vch nlb lillian mcgehee, systems support. provider will have ability to: hold an active med on a...

Hold and Resume OrdersVCH NLB

Lillian McGehee, Systems Support

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)

New Functionality Wiz/HEO

Home or Maintenance meds are not resumed Adverse Events Examples:

◦ Antibiotics not restarted after therapeutic levels reviewed◦ Psychotropics not restarted ◦ Transplant meds

Problem We Are Trying to Solve

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. 

HOLD indefinitely

Requires a current med order

Link for hold when selecting med

Scenario 1: HOLD by Provider

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

WIZ/HEO, OPC, eMAR

displays Held

Scenario 1: HOLD by Provider

Care Organizer

Held appears Status

column

Nurse to reconfirm med

HED

No schedules will

appear in Admin Rx

StarPanel – Inpatient all Orders

StarPanel - eMAR

Examples of meds to be held in the future

Examples of meds currently on hold

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

OPC

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

IV fluids

Chemo agents

IV insulin

Excludes ED departments

Meds and Areas Excluded

Complete testing – ensuring discoverable data

Medication policy review

LMS module

Communication to providers via email

Next Steps

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

Training and Implementation Plan

Questions?