Embed Size (px)
Citation preview
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 1 of 17
Contents
Administration .................................................................................................................................................................... 2
Departments .................................................................................................................................................................. 2
Medico-legal print .......................................................................................................................................................... 2
Policy buttons ................................................................................................................................................................ 2
Documentation .................................................................................................................................................................. 3
Care Plan - Checklists ................................................................................................................................................... 3
Clinical events ............................................................................................................................................................... 3
Nursing Discharge Summary ........................................................................................................................................ 3
Observations ................................................................................................................................................................. 3
Progress Notes .............................................................................................................................................................. 5
RRT ............................................................................................................................................................................... 5
Tasks ............................................................................................................................................................................. 5
Ventilation ...................................................................................................................................................................... 6
Vital Signs ..................................................................................................................................................................... 6
eHOC ................................................................................................................................................................................ 6
Medications ....................................................................................................................................................................... 7
Medication forms ........................................................................................................................................................... 7
New medications ......................................................................................................................................................... 10
Medication changes .................................................................................................................................................... 10
Miscellaneous .............................................................................................................................................................. 11
New products .............................................................................................................................................................. 11
Product changes ......................................................................................................................................................... 11
New order templates ................................................................................................................................................... 12
Order template associations ....................................................................................................................................... 13
Order template changes .............................................................................................................................................. 13
Pathology ........................................................................................................................................................................ 14
Radiology ........................................................................................................................................................................ 14
Reports ............................................................................................................................................................................ 15
Views ............................................................................................................................................................................... 16
Resolved issues .............................................................................................................................................................. 17
ANZICS ....................................................................................................................................................................... 17
Documentation ............................................................................................................................................................ 17
Medical Device ............................................................................................................................................................ 17
Medications ................................................................................................................................................................. 17
RRT ............................................................................................................................................................................. 17
Views ........................................................................................................................................................................... 17
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 2 of 17
Administration
Departments
Auto logout times increased to 30 minutes for all departments except for PMB-ICU and STG-ICU
where auto logout times increased to 15 minutes (ENHC0020096)
GR-CCARE
o Added beds OVERFLOW 01 and OVERFLOW 02 (ENHC0020559)
Medico-legal print
Medico-legal print (under Menu Print) added to accommodate medico-legal reporting
requirements (ENHC0020248)
Policy buttons
GR-CCARE and WW-ICU o "Antimicrobial Stewardship/Local Policies and Guidelines" button configured to open
http://staffnet.mlhd.gsahs.net/apps/antimicrobial/Default.asp (ENHC0020423)
SERH-CCARE and GB-ICU o "Antimicrobial Stewardship/Local Policies and Guidelines" button configured to open
http://staffnet.snswlhd.gsahs.net/governance/policy/file/antibiotics.pdf (ENHC0020423)
GR-CCARE, WW-ICU, SERH-CCARE and GB-ICU o “My Local Policies and Guidelines” button configured to open
http://gswagis001.gsahs.net/PPF/home.aspx (ENHC0020703)
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 3 of 17
Documentation
Care Plan - Checklists
“Bowels Open” added to allow documenting (Yes/No) (ENHC0020078)
“Physical Restraint(s) Type” updated to allow documenting “Handcuffs” (ENHC0019196)
“Physical Restraints” added to allow documenting status (On/Off) (ENHC0020079)
Pressure Injury Risk Assessment information have been replaced with a read only “Pressure Injury
Risk” score (ENHC0020090)
o Reference chart in form “Pressure Injury Risk Assessment” updated as per the Pressure
Injury Prevention for Critically Ill Adults Guideline (2014) (ENHC0020090)
“FRAT” (Done/Not Done) replaced with a read only “FRAT Score” (ENHC0020090)
"VIP Assessment" replaced with read only “VIP Cannula Location “ and “VIP Score”
(ENHC0020062)
Clinical events
"Bladder Scan" added as a clinical event (ENHC0019197)
Nursing Discharge Summary
“Height” and “Weight (Latest)” no longer mandatory to complete (ENHC0020064)
“Height” is now auto-populated from last saved value (ENHC0020064)
“Patient Feeding Type” updated as option “OliClinomel” removed (ENHC0019200)
Observations
“CVC Insertion / Removal Record”: 28 forms have been updated to auto populate Insertion Site and
Insertion Site Side (ENHC0020083)
“Sedation/Paralysis” added to GCS observations in “Neuro / Pain” and “Neuro Surgical” tabs to
allow documenting Unsedated/Sedated/Paralysed (ENHC0020080)
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 4 of 17
“Peripheral Catheter Insertion” (12 new forms) that is mandatory to complete when a peripheral
catheter is documented (ENHC0020076)
“Bowel Management Device” form updated to allow documenting “Total Volume in Bag”
(ENHC0020065)"
“ICC” (14 forms) updated to allow documenting “Clamps accessible” Drain Care (ENHC0020060)
Neurological drains updated to allow documenting “Cloudy”, “Slightly blood stained”, “Blood stained”
and “Heavily blood stained” to “Drainage Description” (ENHC0020058)
“Stool Chart” updated to allow documenting “Frank Blood” to “Stool Description” (ENHC0020057)
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 5 of 17
Progress Notes
o “Antimicrobial Stewardship Intervention” form added (accessed under Medical Notes Medical)
(ENHC0020084)
RRT
“SLED Order” form updated (ENHC0020091)
o Depending on the mode selected, different sections will be enabled/disabled
o When “Auto Sub” has been selected, “Replacement Rate” and “Sub Volume” will be disabled
o Frames rearranged in order of Prescription, Dialysate, Replacement, Ultrafiltration,
Anticoagulation
“Fluid Volume Returned” added that is automatically included into Input / Output (ENHC0020056)
Tasks
o “Check BGL” task added (ENHC0020113)
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 6 of 17
Ventilation
o “Peak Flow Reading” form and “Spirometry Chart” added (accessed via Nursing\Observations,
Medical and Scores menu) (ENHC0020086)
o “Ventilator Mode” updated with "AVM" option added (ENHC0019199)
o “Resistance” and “Compliance” unmapped from Drager ventilator and added onto flowsheet
(ENHC0020085)
Vital Signs
o “Abdominal Girth” (accessed via Nursing\Observations) added (ENHC0019076)
o “Subglottic Suction Amount”, “Subglottic Sputum Colour” and “Subglottic Sputum Consistency”
added to both Vital Signs and Ventilation tab (ENHC0020088)
eHOC
o Physiotherapy Progress note has added date and time (ENHC0020022)
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 7 of 17
Medications
Medication forms
Site specific “Frequently Prescribed Orders” added (accessed next to Prescribe):
o RNS (ENHC0019202)
o JHH (ENHC0020495, ENHC0020494, ENHC0020074)
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 8 of 17
o CHH (ENHC0020071)
o TTH (ENHC0020025)
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 9 of 17
New “Standing Orders – Sign” form added to standing order templates that allows authorised
prescribers to countersign the record of administrations (ENHC0020358)
“Telephone Order” form updated to allow prescriber to countersign (ENHC0020358)
VTE form attached to continuous heparin infusion templates are now mandatory to complete
(ENHC0019181)
CHH
o TPN Form: Added “after hours bag” to TPN Adult [SmofKabiven] 1970mL (unmixed bag)
(ENHC0020503)
WW-ICU, GR-CCARE, SERH-CCARE, GB-ICU
o CRRT Order form (ENHC0020430)
WW-ICU - “Continuous Heparin Order” to open Heparin 10,000 Units in 50mL
Sodium chloride 0.9% Haemodialysis Continuous Infusion [Adult]
GB-ICU, GR-CCARE and SERH-CCARE - “Continuous Heparin Order” to open
Heparin X Units in X mL Sodium chloride 0.9% Haemodialysis Continuous Infusion
[Adult]
o SLED Order form: button now opens Heparin X Units in X mL Sodium chloride 0.9%
Haemodialysis Continuous Infusion [Adult] (ENHC0020430)
o Citrate CRRT Order form: Calcium Chloride button to open Calcium chloride 34mmol in
50mL Pre-mixed Solution Haemodialysis Continuous Infusion [Adult] (ENHC0020430)
o New TPN forms configured (ENHC0020429)
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 10 of 17
New medications
Armodafinil (ENHC0020028)
Audiclean Ear Wax Remover Ear Drop (ENHC0020051)
Bictegravir 50mg Emtricitabine 200mg Tenofovir alafenamide 25mg (ENHC0020029)
Ethinylestradiol 50microg Levonorgestrel 125microg (ENHC0020051)
Flavour Creations 3kcal Ice Cream (ENHC0020051)
Flavour Creations Nutritionally Complete Level 150 - Mildly Thick (ENHC0020051)
Flavour Creations Nutritionally Complete Level 400 - Moderately Thick (ENHC0020051)
Halmed Peppermint Lip Ointment (ENHC0020051)
Insulin Glargine (Lantus 100units/mL)
Insulin Glargine (Toujeo 300units/mL)
Insulin Lispro (Humalog U200 200units/mL) (ENHC0020513)
Insulin Neutral Human (Actrapid 100units/mL) (ENHC0020513)
Insulin Neutral Human (Humulin R 100units/mL) (ENHC0020513)
Insulin Neutral Human (Humulin R U-500 500units/mL) (ENHC0020513)
Norethisterone 1mg Estradiol 2mg (ENHC0019183)
O.R.S. Oral Powder (ENHC0020051)
Oral Seven Moisturising Mouthwash (ENHC0020051)
Oral Seven Oral Gel (ENHC0020051)
Podophyllotoxin 0.15% Cream (ENHC0019185)
Resource Protein (ENHC0020051)
Riboflavin (Vitamin B2) (ENHC0019184)
Rotigotine 8mg/24hrs Patch (ENHC0020030)
Zinc oxide 20% Cream (ENHC0020032)
Medication changes
Aspirin: Added routes Central Venous, IM, IV and PR, brands, products and new order templates
(ENHC0019186)
Azithromycin: Added frequencies Daily on Monday, Wednesday and Friday (08:00), Daily on
Monday, Wednesday and Friday (22:00), Daily on Tuesday, Thursday and Saturday (08:00) and
Daily on Tuesday, Thursday and Saturday (22:00) (ENHC0020683)
Charcoal activated 50g/250mL Sorbitol 100g/250mL renamed to Charcoal activated 200mg/mL
Sorbitol 400mg/mL (ENHC0020413)
Methotrexate: Weekly on Monday (08:00), Weekly on Tuesday (08:00), Weekly on Wednesday
(08:00), Weekly on Thursday (08:00), Weekly on Friday (08:00), Weekly on Saturday (08:00),
Weekly on Sunday (08:00) (ENHC0020467)
Fluvastatin: Fluvastatin IR capsule removed (ENHC0019182)
Insulin glargine has been replaced with Insulin Glargine (Lantus 100units/mL) and Insulin Glargine
(Toujeo 300units/mL) due to the recent NSW Health Safety Alert - High Concentration Insulin
Products (SN:007/19) (ENHC0020694)
Zinc chloride renamed to Zinc (as chloride) (ENHC0020664)
Zinc sulfate renamed to Zinc (as sulfate) (ENHC0020666)
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 11 of 17
Miscellaneous
Nurse initiated medications no longer require co-sign (ENHC0020093)
Ordering styles terminologies renamed (ENHC0020070)
o Specify "Infuse Over" at Validation
o Specify "Infuse Over"
GR-CCARE, WW-ICU, SERH-CCARE and GB-ICU o Mandatory Co-Sign for S4D medications configured (ENHC0020422)
o Permission overrides configured (ENHC0020424)
New products
Budamax Aqueous 64microg Nasal Spray (ENHC0020051)
Cathejell 2% Gel (ENHC0020051)
DORM 10mg/2mL Injection (ENHC0020051)
Ferinject 100mg/2mL Injection (ENHC0020051)
Flucil 125mg/5mL Syrup (ENHC0020051)
Glucosamine Hydrochloride (Faulding Remedies) 1.5g Tablet (ENHC0020051)
Kliovance Tablet (ENHC0020020)
Vitamin B Complex (Blackmores Mega B Complex) Tablet (ENHC0020051)
Wafermine 25mg Wafer (ENHC0020449)
Wafermine 50mg Wafer (ENHC0020449)
Zinc Sulfate (Phebra) 50mg/mL (= 11.4mg/mL Zinc) Injection (ENHC0020051)
Zo-Rub OA 0.025% Cream (ENHC0020051)
Product changes
Product name updates: o Cal Sup Spearmint 1250mg (= 500mg Calcium) Chewable Tablet (ENHC0020688) o Aerius for Children 2.5mg/5mL Syrup (ENHC0020475) o Carbosorb X 50g/250mL Suspension renamed to Carbosorb X 200mg/mL Suspension
(ENHC0020412)
Brand name updates: o OsmoLax Relief (ENHC0020414) o Zircol 10 (ENHC0020635)
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 12 of 17
New order templates
BLK-ICU (ENHC0020493) o PCA Morphine 200mg in 100mL Sodium chloride 0.9% at X mL/hour PCA IV with
Background Infusion [Adult] PCA Morphine 200mg in 100mL Sodium chloride 0.9% PCA IV Bolus Only [Adult]
GR-CCARE, WW-ICU, SERH-CCARE and GB-ICU (ENHC0020426) o More than 50 nurse initiated medication dose templates configured
o More than 50 standing order dose templates configured
SVHS-XICU (ENHC0020550)
o Alprostadil 1000microg in 500mL Glucose 5% IV Continuous Infusion [Adult]
o Arginine hydrochloride 15g in X mL Glucose 5% IV Continuous Infusion [Adult]
o Bivalirudin 250mg in 50mL Glucose 5% IV Continuous Infusion LOADING and
MAINTENANCE dose [Adult]
o Bivalirudin 250mg in 50mL Glucose 5% IV Continuous Infusion MAINTENANCE dose [Adult]
o Dexmedetomidine 200microg in 50mL Glucose 5% IV Continuous Infusion [Adult]
o Dexmedetomidine 400microg in 100mL Glucose 5% IV Continuous Infusion [Adult]
o Esmolol 500mg in 50 mL Pre-mixed Solution IV Continuous Infusion [Adult]
o Fentanyl 1000microg in 100mL Glucose 5% IV Continuous Infusion [Adult]
o Fentanyl X microg in X mL Glucose 5% IV Continuous Infusion [Adult]
o Furosemide (Frusemide) 250mg in 25mL Glucose 5% IV Continuous Infusion [Adult]
o Labetalol 100mg in 100mL Glucose 5% IV Continuous Infusion [Adult]
o Liothyronine X mg in X mL Sodium chloride 0.9% IV Continuous Infusion [Adult]
o Methylene Blue 300mg in 250mL Glucose 5% IV Continuous Infusion [Adult]
o Midazolam 100mg in 100mL Glucose 5% IV Continuous Infusion [Adult]
o Morphine 100mg in 100mL Glucose 5% IV Continuous Infusion [Adult]
o Nitroprusside sodium 50mg in 250mL Glucose 5% IV Continuous Infusion [Adult]
o Pantoprazole 80mg in 100mL Glucose 5% IV Continuous Infusion [Adult]
o Thiopentone X mg in X mL Sodium chloride 0.9% IV Continuous Infusion LOADING and
MAINTENANCE dose [Adult]
o Thiopentone X mg in X mL Sodium chloride 0.9% IV Continuous Infusion MAINTENANCE
dose [Adult]
o Tirofiban 12.5mg in 250mL Glucose 5% IV Continuous Infusion LOADING and
MAINTENANCE dose [Adult].
o Tirofiban 12.5mg in 250mL Glucose 5% IV Continuous Infusion MAINTENANCE [Adult]
o Urokinase 100,000 Units in 50mL Glucose 5% Intra-arterial Continuous Infusion [Adult]
TTH (ENHC0020461)
o Acetylcysteine X mg in 200mL Glucose 5% IV Infusion Once Only over 1 hour [Adult]
Acetylcysteine X mg in 500mL Glucose 5% IV Infusion Once Only over 4 hours [Adult]
Acetylcysteine X mg in 1000mL Glucose 5% IV Infusion Once Only over 16 hours [Adult]
All departments
o Buprenorphine ANALGESIA X microg Sublingual every X hours [Adult] (ENHC0020459)
o Liothyronine X mg in X mL Sodium chloride 0.9% IV Continuous Infusion [Adult]
(ENHC0020550)
o Phenytoin X mg IV Infusion Once Only [Adult] (ENHC0020460)
o Sodium chloride 0.9% DRAIN FLUSH X mL every X hours [Adult] (ENHC0020059)
o Water for Injections DRAIN FLUSH X mL every X hours [Adult] (ENHC0020059)
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 13 of 17
o [TELEPHONE ORDER] Alteplase X mg IV Infusion Once Only [Adult] (ENHC0020426)
o [TELEPHONE ORDER] Hydralazine X mg IV Bolus Once Only [Adult] (ENHC0020426)
o [TELEPHONE ORDER] Hydralazine X mg in X mL Sodium chloride 0.9% IV Infusion Once
Only [Adult] (ENHC0020426)
o [TELEPHONE ORDER] Isoprenaline X mg in X mL Glucose 5% IV Infusion Once Only
[Adult] (ENHC0020426)
o [TELEPHONE ORDER] [Osmitrol 20%] Mannitol X g IV Infusion Once Only [Adult]
(ENHC0020426)
o [TELEPHONE ORDER] Nitroprusside sodium X mg in X mL Glucose 5% IV Infusion Once
Only [Adult] (ENHC0020426)
Order template associations
BLK-ICU
o PCA Fentanyl 2000microg in 100mL Sodium chloride 0.9% at X mL/hour PCA IV with
Background Infusion [Adult]
PCA Fentanyl 2000microg in 100mL Sodium chloride 0.9% PCA IV Bolus Only [Adult]
(ENHC0020492)
CHH-ICU
o Potassium dihydrogen phosphate X mmol in X mL Pre-mixed Solution (NEAT) IV Infusion
Once Only [Adult] (ENHC0020502)
GR-CCARE, WW-ICU, SERH-CCARE and GB-ICU o More than 120 continuous infusion order templates associated (ENHC0020425)
JHH-ICU, JHH-ICU-OVERFLOW, TRRH-ICU, TMH-ICU, CMN-ICU
o Compound sodium lactate (Hartmanns) X mL at X mL/hour IV Continuous Infusion for 1
dose [Adult] (ENHC0020583)
o Glucose 5% X mL at X mL/hour IV Continuous Infusion for 1 dose [Adult] (ENHC0020584)
o Potassium chloride 30mmol in 1000mL Sodium chloride 0.9% IV Infusion Once Only [Adult]
(ENHC0020585)
o Sodium chloride 0.9% X mL at X mL/hour IV Continuous Infusion for 1 dose [Adult]
(ENHC0020582)
TTH-ICU
o Rocuronium 500mg in 50mL Pre-mixed Solution IV Continuous Infusion [Adult]
(ENHC0020462)
Order template changes
JHH-ICU, JHH-ICU-OVERFLOW, TRRH-ICU, TMH-ICU, CMN-ICU o Amiodarone 900mg in 500mL Glucose 5% IV Infusion Once Only [Adult] - changed route to
IV route (ENHC0020638)
SVHS-XICU
o SVH continuous infusion template changes (ENHC0020550)
All departments
o Buprenorphine OPIOID DEPENDENCE X mg Sublingual every X days [Adult]
- added “OPIOID DEPENDENCE” (ENHC0020459)
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 14 of 17
Pathology
“Cyclosporin measurement (ug/L)” sequence mapping added (ENHC0020639)
Radiology
Carestream RIS systems
o Added integration (Single Sign On) (ENHC0020571)
GR-CCARE, WW-ICU, SERH-CCARE and GB-ICU (ENHC0019205) o Added RIS URL
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 15 of 17
Reports
“Unsigned Standing and Telephones Orders” report added o Finds unsigned Standing and Telephone Orders for a specific department (accessed under
Help & Reports) (ENHC0020358)
“Documented Standing and Telephone Orders” report added o Finds all Standing and Telephones Orders for a specific patient (accessed under Help &
Reports) (ENHC0020358)
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 16 of 17
Views
Terminologies used in “Medications List” reports localised (ENHC0020248)
These column name changes will also be seen on the Medication List (Prescribe medications tab) and any
print bundle report that uses them.
eRIC V1R13
Release Notes
Date issued: 6/8/19 Page 17 of 17
Resolved issues
ANZICS
Temperature recordings from skin sensor or axillary thermometers were included when there recordings from preferred routes (DFCT0032141)
Blood glucose levels from finger prick measurements were included when there were pathology results (DFCT0040020)
APACHE III-J Non-Operative 211.09 Respiratory contained spelling error (DFCT0040220)
Documentation
103 CVC lines had the wrong form attached at the process level (DFCT0040294)
“CVAD Management” forms (DFCT0040227) o Securement Device was not multi-select o Unable to document a pain score of zero o “or PRN” missing in the line ”Do not need to be replaced more frequently than every 96
hours but at least every 7 days”
Medical Device
FiO2 populated FiO2 (Measured) instead of FiO2 (Set) (DFCT0031573)
Medications
eNIMC
o Glucagon not printing in eNIMC (DFCT0040253)
o Empaglifozin not printing in eNIMC (DFCT0040082)
Ketamine
o Inconsistent dose rate unit in order templates (DFCT0040251)
Lactulose
o Not calculating into Enteral Fluid Volume (DFCT0040082)
RRT
CRRT/SLED/Citrate CRRT order forms were able to be saved by non-medical prescribers (DFCT0040270)
Views
Timed interventions were displayed in multiple tabs rather than one (DFCT0040212)
