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Quick Orders

Quick Orders

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Quick Orders

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  1. Quick Orders Carla Guzic, PharmD Hastings Indian Medical Center Tahlequah, OK

  2. Quick Orders • Why? • Standardization • Provider ease of use when ordering • Pharmacy staff satisfaction • Accuracy • Data requirement • Days supply, chronic vs. prn, etc

  3. Naming Conventions

  4. Naming Conventions • Order sets • ORZSET • To be used when mixing data elements • LRZSET (Lab) • RAZSET (Radiology)

  5. Naming Conventions • Order menus • PSOZM Antibiotics/Antivirals • PSOZM Behavioral Health Meds • PSOZM Diabetes • PSOZM Quick Orders (A-B) • PSOZM Quick Orders (T-Z)

  6. Outpatient Medication Quick Order

  7. Outpatient Medication Quick Order

  8. Outpatient Medication Quick Order ALWAYS YES Dose and Route: Setup by Pharmacy in the PDM

  9. Special Med Quick Orders • Clinic medications • Pick up: Clinic • Status: DONE • Not dispensed by pharmacy • Outside Medications (ORX) • Never Auto-accept Quick Order Medications

  10. Quick Orders-Inpatient Medications

  11. Quick Orders-Inpatient Medications Unique to inpatient

  12. Quick Orders-IV Meds

  13. Quick Orders-IV Meds

  14. Order Menu Setup • Actions • Add (enter row and column) • Remove • Edit • Toggle Display (what provider sees vs. actual order) • Assign to User • Order Dialogs (can create quick orders) • Select New Menu

  15. Creating an Order Menu • Standard naming convention (i.e PSOZM) • Built on the RPMS side • Viewed on the EHR side

  16. Order Sets • For meds commonly used together • Albuterol and normal saline nebulized • H.pylori treatment • Multivitamins and iron • Labs • Cardiac enzymes (CPK and Troponin) • Lipid Panel • Can combine elements • Lab with Radiology

  17. Quick Order Wizard • Can create quick orders • Cannot add to Order Menu

  18. MAKING TEMPLATES Carla Guzic, PharmD Hastings Indian Medical Center Tahlequah, OK

  19. EHR Templates • Create New Templates: for users with access to personal templates • Shared Templates: for Clinical Coordinators • Edit Template Fields: for users setup in the TIU FIELD EDITOR CLASS

  20. Template Editor Shared Personal New

  21. Create a New Template Type The Boilerplate

  22. Objects vs.Template Fields • Template Boilerplate Panel: • Data Objects are surrounded by straight brackets • such as |ALLERGIES| • Must be made locally • Brings information into template • Template fields are surrounded by curly brackets • Such as {FLD:WWH INR RESULTS} • Prompts author to input information into template

  23. Some advice….. • Apply: Changes will not be saved when leaving the Template Editor dialog if this button is not used • Modify/Build Templates in your Personal Templates • Limit access to who can modify Shared Templates and/or Template Fields

  24. Tools Menu: • Edit Template Fields • Edit Existing Template Fields • Use with CAUTION!! Many fields are used in various different templates • IMPORT/EXPORT Templates • Sites can send/receive templates to other sites • Data objects are local • Template fields can be shared • To IMPORT a template a file should be loaded on the computer and then placed into the Template Editor

  25. Template Fields Create New Old Fields

  26. Template Fields • EHR installation includes many template fields • Also, made locally, PLUS • Imported into template editor whenever any new templates are imported (national and/or other local facilities) • Don’t modify template fields, unless certain that they are specific to only one template

  27. Template Fields Types of Fields

  28. Creating a Template Field • Click on the New Button • Enter a Unique Template Field Name (can be up to 60 characters long) • Select the desired Template Field Type

  29. Creating a Template Field (continued) • The right side of the template field editor will change depending on which template field type is specified.

  30. Edit Box: used for short responses Combo Box: drop-down list of choices Button: contains a label that changes when you click it Check Boxes: can fill with a check mark, may have >1 choice Radio Button: call fill with a mark, but only allows one choice Date: Contains the month and year; enter the year first followed by the month. Number: contains a numeric value Hyperlink: sends user to an on-line location Word Processing: used for long responses Text: Used for instruction; data isn’t stored in the progress note. Users cannot edit this field Template Fields