Transcript Slide 1

Current Process Flow
Patient
Patient
Main ED Lab Order Process
Patient
admitted to
an ED bed
Nurse
Nurse
Yes
RN
assesses
patient
RN enters
draw/holds
in FirstNet
Draw and
holds?
RN applies
generic
labels
RN draws
labs
No
MD enters
lab orders
in FirstNet
Add on
orders?
Yes
FirstNet
prints
requisition
in lab
LabTech
Tech
Lab
EDLab
LabTech
Tech
ED
MD
assesses
patient
Systems
Systems
Physician
Physician
No
RN delivers
specimen to
ED Lab Tech
ED Lab Tech
reconciles
specimen with
SunQuest Order
FirstNet
sends
order to
SunQuest
ED Lab Tech
tubes
specimens to
lab
SunQuest
/ FirstNet
results
available
SunQuest
prints new
labels
Yes
Lab Tech
receives
add-on req
ED Lab Tech
prints /applies
SunQuest
labels
Specimen
in Lab?
No
Lab Tech enters
new orders in
SunQuest
Lab Tech calls
ED to find
missing specimen
Lab Tech applies
new SunQuest
labels
Lab Tech places
specimen with
label on the line
Future Process Flow
Systems
Systems
Physician
Physician
Nurse
Nurse
Patient
Patient
ED Lab Order FUTURE Process
Patient
admitted to
an ED bed
RN reviews
FirstNet
triage note
MD
assesses
patient
RN enters
order or
Rainbow
draw/hold
in FirstNet
RN applies
Softmed
labels in
room
RN
assesses
patient and
draws labs
RN picks up
and applies
SunQuest
labels
MD enters all
lab orders in
FirstNet (as
add-on
orders)
FirstNet
prints
requisition
in lab
Lab Tech
receives
add-on req
SunQuest
/ FirstNet
results
available
SunQuest
prints new
labels
Yes
LabTech
Tech
Lab
RN enters all
subsequent lab
orders in
FirstNet (as
add-on orders)
RN tubes
initial draw to
lab
Specimen
in Lab?
No
Lab Tech enters
new orders in
SunQuest
Lab Tech applies
new SunQuest
labels
Lab Tech waits X
minutes for
specimen
Lab Tech calls
ED to find
specimen
Lab Tech
processes
specimen
Additional Future Process Flows
MD Orders Non-rainbow Test
Yes
MD orders
non-rainbow
lab test as
add-on
RN draws
lab
RN sends
tube to lab
MD
communicates
order to RN?
No
Lab Tech receives
FirstNet
requisition; no
specimen
Lab Tech
waits X
minutes for
specimen
Lab Re-draw Needed
Lab Tech
contacts ED
for lab redraw
MD orders
lab test
FirstNet
detects
duplicate
order
Yes
FirstNet asks
“Duplicate
order - redraw lab?”
TBD
Lab Tech receives
specimen matching
requisition
RN draws
lab
RN sends
tube to lab
MD orders
re-draw?
No
Issue Resolution Process
Lab Tech
calls ED to
find
specimen
Lab Tech receives
FirstNet
requisition; no
specimen
Lab Tech
waits X
minutes for
specimen
Lab Tech
calls ED to
find
specimen
Lab Tech receives
specimen matching
requisition