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Emergency Department Downtime – iPM Messaging Failure

April 16, 2021

There is currently an issue preventing iPM (Lorenzo) from sending out normal messages that provide Unity and other systems with patient information. The team are currently working through a solution with the supplier and aim to restore BAU service within the next 2 hours. In the meantime when using iPM please follow the instructions below.

Situation 1 – Patient known to SWBH (already on iPM)

  1. Update patient details on iPM as usual (note updates will not go to Unity for now)
  2. Register patient on FirstNet using existing RXK number
  3. Clinical care for patient continues as usual
  4. Admission & discharge as usual

Situation 2 – Patient not known to SWBH (no existing RXK number)

  1. Register the patient on iPM as usual
  2. Print a sheet of labels from iPM
  3. Apply one label to a blank wristband
  4. Register the patient on FirstNet using an XXX DUMMY XXX fall-back number
  5. Add a document titled “Dummy RXK Number” and note the name and RXK Number registered for the patient at step 1
  6. Add a comment on LaunchPoint “Dummy RXK Number” followed by patient’s name and actual RXK Number
  7. PAEDIATRIC PATIENTS – Observations and medications recorded on paper
  8. ADULT PATIENTS – Medications recorded on paper
  9. Other clinical documentation can be recorded on Unity
  10. Admission & discharge as usual

Recovery 

Once iPM messaging is restored; the XXX Dummy XXX number (minor) should be merged with the actual RXK number created (major). This will update Unity

Patients Discharged from ED

Any paper documents should be scanned into Clinical Support System as “ED Scanned Document”

Patients Admitted to Inpatient Wards

Follow Unity Quick Reference Guide BC04 – Recording Retrospective Documentation after a Unity Downtime (Inpatients/Community)