Epic-Beaker Venous Draw Requests for Unsolicited Orders

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  We are a large hospital system that has been in the process of converting to an Epic-Beaker platform, from a Cerner-Sunquest platform.  All interfaced POC tests are structured as unsolicited orders, with Telcor QML as our middleware.  Our current struggle is getting the venous draw requests for these tests to populate the mobile devices (Rover) that are typically manned by a lab phlebotomy team, given that lab phlebotomy staff are not typically set up to view orders or tasks in Epic.  Can anyone with the Epic-Beaker platform share a success story where these requests will reliably populate an electronic draw list on a mobile device?  Again, these would not be solicited order builds, with a specimen number barcode like most lab requests, but simply a draw request for an unsolicited order.  Because most unsolicited POC builds assume the device is going to the bedside to perform the test, we are not being presented with any ready solutions from Epic, though what we are doing (drawing and labeling the sample to be taken to a centralized location for testing) is surely not unusual, as many blood gas analyzers, for example, do not travel to the patient bedside.  Thank you in advance for sharing your experience!

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We struggled with this same issue when we went live with EPIC. I'm not sure if this is specific to our EPIC site or all EPIC, but we were told that blood gasses are built at a high level to be set as unit collect. Meaning they will not show up on a patient draw list/rover. They said our only option was to set all blood gasses to lab collect or we could specify all venous blood gasses are lab collect every time. Maybe this would work for your site? 
Because it had to be all or nothing, we decided that we had to rely on communication. 
What we ended up doing was educating staff that blood gasses have to be communicated with the lab. If the unit can run their own, they do. But if its needed on a unit that does not do their own POC testing, they have to notify the lab that its been ordered and needs to be collected. I know that isn't ideal for a larger system, but it has been working for us. 

One of the original discussions in the beginning of our build was that blood gases are all ordered as LAB#’s.  They are LAB EAPs with POC OVTs  (its confusing, blood gases are complicated build in Beaker).  
RN’s do collection in the system and print a Beaker label.  This takes the order off their task list so others know its been collected.  Once the Beaker label is printed it will show on the lab POC Expected list (because they are LAB# test codes.  But this doesn't tell is that they NEED to be collected, so it really wasn't a helpful tool. 

I'm sorry if this isn't helpful for your cause. If you end up finding a solution though - I'd love to hear it!



Thank you Chelsey - really appreciate your thoughtful response!  Why did your facility opt to not have all venous blood gasses set to lab collect?  Was it because of the combination of some nurse-drawn and some lab-drawn throughout your facility?

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