Icons

How Does it Appear?

Multiple Gestation

Ad Hoc > OB Triage and Assessment PowerForm

Pregnancy Risk factors section > Multiple gestation

No Prenatal care, late prenatal care, limited prenatal care

Ad Hoc > OB Triage and Assessment PowerForm

Pregnancy Risk factors section >

"No prenatal care"

"Late prenatal care"

"Limited prenatal care" or

Prenatal investigations and results> "none"

Patient is diabetic

Ad Hoc > OB Triage and Assessment PowerForm

Pregnancy Risk Factors section >

"diabetes, gestational, insulin dependent"

"diabetes, gestational, non-insulin dependent "

"diabetes, insulin dependent"

"diabetes, non-insulin dependent"

Prenatal Investigations and Results section:

GDM Management DTA:  Documentation of either ‘Diet controlled’ or ‘Insulin required’ will trigger the icon

RH negative

From Rh- lab result or

From Ad Hoc > Ob Triage and Assessment PowerForm

Section: Prenatal Investigation and Results > Negative blood type or

Pregnancy risk factors > Select Rh negative

Hepatitis B

Ad Hoc > Ob Triage and Assessment PowerForm

Section: Prenatal Investigations and Results > Select Reactive (R) under HBsAG

Rubella

Ad Hoc > Ob Triage and Assessment PowerForm

Section: Prenatal Investigation and Results > Select non-immune under Rubella

HIV positive

Ad Hoc > Ob Triage and Assessment PowerForm

Section: Prenatal Investigation and Results > Select Positive under HIV

GBS positive

Ad Hoc > Ob Triage and Assessment PowerForm

Section: Prenatal Investigation and Results > Select Positive under GBS

GBS unknown

Ad Hoc > Ob Triage and Assessment PowerForm

Section: Prenatal Investigation and Results

Select unknown under GBS

GBS Negative

Ad Hoc > Ob Triage and Assessment PowerForm

Section: Prenatal Investigation and Results > Select Negative under GBS

Surrogate

Ad Hoc > OB Triage and Assessment PowerForm

Section: Birth Plan Requests

Select yes under Surrogate Pregnancy

Adoption

Ad Hoc > Ob Triage and Assessment PowerForm

Section: Birth Plan requests > Select yes under Baby for Adoption

Fetal/Neo Demise

IView > Newborn Delivery Data

Section: Newborn exam

Field Name: Neonate outcome

Select Response: Fetal Death  or

Section: Perinatal loss

Field Name: Type of loss

Select Response: Neonatal loss, stillbirth, fetal demise

HDN

Right-click Communication column on Tracking Shell > select HDN to manually enter or

Added automatically when HDN testing order is placed

Discharge

Added in To do column when Discharge with Support Services or Discharge without Support Services is selected

Oxytocin

Added when Oxytocin Titratable and Continuous Order placed (except 10 unit, IM)

Possible septic shock alert

Added from IView documentation when 2 criteria for SIRS met and one criteria for organ dysfunction.

SIRS criteria

Peripheral Pulse Rate = 110 bpm (H) [greater than or equal to 95]

Temperature Axillary = 39 C (H) [greater than or equal to 38.3]

Respiratory Rate = 24 bpm (H) [greater than or equal to 22]

Organ Dysfunction

Systolic Blood Pressure = 70 mmHg (L) [less than or equal to 90]

Possible sepsis

Fires from IView Vital Signs section when:

Sepsis Alert - 2 SIRS + 1 OD

SIRS Criteria - 24 hours

HR - 95

RR - 22

Temp 38.3

WBC or Band -

Less than 4 or greater than 12

10%

 Glucose 140-200

Organ Dysfunction

Sepsis - 48 hours

Bilirubin -2-10 mg/dl

Creatinine - increase from baseline .5

Lactic acid or lactate - 2-3.9

Possible SIRS alert

Added from IView Vital Signs section when SIRS Criteria met.

Peripheral Pulse Rate = 110 bpm (H) [greater than or equal to 95]

Temperature Axillary = 39 C (H) [greater than or equal to 38.3]

 Respiratory Rate = 24 bpm (H) [greater than or equal to 22]

No visitors

Manual entry: right-click on Communication column and select No Visitors

Also auto-triggered if Visitor Status is set to “No Visitors” or if VIP status is set to “Yes” (this automatically sets Visitor Status to “No Visitors”)

NICU needed

Manual entry: right-click on Communication column and select NICU needed

No vaginal exam

Manual entry: right-click on Communication column and select No vaginal exam

Isolation

Added from patient isolation order or

Added from ID risk screen components - only in Inpatient encounter

No allergy information documented

Appears when patient appears on Tracking Shell with no allergy information documented

No known allergy

When NKA documented in allergy section

Allergy

Any allergy documented in allergy section

EGA at delivery

Fires after completing Date, Time of Birth DTA  in place of EGA in EGA column

Order Nurse review

Fires when orders are placed for nurse to review in Nurse Review column

OB triage and admission assessment

Fires when new patient admitted to Tracking Shell in To Do column

Seen by Liaison RN

Manual entry: right-click on Communication column and select Seen by Liaison RN

Special Care Plan

Manual entry: right-click on Communication column and select Special Care Plan

Intimate Partner Violence

Manual entry: right-click on Communication column and select Intimate Partner Violence

Social Work Consult Requested

Manual entry: right-click on Communication column and select Social Work Consult Requested

Social Work Consult Complete

Manual entry: right-click on Communication column and select Social Work Consult Complete

Violence

Manual entry: right-click on Communication column and select Violence

There are 4 tiers of Violence to select from:

V-History

V-Non Physical

V-Physical

V-Severe

Hover over the purple violence icon to display the tier of violence on the tracking shell.

CBS Collection

Used at BCWH only – Canadian Blood Services Cord Blood Banking Program

Ad Hoc > OB Triage and Assessment PowerForm

Section: OB Subjective Data section

Select Yes under CBS Required for Cord Blood Donation   

Can also be manually added (e.g. when patient is in postpartum and Nurse needs to add icon but is not using the OB Triage and Assessment PF).  Manual entry: right-click on Communication column and select CBS Collection.

Name Alert

Rationale: In Cerner, duplicate names are italicized by the system automatically as a visual name alert indicator. However, in maternity units, the babies and mothers share the same last names, making all names italicized. This invalidates the name alert visual indicator. Nurses can use the Name Alert icon to indicate a genuine name alert for their adult patients.

Manual entry: right-click on Communication column and select Name Alert.