Aboriginal artwork produced by Gumbaynggir Artist Brentyn Lugnan

Week 13 Clinical Champion Training

Author: Courtney DixonDate: June 2018

Guiding PrinciplesEstablish a different approach

Ensure Sustainability Ensure Organisational Integration

Reduce Admin (Waste)

Workflows

Sepsis (Powerplan/Alert)Powerplans (remainder)

Sepsis Key Points

• Use of Sepsis Powerplan for septic patients to ensure minimal delay in administration of antibiotics

• This provides for initial dose only in most cases and requires separate order WITH an approval number to placed for ongoing doses

Power Plan Key Points

• Powerplan provides CEC evidence based guidance on appropriate treatment for assessed patients

• View Powerplans Under Plan View in the MAR All PowerPlans with orders will display

Power Plan Key Points• ~20 PowerPlan available Across the

Rurals

Clozapine initiation - Future 0800Clozapine initiation - Today /NOWCoumadin Initiation ( 7 days)Coumadin Recommencement ( 7 days)Marevan initiation (7 days)Marevan Recommencement ( 7 days)Planned AdmissionSepsis Adult Sepsis PaediatricVTE AnticoagulationVTE Prophylaxis Warfarin Initiation ( 7 days)Warfarin Recommencement ( 7 days)Amikacin Initiation Adult

Aminoglycoside initiation AdultAtrial fibrillation AnticoagulationFebrile Neutropenia AdultGentamicin initiation AdultReturn For TreatmentTobramycin Initiation adultAsthma Acute Management AdultInsulin Basal Bolus SupplementPost op-Nausea & VomitingAcute severe Behavioural Disturbance in EDAsthma Acute Management Under 6 PaediatricsAsthma Acute management 6yrs & over Paediatrics.

Power Plan Key Points

• Type in Search Field Powerplan "enter" all PowerPlans will display

• PowerPlan ordered can be placed and contain orders for initiation or future initiation

• Planned Admission Orders & return for treatment Across encounters

Power Plan Key Points• PowerPlan Orders can also contain Patient Care

tasks / Pathology Request / Medical Imaging / Consults

• Sepsis PowerPlan Contains 13 specific plans options eg:Urinary Tract Source/Sepsis workup & can be multiphase

• View by Plan View in MAR Select Powerplan and orders will display

• ICON - will display against all PowerPlan orders

References• eMR reference guides eMR connect• MHL• Website