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Order Entry Tools, continued

In document Physician Reference Guide (Page 80-87)

PowerPlans, cont.

Using the Specialty and Favorites folders increases your order entry efficiency. PowerPlans and other common orders pertinent to a given Medical Specialty have been included in the Specialty folders.

• As you change services, set the appropriate Specialty folder (e.g., Infectious Disease) as your Home Folder

• You can also use your Favorites folder to save any additional orders that you may use recurrently.

PowerPlans: Place Orders

Step Action

1. Click a PowerPlan to open it.

2. Select/deselect orders from the Plan by placing/removing a checkmark in the box next to the order name.

Note: Order details can be completed in several ways. To proceed with this, ensure that the box next to the appropriate order is checked.

3. When an order has alternate order options, a down arrow displays. Proceed as follows:

a. Click the arrow to select alternate order details such as dose, frequency or rates for your orders.

b. Click the appropriate details from the drop-down list that displays.

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Order Entry Tools, continued

PowerPlans, cont.

PowerPlans: Place Orders, cont.

Step Action

4. When an order does not have an arrow option, proceed as follows:

a. Right-click and select Modify Planned Order.

b. Complete the required details.

c. If the screen is obscured by the Order Details, use to resize the Order Details screen.

5. As you select/deselect orders in the PowerPlan, review and modify the order details as you select each order.

Note: Do not click Sign until you have completed all your orders and their associated details.

6. If an order is not included in a PowerPlan and needs to be added, proceed as follows:

a. Click + Add to Phase.

b. Click Add Order.

c. Search for the order.

d. Complete the order details.

The new order is then grouped within the selected PowerPlan.

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Order Entry Tools, continued

PowerPlans, cont.

PowerPlans: Place Orders, cont.

Orders that are added outside of a PowerPlan ( ) behave differently than those orders added within a

PowerPlan ( ).

Orders are not grouped with the PowerPlan

Orders are grouped with the PowerPlan

Orders only display in the Orders section of the view pane and not in the PowerPlan section

Orders display with other PowerPlan orders

Orders cannot be placed in Planned status

Orders can be placed in Planned status Orders need to be

discontinued individually

Orders can be discontinued together when you discontinue the PowerPlan

Note: Follow these guidelines:

• Only single orders can be added to PowerPlans using Add to Phase

• PowerPlans and Order Sets cannot be added to a PowerPlan and can ONLY be ordered using + Add

+ Add must be used to place an order outside of the PowerPlan.

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Order Entry Tools, continued

PowerPlans, cont.

PowerPlans: Add Subphases

• Subphases are subsets of orders in a PowerPlan

• DVT and PUD prophylaxis and other diagnosis-based orders such as Pneumonia orders are built in as Subphases of the PowerPlans

• A Subphase is indicated by

Step Action

1. Locate the appropriate Subphase.

2. Place a checkmark in the box next to the Subphase.

3. Select the Subphase in the view pane.

4. View and enter orders within that Subphase.

5. To review ALL of your orders, you MUST return to your main PowerPlan in the view pane.

Note: You can also use Subphases as stand-alone orders.

For example: if your patient develops pneumonia during a hospital stay, just search for the Pneumonia Subphase (denoted as “mini” as opposed to “admission”), and then use this as a stand-alone PowerPlan without having to use a full Admission Profile.

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PowerPlans, cont.

PowerPlans: Planned or Initiated

You have the option to leave your orders in a Planned state or to Initiate the orders.

Planned= Orders NOT Active Initiate= Orders ARE Active

Place a PowerPlan in Planned State

Step Action

1. After selecting the appropriate orders, click Orders for Signature.

2. Click Sign.

3. Click to refresh.

A pending PowerPlan displays in the Plans section of the view pane as follows:

Initiate a PowerPlan Later

Step Action

1. To initiate a PowerPlan later, highlight the PowerPlan in the view pane.

2. Click .

3. Click Orders for Signature.

4. Click Sign.

5. Click to refresh.

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PowerPlans, cont.

Initiate a PowerPlan Immediately

A PowerPlan can be initiated immediately using at the time that the orders are entered.

PowerPlans: Add Orders to an Initiated Plan

You can add orders to a PowerPlan after it has been initiated in one of two ways.

a. You can select orders that reside in the PowerPlan but were not initially selected, or

b. You can add outside orders to the PowerPlan

Step Action

1. Select the PowerPlan by clicking the initiated PowerPlan name in the view pane.

2. Click (View Excluded) to check for orders in the Plan that were not initially selected.

Note: Orders already selected display with a checkmark.

3. Place a checkmark by those orders you need to add to the PowerPlan.

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PowerPlans, cont.

PowerPlans: Add Orders to an Initiated Plan, cont.

Step Action

4. Conversely, you can remove orders from the PowerPlan by removing an existing

checkmark.

5. If the needed order does not exist in the PowerPlan, click + Add to Phase.

6. Search for the order(s) and click Done when all orders have been added.

Note: Clicking more than once on an order will duplicate it in the PowerPlan.

7. Review your orders and sign as usual.

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In document Physician Reference Guide (Page 80-87)