WLAVA:Administrative Handbook

Tech Basics

CPRS CONFIGURATION

• To configure an automated list of patients checked into ED:
  • Select "Clinics" in upper left hand, type in and select:
    • "WLA-Emergency Department"
  • Under "List Appointments for" select: "Today"
  • Click "Save Patient List Settings" & set it up for "All Days of Week"

Appointment List Example

CPRS NOTES

• To add notes to your home screen for easy access:
  • Toolbar click Tools -> Options -> Notes -> Document Titles.
  • Type in then ADD:
    • "Emergency Dept Attending Note"
    • Any other Emergency Dept notes
• You can move this group of notes to TOP of your list using shift and “^” arrow

Note Favorites

• As of 6/2/2020, these are all the Document Titles you need:

1. Emergency Dept Note (10-10)
2. Emergency Dept Fast Track Physician Note
3. Emergency Dept Attending Note
4. Emergency Dept After Care Instructions
5. Emergency Dept: Rapid Medical Evaluation Note <RME>
6. Emergency Dept Patient Handoff Note
7. Emergency Dept Observation Progress Note
8. Naloxone Note
9. CURE <State Prescription DMP>
10. Emergency Dept AMA
11. Emergency Dept Transfer Request Note
12. Emergency Dept Critical Lab/Imaging/Follow-up
13. Procedure Note
14. Emergency Dept Procedural Sedation Note
15. Intubation Note
16. Cardiac Arrest Note
17. Death Pronouncement Note
18. Emergency Dept Airway Response Note
19. Emergency Dept Physician Telephone Note
20. Employee Health Note (note becomes blinded in chart; use for needlestick etc.)
21. Beneficiary Travel
22. Interfacility Transfer Note 10-2649A
23. Emergency Dept VA Video Connect
24. Emergency Dept Telehealth Note

PRINTER SETUP

• Click Search Icon (magnifying glass) and Run script to find the computer "\\vhawlaprt003\GLA-PTX______"
• See end list for common printer names

OR

• Search for "Printer" and select "Printer & scanners"

Print Search

• Select "Add a printer or scanner"

Add a Printer

• Select "The printer that I want isn't listed

Printer Not Listed

• Select "Stop" then type in GLA-PT______ in "Name:" search bar and hit enter.
• Under "Search results:" select the Tent printer listed and click "OK"

Add Tent Printer GLA-186586

• Commonly Used Printers
  • GLA-PTX164697 - RM A-M
  • GLA-PTX164574 - next to main ED clerk
  • GLA-PTX164684 - in Fast Track
  • GLA-PTX165531 - color prints to Medical Media in their 6th floor North office

Access

• PIV replacement
  • 1)Contact PIV sponsor to submit a replacement request
    • Patricia "Pat" Preyer: Patricia.Preyer@va.gov
  • 2)Book photo appointment with PIV office https://app.waitwhile.com/book/vhaglavapivoffi
    • Bring 2 forms of ID with matching name
  • 3)Return to PIV office for pickup.
    • Call in advance x48778

• PIV Card/Proxy card (med room)/404 key
  • Contact: Thomas Blair, Manuel Celedon, Kian Preston-Suni for form
  • Provider should call Warren Richards in advance x54016 or 310-268-4016 and bring signed forms over to key shop
    • Form authorizer:
      • Write the persons’ name in the blank space
      • Add the 3 dates in the corresponding sections (prepared/required/sign)
      • Sign as the Initiator BLUE INK
      • Sign as the Authorizer (print your name legibly next to it) BLUE INK

Tech Advanced

CPRS Changes

• vhaglaclin@va.gov (Jeff Balsam and Hyun-Sung Son)
• Most changes will require “approval” of chiefs (cc)
• Around June they stop taking requests to work on new housestaff set-up
• If pharmacy related also include
  • Vhawlapharminformatics@va.gov
• If Radiology related include
  • Jon.hall@va.gov

Tech Equipment Issues

• YourIT (icon on homepage)
• Can add Keivan Zafari or Reza P to expedite

Policies

• Critical labs: ER responds overnight (8p-8a), weekends, and holidays
  • Write note: "Emergency Dept Critical Lab/Imaging Follow-Up"

• Chest pain pathway guidelines (always use clinical judgement)
  • Low risk: HEART score 0-3 AND Negative trop/ECG @ 0& 3 hrs
    • Discharge with PCP follow up
  • Moderate risk: HEART score 4-6
    • Admit to ED Cardiology Observation for Cardiology consult OR
    • Consider serial trop/EKG +- outpatient stress testing
  • High Risk HEART score 7-10
    • Admit to Cardiology for inpatient evaluation

• Direct admissions:
  • Clinics are able to directly admit stable patients that do not need urgent diagnostics/treatment
  • They should contact UM admission screener.
    • If any issue with UM they can contact MOD (hospitalist)

• Psych Diversion:
  • 4+ patients requiring psychiatric care

Who's Who

• Emergency Department
  • Manager: Tuesday Majors
  • Asst Nurse Manager: Angelica "Angie" Baltazar
  • Asst Nurse Manager: Colleen Ferguson

• SW
  • ED Supervisor: Lisa Penny
  • Lead: Takinia Jones

• HAS (administration/clerk)
  • Chief (all of GLA): Linda Surapruik
  • ED: Keon Pierce (primarily) and Jeremy Ni
  • Lead MSA: Shanae Lee

• OTS (covers entire hospital)
  • Lead: Bernard Miller
  • Sam Kaufman and Rich Flores were our former ED RN managers

• Supplies (Logistics)- formerly called SPD (formerly, Sterile Processing Dept)
  • Restituto “Resti” Corpus
  • Ken Hill (supervisor)

• SPS (Sterile Processing Service)
  • Grace Richmonds
  • Lisa Baldenegro

• Lab/Path
  • Chief: John Vallone
  • GLA Supervisor: Salem Toney

• Emergency Management/ Disaster/Occupational Health
  • Ben Spivey
    • FIT Testing:
      • Ben Spivey, Jasvinder Singh, Mitra Ansari

Reporting

• Joint Patient Safety Event Reporting Form
  • CPRS-->Tools-->Admin Applications/Reporting Tools-->JSPR-->Fill in form as prompted

Miscellaneous

Medical Media Print (posters)

• VHAGLAMedicalMedia@va.gov
  • To use color printer add “GLA-PTX165531"
  • Prints to their 6N office
  • The computer in this room is super slow, so print from another VA computer

Booklet/handout mass printing

• VHAGLAReproduction@va.gov