EPIC RESOURCES

Epic now has a COVID-19 column that will show you a patients test status on your main home screen and patient list. Dr. Sarah Bauer from Hospital Medicine has shared with us their information for the columns on Epic and Discharge Order sets. Updated 11/27/20

On Connect, you can find resources for Epic here

PUI/Heightened Isolation Precautions

  • PUI designation is controlled and edited by Infection Control and given the high PUI census, is not always up to date
  • If a patient of yours is listed as a PUI but the COVID is negative (and negative x2 for immunocompromised patients), contact Infection Control directly (x62122) and they can remove the PUI
  • Nurses (and physicians, but this is not our responsibility) are able to discontinue the “Heightened Isolation Precaution” order within the Orders Tab once the COVID results are negative (2 negatives required for immunocompromised patients)
  • Once negative this will update the “Isolation” column
Text Box: Shows the LAST result, no matter the time frame
PUI and Heightened Isolation Precautions will appear on the left sided dashboard on your screen in epic like this.

COVID19 Patient Column

In your “My List” properties, search “COVID” and find both of these columns

This is how both columns will appear once added to your my patient list.

“Hover to discover” over the icons and it will show a positive/negative/or indeterminant (those will be yellow dots)

Ordering Tests

  • Currently our Testing Criteria is all patients being hospitalized, regardless of symptoms.
  • The Current Test Order is as follows in Epic :
  • The Current Test Order is as follows in Epic :
  • Once in the order set you will see the following screen
Select Novel Coronavirus 19 NAAT… it will then guide you to the next screen
For Symptomatic Patients, the above options populate.
For asymptomatic patients you will see the above options.

MIS-C Order Set is also available in Epic. Be Sure to select the COVID-19 IgG PRIOR to giving the patient IVIG! It is not preselected in the order set.

Inpatient information

  • Patients outside of the ICU will be placed on the Hospital Med Attending Team and their assigned color team will be removed.
  • For these patients there will be a nursing communication with the dot phrase: PAGEHOSPMEDATTENDING
    • Daytime: from 7:30am to 5:30pm, please page (or Voalte if NOT urgent) the assigned attending if anything is needed for the patient.
    • Nighttime: from 5:30pm to 7:30am, please page the Hospitalist (MKE) pager if anything is needed for the patient.

Discharge Information

Order Sets

  • Use the discharge instructions below IN ADDITION to the disease specific discharge orders
  • You may right click to add to favorites
  • There is not an order set for pending labs, therefore modify one of these as needed
  • There is now a DC PENDING RESULT COVID order set

–Follow up with primary care provider discharge order within all DC order sets has a new button:

-This phrase was approved/developed with the health literacy team. Select this button if the patient does not need a follow up appt with their PCP at discharge

-This is how it will look in the AVS:

GEN DC ASTHMA order set includes new language if the patient doesn’t have a follow up appt.

Family Discharge Letters: Use the following smartphrases in your communication letters for families:

.COVIDNEGDCLETTER

.COVIDPENDINGDCLETTER

The Following Dot phrases can be used to communicate COVID results that return after discharge.

.COVIDNEGATIVEMYCHARTTELEPHONE

.COVIDPOSITIVEMYCHARTTELEPHONE

We will continue to update this as we receive more updates!

Thanks to Dr. Sarah Bauer, MD for all of her help with our COVID-19 Epic updates!!