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Order Entry Basics, continued

In document Physician Reference Guide (Page 70-79)

Basic Order Search

You can search for a single order, PowerPlan, or Orders Set by the first word of the order name or by a specific word contained in the order name. PowerPlans and Order Sets are covered in further detail starting on page 79.

Note: You must enter at least 3 letters of the order name to perform a Contains search. Entering too many letters may increase the chances of misspelling your search word;

it is best to enter between 3 and 6 letters.

Search for Orders

By Order Name

Step Action

1. From the Orders band, click + Add.

2. Click the drop-down arrow to change the Order Search criteria to Starts with, if not already selected.

3. Enter your search word in the Search field.

A list of search results displays. Search results may include synonyms for the same order.

4. Click the appropriate order once to select it.

Note: If you double-click, the order will be duplicated. To remove a duplicate, right-click and select Remove prior to signing the orders.

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Order Entry Basics, continued

Search for Order Search criteria to Contains, if not already selected.

3. Enter your search word in the Search field.

.

4. Click the appropriate order once to select it.

Enter Single Orders

Step Action

1. Search for the order.

2. Click the correct order in the search result list.

Note: For peds, it is preferable to select a pediatric order set if available. CareSets provide the best information for dosing and ordering the medication in pediatrics.

3. If entering a medication order, select the order sentence that best matches the intended order.

The Order Details pane opens.

Note: Order details may need to be resized.

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Order Entry Basics, continued

Enter Single Orders,

cont. Step Action

4. If displays, there are missing order

details. Click to move from

one missing detail to the next.

5. Highlight the Order detail, then complete or change the corresponding Detail value.

6. Review all new order details in the Orders for Signature pane.

7. Click Sign.

8. Click to refresh the screen.

Signed orders file into the corresponding clinical category.

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Order Entry Basics, continued

Modify Orders

Use Modify to:

• Adjust the rate (IV fluids, cont. infusions)

• Input stop date and time

• Add comments

Changes to the Details of a Signed Medication Order Cancel/Reorder should NOT be used for Medication Orders. If you need to make changes to other details of a signed Medication Order, Cancel/DC the order and place a new order with the corrected information.

If an order has not been acted upon and was placed in error, you can Void it and place a new order.

Note: Always select Cancel/ DC to modify a Medication Order unless you are modifying the:

• Rate of an IV fluid (must use modify)

• Stop date and time

• Comments

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Order Entry Basics, continued

Favorites Folders

You can create your own Favorites folders where you can store and access orders that you use frequently or orders that are difficult to locate.

Create Favorites Folders

Step Action

1. Click the Orders band.

2. Click + Add.

3. Click the arrow by the Favorites icon.

4. Select Organize Favorites.

5. Add folders by clicking Create Folder.

Your first folder is a subfolder of the Favorites folder.

6. To create a subfolder, highlight the parent folder prior to clicking Create Folder.

Move Favorites Folders

Step Action

1. To move a folder to a different parent folder, highlight the folder you need to move.

2. Click Move to Folder.

3. Select the appropriate parent folder.

4. Click OK.

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Order Entry Basics, continued

Favorites Folders, cont.

Rename Favorites Folders

Step Action

1. To rename a folder, highlight the appropriate folder.

2. Click Rename.

3. Type the new folder name in the text field.

Change Folder Order

Step Action

1. Highlight the appropriate folder.

2. Click to move the folder up or down.

Delete a Favorites Folder

Step Action

Note: Favorites Folders cannot be electronically shared with others. One folder cannot be copied and placed into two different parent folders. Each folder must be created individually.

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Order Entry Basics, continued

Favorites Folders, cont.

Add Orders to Favorites Folders

You can add orders to your Favorites Folders as you write orders. This allows you to save orders that have your preferred order details already selected.

Step Action

1. Click the Orders band.

2. Search for the appropriate order.

3. Complete the order details.

4. Right-click the correct order.

5. Select Add to Favorites.

6. Highlight the folder where you need to save the order.

7. Click OK.

Note: Signed orders cannot be added to a Favorites Folder. If you have added order details, such as STAT times, these order details will remain with the order in your Favorites Folder.

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Order Entry Basics, continued

Medication Order

Frequencies Frequency Standard Administration Times Daily 0900

QAM/

QPM

0900/2100 At

Bedtime

2100 BID 0900, 2100 TID 0900, 1500, 2100 Four times

daily

0900, 1300, 1700, 2100

Q2 02, 04, 06, 08, 10, 12, 14, 16, 18, 20, 22, 24

Q4 0200, 0600, 1000, 1400, 1800, 2200 Q6 0600, 1200, 1800, 2400

Q8 0600, 1400, 2200 Q12 0900, 2100

Q_H The next hour after the order is written and at the specified interval thereafter.

Note: Some medications (i.e., Warfarin) have administration times that are non-standard.

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Order Entry Basics, continued

Standard Schedules for IU Health

Laboratory Order Collection Times Frequency Collection Time

Daily &

Every

Default is 0600 unless there is a unit-specific standard collection time (Orders placed after 0600 will default to 0600 the Next Day)

Once Collection at the next even hour. Once is the default frequency for ALL lab orders.

Q_H First Collection rounds to the next even hour and the subsequent intervals are based on the frequency chosen Labs: Collection Priority and Results

Collection Priority

Results Needed

Definition

Routine Routine Collection time = next even hour unless there is a unit-specific standard collection time.

Results = routine turn-around.

Routine Stat Collection time = next even hour.

Results = stat turn-around.

Stat Routine Collection time = stat.

Results = routine turn-around.

Stat Stat Collection time = stat.

Results = stat turn-around.

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In document Physician Reference Guide (Page 70-79)