Launch 6 Support Hot Topics - Day 4

Daily postings on this channel address needs raised in prescriber huddles, with links to support information. Content is published around 17:30; any additional hot topics after this time will be posted the following day. Consider looking back at the previous day's posting.

Personalization - Take Care when Following others' Personalizations
  • Connect Care has the functionality to follow another Connect Care user, where you can then take advantage of helpful personalizations (e.g., saved order sets, preference lists) created by other users. 
  • Take care! The followed user may have placed provider-specific information within a personalization (e.g., follow-up instructions including a specific prescriber name). 
  • To ensure a followed personalization is configured to be appropriately "personal" to you, see this tip.
Login for Shared Clinical Workstations
  • It is very important to ALWAYS log in to an AHS computer workstation (and then Connect Care) with one's own unique credentials (user name and password), and then to log off of both Connect Care and the workstation before leaving the device. This prevents "session stealing" and other information system challenges. "Generic" logins should never be used.
  • An FAQ addresses the previous practice of using generic logins, and a bulletin details logging off/tapping out.
Computerized Prescriber Order Entry (CPOE) and Allowed Exceptions
  • Information on CPOE can be found in a Countdown Checklist post and the Clinical Ordering Norms section of the Connect Care Manual.
  • In ordering – as in all other clinical activities – patient care and safety come first. If there is an urgent or emergent circumstance affecting a patient’s care, verbal or telephone orders may be appropriate and can be allowed. See this summary of guidelines for telephone and verbal orders that comply with AHS and Covenant Health policies and procedures, complete with practical examples and norms based on time of day. 
  • For additional information on team collaboration for verbal and telephone orders, see the work package for prescribers and nurses.
Patient Movement: Discharging to Another Facility Using the Interfacility Transfers (IFT) Navigator
  • For transfers to another site (IFTs), remember to use the Interfacility Transfer Navigator, located within the Discharge tab. Using the correct navigator will ensure that all steps required for this workflow are completed and orders are available/actionable at the receiving site.  
  • As of Launch 6, all Calgary, Central, and Edmonton Zone acute care sites are now on Connect Care. For acute care transfers in these zones, ensure the Connect Care site to Connect Care site workflow is used. Do not use the "Transfer Navigator" - this is only for unit-to-unit transfers within the same site.
  • IFTs to another Connect Care site: To avoid chart “lock out”/loss of chart access for the receiving site, all required steps for discharge must be completed in the IFT Navigator prior to the patient physically leaving the unit and being discharged out of the system (i.e., the chart must be closed).  
    • Prescribers from the sending site must complete Med Rec and discharge orders before patient discharge. Orders should be signed & held for the receiving site.
    • Unit clerks/nurses must:
      • print the IFT documents (found within the IFT Navigator) for EMS/Air Ambulance before patient discharge; and
      • discharge the patient from the Unit Manager or ED Trackboard when the patient physically leaves the unit.
    • Clinical documentation (flowsheets, notes, etc.) on the discharged encounter can still be completed after the patient is discharged. A patient's discharge from Connect Care should not be delayed for documentation purposes.
  • The "RAAPID Service Request" order is used to initiate repatriations as well as non-emergent consultation/transfer requests. See the tip sheet.
  • For a summary on IFTs, see this Countdown Checklist blog post and this infographic for admitted patients. Further information (including other IFT workflows) is available in the IFT section of the Connect Care Manual.