Resource and patient management system



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8.5Order Parameters (PAR)


Select the Order Parameters (PAR) option on the Order Entry Configuration menu to display the following:

Order Parameters


HLD Disable Hold/Unhold Actions in EHR

IND Enable Clinical Indicator Prompt

MSC Miscellaneous Parameters

ORD Disable Ordering in EHR

RSN Edit DC Reasons

UOV Set Unsigned Orders View on Exit

VER Enable/Disable Order Verify Actions
Select Order Parameters Option:

8.5.1Disable Hold/Unhold Actions in EHR (HLD)


Select the Disable Hold/Unhold Actions in the EHR (HLD) option on the Order Parameters menu to display the following:

Disable Hold/Unhold Actions in EHR


Setting Disable Hold/Unhold Actions in GUI for System: DEMO.OKLAHOMA.IHS.GOV

Disable Hold: ?


Enter yes if using the Hold/Unhold actions should be disallowed in GUI.
Disable Hold:

This parameter will prevent orders from being placed on hold.


8.5.2Enable Clinical Indicator Prompt (IND)


Select the Enable Clinical Indicator Prompt (IND) on the Order Parameters menu to display the following:

Enable Clinical Indicator Prompt


Enable Clinical Indicator Prompt may be set for the following:
800 Division DIV [DEMO INDIAN HOSPITAL]

900 System SYS [DEMO.OKLAHOMA.IHS.GOV]


Enter selection: 900 System DEMO.OKLAHOMA.IHS.GOV
Setting Enable Clinical Indicator Prompt for System: DEMO.OKLAHOMA.IHS.GOV

Select Package: ??

Choose from:

LAB SERVICE LR

OUTPATIENT PHARMACY PSO

Select Package:

When this prompt is Enabled, then the person entering the order is not allowed to Accept the order until a diagnosis is entered in the Clinical Indication field (in the EHR).

IHS has started requiring this for Labs because the Insurance companies want this information.

This feature can also appear in outpatient medication orders.

8.5.3Miscellaneous Parameters (MSC)


Select the Miscellaneous Parameters (MSC) option on the Order Parameters menu to display the following:

Miscellaneous Parameters


Miscellaneous OE/RR Definition for System: DEMO.OKLAHOMA.IHS.GOV

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

Active Orders Context Hours

Allow Clerks to act on Med Orders NO

Allow Clerks to act on Outside Med Orders

Auto Unflag

Confirm Provider

Default Provider

Error Days 3

New Orders Default

Restrict Requestor YES (ORELSE & OREMAS)

Review on Patient Movement

Show Lab #

Show Status Description

Signature Default Action

Signed on Chart Default

------------------------------------------------------------------------------
--- Setting Active Orders Context Hours for System: DEMO.OKLAHOMA.IHS.GOV ---

ACTIVE ORDERS CONTEXT HOURS:

You should setup miscellaneous OE/RR parameters before users actively start using the application.

Active Orders Context Hours 24

This parameter determines the number of hours that orders remain in the Active/Current Orders context after they have been completed. Most sites choose either 24 or 72 hours depending of whether or not the order should remain active over the span of a weekend.

Allow Clerks to act on Med Orders NO

If clinicians are to enter their own med orders (recommended), this should be set to no. Set to yes ONLY if you want to have clerks (those holding the OREMAS key) are allowed to act on medication orders. Enter YES 117

to permit clerks to enter a new or DC medication order and release it to Pharmacy as ‘Signed on Chart’, or UNRELEASED ONLY to restrict clerks to only entering unreleased orders.

Allow Clerks to act on Outside Med Orders

This parameter determines if clerks (i.e., users holding the OREMAS key) are allowed to act on outside med orders. Enter YES to permit a clerk to enter new or DC outside med orders and send them to Pharmacy for reports and order checks. Enter UNRELEASED ONLY to restrict clerks to only entering unreleased orders. To prohibit clerks from handling outside med orders entirely, select NO.

Auto Unflag YES

Enter YES to automatically cancel the Flag Orders Notification and unflag all orders for the patient when a user processes a Flagged Order Notification.

Confirm Provider YES (Exclude ORES)

This is for the VA; therefore, use the default.

Default Provider

Enter YES to allow the attending physician to be prompted (as a default) when adding orders.

This can save time if a site has no residents or interns but changing the clinician for cross-coverage on weekends will need to be taught. Once a requesting clinician is chosen, you cannot change it.

Error Days

Enter the number of days to keep the OE/RR Error file current. The default is three days.

New Orders Default

Nothing is needed here. This is a hold over from the old roll-and-scroll version of order entry.

Restrict Requestor

This does not work!

Review on Patient Movement

This no longer works. It is a hold over from the old version of order entry.

Show Lab #

Enter YES to have the lab order number displayed to physicians on Release.

Show Status Description

Enter YES to have the lab status displayed to physicians on Release. Probably not needed.

Signature Default Action Release w/o Signature

This parameter is for nurses. When they sign off orders, “what is the default?” should be answered here. Because most nurse orders should be telephone or verbal, RS is the logical choice.

Select one of the following:

OC Signed on Chart

RS Release w/o Signature

Signed on Chart Default NO

This defines the default value to be presented when the user gets the prompt to mark orders as Signed on Chart; if no value is entered, then NO is used as the default.


8.5.4Disable Ordering in EHR (ORD)


Select the Disable Ordering in EHR (ORD) option on the Order Parameters menu to display the following:

Disable Ordering in EHR


Disable Ordering in GUI may be set for the following
2 User USR (choose from NEW PERSON

5 System SYS (DEMO.MEDSHERE.COM)

10 Package PKG (ORDER ENTRY/RESULTS REPORTING)
Enter selection: 5 System DEMO.MEDSHERE.COM
---- Setting Disable Ordering in GUI for System: DEMO.MEDSHERE.COM ----

Disable Ordering: ??


This parameter disables writing orders and taking actions on orders in the GUI.

Disable Ordering:

This parameter will prevent the System or a User from entering or doing anything to an existing order other than looking at it.

The person(s) affected should still be able to log onto EHR and do anything else, just not enter new orders (of any kind, including meds) nor change any existing order.


8.5.5Edit DC Reasons (RSN)


Select the Edit DC Reasons (RSN) option on the Order Parameters menu to display the following:

Edit DC Reasons


Select DC REASON: ??

Choose from:

7 Duplicate Order

8 Discharge

9 Transfer

10 Treating Specialty Change

11 Admit

14 Requesting Physician Cancelled

15 Obsolete Order

16 Entered in error

17 Death

20 Surgery

21 Pass

22 ASIH


You may enter a new ORDER REASON, if you wish

This is the name of the DC Reason.

Select DC REASON:

If an order is discontinued, the application asks to enter a reason that will appear on the order details. Some of the reasons will appear automatically such as those when a patient is discharged. Sites can make local reasons to augment the national list.


8.5.6Set Unsigned Orders View on Exit (UOV)


Select the Set Unsigned Orders View on Exit (UOV) option on the Order Parameters menu to display the following:

Set Unsigned Orders View on Exit


Unsigned Orders View on Exit may be set for the following:
1 User USR [choose from NEW PERSON]

3 Service SRV [choose from SERVICE/SECTION]

5 Division DIV [DEMO INDIAN HOSPITAL]

7 System SYS [DEMO.OKLAHOMA.IHS.GOV]


Enter selection: 7 System DEMO.OKLAHOMA.IHS.GOV
-- Setting Unsigned Orders View on Exit for System: DEMO.OKLAHOMA.IHS.GOV --

UNSIGNED ORDERS VIEW ON EXIT: ?


Enter the unsigned orders view to present ORES key holders on exit.
Select one of the following:
0 NEW ORDERS ONLY

1 MY UNSIGNED ORDERS

2 ALL UNSIGNED ORDERS
UNSIGNED ORDERS VIEW ON EXIT:

8.5.7Enable/Disable Order Verify Actions (VER)


Select the Enable/Disable Order Verify Actions (VER) option on the Order Parameters menu to display the following:

Enable/Disable Order Verify Actions


Enable/Disable Order Verify Actions may be set for the following:
1 User USR [choose from NEW PERSON]

5 System SYS [DEMO.OKLAHOMA.IHS.GOV]


Enter selection: 5 System DEMO.OKLAHOMA.IHS.GOV
Setting Enable/Disable Order Verify Actions for System: DEMO.OKLAHOMA.IHS.GOV

Verify Action Status: ??


This parameter controls whether nurses are allowed to verify orders in the

GUI. The default value is 0, which allows nurses to verify orders only

when ordering is enabled. To allow nurses to verify orders when ordering

is disabled, set the value to 1. To never allow the verify actions, set

the value to 2.

This parameter applies to the "Verify" and "Chart Review" on the Actions

menu on the Order tab.
Verify Action Status:

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