Resource and patient management system



Download 1.45 Mb.
Page13/32
Date conversion23.11.2016
Size1.45 Mb.
1   ...   9   10   11   12   13   14   15   16   ...   32

8.0Order Entry Configuration (ORD)


Select the Order Entry Configuration (ORD) option on the RPMS-EHR Master Configuration Menu to display the following:

Order Entry Configuration


DOC Delayed Orders Configuration ...

KEY Key Management ...

MNU Order Menu Management ...

OCX Order Check Configuration ...

PAR Order Parameters ...

PRN Print/Report Parameters ...

RPT Order Reports ...

Select Order Entry Configuration Option:


8.1Delayed Orders Configuration (DOC)


Select the Delayed Order Configuration (DOC) option on the Order Entry Configuration menu to display the following:

Delayed Orders/Auto-DC Setup


DOE Delayed Orders/Auto-DC Setup

EDO Enable Event-Delayed Orders

INQ Inspect the OE/RR Patient Event File

PAR Event-Delayed Order Parameters

REL Release/Cancel Delayed Orders

Select Delayed Orders Configuration Option:

This setup is done for Inpatients. See the EHR Inpatient manual for more information.

When the Enable Event-Delayed Orders is enabled, then Write Delayed Orders will be placed in the Write Orders panel in the Order window.


8.2Key Management (KEY)


Select the Key Management (KEY) option on the Order Entry Configuration menu to display the following:

Key Management


ALL Allocated OE/RR Security Keys

CHK Check for Multiple Keys

Select Key Management Option:

8.2.1Allocate OE/RR Security Keys (ALL)


Select the Allocate OE/RR Security Keys (ALL) option on the Key Management menu to display the following:

Allocate OE/RR Security Keys


KEY: ORES
This key is given to users that are authorized to write orders in

the chart. Users with this key can verify with their electronic

signature patient orders.

This key is typically given to licensed Physicians.

Orders entered by users with this key can be released to the ancillary

service for immediate action.

DO NOT give users both the ORES key and the ORELSE key.
Edit Holders? Yes// (Yes)
Select HOLDER: demo DEMO,DOCTOR

Delete key? Yes//

Keys must be setup before anyone can write any order using the EHR.

There are three keys used by EHR for use in ordering. These keys are mutually exclusive. If a user has more than one key, the system will respond is some very odd ways.

The clinical coordinator has the ability to assign these keys using the option above. If a user does not have the key, it is automatically added when the CAC enters the user’s name. If the user has the key, the key will be removed when the CAC enters the user’s name.

The keys and their usage are as follows:



  • ORES: This is the clinician key. It should be given to anyone who can write orders under that person’s own authority.

  • ORELSE: This is the nurse key. It should go to anyone who is credentialed to take verbal and telephone orders (such as, RNs and pharmacists). The order will be released to the service, and the ordering clinician will get an alert to sign the order.

  • OREMAS: This is the clerk key. It should go to anyone who is transcribing written orders. The “real” order must exist with a signature in paper format. The person must only be transcribing.

  • No keys: This key is for those who can still enter orders. These orders will not be released and will be held until the clinician signs the orders after getting an alert that they are there. Many sites will assign no keys to medical students.

8.2.2Check for Multiple Keys (CHK)


Select the Check for Multiple Keys (CHK) option on the Key Management menu to display the following:

Check for Multiple Keys


This utility identified users that have more than one OR key assigned. Users with more than one key can encounter problems when adding order. Any users listed will need to their keys edited and correctly assigned.
Ok to continue? Yes//

If the application exhibits unexplained behavior or the person can’t sign orders (but could before), that person might have been given more than one key. Use this option to get a list of anyone with more than one key. Then determine which key is correct and update that person to the correct key.


8.3Order Menu Management (MNU)


Select the Order Menu Management (MNU) option on the Order Entry Configuration menu to display the following:

Order Menu Management

ACT Create/Modify Actions

DIS Enable/Disable Order Dialogs

GEN Create/Modify Generic Orders

LST List Primary Order Menus

MNU Create/Modify Order Menus

OIC Create/Modify Orderable Items

PAR Menu Parameters ...

PMT Create/Modify Prompts

PRI Assign Primary Order Menu

PRT Convert Protocols

QOC Create/Modify Quick Orders

QOR Create/Modify QO Restrictions

SET Create/Modify Order Sets

SRC Search/Replace Components

SRO Search/Replace Orderables
Select Order Menu Management Option:

8.3.1Create/Modify Actions (ACT)


Select the Create/Modify Actions (ACT) option on the Order Menu Management Menu to display the following:



Figure 8 11: Create/Modify Actions Information

This option allows you to create or change actions that can be placed on the Add Orders menu.


8.3.2Enable/Disable Order Dialogs (DIS)


Select the Enable/Disable Order Dialogs (DIS) option on the Order Menu Management menu to display the following:

Enable/Disable Order Dialogs


Select ORDER DIALOG: ORZM MAIN MENU

ANOTHER ONE:


Enter a message to disable the dialog(s), or @ to enable again.

MESSAGE:


Use this option to disable order dialogs that are no longer in use. However, only use it after the search option has found that it is not on any active menus. Dialogs can also be re-enabled with this option.

8.3.3Create/Modify Generic Orders (GEN)


Select the Create/Modify Generic Orders (GEN) option on the Order Menu Management menu to display the following:

Create/Modify Generic Orders


Select ORDER DIALOG NAME:

A generic order was the only way to make nursing orders in the past. Now most nursing orders are done through quick orders. However, generic orders can still be useful when you want template field in the order or need to do rather complex orders with many steps.

This option allows you to create or change generic text orders that can be placed on the Add Orders menu; limited access to some clinical service order dialogs is also available through this option.

8.3.4List Primary Order Menus (LST)


IHS does not use this option.

8.3.5Create/Modify Order Menus (MNU)


Select the Create/Modify Order Menus (MNU) option on the Order Menu Management menu to create or edit order menus. Establish a facility-wide policy on naming the menus so that someone can always find the order menus.

If you enter an existing order menu, you could get:





Figure 8 12: Example of Modify Order Menus

8.3.6Create/Modify Orderable Items (OIC)


Select the Create/Modify Orderable Items (OIC) option on the Order Menu Management menu to display the following:

Create/Modify Orderable Items


Type of Orderable:

This option lets you create or change the things that are orderable items via generic text orders at your site.

Quick orders all need to be attached to an orderable item.

For most services, such as lab and pharmacy, these orderable items are created when the application is installed. However, any orders that don’t get sent to a service, such as nursing or clerk orders, need to have orderable items created before they can be used as quick orders.

After you enter the type of orderable, you will be asked to select the orderable items.

8.3.7Menu Parameters (PAR)


Select the Menu Parameters (PAR) option on the Order Menu Management menu to display the following:

Menu Parameters


CON New Consult Dialog Default

INP Write Orders List (Inpatient)

MED New Med Dialog Default

OUT Write Orders List (Outpatient)

PRO New Procedure Dialog Default

STY Order Menu Style

Select Menu Parameters Option:

8.3.7.1New Consult Dialog Default (CON)


Select the New Consult Dialog Default (CON) option on the Menu Parameters menu to display the following:

New Consult Dialog Default

New consult dialog default may be set for the following:
1 User USR (choose from NEW PERSON)

2 Location LOC (choose from HOSPITAL LOCATION)

3 System SYS (DEMO.MEDSPHERE.COM)
Enter selection:

This selects the new default consult dialog for the specified selection.


8.3.7.2Write Orders List (Inpatient) (INP)


Select the Write Orders List (Inpatient) (INP) option on the Menu Parameters menu to display the following:

Write Orders List (Inpatient)

Write Orders (Inpatient) may be set for the following:
1 User USR (choose from NEW PERSON)

2 Location LOC (choose from HOSPITAL LOCATION)

2.3 Service SRV (choose from SERVICE/SECTION)

2.7 Division DIV (DEMO HOSPTIAL)

3 System SYS (DEMO.MEDSPHERE.COM)
Enter selection:

This has nothing to do with inpatient (it’s just the name).

Quickorders must be added through parameters and menus to the EHR in order for users to access them. The primary menu is a parameter called ORWOR and is like the roots of a tree. Various menus including laboratory (LR), outpatient pharmacy (PSOZ), and others are added and create the trunk of the tree. From these primary menus, additional menus will branch off; for example, you can have an outpatient medication menu that is used by one clinic, while another menu is used in the emergency room. These menus can continue to branch out. An example of quickorder menus is shown below:

Tree Roots = ORWOR write orders


Tree trunk Branches Tree Leaves
LR (lab) Main lab menu Hematology

Chemistry

Urine

Microbiology



PSOZ (Outpt Pharmacy Outpat med menu Cardiovascular

Diabetes


Neurologic

Outpt meds given in clinc Immunizations

Antibiotics

Pain Meds

Once a new order menu has been created, you can place it on another order menu that is already being used in the EHR, or you can add it to the list. The list that appears in the EHR is setup by the parameter called ORWOR WRITE ORDERS LIST.

ORWOR WRITE ORDERS LIST can be set for the following:

1 User USR [choose from NEW PERSON]

2 location LOC [choose from HOSPITAL LOCATION]

2.3 Service SRV [choose from SERVICE/SECTION]

2.7 Division DIV [TUBA CITY HO]

3 System SYS [TCDEMO.NAV.IHS.GOV]

4 Package PKG [ORDER ENTRY/RESULTS REPORTING]

This list can be set at many different levels so that users can have different order lists. Below is an example of a system setup of the orders list:

The user sets up the order of the items as well as what items appear.

Sequence Value

-------- -----

1 GMRAOR ALLERGY ENTER/EDIT

5 FHWI


10 PSJ OR PAT OE

15 PSO OERR

20 PSJI OR PAT FLUID OE

25 LR OTHER LAB TESTS

30 RA OERR EXAM

35 GMRCOR CONSULT

38 GMRCOR REQUEST

40 GMRVOR

45 OR GXTEXT WORK PROCESSING ORDER

50 ORZ ADMISSION ORDER MENU

55 ORZ QUICK ORDER SAMPLE

This parameter is used to list the order dialog names that appear in the Write Orders panel of the Orders window.





Figure 8 13: Orders Window in EHR

8.3.7.3New Med Dialog Default (MED)


Select the New Med Dialog Default (MED) option on the Menu Parameters menu to display the following:

New Med Dialog Default

New Med Dialog may be set for the following:
1 User USR (choose from NEW PERSON)

3 System SYS (DEMO.MEDSHERE.COM)


Enter selection:

This parameter is used to present the order dialog for New Medication on the Medications window. A separate order dialog can be used to inpatients and outpatients.


8.3.7.4Write Orders List (Outpatient) (OUT)


Select the Write Orders List (Outpatient) (OUT) option on the Menu Parameters menu to display the following:

Write Orders List (Outpatient)


Menu for Write Orders List may be set for the following:
2 User USR (choose from NEW PERSON)

4 Location LOC (choose from HOSPITAL LOCATION)

5 Service SRV (choose from SERVICE/SECTION)

7 Division DIV (DEMO HOSPITAL)

8 System SYS (DEMO.MEDSHERE.COM)
Enter selection:

This is an alternative way to set up the Write Orders list; this will overwrite the ORWOR WRITE ORDERS list. In this method, you create one menu and you attach all of your items to this one menu.


8.3.7.5New Procedure Dialog Default (PRO)


IHS does not use this option.

8.3.7.6Order Menu Style (STY)


Select the Order Menu Style (STY) option on the Menu Parameters menu to display the following:

Order Menu Style


-------- Setting Order Menu Style for System: DEMO.OKLAHOMA.IHS.GOV --------

Menu Style: ?


Select the style of ordering menu to be used with the GUI.
Select one of the following:
0 Mnemonics Included

1 No Mnemonics

2 Reserved1

3 Reserved2


Menu Style:

The “style” determines whether the EHR order menus include mnemonics.


8.3.8Create/Modify Prompts (PMT)


Select the Create/Modify Prompts (PMT) option on the Order Menu Management Menu to display the following:

Create/Modify Prompts

Select PROMPT: OR GTX

1 OR GTX ADDITIVE

2 OR GTX ADMIN SCHEDULE

3 OR GTX ALLERGY TYPE

4 OR GTX AND/THEN

5 OR GTX CALLHO

Press to see more, '^' to exit this list, OR

CHOOSE 1-5: 1 OR GTX ADDITIVE

NAME: OR GTX ADDITIVE DISPLAY TEXT: Additive:

TYPE: prompt PACKAGE: ORDER ENTRY/RESULTS REPORTING

DATA TYPE: pointer DOMAIN: 101.43:EQS

ID: ORDERABLE TIMESTAMP: 59741,31497


This prompt is not editable!
Select PROMPT:

This option lets you create or change prompts for generic orders.


8.3.9Assign Primary Order Menu (PRI)


IHS does not use this option.

8.3.10Convert Protocols (PRT)


This feature is not used at this time.

8.3.11Create/Modify Quick Orders (QOC)


Select the Create/Modify Quick Order (QOC) option on the Order Menu Management Menu to display the following:

Create/Modify Quick Orders


Select QUICK ORDER NAME:

You can select from a list of quick orders. After selecting a quick order name, the system displays several parts of the quick order that you can edit.


8.3.11.1Namespaces for Quick Orders


Namespace

Department

RA

Radiology

LR

Lab

PSO

Outpatient meds

PSJ

Inpatient (Unit dose) meds

PSIV

IV meds

GMRC

Consults

OR

CPRS

FH

Dietary

8.3.11.2Laboratory Test Quick Order


The laboratory quick order uses LR as the namespace and Z means local. Below is an example of the lab quick order for Creatinine.

Select QUICK ORDER NAME: LRZ CREATININE OUTPT

NAME: LRZ CREATININE OUTPT//

DISPLAY TEXT: Creatinine Today//

VERIFY ORDER: YES//

DESCRIPTION:

Blood creatinine level ordered for today

Edit? NO//

1>

ENTRY ACTION:


Lab Test: CREATININE

1 CREATININE

2 CREATININE CLEARANCE (SO)

3 CREATININE URINE URINE CREATININE

CHOOSE 1-3: 1

SEND TO LAB - Means the patient is ambulatory and will be sent to the

Laboratory draw room to have blood drawn.

WARD COLLECT - Means that either the physician or a nurse will be collecting the sample on the ward.

LAB BLOOD TEAM - Means the phlebotomist from Lab will draw the blood on the ward. This method is limited to laboratory defined collection times.
SP Send patient to lab

WC Ward collect & deliver

LC Lab blood team

Collected By: SP Send patient to lab

Collected Sample: BLOOD//

Collection Date/Time: N (JUN 18, 1997@14:11)

How often: ONCE
------------------------------------------------------------------------

Lab Test: CREATININE

Collected By: Send patient to lab

Collection Sample: BLOOD

Specimen: BLOOD

Collection Date/Time: TODAY

How often: ONCE

------------------------------------------------------------------------

(P)lace, (E)dit, or (C)ancel this quick order? PLACE//

Auto-accept this order? NO

Comments about the above order sample:


Field

Comment

NAME

This is the official name

DISPLAY TEXT

This is the name the user sees

VERIFY ORDER?

This controls whether the clinician is asked to edit the order

Collection Date/Time

Do not enter a date here for this type of test

8.3.11.3All Other Labs Quickorder


This feature enables users to order labs that are not available as quickorders; the CAC can incorporate the quickorder LR OTHER LAB TESTS as a link to all other medications.



Figure 8 14: Sample Outpatient Meds

8.3.11.4Outpatient Pharmacy Quick Order


A site will probably want to either have someone from pharmacy create the quick orders for medications or at least have a pharmacist review them before users can access them. PS is the namespace for pharmacy.

Select Order Menu Management Option: Enter/edit quick orders


Select QUICK ORDER NAME: PSIVZ AMINOPH 1GM

Are you adding 'PSJZ AMINOPH 1GM' as a new ORDER DIALOG? No// Y (Yes)

TYPE OF QUICK ORDER: IV MEDICATIONS

NAME: PSJZ AMINOPH 1GM//

DISPLAY TEXT: Aminophylline drip

VERIFY ORDER: NO// Y (Yes)

DESCRIPTION:

No existing text

Edit? NO//
Solution: D5W INJ,SOLN IV

Additive: AMINOPHYLLINE INJ,SOLN IV AMINOPHYLLINE INJ,SOLN IV AMINOPHYLLINE

INJ,SOLN IV

(Units for this additive are MG)

Strength: 1000

Another Additive:

Infusion Rate: 10

Priority: ROUTINE// Provider Comments:

1> Titrate to effect.

2>

Edit OPTION:
------------------------------------------------------------------------

Solutions: D5W INJ,SOLN IV 1000 ml

Additives: AMINOPHYLLINE INJ,SOLN IV 1000 MG

Infusion Rate: 10 ml/hr

Priority: ROUTINE

Provider Comments: Titrate to effect.

------------------------------------------------------------------------
(P)lace, (E)dit, or (C)ancel this quick order? PLACE//

8.3.11.5All Other Meds Pharmacy Quickorder


When you click the All Other Meds quickorder, the following Medication Order dialog displays.



Figure 8 15: Sample Medication Order Dialog

8.3.11.6Outside Rx


To set up Outside Prescription (medications not dispensed from your site) quickorders follow the instructions below. Much of this must be done by the Pharmacist, using the Pharmacy package.

Select Pharmacy Data Management Option: DRUG

1 Drug Enter/Edit

2 Drug Interaction Management

3 Drug Text Enter/Edit

4 Drug Text File Report

CHOOSE 1-4: 1 Drug Enter/Edit
Select DRUG GENERIC NAME: OUTSIDE RX 11

Are you adding 'OUTSIDE RX 11' as a new DRUG (the 2924TH)? No// Y (Yes)

DRUG NUMBER: 85889//

DRUG VA CLASSIFICATION:

DRUG FSN:

DRUG CURRENT INVENTORY:

DRUG LOCAL NON-FORMULARY:

DRUG INACTIVE DATE:

DRUG MESSAGE:

DRUG RESTRICTION:

GENERIC NAME: OUTSIDE RX 11//

VA CLASSIFICATION:

DEA, SPECIAL HDLG: 9
NATIONAL FORMULARY INDICATOR: Not Matched To NDF

LOCAL NON-FORMULARY:

VISN NON-FORMULARY:

Select DRUG TEXT ENTRY:

Select FORMULARY ALTERNATIVE:

Select SYNONYM:

MESSAGE:

RESTRICTION:

FSN:

INACTIVE DATE:



WARNING LABEL:

ORDER UNIT:

DISPENSE UNIT:

DISPENSE UNITS PER ORDER UNIT:

NDC:

PRICE PER ORDER UNIT:



AWP PER ORDER UNIT:

AWP PER DISP UNIT is

SOURCE OF SUPPLY:

DISPENSING LOCATION:

STORAGE LOCATION:

PRICE PER DISPENSE UNIT:


Do you wish to match/rematch to NATIONAL DRUG file? Yes// N (No)

Just a reminder...you are editing OUTSIDE RX 11.


LOCAL POSSIBLE DOSAGES:
Do you want to edit Local Possible Dosages? N// O
MARK THIS DRUG AND EDIT IT FOR:

O - Outpatient

U - Unit Dose

I - IV


W - Ward Stock

D - Drug Accountability

C - Controlled Substances

X - Non-VA Med

A - ALL
Enter your choice(s) separated by commas : O,X

O - Outpatient

X - Non-VA Med

** You are NOW editing OUTPATIENT fields. **


AN Outpatient Pharmacy ITEM? No// Y (Yes)

CORRESPONDING INPATIENT DRUG:

MAXIMUM DOSE PER DAY:

LOCAL NON-FORMULARY:

NORMAL AMOUNT TO ORDER:

SOURCE OF SUPPLY:

CURRENT INVENTORY:

ACTION PROFILE MESSAGE (OP):

MESSAGE:

QUANTITY DISPENSE MESSAGE:


Do you wish to mark/unmark as a LAB MONITOR or CLOZAPINE DRUG?

Enter Yes or No: NO

** You are NOW Marking/Unmarking for NON-VA MEDS. **
A Non-VA Med ITEM? No// Y (Yes)
** You are NOW in the ORDERABLE ITEM matching for the dispense drug. **

Choose Dosage Form: PILL


Dose Form -> PILL
Match to another Orderable Item with same Dosage Form? NO// NO

Dosage Form -> PILL

Dispense Drug -> OUTSIDE RX 11

Orderable Item Name: OUTSIDE RX 11


Matching OUTSIDE RX 11

to

OUTSIDE RX 11 PILL


Is this OK? YES//

Match Complete!


Now editing Orderable Item:

OUTSIDE RX 11 PILL


FORMULARY STATUS:

Select OI-DRUG TEXT ENTRY:

INACTIVE DATE:

DAY (nD) or DOSE (nL) LIMIT:

MED ROUTE:

SCHEDULE TYPE:

SCHEDULE:

PATIENT INSTRUCTIONS:


Select SYNONYM:
------

TO MAKE THE QUICKORDER:


Select QUICK ORDER NAME: PSOZ OUTSIDE RX 11

Are you adding 'PSOZ OUTSIDE RX 11' as a new ORDER DIALOG? No// Y (Yes)

TYPE OF QUICK ORDER: OUTPATIENT MEDICATIONS

NAME: PSOZ OUTSIDE RX 11//

DISPLAY TEXT: Outside Rx 11

VERIFY ORDER: y YES

DESCRIPTION:

No existing text

Edit? NO//
Medication: OUTSIDE RX 11 PILL

Complex dose? NO//

Dose:

Days Supply:



Quantity:

Refills (0-11):

Pick Up: C ADMINISTERED IN CLINIC

Priority: ROUTINE//

Comments:

No existing text

dit? No// (No)
----------------------------------------------------------------------------
Medication: OUTSIDE RX 11 PILL

Pick Up: ADMINISTERED IN CLINIC

Priority: ROUTINE

----------------------------------------------------------------------------


(P)lace, (E)dit, or (C)ancel this quick order? PLACE//

Auto-accept this order? NO//


Select QUICK ORDER NAME:

8.3.11.7Inpatient Pharmacy Quick Order


Below is an example of an inpatient pharmacy order.

Select Order Menu Management Option: Enter/edit quick orders


Select QUICK ORDER NAME: PSJZ CIMETIDINE

Are you adding 'PSJZ CIMETIDINE ' as a new ORDER DIALOG? No// Y (Yes)

TYPE OF QUICK ORDER: UNIT DOSE MEDICATIONS

NAME: PSJZ CIMETIDINE //

DISPLAY TEXT: Tagamet q8h

VERIFY ORDER: Y (Yes)

DESCRIPTION:

1>

Edit OPTION:

Medication: CIMETIDINE TAB




Choose from:

1 CIMETIDINE 200MG TAB UD PK $0.018

2 CIMETIDINE 300MG TAB UD PK $0.107

3 CIMETIDINE 400MG TAB UD TAB $0.251

Dispense Drug: CIMETIDINE 200MG TAB UD PK $0.018 U.D.

Dosage: 200mg

Route: ORAL//

Schedule: Q8H

First Dose Now?:

Priority: ROUTINE//

Provider Comments:

No existing text Edit? No// (No)

------------------------------------------------------------------------

Medication: CIMETIDINE TAB

Dispense Drug: CIMETIDINE 200MG TAB UD

Dosage: 200mg

Route: ORAL

Schedule: Q8H

Priority: ROUTINE

------------------------------------------------------------------------
(P)lace, (E)dit, or (C)ancel this quick order? PLACE//

8.3.11.8Radiology Quick Order


You might leave many of the prompts on the Radiology quick orders blank so that users can fill them in. This is especially true for “reason for exam” although you can use a reason with a template field of possible choices.

Select QUICK ORDER NAME: RAZ CHEST 2 VIEWS STAT TODAY

Are you adding 'RAZ CHEST 2 VIEWS STAT TODAY' as a new ORDER DIALOG? No// Y (Yes)

TYPE OF QUICK ORDER: IMAGING

NAME: RAZ CHEST 2 VIEWS STAT TODAY Replace

DISPLAY TEXT: Stat Chest 2 views

VERIFY ORDER: Y (Yes)

DESCRIPTION:

1>

Edit OPTION:

Select one of the following imaging types:

NUCLEAR MEDICINE

GENERAL RADIOLOGY

Select IMAGING TYPE: GENERAL RADIOLOGY

Common General Radiology Procedures:

1 ABDOMEN 1 VIEW 21 FOOT 3 OR MORE VIEWS

2 ABDOMEN 2 VIEWS 22 FOREARM 2 VIEWS

3 ANKLE 3 OR MORE VIEWS 23 HAND 3 OR MORE VIEWS

4 CALCANEOUS 2 VIEWS 24 HIP 1 VIEW

5 CHEST 2 VIEWS PA&LAT 25 HUMERUS 2 OR MORE VIEWS

6 CHEST SINGLE VIEW 26 KNEE 3 VIEWS

7 CHOLECYSTOGRAM ORAL CONT 27 NASAL BONES MIN 3 VIEWS

8 COLON AIR CONTRAST 28 NON-INVAS.,DUPLEX SCAN OF CRAN

9 COLON BARIUM ENEMA 29 PELVIS 1 VIEW

10 CT ABDOMEN W/O CONT 30 RIBS UNILAT 2 VIEWS

11 CT CERVICAL SPINE W/O CONT 31 SHOULDER 2 OR MORE VIEWS

12 CT HEAD W/O CONT 32 SINUSES 3 OR MORE VIEWS

13 CT LUMBAR SPINE W/O CONT 33 SKULL 4 OR MORE VIEWS

14 CT MAXILLOFACIAL W/O CONT 34 SPINE CERVICAL MIN 4 VIEWS

15 CT NECK SOFT TISSUE W/O CONT 35 SPINE LUMBOSACRAL MIN 2 VIEWS

16 CT THORAX W/O CONT 36 SPINE THORACIC 2 VIEWS

17 ELBOW 3 OR MORE VIEWS 37 TIBIA & FIBULA 2 VIEWS

18 ESOPHAGUS 38 UPPER GI AIR CONT W/O KUB

19 ESOPHAGUS RAPID SEQUENCE FILMS 39 UROGRAM IV W NEPHROTOMOGRAMS

20 FEMUR 2 VIEWS 40 WRIST 3 OR MORE VIEWS

Radiology Procedure: 5 CHEST 2 VIEWS PA&LAT

Modifier:

History and Reason for Exam:

1> R/O pneumonia or mass

2>

Edit OPTION:


Category:

Is this patient scheduled for pre-op? NO//

Date Desired: TODAY// T (AUG 30, 1997)

Mode of Transport: P PORTABLE

Is patient on isolation procedures?

Urgency: ROUTINE// STAT

Submit request to: TUSCALOOSA VAMC

--------------------------------------------------------------------------

Radiology Procedure: CHEST 2 VIEWS PA&LAT

History and Reason for Exam: R/O pneumonia or mass.

Date Desired: NOW

Mode of Transport: PORTABLE

Urgency: STAT

Submit request to: TUSCALOOSA VAMC

--------------------------------------------------------------------------
(P)lace, (E)dit, or (C)ancel this quick order? PLACE//

Auto-accept: NO


8.3.11.9Consults Quick Order


Below is a sample Consults quick order.

Select QUICK ORDER NAME: GMRCZ EKG STAT ER

Are you adding 'GMRCZ EKG STAT ER' as a new ORDER DIALOG? No// Y (Yes)

TYPE OF QUICK ORDER: CONSULTS

NAME: GMRCZ EKG STAT ER//

DISPLAY TEXT: Stat EKG

VERIFY ORDER:

DESCRIPTION:

1>

ENTRY ACTION:


Consult to Service/Specialty: CARDIOLOGY

1 CARDIOLOGY

2 CARDIOLOGY CLINIC

CHOOSE 1-2: 1 CARDIOLOGY

Reason for Request:

1>r/o MI and arrythmia

2>

EDIT Option:



Category: OUTPATIENT

Urgency: STAT

Place of Consultation: EMERGENCY ROOM

Attention:

Provisional Diagnosis:
------------------------------------------------------------------------

Consult to Service/Specialty: CARDIOLOGY

Reason for Request: r/o MI and arrythmia

Category: OUTPATIENT

Urgency: STAT

Place of Consultation: Emergency Room

------------------------------------------------------------------------
(P)lace, (E)dit, or (C)ancel this quick order? PLACE//

8.3.11.10Nursing Quick Order


Below is an example of a Nursing quick order.

Select Order Menu Management Option: Enter/edit quick orders


Select QUICK ORDER NAME: NURSING

NAME: ORZ FOLEY CATHETER//

DISPLAY TEXT: Foley Catheter to Drainage

VERIFY ORDER:

DESCRIPTION:

No existing text

Edit NO//

ENTER ACTION:

Patient Care: FOLEY CATHETER

Instruction: Empty drainage bag q shift

Start Date/Time: NOW//

Stop Date/Time: t+7

Medication: CIMETIDINE TAB

------------------------------------------------------------------------

Patient Care: FOLEY CATHETER

Instructions: Empty drainage bag q shift

Start Date/Time: NOW

Stop Date/Time: 7 DAYS FROM TODAY

------------------------------------------------------------------------
(P)lace, (E)dit, or (C)ancel this quick order? PLACE//

8.3.12Create/Modify QO Restrictions (QOR)


Select the Create/Modify QO Restriction (QOR) option on the Order Menu Management Menu to display the following:

Create/Modify QO Restrictions


Select an ORDERABLE ITEM (meds or labs only): ACETAMINOPHEN TAB ACETAMINOPHEN TAB
Select the type of usage for which you wish to restrict ordering this item.

Usage: ??


Select the type of usage for which you wish to restrict ordering this item.

Choose from:

OUTPATIENT MEDICATIONS

PHARMACY


SUPPLIER/DEVICES

UNIT DOSE MEDICATIONS

Usage:

This allows ordering only as a quick order. The item does not appear in the “Other” ordering dialogs.


8.3.13Create/Modify Order Sets (SET)


Select the Create/Modify Order Sets (SET) option on the Order Menu Management Menu to display the following:

Create/Modify Order Sets


Select ORDER SET NAME:

An order set is when you put several quick orders together. The application guides you through each item in the set. You can cancel out of an order set or can cancel a specific order; the general idea is that the user is expected to order each item in the set.

Example of Order Set:

Select ORDER SET NAME: LRZ DIABETIC TESTS ORDER SET

NAME: LRZ DIABETIC TESTS ORDER SET//

DISPLAY TEXT: Diabetic Yearly tests

DESCRIPTION:

No existing text

EDIT? No//

ENTER ACTION:

EXIT ACTION:

ORDER SET COMPONENTS

1 LRZ HGBAIC OUTPT

2 LRZ LIPID PANEL

3 LRZ TSH OUTPT

Select COMPONENT SEQUENCE#:

Notes about example:


Field

Description

NAME

This is the official name

DISPLAY TEXT

This is the name the user sees

DESCRIPTION

This explains what the order set is for

8.3.14Search/Replace Components (SRC)


Select the Search/Replace Components (SRC) option on the Order Menu Management Menu to display the following:

Search/Replace Components


Search for: LRZ CALCIUM OUTPT

Ancestor of LRZ CALCIUM OUTPT

Name Type

------------------------------------------------------------------------------

1 LRZM LAB ORDERS menu

------------------------------------------------------------------------------

Replace LRZ CALCIUM OUTPT with:

This option lets you search for specific components on menus and replace or delete one or more instances of these components.

Enter the name of the component you want to replace this one with or enter @ to remove this component. To quit without changing anything, press [Enter].

8.3.15Search/Replace Orderables (SRO)


Select the Search/Replace Orderables (SRO) option on the Order Menu Management Menu to display the following:

Search/Replace Orderables


Search for: SUSP

Quick Orders and Dialogs containing acetaminophen elixir SUSP

-------------------------------------------------------------------------------

1 PSOZ INBUPROFEN 100 MG/5ML SUST

-------------------------------------------------------------------------------

Replace with:

This option lets you search for specific orderable items saved as responses within quick orders; a new orderable item can be selected to automatically replace it, as well.

1   ...   9   10   11   12   13   14   15   16   ...   32


The database is protected by copyright ©dentisty.org 2016
send message

    Main page