Sunday June 5, 2022 - Wave 3 is live on Epic!!

Welcome to the second edition of the Epic live site newsletter for Clinical Care teams, Ambulatory and Inpatient staff.

This is your go-to source for the most up-to-date Epic information, workflow updates, and tips sheets to be shared at staff meetings and huddles. You'll receive regular Epic communication throughout Wave 3 implementation ...and beyond!

Epic's Top 10 at Noon

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.

NOTE: Live sites may experience some unexpected hiccups

during the Wave 3 Go-Live period as we stabilize the Epic system.

Thank you in advance for your patience.

Today's High Impact Workflow: Heparin & Insulin

Today, we are taking a deep dive on the Heparin and Insulin Protocol High Impact Workflows in Epic.

• In Epic, the nurse must update the Partial Thromboplastin Time (PTT) in the MAR for rate adjustments as needed.

• Orders for the next PTT draws will not be automatically placed.
• However, Epic will fire a Best Practice Advisory (BPA) reminding the nurse to place the PTT order.
• To act on the BPA and order the PTT, click Order.

• RNs will order new PTT with an Order mode of “Scope” and not “Per protocol”.
• Click Scope.

• The Adult ICU insulin infusion has been built in EPIC to follow the Georgia Protocol.
• Essentially, the Insulin Drip Protocol will go from paper to electronic.
• Epic will require the RN to update glucose results into the MAR to adjust the protocol rate.

Are you eager to learn more about the Heparin and Insulin workflows in Epic? Check out the following Tip Sheets on your Learning Home Dashboard!  Press F1 to access your Learning Home Dashboard! 

·        Clean up existing PTT due to New Heparin Order Workflow 10.26

·        Heparin Infusion Documentation

·        Insulin Infusion Documentation

High Impact Workflow Changes

Below please find links to documents to further review talking points on all 17 High Impact Workflows. 

• Blood Administration
• Breast Imaging
• Cath Lab and Structured Reporting
• Discharge Process
• ECG Muse
• Heparin and Insulin
• Interventional Radiology, Rad Tech, & Nursing Documentation for Interventional Procedures
• Life of a Supply
• Medication Administration
• Move Board
• Nuclear Stress and Charging
• Patient Safety Watch Orders
• Pediatric Blood Aliquot Ordering
• Restraints
• Sign and Held
• Unit Collect vs. Lab Collect Default Location
• Unit Collect vs. Lab Collect

Reminders, Tips, & Tricks

"Hot Keys" in Epic!

Epic provides opportunities to navigate the Hyperspace system whether you are a 'keyboard driver' or a 'mouse driver'!

• Keyboard Drivers prefer to keep their hands on the keyboard!
• Mouse Drivers enjoy using their mouse to click buttons!

"Hot Keys" provider keyboard shortcuts for keyboard drivers! Any button that includes an underlined letter in Epic indicates a keyboard shortcut! Press the Alt key on your keyboard + that letter. You can keep your fingers on your keyboard and press the button using "Hot Keys"!

As an example, in the screenshot below, you could click Accept, or Press Alt + A on your keyboard; you could click Cancel, or press Alt + c on your keyboard. 

Recent Tip Sheets

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

As of Sunday, June 5th, the following three new tip sheets are available: 

For a complete list of Tip Sheets, log in to 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

Wave 3 Implementation

click on our website at 

www.EpicTogetherNJ.org