<p class="MsoNormal" style="background:white"><span style="font-size:14.0pt;color:black"><o:p> </o:p></span></p>
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<p class="MsoNormal" style="background:white"><b><span style="font-size:17.0pt;color:black">How to learn more:</span></b><span style="font-size:14.0pt;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="background:white"><span style="font-size:14.0pt;color:black">I have attached the tip sheets for this process to this Epigram. <o:p></o:p></span></p>
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<p class="xmsonormal" align="right" style="text-align:right;background:white"><span style="font-size:10.0pt;font-family:"Calibri Light",sans-serif;color:black">From the Desk of the CMIO</span><span style="color:black"><o:p></o:p></span></p>
<p class="xmsonormal" align="right" style="text-align:right;background:white"><span style="font-size:10.0pt;font-family:"Calibri Light",sans-serif;color:black">Neal Seidberg, MD</span><span style="color:black"><o:p></o:p></span></p>
<p class="xmsonormal" align="right" style="text-align:right;background:white"><span style="font-size:10.0pt;font-family:"Calibri Light",sans-serif;color:black">seidbern@upstate.edu</span><span style="color:black"><o:p></o:p></span></p>
<p class="xmsonormal" align="right" style="text-align:right;background:white"><span style="font-size:10.0pt;font-family:"Calibri Light",sans-serif;color:black">315-464-7507</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:14.0pt;color:black"><o:p> </o:p></span></p>
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