Infection control flipped our signage and clearance criteria on Monday to align with the new CDC respiratory virus guidance, and now we’re doing 0600/1400 symptom checks before discontinuing. I’m trying to shave minutes off the extra charting — any smart phrases or flowsheet shortcuts in Epic that speed the clearance note without chasing two cosigns?
I built a SmartPhrase in Epic (.respclear) that pulls the last two ‘Resp Symptom Check’ flowsheet rows with timestamps into the Nursing Progress Note, so the 0600/1400 checks auto-fill and I use the version that doesn’t require a cosign. If your build doesn’t expose that SmartLink, ask your analyst to add a Flowsheet SmartBlock to the clearance note so you’re not chasing two cosigns.
Building on @ivorylight26, try a NoteWriter macro with a SmartText that adds a tiny SmartList (“met/not met”) and uses Add Flowsheet to Note for the last two Resp Symptom Check rows, so you drop a one‑liner like “0600/1400 negative — clear per protocol” in two clicks. Caveat: if your site requires a Remove Isolation order, you’ll still get a cosign. Does your build allow Add Flowsheet to Note from those rows?
Piggybacking on @shift.mentor312: if your org allows a co‑sign–exempt Nursing Progress Note type, set your NoteWriter macro to default to it and drop a SmartText with a tiny ‘met/not met’ SmartList so the clearance files without chasing signatures — like hitting a fast‑pass button. Do you have that note type or an RN‑only routing?
, the extra clicks for the 0600/1400 checks add up. I use a text expander shortcut (.rcdone) that drops a one‑liner like: “Per CDC respiratory update, 0600/1400 reassessments complete; afebrile 24h off antipyretics; no new/worsening symptoms; criteria met; signage removed at [time]” — takes about 10 seconds; source: https://www.cdc.gov/respiratory-viruses/hcp/guidance.html. If IT bans expanders, Dragon Auto‑Text works the same — anyone have luck with that?