Change admission status - inpatient, outpatient, observation
Initiate Hold/Resume – A resume time is now mandatory when the Hold function is utilized. This is a patient safety issue. RNs do not have access to the Hold/Resume function; they must DC the current order and enter a new order.
Order sets default to open – if desired, this can be changed in your preferences from the Desktop screen.
Echo after hours – The process is unchanged. Continue to page or call the on-call technician.
Patient’s Own Med – This may be entered as the medication name. Complete all fields to complete the order.
Prechecked items – these are NOT mandatory. You may uncheck them.
Enter name for consult - Do not combine the two methods; choose one:
Option #1: “N\at least the first 3 letters of last name”
Option #2: remove N\ and enter mnemonic of physician
Blood cultures – one order will order 2 sets automatically. Default priority is routine; change if needed.
Duplicate lab orders on Hemodialysis Order Set – A second set of Dialysis orders for subsequent days was created.
Revisions and updates to order sets – Many revisions have been made to numerous order sets. Call x2763 for assistance with requests.
New orders created:
DC M1 Hold
Diet: NPO after MN
Liver + Renal panel (type either Liver, Renal or Comp to access)
Images to Disc – if you need CDs from Radiology
Cardiac chair is an option under “Activity”
Free Water (flush for tube feeding)
Time for lab orders:
"AM” added to drop down box on lab orders.
Stat = drawn within 15 minutes
Urgent = Similar to stat; rarely used. Either stat, timed or routine is preferred.
Routine = drawn within 1 hour of entered time (may be a little longer with routine morning labs)
Timed = drawn within 15 minutes either before or after entered time
Urine source – This has been pre-populated to “random” in order to reduce mandatory clicks. It may be edited in the comment field or by Nursing or Lab personnel.
“Add to specimen in lab” – This has either been removed or is no longer a mandatory field.
Donor breast milk – This has been added to the list of feeding methods available for Nursery.
Body Fluid – continue to use the paper order form until an order set is built
Tissue specimens – continue to use the Body Fluid order form until an order set is built.
PICC line – order PICC LINE PLCMT OVER 5 YRS; it is the only PICC line with INTERVENTIONAL RADIOLOGY as the category.
Option #1: Order the product. If order to give now, the transfusion indication screens will appear automatically for completion. The product may be ordered, but held or pending surgery. A transfusion order will be required to give the product. Blood bank does not release the product without the transfusion order/indications completed.
Option #2: Order transfusion of product being held (product already ordered)– Select Transfusion Order to access the order and indication screens.
Consent remains on paper to allow for patient/family signature.
Edit titration parameters - You may edit within Administration Criteria. To view the pre-populated parameters, be sure to select the string for titration.
qHS and qDay options – These are not approved abbreviations. Select Bedtime or Daily.
Meds vs. Fluids – It has been requested that plain IV fluids be listed under Medications also. At this time, we are unable to do this. Plain IV fluids are listed under Fluids; IV fluids with a medication are listed under Medications
Topical medications – application site no longer required
Changing med route (IV to PO, etc.) – The initial order must be DC’d and a new order placed for the new route.
Electrolyte order set – Pharmacy will automatically DC the order if the patient’s creatinine is >1.5 since that is the criteria for utilizing the order set.
“Pick a Med String” - Always select a string for medications, then edit. It will minimize the fields you have to complete before filing.