16 articles Mountain Home VA

CPRS – Where do you find orders on CPRS!?!

Ordering blood at the VA: Doctor’s menu. Blood products. Inpatient: type&screen/RBC. And Nursing admission over (transfusion). – Sign consent form: paper forms at nursing stations – Type and Cross – Order blood products (2U PRBCs) – Transfuse blood order Order Echo: Tab (bottom): Consults. New Consult (button). Consults/Procedures Menu. Medical Services. Cardiology consult menu. Cardiology…

VA notes

VA notes: – Admission: H&P note Admission order: Doctors’ menu. Medical Service. Admit/Transfer to Medicine. (Provider: senior resident on the team) – Progress note: “Medicine Physician Progress Note” – Discharge: 1.”Physician Discharge Note” – have to complete before the patient can leave the hospital Fill out note. Tell your attending that it is filled out…

Ward Teams

VA ward: For ALL resident work room – Room code: 5-3-1-4-2 – “enter” (odds and then evens) Blue team: Room number: B234 Phone numbers: 7428, 2309 Red team: Room number: E122 Phone numbers: 2683, 2650 Green team: Room number: B134 Phone numbers: 2640, 2642 Orange team: Room number: C135 Phone numbers: 2643, 2477 Purple team:…

Respiratory: ABGs, CPAP, Duoneb, etc.

Orders > Doctors’ Menu > ABGs/Respiratory (left side menu of pop-up box) The main things you’ll use here are: – Blood gases: remember to specify room air in the comments on the order. – Inpatient Respiratory Treatment Menu: for breathing treatments. – Respiratory free text: this is how you provide patient with a loaner CPAP,…

Consents: blood transfusion, interfacility transfers, etc.

Find a “Computer on Wheels” with the digital signing pad. Before leaving the room with the computer, open iMedConsent (see below) and first ensure you can actually get it up and running. You don’t want to be at the bedside with a computer that cannot open the forms… Tools (in toolbar at the top) >…

Discharging a patient (home, CLC, outside facility, or expired)

As soon as you get close to discharge (day before!), start preparing. This includes ordering/discontinuing outpatient medications, starting the D/C Summary if you haven’t already, and organizing final recommendations from consults/oxygen requirements/tube feeds/etc. Basic steps for discharges: D/C note –> Medication Reconciliation¬†–> Free text the Clerk to set up follow-up appointments/order Outpatient follow-up labs ¬†–>…