Did you know that you can now view orders and lab results on your Paragon patients through AlertMD?
This is a faster way to quickly check on a pending lab result especially if you are away from a computer.
Just follow the few steps below:
- Open AlertMD
- Tap on “Messages” at the top of the screen to open the menu
- Click on Census (if you do not see your census, change the filter from the bottom right corner)
- Select the patient
- Click on the third tab, shaped like a paper
- Select “Labs”
- Click on labs to view the results
Orders are also available in the middle tab.
The IT Team announced an upgrade to the Citrix Receiver 4.9 for all hospital service areas. The new Citrix Receiver is designed to eliminate desktop clutter and allow end users to manage their Citrix icons in a convenient “storefront.” The rollout will take place June 18th through June 22nd. The Help Desk will staff additional agents during the rollout and the Desktop Team will round on units to provide Support. The rollout schedule is as follows:
- Monday, June 18th Pharmacy & Lab
- Tuesday, Junet 19th Inpatient Nursing Units, Physician devices, Registration
- Wednesday, June 20th Surgical Services
- Thursday, June 21st Medical Imaging
- Friday, June 22nd Care Coordination
Citrix Receiver Training Guide
Nursing and pharmacy will list patient allergies in the EMR. The severity of the allergy cannot be assessed by the nursing and pharmacy staff. Therefore the allergy severity will be listed as “unknown”. This will default to the presumed to be severe for the drug alerting.
Physicians can go and edit the severity based on history and clinical judgement.
Please edit the informant source to physician. This will allow the severity to flow from one admission to the next.
Paragon 14 has some changes to reprinting prescriptions. Please see here for details.
Page will be available under the Doctor => Paragon menu.
Centegra lab will now perform an e-test on all MRSA isolates obtained from a sterile site with microscan mic >=2.
With additional testing e-testing many isolates may have lower had mic of <1.5 expanding options for treatment.
This additional step will take an additional day to report out.
Paragon 14 went live at 6pm Sunday March 18, 2018.
Current known issues:
- Census issues – Some EMPG hospitalists did have issues with missing patients from default census. Solution: Please review your filters, please look at “Groups”. Make sure “Hospitalist Physicians Med Grp of Ill LLC” is checked. Please save the filter. – resolved 03/22/18 10am
- E-prescription error – This issue has been resolved. If you were able to send electronic prescriptions you should have functionality. Prescribing controlled substances is a different process. – resolved 03/22/18 2pm
- Completed Physdoc notes are not crossing over to MPF. Items can be viewed under “Documents” in Clinician Hub. – issue resolved 3/19/18 at 9am
- MPF (medical records) opens in separate window- This is the new default starting in Version 14. The pop-up window will close (even if minimized) when the focus is changed from the current patient. Previous issues of an orphaned window leading to hanged state should not occur. – Issue closed 03/20/18
- Rounding report patients do not appear in sorted order by bed number. – Issue resolved 03/20/18
Last updated 3/19/18
Please join us for our Doctors Day Lunch April 3rd-5th 2018.
Paragon will be upgraded from version 13.x to version 14
Saturday 3/17/18 at 10p to Sunday 3/18/18 5p
What will be unavailable?
All Paragon applications including Clinician Hub (physician access) and Clinical care station ((nursing access)
What will be available?
PACS, MPF (medical records), T systems, OB and anesthesia Centricity, MUSE and CVIS
For instructions on accessing MPF during downtime see here.
What about labs?
Labs will be printed and placed in the paper chart.
What about notes?
Physicians will dictate notes during downtime.
What about orders?
Paper order sheets and prescriptions will be used during downtime.
What are the new features in Paragon 14?
- Updated Patient Card: Patient demographics are easier to see in the upper left hand corner.
- Patient Profile (NEW): Report containing information such as advanced directives, allergies, demographics, family history, implants, home medications etc are now available in a single report. This report can be customized by the end user for their practice
- New flowsheet search capabilities: Some flowsheets such as Lab can get very difficult yo navigate especially on long admissions. This new search function will allow the user to quickly scroll the needed row. In this example I searched for “chest”. I was taken to the Chest X-ray row with the specific row highlighted.
- Prescription writer: Now allows for secure electronic submission of controlled substances
We have been alerted by Pfizer Inc. that Potassium Chloride Injection will experience a supply interruption due to Hurricane Maria and the inability of their other manufacturing plants to keep up with demand. The Pharmaceutical Purchasing Group at CHS checks for supply on a daily basis. While we expect some supply to arrive this week, our stock is very low at this time. Please consider the use of oral potassium products wherever possible. Potassium Acetate and Potassium Phosphate riders are an alternative in appropriate patients. In addition, Large Volume Parenteral Products (D5% – 0.2% NS with KCL, D5%-0.45% with KCL and D5% – 0.9% NS with KCL) are other alternatives.
Thank you for your assistance during this shortage.