WLAVA:Enhanced Screening Tent LIP Orientation

LIP Start Guide

Computer Setup

Windows Desktop Configuration

• Search (click on magnifying glass) for and load the following programs and 'pin' to your taskbar (right click over icon and select "pin to taskbar"):
  • Skype (to communicate with RNs in EST and other providers in VA)
  • CPRS
  • Outlook
  • Internet Explorer
  • Chrome
  • Impax

Search & Taskbar Set up

ED Sharepoint

• Contains VA extensions and UCLA/VA on-call pager numbers
• GLA VA ED Sharepoint
• Can copy and paste the URL if above link does not work
  • https://dvagov.sharepoint.com/sites/VHAGLAMed/ed/default.aspx GLA VA ED Sharepoint
  • Also found in CPRS -> Tools -> GLA/VA Links -> Other Links -> ED Sharepoint
  • Add to favorites

CPRS Setup

CPRS Configuration

• To configure an automated list of patients checked into EST:
  • Select "Clinics" in upper left hand, type in and select:
    • "WLA-Screening Tent"
  • Under "List Appointments for" select: "Today"
  • Click "Save Patient List Settings" & set it up for "All Days of Week" if you are working multiple days OR "Current Day Only" if working one day.

Appointment List Example

CPRS Notes Set Up

• To add notes to your home screen for easy access:
  • Toolbar click Tools -> Options -> Notes -> Document Titles.
  • Type in then ADD:
    • “Enhanced Screening Tent (EST) Provider Note”
    • “Employee Health Note”
• You can move this group of notes to TOP of your list using shift and “^” arrow

Note Favorites

CPRS Visit & Encounter

WLA Screening Tent Visit

• Please make sure you link your EST note to the correct encounter
  • The visit is "WLA-Screening Tent" or "STENT"

Selecting Correct Visit

EST Encounter

• When signing your note please complete the encounter information
  • Make sure you are added as primary provider
  • Type of Visit "Emergency Dept Visit"
  • Section Name "Expanded Problem Focus Low"

Encounter Main Screen

• • Must add a diagnosis
    • Can select from "Diagnosis Section" OR select "Other Diagnosis..."
    • If select "Other Diagnosis" open this link as the CPRS search engine for ICD10 codes is horrendous.
      • Best ICD10 Search Engine
    • Please make sure that the diagnosis you selected is the primary diagnosis

Insert Encounter Diagnosis

Workflow

• Overview of Enhanced Screening Tent Operations:

WLA VA EST Overview

• General RN & provider workflow for Enhanced Screening Tent:

WLA COVID19 EST Workflow

Orders

• The order menu is located in the "WLA Outpatient Clinics" section of "Orders" tab

Order Menu

EST Order Menu

EST Orders

Urgent Primary Care Follow-Up For Enhanced Screening Tent (EST)

• We are temporarily borrowing the ED PACT Tool in order to ensure urgent primary care f/u
• The ED-PACT Tool is an order that directly alerts PACT RN Care Managers to address urgent or specific needs of patients who are sent home from the ED.
  • It assures that patients post-ED follow-up care needs are addressed by bringing the PACT RN Care Manager into the communication loop.
  • The PACT RN Care Manager will work with the PACT Team to let (Primary Care Provider, LVN, Clerk) to address the Veteran’s care need(s).

How Does ED PACT Tool Work?

• The flow depends on if patient is assigned or unassigned

Assigned Patients

• Identify Patient’s PACT Team by looking at top banner in CPRS

PACT Team

• Providers enter a CPRS order indicating urgent or specific needs for post-EST follow-up care using link on EST order menu

ED-Pact Tool Order

• Choose PACT Clinic AND

PACT Clinic

• Then the Team

PACT Team Example

• Fill in and Sign Templated Order
  • Under reason for request:
    • Check “Seen in COVID- 19 Enhanced Screening Tent (EST)”
    • If you have clinical concern for potential COVID-19 (regardless of whether you sent test), check “Clinical concern for potential COVID-19”
    • Check other boxes to indicate follow-up care need

Order Template

Unassigned Patients

• For patients without a GLA PACT assignment, with urgent or specific needs, use link “No PACT assigned at any VA location/no local PACT at bottom of ED-PACT Tool Menu.
• This link will direct you to the Primary Care Consult Menu.
  • Select the clinic location closest to the Veteran’s residence.
  • Place the primary care consult AND add the points of contacts for each clinic (listed on the primary care consult menu) as additional signers on your EST note.

Unassigned Patients

Educational Materials

==On shift