How to sign-on and use UM-Carelink
Q. How do I sign on to UM-Carelink?
Q. How do I get to the UM-Carelink Order screen?
Q. My UM-Carelink username or password isn’t
working and I need to order a test?
Lab results in
UM-Carelink
Q. I can’t find the result of my <test> on
patient <patient identifier> in UM-Carelink. Where is it?
How to order lab
tests in UM-Carelink
Q. How do I order a <specific test> that I
can’t find in my lab browser?
Q. How do I order a Blood Bank test?
Q. How do I order a Blood Bank Product?
Q. Is a requisition really needed for Blood Bank Type and Screen ordered in CareLink?
Q. How do I find the Microbiology test I need to
order?
Q. How do I order a Viral Serology test such as
a Rubella IGG or a PCR test?
Q. What labs do I still need to use requisitions
for?
Q. How do I order a Point of Care Test?
Specimen label
printing in UM-Carelink
Q. I ordered a Routine <TEST>, but the
labels didn’t print? What should I do?
Q. I ordered some tests and got extra
labels. What should I do with them?
Q. I ordered 10 tests, and not all of them are
showing up on the label. What went wrong?
Q. I want to reprint my label, but I can’t see
the test I just ordered?
Q. My label printer isn’t working. What should I do?
Q. My label printer print quality is poor?
Q. How do I change the labels in the printer?
Q. I just ran our of specimen labels on my
printer. What should I do now?
Q. Which way should the specimen label be
applied to the collection tube?
Q. I put another patient’s label on the tube of
the patient’s blood. What should I do?
Order errors and general
concerns in UM-Carelink
Q. I have the correct patient, but I put the CBC
label on the tube of the
Type and Screen. What should I do now?
Q. I ordered a test on the wrong patient. What should I do next?
Q. I just ordered a test as a routine
phlebotomy, and I need to collect it
STAT. What should I do?
Q. How are newborn screens handled in Womens’s
now that we have UM-Carelink?
Q. Do I really need to page a phlebotomist when
I’ve placed a STAT or Time Critical order?
UM-Carelink End
User Concerns
Q.
How do I sign on to UM-Carelink?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222
Q.
My UM-Carelink username or password isn’t working and I need to order a test?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222
Q.
How do I get to the UM-Carelink Order screen?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222
Q. I
can’t find the result of my <test> on patient <patient identifier>
in UM-Carelink. Where is it?
A. Check to see if the result is in PathNet and Careweb
- If the results are in PathNet and Careweb, then transfer the caller to the UM-Carelink Support Desk at 6-2222 and tell them that you have already confirmed that the results are in PathNet and Careweb, but the user can’t find them in UM-Carelink
- If the
results are not in PathNet, then transfer the caller to the UM-Carelink
Support Desk at 6-2222. Tell them that
results are also missing from PathNet and Careweb, and UM-Carelink Support
team will continue troubleshooting
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222; the will be informed that results generated earlier than October 2 at noon will not be found in UM-Carelink; use Careweb to view those results.
Q. How
do I order a <specific test> that I can’t find in my lab browser?
A. Assist the caller in finding the UM-Carelink order item; it may be helpful to use the Lab UM-Carelink Cross-Reference table located on the Pathology Home Page Links to UM-Carelink Help or at url:
http://www.pathology.med.umich.edu/labservices/pathologyhandbooks.html/UM-Carelink.html
Finding
an Order Item in UM-Carelink
The
ordering clinician can type the name of the order item in the “type here to
enter order name” field when it is highlighted. It may be easier to use the
Order Browse to find an order item. Select “Start of Browse” in the dropdown
list to Change the “Manual Entry” selection in the dropdown list to “Start of Browse”
to get a navigation tree containing the order categories, subcategories and
order items in a list format.
Methods
to Finding Order Items
Start
of Browse
Clicking
on the Plus [+] will expand the list to sub-groups in the browser. The clinician may continue expanding until
the desired order item appears in the window on the right. This method is best
for working with Order Sets.
Manual
The
clinician types the name or partial name in the area that reads “Type here
to enter order name”.
Q.
How do I order a Blood Bank test?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222; the UM-Carelink Support team will instruct the users how to proceed; users will be instructed to:
Click
on the Orders icon (notepad with pen).
2 icons available, select one.
If the ordering physician is
not performing the actual order, select the other button and fill in the
appropriate information of the ordering physician. 
Order Entry worksheet
opens. Click Blood Bank.
- Double click on Blood Bank
orders.
Blood Bank Orders window
opens. Select the test. (A grid to the left of test name indicates additional required
information.) Click OK.
- Click Submit.
- Once the order has been placed,
it can be viewed on the orders tab for the patient.
Q. How
do I order a Blood Bank Product?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222; the UM-Carelink Support team will instruct the users how to proceed; users will be instructed to:
1.
Click on the Orders icon (notepad with pen). 2 icons available, select one.
2. If the ordering
physician is not performing the actual order, select the other button and fill in
the appropriate information of the ordering physician.
3. Order Entry worksheet
opens. Click Blood Bank.
4. Double click on
Blood Bank orders.
5. Blood Bank Orders
window opens. Select Blood Bank Product Order. (A grid to the left of test name indicates additional required
information.) Click OK.
6. A new window opens
requesting additional information (red * is required information order the product and any additional
information (i.e. priority, special indications). Click OK
7. Order screen
closes. Click Submit.
8. The product
request will automatically print on the Blood Bank printer.
Q.
Is a requisition really needed for Blood Bank Type and Screen ordered in CareLink?
A. No. A requisition is no longer printed in CareLink. However, to be able to trace the person who collected the specimen, the tube must be signed by the person collecting the specimen. This signature must include the first initial and full last name and must match the CareLink identification of the person who collected the specimen.
Q.
How do I find the Microbiology test I need to order?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222, the caller will be instructed to:
1. Type the source in the Enter Order Name field and UM-Carelink will display the available tests and double click on the test of choice.
2. Click on the cultures that apply and proceed with the prompts – when finished, click OK
Q.
How do I order a Viral Serology test such as a Rubella IGG or a PCR test?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222, the caller will be instructed to:
1. Type in the name of Viral Serology into the Enter Order Name window, for example, type Rubella, and double click on the desired test to proceed with the order.
Q.
What labs do I still need to use requisitions for?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222
Requisitions are required to order:
Cytogenetics, Surgical Pathology, Cytology (gyn and
non-gyn), HLA Tissue Typing, Molecular Diagnostics, and some Reference Lab
tests
A. Assist the caller in finding the UM-Carelink
order item ;it may be helpful to use
the Lab UM-Carelink Cross-Reference table located on the Pathology Home Page
Links to UM-Carelink Help or at url:
http://www.pathology.med.umich.edu/labservices/pathologyhandbooks.html/UM-Carelink.html
Q.
How do I order a Point of Care Test?
A. Transfer
the caller to the UM-Carelink Support Desk at 6-2222; all point of care tests begin with POC in
UM-Carelink and go to the nursing worklists; orders and results stored in both
the lab system and in Carelink
Q. I
ordered a Routine <TEST>, but the labels didn’t print? What should I do?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222
UM-Carelink Support staff will
- will triage the problem, including a ping of the network port and a view of the PathNet print queues
- will contact the Pathology Data Systems Help Desk for additional troubleshooting steps
- will provide the Pathology Data Systems Help Desk with the patient’s CPI #, patient name, the UM-Carelink Order #, the location of the patient, and the room and bed of the patient
Pathology
Data Systems staff will
- determine whether the order was received in the laboratory system and will replace the printer if necessary using information provide by the Carelink Support staff
- will ensure that the caller’s problem has been resolved or is back at the UM-Carelink Support desk
Laboratory
Staff will
- use
OID to see if the order has already been received in PathNet via the
interface before manually placing the order in PathNet using the paper
requisition
- provide a copy of the manual requisition form to the Pathology Data Systems Manager for audit purposes
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222
UM-Carelink Support staff will
- instruct the caller to label the specimen with an addressograph label, complete a manual requisition, and send the specimen to the laboratory
- all uses of manual requisitions will be audited
- will triage the problem, including a ping of the network port and a view of the PathNet print queues
- will contact the Pathology Data Systems Help Desk for additional troubleshooting steps
- will provide the Pathology Data Systems Help Desk with the patient’s CPI #, patient name, the UM-Carelink Order #, the location of the patient, and the room and bed of the patient
Pathology
Data Systems staff will
- determine whether the order was received in the laboratory system and will replace the printer if necessary
- will ensure that the caller’s problem has been resolved or is back at the UM-Carelink Support desk
Laboratory
Staff will
- use
OID to see if the order has already been received in PathNet via the
interface before manually placing the order in PathNet using the paper
requisition
- provide a copy of the manual requisition form to the Pathology Data Systems Manager for audit purposes
Q. I
ordered some tests and got extra labels.
What should I do with them?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222; the caller will be instructed to put the extra labels into a specimen bag with the specimen and send them to the laboratory.
A. Transfer the caller to the UM-Carelink
Support Desk at 6-2222; the caller will
be instructed reprint a specimen label -
go to the orders tab, select the lab that needs to be reprinted, right
click on the item, select modify order, requested by me, check the box labeled
“Reprint Lab Label”, then click OK.
Q. I
ordered 10 tests, and not all of them are showing up on the label. What went wrong?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222; the UM-Carelink Support team will explain the maximum number of tests that will print on the specimen label is eight. Typically, there is an indicator that additional tests were ordered; the indicator is a “c” (continued) located to the right of the bottom row of tests.
Q. I
just ordered a “Ristocetin
Cofactor Assay”, but the label printed VWF? Did I do something wrong? Did I get the right label?
A. Transfer the caller to the UM-Carelink
Support Desk at 6-2222; the UM-Carelink Support team will explain the specimen
label contains the laboratory test mnemonic, not the test order name in UM-Carelink;
the Lab UM-Carelink Cross-Reference
table is located on the Pathology Home Page “Links” for UM-Carelink Help or at
url:
http://www.pathology.med.umich.edu/labservices/pathologyhandbooks.html
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222; the caller will be instructed to label the specimens as they always so, except they will be using the lab specimen label instead of the addressograph label.
Q. I
want to reprint my label, but I can’t see the test I just ordered?
A. Transfer the caller to the UM-Carelink
Support Desk at 6-2222; the caller will be instructed to check the default view
for the order status – it should be set to all in order to see collected orders
Q.
My label printer isn’t working.
What should I do?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222; the UM-Carelink support team will triage the cause of the problem, including a ping of the network port and a view of the PathNet print queues; the UM-Carelink support team will either replace the printer directly, or will contact the Pathology Data Systems Help Desk if the printer needs to be replaced during off hours and weekends
· If the need for a label is urgent, the user will be instructed to use an addressograph label for the specimen and fill out a paper Consult form and to send the specimen to the laboratory
· If the need for the label is not urgent, the user will be instructed to wait for the printer to be serviced
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222; the support team will assist the caller; the UM-Carelink help desk will call the Pathology Data Systems help desk at 6-6740 if the printer needs to be replaced.
Q.
My label printer print quality is poor?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222
Q.
How do I change the labels in the printer?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222
Q. I
just ran our of specimen labels on my printer.
What should I do now?
A. Transfer the caller to the UM-Carelink
Support Desk at 6-2222; the help desk will provide the caller with instructions
to load new labels or will provide the caller and will provide the caller with
label stock, if necessary.
A. Transfer the caller to the UM-Carelink
Support Desk at 6-2222; they will triage the trouble and will contact Pathology
Data Systems Help Desk at 6-6740 if further support is needed.
Q.
Which way should the specimen label be applied to the collection tube?
A. The left edge of the label should always be closest to the tube top. The left edge of the label shows the
patient’s last name.
Q. I
put another patient’s label on the tube of the patient’s blood. What should I do?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222; the caller will be instructed to discard the container, reprint the correct label, and collect the specimen again.
A. Call the laboratory at 6-6777 because there is no way to be certain whether or not the specimen has already been collected in UM-Carelink; currently, the only status update available in UM-Carelink is from Pending Collection (ordered) to Collected, when the specimen is received in the laboratory for testing; phlebotomy statuses are not available in UM-Carelink at the present time.
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222; the caller will be instructed to toss the extra tube away since there was no specimen label for the tube at the patient’s bedside; specimen labels must be applied at the patient’s bedside before collecting the specimen so that the patient identifiers on the specimen label can be checked against the patient’s wrist band at the time the specimen is collected.
Q. I
have the correct patient, but I put the CBC label on the tube of the
Type and Screen. What should I do now?
A. Transfer the caller to the UM-Carelink
Support Desk at 6-2222; the caller will be instructed to use the label reprint
function to reprint the label for the CBC and to re-label the Type and Screen specimen
with the correct label. When
re-labeling, DO NOT cover the name on the original label that was
applied. If the original label is totally
covered with the new label, the sample will be treated as a mislabeled specimen
when it arrives in the laboratory.
Q. I
ordered a test on the wrong patient.
What should I do next?
A. Call the laboratory at 6-6777 to see if the order has been received in the lab:
- If the order is in PathNet, then the lab will cancel the test
- If the
order is not in PathNet, then the caller should D/C cancel the test and
order it on the correct patient
A. If the specimen is unable to be collected
within 2 hours, call the lab at 6-6777 to have the test canceled; the caller
will need to reorder the test in UM-Carelink using the source of “written”.
A. Call the laboratory at 6-6777 to see if the order has been received in the lab:
- If the order is in PathNet, then the lab will cancel the test; the caller can then order the Nurse Collect (Routine or Stat) test
- If the
order is not in PathNet, then the caller should D/C cancel the test and
order the Nurse Collect (Routine or Stat) test
Q. I
just ordered a test for the next phlebotomy sweep, but I really meant to order
it for the
A. Call the laboratory at 6-6777 to see if the order has been received in the lab:
- If the order is in PathNet, then the lab will cancel the test and the caller should re-order it STAT
- If the
order is not in PathNet, then the caller should D/C cancel the test and
re-order it STAT
Q. I
just ordered a test as a routine phlebotomy, and I need to collect it STAT.
What should I do?
A. Call the laboratory at 6-6777 to see if the order has been received in the lab:
- If the order is in PathNet, then the lab will cancel the test and the caller should re-order it STAT
- If the
order is not in PathNet, then the caller should D/C cancel the test and
re-order it STAT
Q. I
ordered a test for the
A. Phlebotomy sweeps begin at published times, however clinical conditions of patients on units may cause times to vary.
http://www.pathology.med.umich.edu/specimenprocurement/inpatientphleb.html
Q.
How are newborn screens handled in Womens’s now that we have UM-Carelink?
A. The NBS procedure is ordered by Carlink, order comes to phleb collection list, phleb picks up the card at the nursing station, phleb specimen label should be placed on the back of the card that is placed on the drying rack.
A. Call the laboratory to cancel the order; the user can then order the NBS test but should
be reminded to set the Collection Override flag before the lab order is placed.
If the order has already been placed and the nurse changes the override,
the order will still be processed as the unit default.
Q.
Do I really need to page a phlebotomist when I’ve placed a STAT or Time
Critical order?
A. Transfer the caller to the UM-Carelink Support Desk at 6-2222; the called will be instructed to page the STAT phlebotomist for all STAT or Time Critical orders placed in Carelink.