05/12/17 Release Notes (Clinical)

Scalp Cooling

As we have a number of centres providing scalp cooling machines now, necessitating turning on the machine well before the first patient’s arrival at the clinic as well as a longer appointment time, we've created a notification system to alert all staff that a patient is to have scalp cooling.

A tick box is now available on the protocol cycle in Edit Protocol for anyone to tick (without un-signing the cycle) that displays a message on Booking Requests and on the Appointment List to notify everyone that the patient is to have scalp cooling.

It works in the following way:


• Edit Protocol – tick box to request scalp cooling

• Booking Requests – ‘Scalp cooling requested’ in bold blue text next to protocol name when a patient is selected. This notifies the admin staff that a longer appointment time is required.

• Appointment List – Visit Type, i.e. Admission (chemo), displays in bold blue text instead of normal black text on the patient’s appointment.


Once one cycle is ticked, it carries forward to all future cycles for that protocol, including appointments in Booking Requests and booked appointments on the Appointment List.

You can use our interactive guide to see how it works here:
https://www.iorad.com/player/97385/How-to-add-Scalp-Cooling-to-the-patients-treatment-appointment


EXISTING BOOKED CYCLES:
If any appointments are already booked when scalp cooling is turned on, they will return to Booking Requests as the duration will need modification and a different resource may need to be selected.

Once a cycle is unticked, all cycles from that cycle onwards for that protocol become unticked. If the duration has been modified for the future appointments that now require less time, this needs to be manually altered.


Pharmacy Orders
Some major changes to Pharmacy Orders to review and refine the rules around drug orphans in this release. In particular, appointment defer was not part of the orphan rules and ceasing protocol for reason of patient deceased was also not resulting in orphan drugs.
We have also in this release changed the formatting of the Pharmacy Orders and the order of the worklist to make sure drugs associated with appointments but on different days to the appointment are showing up in the order that they should, and that the dates are all lined up under each other for ease of viewing/checking.

Falls risk notification

There were two places where the patient's risk of falling was able to be recorded. To streamline this we have combined both falls risk forms into one place on the Nursing Assessment. It works in the same way as previously but has a couple of extra fields.

Amount-based doses

When a protocol has an amount-based dose, e.g. 2 tablets, instead of the actual dose, Edit Protocol was displaying both 0mg and 2 tablets. We have removed the display of 0mg when an amount-based dose is used.

Protocol Administration

Searching on Protocol Administration has changed from a type-ahead search to requiring selection of parameters before clicking Search. This will be very useful and allows searching on Protocol Identifier, published, unpublished and withdrawn protocols. You can also search on Last Reviewed Date and Next Reviewed Date.

Publish Protocol

When publishing a protocol, it was previously possible to publish without ticking a Visit Reason which prevented it being displayed to the doctor for ordering. We have added a validator on Publish Protocol so that at least one Visit Reason must be selected before publishing.

Substitute Medication

After rolling back the medication substitute function for some further safety testing, it is now available again on Edit Protocol. When the edit tool is clicked and the Edit Medication window opens, you'll see the substitute icon. You can follow this interactive guide on how to use substitute:

https://www.iorad.com/player/97368/Substituting-a-medication-on-Edit-Protocol