Please continue to check here for daily updates!

• If you receive an alert on powerchart titled “Merge Alert,” then the chart is corrupted. This is what you need to do immediately.
  • STOP using the chart and immediately call registration at x5228 to initiate creating a new MRN for the patient
• Cardiology orders:
  • All cardiology orders start with “CV” prefix
  • Use “CV Exercise Treadmill Test.” This test also occurs under other multiple names, which may be discontinued soon.
  • If ordering an Echo with Definity or bubbles, state what is needed in the “Order Comments” section.
  • Place EKG order prior to having nurse/tech completion of EKG. This will allow EKG to be uploaded to EMR immediately after completion.  In emergent situations, have another MD place this order for you.
  • Bedside EKGs done in ICU/ER via bedside monitors do not currently go to the EMR. These must be signed by ordering MD and sent to medical records for scanning.
  • Call Department of Cardiology with questions instead of the Cardiology Fellow on Call
• Clinic A Updates:

1. Prevnar is listed as PCV 13 vaccine
2. Use “special instructions” text for ordering complicated Rx sigs (eg. Lispro 18/14/14 QAC dosing). Do not use comments as these are not seen by the Pharmacist.
3. Zostavax is stocked in the pharmacy so you must order as “In office med from pharmacy” not as Zoster vaccine live. Enter 0.5cc, Zostavax SQ, shingles vaccine in details. Please look at the all the patients you will be seeing in that session and decide in the beginning of your session if Zostavax or Meningococcal vaccine will be needed.
   Place these orders at the BEGINNING of clinic as there can be up to a 30 minute delay getting them from the pharmacy.
4. For Meningococcal vaccine, the Polysaccchride vaccine is for one time dosing only . Conjugate vaccine is for patients who will need repeat dosing( ie: post splenectomy patients who will need q 5year vaccines)
5. Order FIT for CRC screening (future order yes, nurse collect no) rather than FOBT.
6. Bone Density testing: search BD Bone Density–> you must order BOTH App and Axial for Hip and LS spine testing!
7. Mammograms ordered for women <50 OrderRight will try to block you. You can override and order digital screening mammo if you feel appropriate, eg. for women ages 40-50. Please do not order the Ultrasound option for basic screening- only if there is a breast specific issue you are trying to address
8. Please make sure to order consults in ORCHID and Econsult so that the consult shows on the patient’s end of visit summary!!!
9. Cardiology orders are set up: can order TTE and stress tests specifying a time window and Cards will schedule. EKGs you can follow previous workflow–order, send pt there and they will come back with copy of EKG.
10. Make sure to check and CLEAR your box daily!!! If there are labs sent to you in error, please refuse them and forward the results to the correct provider. Once you acknowledge the labs you are responsible for them!!!
11. Be very careful which printer you select–prescriptions must be sent to printers with suffix “RX” to be printed on secure paper. Please do not switch the paper. Instead go under the button with three dots, pick ” OTHER OUTPUT DEVICES ” and search for the printer. Add this to your Favorites
12. Visit summary–Once any edits are made, this must be published/printed, ie. if PCP touches the visit summary and later MA publishes, TWO copies of visit summary are generated. MA’S WILL BE IN CHARGE OF EDITING AND PUBLISHING THE VISIT SUMMARY (this is a change from our initial workflow). Send Amb Comm order to MAs detailing what you would like unchecked and what you would like included in the last text box.
13. The last thing you should do prior to sending the patient out to the waiting room to wait for dispo is to put inthe E/M visit charge. This will signal to the MA that the patient is ready for them to vaccines etc….
14. FACULTY- when cosigning clinic notes- if you want your thoughts to be seen on the residents note, you must MODIFY the note and add an ADDENDUM. If you are only signing the note, then you can just hit REVIEW . Anything you put in comments will not show up in the note.
15. Look up historical OVMC CWS/Affinity MRN under Patient Information (on the left dark gray menu).
16. PFTs –order in ORCHID and recommend calling to confirm they received/will process your ORCHID order.
17. If you have any questions please feel free to ask Dr. Suthar and Dr. Kim!