Hi Kristen, We did develop a reflex order and it took several tries to get it just right. We have Meditech so unfortunately I am no help with EPIC. I can however tell you a few barriers we had and still have.
1) Originally the reflux is based on the initial order, so if the initial order is failed to be put in in a timely manner it can cause the 2nd to be delayed and fall out 2) The reflux time is now based on the arrival time in an attempt to prevent errors so it refluxes 4 hours from arrival no matter when the original was ordered 3) There were no established critical values for Lactic so these had to be established 4) The physician and nurse are unable to see when the next lactic will be drawn, it generates labs in the lab so if the lab tech doesn't get there in a timely fashion this can cause fall out 5) This auto generates only from results greater than 2 so if there is suspicion/change in condition then it needs to be re-ordered 6) Any level greater than 2 continues to reflux until the result is less than 2, this has gone on several days on some patients Hope this helps! Katie From: Sepsisgroups [mailto:[email protected]] On Behalf Of Christiansen, Kristen Sent: Wednesday, March 22, 2017 11:45 AM To: [email protected] Subject: [Sepsis Groups] Reflex lactate functionality in EMR Hello - For those facilities who have implemented a reflex repeat lactate order, I am wondering if you had any challenges with getting this to work in your EMR? Specifically, has anyone done this with EPIC? Kristen Christiansen, RN BSN Clinical Outcomes Coordinator Patient Safety and Performance Excellence (303) 651-5347 [email protected]<mailto:[email protected]> [cid:[email protected]] ***************************************************************************** This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it. *****************************************************************************
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
