Transcript OLD Paper Process

CPOE Blood Transfusion Update
(To advance each slide during this presentation, either left-click the
mouse, or use the arrow keys on the keyboard.)

CPOE (Computerized Physician Order Entry) advisors have been built for
blood products. Some of the traditional paper forms regarding transfusion
have been eliminated.

This presentation is designed for healthcare providers to provide an outline of
the new processes for setting up, ordering, and dispensing blood products in
DUH Adult Inpatient and some of the Emergency Department areas.

Although HUCs have access to CPOE, they will not be these using
transfusion advisors. HUCs should be familiar with these new processes in
this presentation.

The Go Live Date for CPOE Blood Transfusion Advisors is April 6
on DUH adult patients only.
Presented by Technology Education Services and Information Design, DHTS
Transfusion Work Processes
Old Process
New Process
To prepare the blood products,
healthcare provider would complete
the Blood Component Preparation
& Product Modification form. (See
next slide for more details.)
Provider now enters order via
CPOE using the Blood Product
Preparation Request Advisor.
To order the transfusion of blood
products, healthcare provider would
enter the order to transfuse in
CPOE using the transfusion
orderset and/or fill out the paper
order.
Provider now enters order via
CPOE using the Blood Product
Administration Advisor.
To have transfusion services
dispense the blood products,
nursing would complete the Blood
Component Request form.
Nursing now enters order via CPOE
using the Blood Product Dispense /
Signout Advisor.
Transfusion Preparation
OLD Paper Process
Transfusion Preparation NEW Electronic Process

Blood Product
Preparation Request
Advisor

Used to set up
RBCs, platelets,
plasma (FFP), and
cryoprecipitate.

Recent lab results
will display for
reference.

If a current Type &
Screen is not active,
a warning will
display.

Use the keyword
“preparation” to
search for this
advisor in CPOE.
Warning. Current
Type & Screen
not active
Transfusion Preparation NEW Electronic Process
Platelets
The second half of this
advisor contains
sections to prepare:

Platelets

Plasma (FFP)

Cryoprecipitate
FFP
Cryo
Order to Transfuse
OLD Paper Process
Order to Transfuse New Electronic Process

Blood Product
Administration Advisor
(RBC part)

Used to enter an order
to transfuse.

To order Platelets, FFP,
& Cryo (not pictured
here), use this advisor
following similar steps
as RBCs.

If no order exists for the
crossmatch, a warning
will display.

Use the keyword
“administration” to
search for this advisor
in CPOE.
Order to Transfuse New Electronic Process
Related orders for the transfusion can also be ordered from
the Blood Product Dispense / Signout Advisor:





Medications
Order to dispense blood product
Vital signs monitoring
Post transfusion labs
Order to release blood in cooler
Transfusion Dispense Request
OLD Paper Process
Transfusion Dispense Request New Process

Blood Product Dispense /
Signout Advisor

Used when the nurse wants
Transfusion Services to
dispense the blood.

A green YES displays if an
order is present or a pink NO
displays if no order exists.

Use the keyword “dispense”
to search for this advisor in
CPOE.

The nurse would select the
delivery method, check the
box to dispense, enter
number of units, and click the
Place Orders button.
Must specify
delivery method
Release of Blood in Coolers

Red blood cells and plasma can be released in coolers.

When the MD enters the dispense order, CPOE displays as

A dispense request automatically prints in transfusion services.

RN needs to arrange pick-up only by calling messenger service.

A separate order to transfuse does still need to be entered by the MD.
Emergency / Conditional Blood Release Advisor

If a patient’s condition
warrants, an
emergency release of
blood can be
requested.

In addition to this
advisor, the
Emergency Release
Form (Next slide)
must also be
completed on paper.
Emergency / Conditional Blood Release Form

This form is still used
in emergency
situations.

Physicians must sign
this form.
Still used in
emergency
situations
Transfusion Orders in eBrowser
As with other orders, transfusion orders display in eBrowser.
An OCR (Order Confirmation Report) will still print out
after the transfusion orders are entered.
Transfusion Report Form

The Transfusion
Report Form is
dispensed with the
blood product.

This form is still to be
completed by nursing.
Transfusion in the Emergency
Department

Transfusion orders will be written via CPOE for CEU
and inpatients admits being held in the E.D.

E.D. nurses for these patients should review OCRs
(Order Confirmation Reports) and eBrowser to see the
orders.
CPOE Blood Transfusion Highlights

The 4 blood transfusion advisors replace the handwritten
forms (except for emergency release form).

CPOE will send a pop-up reminder to providers when
crossmatch has expired.

Recent lab results display in transfusion advisors.

Transfusion Services receives a printed report from CPOE
after each order is entered.

The Go Live on April 6 for CPOE Blood Product Advisors is
for DUH adult patients only.
CPOE Blood Transfusion Highlights

If you have more questions about the April 6 Go Live on
the adult inpatients at DUH, you can page the CPOE
team at 970-9999.

If you need additional computer training, you can
contact the Technology Education & Information
Design’s registrar at 668-4740.

This concludes the CPOE Blood Transfusion Update.

Click “Close and Save Progress” in the upper right
hand corner to finish this course.