CPRS stuff - read Lee White's doc, but briefly...

• C arm order (need to put in ahead of time for stone/fluoro cases)
• Go to surgery encounter or create it
• Orders -> urology orders -> Imaging - RADIOLOGY/NUC MED...
• General radiology -> type in 'fluoro', select Fluoro guidance GI/GU, + c-arm modifier, select appropriate date, then 'Submit to' palo alto VA
• T&S/blood - 'Blood bank' in orders tab → Blood Product & Administration → PRBC Orders → order T&S, mark 2 u pRBC on hold for OR, and Accept. Close out of the Nursing Admin order that pops up next unless actually transfusing
• Mitomycin/cysview - Susanne orders these
• If you need to order in a pinch - Cysview is under Non Formulary/Restricted -> Cysview. Not sure how to order mito.
• Inbox
• CAREFUL – if you have an inbox for CONSULT or IMAGING it will disappear once you open it so write down the name and last 4 SSN before closing the window
• Clinic Notes
• Every clinic note should have an “Encounter” found under the note tab on the bottom of your CPRS window 
• Encounter →
• Visit Type tab → Established patient → Section name (expanded problem focus)
• Diagnosis tab → Diagnosis section (click applicable selection) → Problem List Items (select those that apply)
• Op notes - recommend changing author to yourself before starting, as if you switch to another patient you will not be able to get back into the note
• If you sign a note prematurely and can't get back in - call Wes x64309
• Catheter Removal – Nursing Clinic
• Consult → new consult → “consult to service/splty → Nursing Outpt Treatment/Pad/Bdg100 → fill out reason for request
• Clinics - PAD-UROLOGY-*** or PAD-UROL-ONC
• Admissions/delayed orders
• Must click DELAYED orders → Urology admit
• Order home meds - Meds tab → ctrl+click to select outpatient meds → Actions → Transition to inpatient → delayed orders/urology admit
• If patient is going to OR from floor - BEFORE they go, create their delayed orders and you can just copy forward - otherwise they all disappear and you have to redo everything
• Discharge
• Urology Orders - pharmacy discharge medication alert and 'Discharge Patient'
• Discharge meds
• Discharge Instructions note - see Shared Templates for common dc instructions
• Discharge Summary (separate tab) - not necessary if outpatient surgery
• Setting up f/u for other sites (eg. Fresno, Las Vegas) - Consult tab → choose appropriate/original consult → Action tab → consult tracking → Add Comment → fill in f/u instructions 

Call

• Amion code - 'pava'
• Calling back extensions from cell phone - dial operator 650-493-5000, press 1, press 1, then dial 5 digit extension
• Extensions that start with 3 are from Livermore - from landline, dial '53' and then the extension
• Difficulty Foley cart
• Call Logistics/SPD to request difficult Foley cart
• Sometimes more efficient to go down to Basement and get it yourself (which elevators?)
• Cystoscope
• There is a 'Cogentix' cystoscope with disposable sheaths - this requires a special lightbox/monitor and they often don't show up together on the same cart...
• Cart also has the Olympus flexible cystoscope but this is useless without its own lightbox/monitor tower
• Sometimes it shows up with a Storz cystoscope which has an eyepiece
• Cart SHOULD have - drape, cysto pack, coude, council, and 3 way catheters, SPT kit, Amplatz dilator set, 5 Fr catheters, bentson and Amplatz wires, cath tip syringes
• It is VERY POORLY STOCKED and often does not have these
• Cart DOES NOT have - six eye catheters, glide wires.
• The ED Omnicell and 3C Omnicell, OR do have six eye and 3 ways
• Recommend just going to OR to grab supplies
• Code for the OR picsys is 0523
• To get into the OR after hours - go through the PACU entrance
• Adding on OR case on the weekend
• 1. Call nursing supervisor 650-493-5000 x64725 (or 65960?) to unlock doors and mobilize staff
• 2. Page anesthesia resident directly to inform of case
• 3. Call ICU (x63833)to obtain a PACU recovery bed (they only recover here then go where appropriate)
• 4. Fill out the pink sheet for the OR staff

Useful computer locations

• Print to 3C nursing station printer (double sided and color): in start menu box, type '\\VHAPALAPPoM01', then double click printer PAL-DP195040
• Lexmark printer in resident room is only B&W, can only print from the near computer
• S: Surgical/Urology Resident/Individual Resident Folders
• See individual folders for OP notes (e.g. Alex and Craig)
• Jessie/CPRS Templates has template for urology contact information (NPs, etc) to put in DCI
• Onedrive for all lists (conference, indications, inpatient list) - link in Microsoft Teams (teams.microsoft.com)
• S: Surgical/Urology/OR 2021/OR 2021 for OR schedules