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Quick Orders

Quick Orders. Carla Guzic, PharmD Hastings Indian Medical Center Tahlequah, OK. Quick Orders. Why? Standardization Provider ease of use when ordering Pharmacy staff satisfaction Accuracy Data requirement Days supply, chronic vs. prn, etc. Naming Conventions. Naming Conventions.

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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

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