We used to have Mysis/Sunquest...Cerner is SOOOO much better. Our build was a disaster. We hade a good BB'er on the project but as it went live on all hosp sites, continual amendments were made. Here's a few suggestions....if you haven't covered them already Under ABORh typing: the "HX" drop down box. It means if there is a hx for the patient... not if a hx check was done. Name the choices "Hx yes" and "Hx no". Make the choice "Hx no" reflex to an ABORh recheck orderable.If an ABORh is ordered, the result will show up in the patients demographics box on the top. If an ABO and a separate Rh is ordered, it will NOT show up in the patients demographic box...something to consider "fixing" If ER orders an Rh only...make it an ABORh so you can collect a full type for your hx file..? . If patients are transferred to a sister hospital, the ABORh will NOT be visible to any of your sister hospitals (if you share patients and their records) but the Ab / Ag and BB comments info will.?????? We are part of a lg chain w/4 hospitals in the same general are. It's not uncommon for pts to transfer to a sister hosp. Our issue is in the "patient reconciliation" process(Some Rn on the build decided ABORh is so impt new facilities should repeat it every time ...like some tech is really going to issue based on historical type...)Make sure the types are viewable in the demographics box...can be used as a hx reference.If you can't do this, manually copy the abo recheck in the Blood Bank tab...info in the Blood Bank, Comments and Notes tabs follows the patientCord Bloods We just got a Mother -Baby...pt relationship link which is a small icon in the upper R corner of the pt demographic box. I think it's part of the new OB administration program.. Makes it a little easier to see who's baby is linked to whom. If the Fetal Screen is pos, have it reflex to a KB. Weak D testing Reflex If a baby is D neg ( and the mom is D neg) -" Perform" the Baby's results (NOT " Verify"), exit the program, reopen BB results, rescan in the Acc # and the Weak D test will be added to the acc #. If you could make that a reflex, WOW, but I don't think the system can search and interpret the babys and the mom's data. Pos ABSC. If an ABSC is resulted and Verified as Pos, it will reflex to an AB ID. Make the AB ID column less wide. All results are small in width. The process for adding multiple Ab's (and Ag's) is cumbersome. When you verify 1 the computer will ask you if you're done. You can say NO and rescan in the acc # and reenter another Ab, or you can use the "Insert Line" icon on the top. This is a little cumbersome. You click on an empty row below your last entry,then click the "Insert Line" icon on the top Left and then choose to add a Line or a Cell (I don't understand the diff between the 2). It adds another line under the orderable and you place your 2nd result there. You can insert as many lines as you want....This is handy when entering a full phenotype results from the ref lab. Ag typing results The orderable for this is Ag typing or Ag Hx (no charge dropped..if the ref lab does the typing and you are entering the results) Ref lab billing is separate. There are many reaction columns to record results done at ie IN, RT, AHG, CC. Suggest the result column at the far R is much smaller. Makes it easier to double check your entry. the brain is overwhelmed...more to come