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Tips & Tricks COMPASS Improvements
Coming on Nov 26 and Dec 3, 2012
Information for All Medical Practitioners – Regardless of Specialty .............................................. 1 Changes to Spine Surgery Pre, Post and Discharge order sets on Nov 26 ......................................................... 1
Turning off “Auto‐Verify” for Medications Ordered from Day Surgery Locations on Dec 3.............................. 7
Enteral and Oral Dietary Formulary Changes to Generic Product Names on Dec 3 .......................................... 8
Information for Allied Health Practitioners ..................................................................................... 14 Addition of PowerNotes to Allied Health Position on Nov 26 ......................................................................... 14
InformationforAllMedicalPractitioners–RegardlessofSpecialty
Changes to Spine Surgery Pre, Post and Discharge order sets on Nov 26
Rationale:
Clinician request and process review of the Spine Surgery Admit Orderset
Key Points:
Change from 1 orderset into 3 ordersets
o Spine Surgery PreOp (Paper)
o Spine Surgery PostOp Admit
o Spine Surgery Discharge
Summary of Change:
Pre‐Op:
Orderset Name: Spine Surgery PreOp
All pre‐op orders have been removed from the orderset and will be ordered on PAPER
o Orders can be found through the Pre‐printed Orders database
o Used for patients seen through a Pre‐Admission Testing visit
Seton Healthcare Family | COMPASS Tips & Tricks Nov 19, 2012 2
Orders that will be used on the day of surgery will be transcribed into COMPASS on the day of surgery by
the Pre‐Op nurse
o Orders will be placed in the generic PreOp orderset
o
Post‐Op:
Orderset Name: Spine Surgery PostOp Admit
Removed Telemetry Tier I, II and III from:
o Admit to
o Observe to
o Transfer to
Removed Physician Transfer of Patient Care order
Removed pre‐check from Patient Condition order
Addition of Diagnosis/Condition Instructions order
Changes to Vital Signs order details
Pre‐checked and changes to Neuro Check order details
Removed Pulse Oximetry order
Pre‐checked and changes to Pulse Oximetry Continuous order details
Seton Healthcare Family | COMPASS Tips & Tricks Nov 19, 2012 3
Removed Weight and Height/Length orders
Reorganization, removal and additions to Activity section
Changes to NPO order details
Addition of Communication Order for link to Clinical Pathway
Removed Routine Intake + Output order
Addition of Dressing orders
Removed Saline Lock Insertion order
Pre‐checked Saline Lock Conversion order
Addition of Bulb Suction Management and Surgical Drain Site Care orders
Reorganized Urinary Catheter orders
Addition of Notify Provider orders
Reorganization of Continuous Infusions section
Seton Healthcare Family | COMPASS Tips & Tricks Nov 19, 2012 4
o Addition of Medication Instruction order
o Addition of LR order
o Addition of D5LR order
o Change in IV Infusion rate default to 75ml/hr
Reorganization, removals and additions to Antimicrobial section
Reorganization, removals and additions to Analgesics section
Seton Healthcare Family | COMPASS Tips & Tricks Nov 19, 2012 5
Reorganization, removals and additions to Muscle Relaxants section
Removed Protonix order
Addition of Maalox Plus order
Addition of Phenergan 25mg Rectally order
Addition of Milk of Magnesia and Fleets Enema orders
Addition of Decadron order
Seton Healthcare Family | COMPASS Tips & Tricks Nov 19, 2012 6
Addition of Benadryl 25mg IV Push order
Removed Sleep and Anxiety section of orders
Removed Vitamin section of orders
Addition of Insulin Scheduled and/or Correctional Scale for Diabetes sub‐phase
Reorganization, removals and additions to Laboratory section
o Stat labs are available in the ellipse option of the Routine orders
Addition of Consult orders for other providers
o Persistent Note added as reminder to call consulting provider
Removed Consult Wound Ostomy Continence Nurse order
Change in Oxygen order details
Addition of Cough + Deep Breathe order
Seton Healthcare Family | COMPASS Tips & Tricks Nov 19, 2012 7
Removal and additions to Radiology section
Discharge:
Orderset Name: Spine Surgery Discharge
Turning off “Auto-Verify” for Medications Ordered from Day Surgery Locations on Dec 3
Rationale:
Currently all medication orders placed in the Day Surgery COMPASS location “auto‐verify” and bypass
pharmacy review. In order to maintain compliance with Joint Commission regulations and enhance
medication safety practices, pharmacy must review orders placed in surgical areas.
Summary of the Change:
Medication orders placed by medical provider for a patient in a Day Surgery location will be sent for
pharmacy review.
Key Points:
Medical Practitioners may receive phone calls from pharmacists to clarify ambiguous orders.
Seton Healthcare Family | COMPASS Tips & Tricks Nov 19, 2012 8
The Joint Commission allows the first dose of medications to be given in surgical areas prior to pharmacy
review.
Once pharmacy has reviewed and verified the medication orders, the mortar and pestle icon will
disappear.
Enteral and Oral Dietary Formulary Changes to Generic Product Names on Dec 3
Rationale:
Transition to generic enteral and oral diet formulas in COMPASS supports the 12/3/12 vendor change.
Summary of the Change:
Seton’s transition to a new enteral and oral diet product vendor requires COMPASS to revise the enteral
and oral formula names in COMPASS. Clinical nutrition is recommending a switch to a more generic
naming convention to support future maintenance.
Transition Plan:
Orders will transition in COMPASS, December 3, 2012 at 0600.
Patients with Oral supplements or enteral tube feeding orders placed in COMPASS prior to 0600 will
have new orders placed using the generic naming convention. The oral supplement / enteral tube
feeding orders under the brand naming convention will be canceled/discontinued by nutrition services
using the communication type: “Per Standard of Care, Other: conversion to generic terms.” After the
transition of active orders, clinicians will see new oral supplement / enteral tube feeding orders with
generic terms
Seton Healthcare Family | COMPASS Tips & Tricks Nov 19, 2012 9
Key Points:
Formula names will switch from brand based to generic.
Order names will NOT change. Clinicians will search for orders in the Find window using current search terms.
Search by “diet tube” or by “tube feeding” or by “enteral tube feeding”
Search by “adult oral supplements” or “pedi oral supplements”
The nutritional supplement choices within the order details change.
Before
After
Before After
Seton Healthcare Family | COMPASS Tips & Tricks Nov 19, 2012 10
The formula choices within the order details change. Before After
Before
After
Before After
Seton Healthcare Family | COMPASS Tips & Tricks Nov 19, 2012 11
Before: Order Sets view After: Order Sets view
Refer to the reference text icon to select the hyperlink on the enteral / oral nutrition orders to review “crosswalk” of current brand names to future generic formula names
OR
Selecting the icon, opens the Decision Support window:
Seton Healthcare Family | COMPASS Tips & Tricks Nov 19, 2012 12
Selecting the hyperlink opens the crosswalk document
Adult Oral Supplements
Generic Term for COMPASS Old Product New Product
High Cal High Protein age 17+ y.o. Boost Plus Ensure Complete
High Calorie Pudding Boost Pudding Ensure Nutritional Pudding
Diabetic Supplement Boost Glucose Control Glucerna Therapeutic Nutritional Shake
Clear Liquid Supplement Boost Breeze Ensure Clear
Renal Supplement Novosource Renal Nepro with Carb Steady
Wound Healing Supplement Resource Arginaid Juven
Concentrated (2 cal/mL) Supplement Nutren 2.0 Two Cal HN oral supplement
Peptide Oral Supplement N/A Pediasure Peptide 1.5 (flavored)
Tube Feeding Adult
Generic Term for COMPASS Old Product New Product
1.2 cal Standard with fiber Fibersource HN (standard w/ fiber) Jevity 1.2 cal
1.2 cal Standard without fiber Isosource HN (standard without fiber) Osmolite 1.2 cal
1.2 cal Diabetic Diabetisource AC (diabetic) Glucerna 1.2 cal
Concentrated Renal Dialysis Novosource Renal (renal) Nepro with Carb Steady
2 cal Concentrated formula Nutren 2.0 (concentrated) TwoCal HN
1.2 cal Peptide immune mod elemental
Impact Peptide 1.5 (immune modulating Peptamen AF (sepsis/ARDS/ALI)
Vital AF 1.2 cal
1.5 cal Peptide elemental Peptamen 1.5 (immune modulating) Vital 1.5 cal
1.5 cal Peptide high protein Peptamen Bariatric Pivot 1.5 cal
Vivonex RTF Vivonex RTF Vivonex RTF
Pediatric Oral Supplements
Generic Term for COMPASS Old Product New Product Pedi Standard Supplement Boost Kid Essentials Pediasure
Pedi Clear Liquid Supplement Boost Breeze Ensure Clear
Pedi Standard 1.5 cal Supplement Boost Kid Essentials 1.5 cal Pediasure 1.5 cal oral
Pedi Standard 1.5 cal Supplement w/fiber
N/A Pediasure 1.5 cal oral with fiber
High Cal High Protein Supplement Boost Plus Ensure Plus
High Calorie Pudding Boost Pudding Ensure Pudding
Amino Acid age 1+ y.o. Flavored Elecare Vanilla (hypo‐allergenic) Elecare Jr. (vanilla)
Pedi Renal Supplement Novosource Renal Novosource Renal (flavored)
Pedi Peptide 1.0 cal Supplement N/A Pediasure Peptide 1.0 cal oral supplement
Pedi Peptide 1.5 cal Supplement Peptamen Jr 1.5 (pediatric peptide based)
Pediasure Peptide 1.5 cal (flavored)
Pedi Peptide 1.5 cal Supplement N/A Pediasure Peptide 1.5 cal with fiber
Seton Healthcare Family | COMPASS Tips & Tricks Nov 19, 2012 13
w/fiber (flavored)
Health Shake Health Shake Health Shake
Health Shake – sugar free Health Shake – sugar free Health Shake – sugar free
Scandishake Scandishake Scandishake
Concentrated (2cal/mL) supplement Nutren 2.0 Two Cal HN oral supplement
Pediatric Tube Feeding Formula 1‐10 years
Generic Term for COMPASS Old Product New Product
Pedi Standard 1.0 cal Nutren Junior Pediasure Enteral Formula 1.0 cal
Pedi Standard 1.0 cal with fiber Nutren Junior with fiber Pediasure Enteral Formula 1.0 cal with fiber
Pedi Renal Novosource Renal (renal) Novosource Renal (unflavored)
Pedi Peptide 1.0 cal Peptamen Junior 1.0 (pediatric peptide based)
Pediasure peptide 1.0 (unflavored)
Pedi Peptide 1.5 cal Peptamen Junior 1.5 (pediatric concentrated peptide based)
Pediasure peptide 1.5 (unflavored)
Pedi Peptide 1.5 cal with fiber N/A Pediasure peptide 1.5 with fiber (unflavored)
Amino Acid age 1+ y.o. Unflavored Elecare Elecare Jr. (unflavored)
Pediatric Tube Feeding Formula 11+ years
Generic Terms for COMPASS Old Product New Product
1.2 cal Standard with fiber Fibersource HN (standard with fiber) Jevity 1.2
1.2 cal Standard without fiber Isosource HN (standard without fiber)
Osmolite 1.2
1.2 cal Diabetic Diabetisource AC Glucerna 1.2 cal
Pedi Peptide 1.0 cal Peptamen Junior 1.0 (pediatric peptide based)
Pediasure peptide 1.0
Pedi Peptide 1.5 cal Peptamen Junior 1.5 (pediatric concentrated peptide based)
Pediasure peptide 1.5
Pedi Peptide 1.5 cal with fiber N/A Pediasure peptide 1.5 with fiber
Pedi Renal Novosource Renal (renal) Novosource Renal
1.5 cal Peptide elemental Peptamen 1.5 (immune modulating) Vital 1.5 cal
1.5 cal Peptide high protein Peptamen Bariatric Pivot 1.5 cal
1.2 cal Peptide immune mod elemental
Impact Peptide 1.5 (immune modulating
Vital 1.2 AF
Amino Acid age 1+ y.o. unflavored Elecare Elecare Jr.
2 cal Concentrated formula Nutren 2.0 (concentrated) TwoCal HN
Seton Healthcare Family | COMPASS Tips & Tricks Nov 19, 2012 14
InformationforAlliedHealthPractitioners
Addition of PowerNotes to Allied Health Position on Nov 26
Rationale:
To allow allied health providers with prescriptive authority the ability to document in COMPASS using
PowerNotes.
Summary of the Change:
1. Allied health providers who function to support physicians at Seton Healthcare Family will see a new
menu item on their chart navigator. It will be labeled: PowerNote.
2. Only those practitioners at Seton Medical Centers Williamson and Hays are permitted to document
using PowerNote at this time.
3. Only those trained in the use of PowerNote should document using this function.
4. Contact Cyndi Barbour at [email protected] to enroll in training classes.
