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Nursing Meditech Downtime Quick Reference Guide

Timeline
Department Activity Pre-downtime During downtime After downtime
Teletracking will continue to be used to notify
units of patient admissions.
Admits
Call Bed Reservations - #18071. Bed Reservations will enter transfers
Beds Transfers that occurred during downtime.
Call Bed Reservations - #18071. Bed Reservations will enter discharges
that occurred during downtime.
Discharges
800-1730: Complete Universal Requisition & call **Orders received & completed during
the department. downtime will be entered by Cardiology
dept. personnel.
Cardiology Ordering 1730-0800: Routine: Complete Univeral Req. &
**Nursing units will enter orders for
call the dept.
tests not completed during downtime.
AFTER 0800 STAT: Complete Universal Req. &
call Cardiology Tech on-call
**Call the Case Management dept.or on-call **Nursing units will enter all Case
person. **Keep a Management/Social Work orders
Case Management/ record of Case Management/Social Work orders, received during downtime.
Ordering
Social Services so they can be entered after the downtime

**Prior to breakfast (0700), the Resource Center **Nursing units will enter all dietary
will call the nursing station to review diet list and orders received during downtime.
update with new orders, adimissions, discharges,
and transfers.
Nutrition Assistants will accept diet orders on the
Ordering
units if the diet order is written on the diet list and
signed by an RN.
Dietary Status changes related to the diet orders are called
by nursing to the Resource Center at 15000.

Resource Center will manually update


Nutrition Services Software Program
If downtime extends longer than one day, see
Additional comments (CBORD) with diet orders, admissions,
policy CN-571.DOC.
discharges, and transfers during
downtime.
Admissions: Write HT/WT/Allergies on ***Nursing units will enter
HT/WT/Allergies Entering
admission orders HT/WT/Allergies
0730-1800: complete Universal Req. & call the
dept. x17865
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Nursing Meditech Downtime Quick Reference Guide
Timeline
Department Activity Pre-downtime During downtime After downtime
1800-0730: Complete the Universal Req. & call IR personnel will enter IR procedure
the Radiology Front Desk x12774. The orders received and performed during
IR/Radiology Front Desk staff will pick up downtime.
requisitions. On-call IR staff will be paged
appropriately for emergent cases by the Radiology
IR Ordering staff.

**Nursing units are to keep a record of any other **Nursing units will enter orders for
future IR procedures, so that they can be entered IR procedures to be completed after
in Meditech after the downtime. downtime.

**Do not enter any order for Stat – call 17396, Complete the Universal
a LAB that is to be drawn Requisition form ** Include RM, Bed #, and
after the downtime (future floor name (ex. B01-3N) on Universal Req!!!
orders).
Ordering
**You can order a LAB test
that is ordered prior to the Routine – Complete Universal Req. form, send to
downtime for the time of the LAB via tube system** Include RM, Bed #, and
downtime. floor name (ex. B01-3N) on Universal Req!!!
***Include 4 extra labels with unit/nurse collected
Misc. Information specimens*** Labels must have the patient's
correct LOCATION on them
**Do not enter any order for **Send Universal Requisition to LAB for labs to **Orders received during downtime will
a LAB that is to be drawn be drawn during downtime. be entered by LAB personnel.
after the downtime (future **Keep a record of any other orders, so that they **Nursing units will enter orders for
LAB Ordering future LAB orders). can be entered in the computer after the tests to be drawn after downtime.
test **You can order a LAB test downtime.
that is ordered prior to the
downtime for the time of the
downtime.
Yellow copy of Universal Req. is signed by
Verification of draw phlebotomy staff & left with the US or Charge
RN
Critical results will be called & printed on a
designated printer in the nurses station.
Obtaining results
4.10 ALL OTHER RESULTS will print out on a
S.Mori 2
Nursing Meditech Downtime Quick Reference Guide
Timeline
Department Activity Pre-downtime During downtime After downtime
designated printer in the nurses station.
Via PhysConnect - the Charge Nurse/Clinical
Obtaining past results
Coordinator will have log-on information
**Glucometer must still be placed in the SureStep
port q24hrs. **The download occurs (even if the
monitor indicates otherwise).
Glucometers **Patient testing can continue.

Complete Universal Requisitions and call the


department. **Mammography personnel will enter
Mammography Ordering
Mammo front desk ext: 14900 orders after Meditech becomes
Mammo tech. area ext: 14866 operational again.
800-1730: Complete Universal Requisition & call
the department.
1730-0800: Routine: Complete Univeral Req. & **Orders received & completed during
Neurology Ordering call the dept. AFTER 0800; downtime will be entered by Neurology
STAT: Complete Universal Req. & call dept. personnel.
Neurology Tech on-call **Nursing units will enter orders for
tests not completed during downtime.
Use Pathology orders per routine.

Pathology Ordering

Nursing should print extra Use the "Downtime Patient Label" program,
sheets of pt. labels before a available on PCs.
scheduled Meditech
downtime
Patient Identification
Labels Instructions on how to use program available
under the IS &IT Reference Resources under the
SJO Clinical Applications Icon

**Print patient MAR reports


1 hour before scheduled
downtime.
**Ensure there are blank
4.10 MARs available on unit.
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Nursing Meditech Downtime Quick Reference Guide
Timeline
Department Activity Pre-downtime During downtime After downtime
Downtime preparation **Estimate the number of IV
drips/solutions/PCAs needed
per patient during downtime
& notify pharmacy 3hrs
before.
Send copy of medication order to pharmacy via
the tube system (red tube), or give to the floor
pharmcatist based on the procedures defined for
that day and time.
Orders must have ROOM # & DATE/TIME of
Ordering
the order!
Stat – Write STAT on the copy
Admissions – Write HT/WT/& allergies on
order
**All medications that are usually obtained from
Pharmacy the PIXIS, will be available in the PIXIS during
downtime.
**Medications ordered before downtime will be
seen on the patient profile.

**Medications ordered DURING downtime will


be obtained by using following the OVERRIDE
Obtaining medications procedures. (Note: It is possible to run a user audit
after the downtime.)

Non-Pyxis medications will continue to be


delivered to the nursing station using the usual
format i.e. Tube system/cassette.

After notified by pharmacy, print


MARs for new patients and complete
a chart check. If the downtime
Post downtime
exceeds 24 hours (more than 1 MAR
recovery
period) then print MARs for all
patients and complete chart check.

4.10
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Nursing Meditech Downtime Quick Reference Guide
Timeline
Department Activity Pre-downtime During downtime After downtime
**Complete Universal Requisition & call the **Nursing units will enter all
dept. PT/OT/ST orders received during
Ordering **Keep a record of PT/OT/ST orders, so they can downtime.
PT/OT/ST be entered after the downtime.
PT/OT/ST documentation in MediServe is printed
Documentation an distributed after 4:30pm by Medical Records
staff.
Stat orders – Complete Universal Requisition &
CALL the appropriate department. Requisitions
will be picked up with the patient or when the
procedure is done (portable).

Departments & Numbers:


Diagnostic Radiology procedures, x17188
Ordering CT, x17820
Ultrasound, x17693
MRI, x12340
Nuclear Medicine, x13070

Routine - complete Universal Requisitions &


deliver to the appropriate department (i.e. CT for
CT procedures).
Enter all known Radiology **Fill out Universal Requisitions & deliver to **Orders received & performed during
orders, including future appropriate Department as directed above. downtime will be entered by Radiology
Radiology
Ordering future RAD dates. For scheduled **Keep a record of orders, so that any NOT Personnel.
procedures downtimes, the midnight run completed can be entered in the computer after **Nursing units will enter future
will process prior to the the downtime. Radiology orders.
downtime.

Critical results will be called to the physician.

Stat results will be sent via Fax within one hour of


Obtaining results interpretation.

4.10
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Nursing Meditech Downtime Quick Reference Guide
Timeline
Department Activity Pre-downtime During downtime After downtime
Via PACS (physicians have access) or
Obtaining past results PhysConnect - the Charge Nurse/Clinical
Coordinator will have log-on information
**Call the RT dept. or Lead Therapist **Nursing units will enter all RT
**Keep a record of RT orders, so they can be orders received during downtime.
Respiratory Therapy Ordering
entered after the downtime

800-1730: Complete Universal Requisition & call **Orders received & completed during
the department. downtime will be entered by Vascular
Imaging dept. personnel.
1730-0800: Routine: Complete Univeral Req. & **Nursing units will enter orders for
Vascular Imaging Ordering call the dept. AFTER 0800; tests not completed during downtime.
STAT: Complete Universal Req. & call Vascular
Imaging on-call

4.10
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