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Unity Communications Bulletin Go-live Fortnight: Issue 8

September 27, 2019

How to discharge patients correctly

Today we have had a big focus on discharging across our wards. You will have seen our floor walkers and super users out and about supporting colleagues. If you are not sure what to do the following should help:

  • Start a discharge process for all patients. There is a particular emphasis on those with a planned discharge in the next 48 hours
  • Follow the correct discharge process
  • Fully complete the depart process
  • Complete all mandatory fields
  • Sign the discharge summary only once
  • Complete the discharge in CapMan
Notice ED Workflows
ED staff please be aware your ED workflow processes may differ for documentation of some processes in ED. Please ensure you follow the correct workflows for the FirstNet application.

 

How to find specific drugs in the drugs list

If you can’t find what you’re looking for in the drugs list when prescribing, press the ‘search for additional items’ button, which is located next to the search box, to the right of the ‘search’ button. Don’t just use free text as this means interactions can’t be checked.

Medication administration

Please scan the bar code on the drug you are giving as well as the patient’s bar code. See our previous bulletins to check you are scanning the right bar code.

Clerking, treating and discharging a patient in Unity

Yesterday we shared Chief Clinical Informatics Officer, Ash Sharma’s quick summary for the most common things doctors need to do in Unity. This guides you through clerking a patient and then points you to the relevant QRGs, including:

Documenting procedures

Documentation should be done for all procedures/operations carried out in outpatient/inpatient/day case areas. Read QRG CD09 on Connect for a step by step guide on how to record a procedure.

Ward rounds

Ward round notes should be completed and recorded as a Progress Note. QRG CD07 explains how to create a progress note. Creation of a progress note should be reserved for occasions where a narrative entry needs to be made in a patient’s chart; which is not part of another workflow (e.g. documenting a conversation).

Board rounds

QRG CD91 has all the information you require for board rounds. Prior to commencing a board round, the user must be logged on as a clinical practitioner. Remember, a patient list must be set up. If it isn’t, then see QRG PL02 for guidance on how to set up a patient list.

The positives of Unity

Many colleagues have been sharing their Unity experiences on social media and elsewhere. Here is a sample of what they’ve been saying:

“Excellent start. Impressed with Unity in outpatients. Looking forward to developing it for research.” Kanthan Theivendran, consultant orthopaedic and upper limb surgeon

“Excellent progress made today! We as the CNPs found the process to be smooth and exceptionally productive! Great programme, with so much to offer. Well done to everyone, it went really well.” Sherralea Madhoo, clinical nurse practitioner

“I’ve just used Unity in a GP MDT to track down a patient (currently in Leaowes) and update the team on their current progress, including input from therapies re footware. It’s pretty nifty I must say!! Worked well from my laptop when using my phone as a hotspot.” Andrew Churm, District Nurse – Clinical Lead.

Fifth winner of shout out competition

Today’s shout-out winner is Dr Virupaksha Sadhunavar, who went above and beyond to help his A&E colleagues.

Nominator Zahid Sarfraz said: “He led the hectic A&E department on Monday night, where all were struggling with Unity. He was supposed to finish his shift at 22.00 but kept working the whole night till 7am the next morning and put great input and managed ED very well.”

Congratulations Virupaksha and well done Zahid! You will both receive Love to Shop vouchers valued at £10 each.

Don’t forget to submit a shout-out via Connect when you notice anyone going the extra mile to help their colleagues with Unity.