1 / 14

Hold and Resume Orders

The new Hold and Resume Orders functionality in the VCH NLB system empowers providers to manage medications more effectively. Providers can now place an active medication on hold for a specified date/time and resume it based on customizable parameters. This feature addresses the challenge of home or maintenance medications not being resumed in a timely manner, which can lead to adverse events. Key functionalities focus on user-friendly operations while ensuring patient safety during critical care transitions. The rollout is scheduled for March 19th, with comprehensive support available.

varick
Télécharger la présentation

Hold and Resume Orders

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Hold and Resume Orders VCH NLB Lillian McGehee, Systems Support

  2. New Functionality Wiz/HEO Provider will have ability to: • Hold an active med on a specific date/time • Resume a med currently on hold by • Date/time • Number of Day(s) • Number of Dose(s)

  3. Problem We Are Trying to Solve • Home or Maintenance meds are not resumed • Adverse Events • Examples: • Antibiotics not restarted after therapeutic levels reviewed • Psychotropics not restarted • Transplant meds • Pt admitted to ICU had home antipsychotics discontinued for evaluation.  After extubation transferred to general care unit. • Pt had active delirium and required transfer back to ICU to manage withdrawal and redosing of home antipsychotic.

  4. Scenario 1: HOLD by Provider HOLD indefinitely Requires a current med order Link for hold when selecting med Provider selects when to start hold • Date or • NOW Provider selects when to resume by • Date/time • Number of days, hours or doses after placed on hold • Select ENTER for unlimited hold

  5. Scenario 1: HOLD by Provider WIZ/HEO, OPC, eMAR displays Held Care Organizer • Held appears Status column • Nurse to reconfirm med HED • No schedules will appear in Admin Rx

  6. StarPanel – Inpatient all Orders

  7. StarPanel - eMAR Examples of meds to be held in the future Examples of meds currently on hold

  8. Future Hold and Care Organizer • Med placed on hold in future • Care Organizer will display Ordered not Held • Will change to held on the day to be held

  9. OPC

  10. Scenario 1: HOLD and Resume by date Provider orders: Lisinopril 15mg po q1h starting at 1300 Team decides to place med on hold by doses starting Nov 15th 1800 through Nov 16th 10:00am Provider selects hold to begin • 11/15 1800 Provider selects resume • Nov 16 1000 • The 10:00am WILL BE A SCHEDULE TO GIVE

  11. Meds and Areas Excluded • IV fluids • Chemo agents • IV insulin • Excludes ED departments

  12. Next Steps • Complete testing – ensuring discoverable data • Medication policy review • LMS module • Communication to providers via email

  13. Training and Implementation Plan • Tentative GO LIVE March 19th • Housewide ( excludes EDs) • Resources: • LMS module • Educators • CAPS Support • pocket aides • Implementation Support • SSS/CAPS: Tuesday- Friday, days, Night Support - rounding • Educator • HelpDesk

  14. Questions?

More Related