Friday June 10, 2022 - Wave 3 is live on Epic!!

To Our Wave 3 Colleagues: Congratulations!

You completed your first week on Epic!

We will pause the distribution of the Epic Advisor over the weekend. Your next Newsletter will circulate on Monday, June 13th. To avoid email fatigue, we will also reduce our circulation to Monday, Wednesday, and Friday. 

Enjoy your weekend.

Wave 3 Epic Updates: 

Printing Reminder:

ISSUE: Staff are printing paper documents to the label/specimen printer, jamming the label printers and rendering the document unusable.

• When printing paper documents, such as face sheets and After Visit Summaries (AVS) from Epic, please make sure you select the correct printer.
• To select the correct printer, in the printer list select the printer with "DP" (document printer) in front of the name.
• Please do NOT print paper documents to a printer with an "LP" (Label Printer) in front of the name. 



ED RNs - Releasing Admission Orders:

ISSUE: Admission orders are not being released in a timely fashion.  

• Background: When a provider places admission orders for a patient through the Admission Navigator currently in the Emergency Department (ED), most orders default to signed and held. 
• The Joint Commission considers patients admitted and boarding in the ED greater than 4 hours as admitted.
• As a safety net, Epic provides a Best Practice Advisory (BPA) alert and an icon appears on the ED Track Board reminding that the ED nurses should release the admission orders.
• Recommendation: Remember to watch for the BPA alert and the icon on the ED Track Board and release held admission orders proactively.

RNs - Select the Correct Provider:

ISSUE: Providers with the same first and last name create challenges for selecting the correct provider.

• Recommendation: If more than one provider has the same first and last name, use the provider's middle initial, NPI number, and Specialty to ensure you are choosing the correct provider.

Heparin and Insulin:

As the Heparin Infusion and Insulin Infusion workflows remain an "Epic Top 10 at Noon" issue, please review the helpful tip sheets on these important workflows.

Nursing and Allied Health Daily Focus

Priority 1: Incomplete Blood Product

Priority 1: Blood Administration: Reviewing Incomplete Blood Administration

• When administering blood products, it is imperative that you document the completion of the blood administration!
• UPDATED:  Click here to review the Complete Blood Transfusion Tip Sheet.

Priority 2: Barcode Med Administration (BCMA) Scanning

• Access the Barcode Scanning Compliance Report to review metrics on Barcode Med Administration (BCMA).
• This report shows the details needed to provide both kudos and coaching.
• Unit Leaders and Managers, please provide coaching as needed based upon the findings from the Barcode Scanning Compliance Report.

Priority 3: Uncollected Labs

• Access your Workflow Safety Dashboard to review Uncollected Labs.
• Navigate to the Uncollected Labs component.
• From here, you can drill down by unit. 
• Unit Leaders and Managers, please ensure that Point of Care Testing (POCT) is taking place.

Rover and Vocera Support is available

• Please call your Inpatient Informatics for in-person 24/7 support with Rover and Vocera. 
• Hamilton:  3284
• New Brunswick: 33284
• Rahway:  73284
• Somerset: 63284

New Brunswick Vocera Support Tuesday - Thursday Next Week!

• Vocera Vina is the primary communication tool on the nursing Rover iPhones allowing nurses to communicate with other staff members.
• The Digital Team is doing onsite training at RWJUH New Brunswick.
• Vocera vendor representatives will be rounding units in New Brunswick from June 14 - 16 to ensure everyone knows how to use it.

• Click here to review the Rover Quick Start Guide.
• Click here to review the Mobile Device Quick Start Guide.
• Click here to review the Rover/Vocera Vina Training Tools

Reminders, Tips, & Tricks

Knowledge Refresh: Patient Flow Guide on the Learning Home Dashboards!

Remember that all patient movement scenarios are clearly outlined in the Patient Flow Guide on your Learning Home Dashboard. Press F1.

• The Patient Flow Guide shows which caregivers perform each task to seamlessly move patients throughout the RWJBH-Rutgers system. 
• Examples of Patient Flow are:
• Emergency Department (ED) to Inpatient
• ED to Cath Lab
• ED to Operating Room (OR)
• Hospital Outpatient Department (HOD) to Inpatient
• Inpatient to HOD
• Access the Patient Flow Guide to quickly learn the correct way to move patients from one hospital area to another!

Epic Top 10 Issues

The Executive Committee's "Epic Top 10 at Noon" Go-Live issues and daily status report, as of 12 pm today, are available in the link above.

Epic Top 10 at Noon Resolved Issues:

• ICU Monitor Device Integration
• Credit Card Processing at CINJ and New Brunswick
• IV Pump Integration

Training Spotlight

This section will provide a list of highlighted tip sheets and videos. Check this every day to keep informed and guide you through your daily workflow.

Please review today's highlighted tip sheet below! 

For a complete list of Tip Sheets, press F1 to access your Learning Home Dashboard.

How to "Get Help" With Epic

We have developed this handy one-page "Go-Live Help at a Glance" guide that will give you all the information you need to access help with Epic: 

Good Humor

Please submit your medical humor to DL-Epic-Communications.

• Confirm in the email if you would like your name featured as the submitter in a future Epic Advisor Newsletter.
• JPG/PNG image files and text jokes will be considered.

Medical Humor Community Guidelines -- Keep it:

• Clean (e.g., no curse words or overtly sexual content)
• Considerate (e.g., no marginalizing nor disparaging content)
• Corny
• Silly
• Hilarious

For more information about

Wave 3 Implementation,

visit our website at 

www.EpicTogetherNJ.org