IPOCsInterprofessional Plans of Care

Updated June 2015

Evidence-based inpatient care plans that:◦ Drive patient care◦ Facilitate interprofessional team communication◦ Create an evidence-based culture and demonstrate

improvements in the quality of care◦ Integrate with our current system◦ Save staff time through the use of Goals and Expected Outcomes Interventions Embedded links to relevant research and quality

The current process for care planning does not include all steps of the Nursing Process.

IPOCs are triggered from nursing documentation in Iview or they can be found in the order catalog

Examples of IPOCs triggers◦ IPOC Acute Pain: triggered by documentation

of a Numeric Pain score of 5 or greater◦ IPOC Risk for Falls: triggered by a Morse Fall

risk score greater than 25

Click on ⊞ at Suggested Plans

Find IPOCs on the Menu at Orders

Click on ⊞ at

Interprofessional

Interprofessional

Click on the appropriate IPOC

( e.g., Risk for Impaired Skin Integrity)

Most IPOCs allow you to exclude or include certain components

An IPOC will need to be “Accepted” to activate the plan

Each IPOC has Patient Specific Goals and Interventions available to select.

To customize the goal/intervention for the patient, right click the line and select modify. You can then change the Description to a goal/intervention that is specific to the patient.

Once the IPOC has been initiated, Click on Document In Plan

to document in the IPOC

Interprofessional

This is your goal. You will not meet every goal every shift.

Click the reference link to see the evidence that supports the intervention.

Highlight the goal line to see the outcome description, such as Met/Not Met

To document an intervention:Highlight the intervention then click on the

arrow in the status column.

Fat arrows: data pulls from I-View or powerform documentationCheck marks with arrows: must choose (Met/Not Met or Done/Not Done)

Blue check marks appear next to completed interventions based on documentation in Iview or powerform.-Interventions that “pull” over from Iview or powerform are visible on the IPOC. If you forgot to document something (e.g., an implemented measure or assessment), you can document it in the IPOC and it will “pull” back to I-view.

Red X means that either the goal was not met or the intervention could not be completed. The Outcome Variance box is a free text box to document a reason if needed. A Reason and Action may be chosen from the drop down menu if appropriate or information can be typed in as free-text.

Notice that on your Diagnosis/Problem List the IPOC placed the correct problem. There is no reason to complete any other documentation to the Problem List for IPOC problems.

Key Note: Due to the new functionality of the Nursing Problems ( IPOC) interfacing with the “Diagnosis” section of the Diagnosis/Problem list the nursing problems will no longer need to be address (resolved or inactivate) at the time of discharge. They will automatically fall off this list when the patient is discharged.

DO◦ Document in the IPOC every shift, preferably toward

the end of the shift.◦ Sign your documentation in the IPOC. FYI

Documentation in IVIEW or powerform will feed into the appropriate IPOC interventions

Only an RN can initiate a plan Only an RN can discontinue a plan

DON’TDo Not use the “add to phase” for any orders

If you add an order to the IPOC no one will see it.

1. The ⊞ sign opens/expands a section; the ⊟ sign closes a section.

2. Most IPOCs flow back and forth from I-View to the IPOC

3. The eraser tells you where you documented the information.

If you can see the eraser you can erase the information from the IPOC side

If the eraser is dithered, you need to make the correction from the I-View side.

When the TASK is selected the nurse will select “Yes” and sign the form.