Adding critical comment in patient chart in Epic

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Hello, 
We are in the process of transitioning to Epic and I have a question about critical comments. Normal process is the user enters the critical comment in the glucometer, istat, etc and it files with the result. If they forget to add it in the meter, we send an email next day asking them to add the comment to the result in the chart. We are then able to pull a report on chart added comments to add to our monthly comment tracking. 
Epic is telling me that there is no way to do this in their system. We are not using Enter/Edit - all POC tests are interfaced. I cannot believe there would not be a way for an RN, RT, CRNA, etc to make a comment on a result. 
Thanks

4 Replies

You may want to look into the flowsheets? Our RT team utilizes the flowsheets to provide critical documentation/notification. As far as adding directly to the result itself, I have not seen that yet!

Our teams also use the Flowsheets --> Notifications for critical result notification documentation.

My RN/RT staff use the Nurse Flowsheets under the Provider Notification/Critical Test Results. 

The LVN/MA staff do not have access to this feature in Epic. This is not ideal, but the following is what we have come up with. They enter the critical in the Encounter, then use the Report Viewer tab, click on the upside-down arrow in the upper right corner, then in the drop down there is a flowsheet. Once the flowsheet is clicked, they need to search Vital Signs, and this allows them to click on the facility and enter the critical.

This doesn’t directly answer your question, but I’m curious how you’re able to capture critical comments on the i‑STAT. At my organization, we were told that wasn’t feasible because the device only allows numeric comment entries.

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Danyel Olson
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