cpoe
DESCRIPTION
Nursing InformaticsTRANSCRIPT
Computerized Provider Order Entry System (CPOE)
Rev: 04/12/23
GENERAL ADMISSION & ORDER SETS
GENERAL ADMISSION & ORDER SETS
Search for your patient by name, MRN, list or unit
Medications “continued” through reconciliation do not need to be re-entered through CPOE. Meds that
required a separate form DO need to be re-entered.
Perform a medication reconciliation on admission
This process is unchanged from before
Before you can print the medication reconciliation, you’ll need to review the problem list. Follow the onscreen directions.
NEXT, CLICK ON WRITE ORDERS
You will see “Add Allergies” screen if no one has entered Allergies
Add Allergy
Highlight Allergy or NKDA
Reaction andSeverity
Then Proceed to OrdersClick Reviewed
Or Add Allergies tab to add a new allergy
If allergy information already exists, click Reviewed to update, then Proceed to Orders
Click on Order Sets tab
Order Sets are lists of selectable orders that take the place of paper forms
Order Sets are lists of selectable orders that take the place of paper forms
Click on desired category or categories
Click OK
Select the check boxes appropriate for the patient's condition
Scroll through the orderset pages
Click OK only after reviewing ALL pages
Blue Text provides ordering guidance. Pay attention to it.
Some orders will need additional details (meds, EKG, etc.)
Asterisk * or yellow field means required
The Sign Orders screen lets you review your orders
Select order(s) then Change or Delete here
Or cancel all of themEnter password and Sign Orders
TO ADD ADDITIONAL ORDERS CHOOSE FROM THE OTHER TABS.YOU CAN DO THIS BEFORE SIGNING
MEDS AND IVS MEDS AND IVS
Click on the Meds & IVs tab
Click button nextto category to show Common lists
Entire service lists all meds in category
Or search for meds here
Click “Lexi-Comp” to show our formulary with detailed medication information and indications.
If you still can’t find your med, search for “Message”
This allows free text entry for a medication. Use this after speaking with a pharmacist.
Highlight the med or meds and Click OK
Fill in the details. Pay attention to Start Date/Time, change if needed. Consider First Dose Now & Routine
The blue link will bring you to Lexi-Comp information about the medication Click OK
For additional dosing frequency options, click More from the Frequency drop down
Sign Orders screen will appear once details are all complete. To add more meds before signing, click on the Meds & IVs tab again. Select multiple meds and/or orders before signing to save time and decrease printouts.
After you Sign Orders, your new orders will print at the nurses’ station where your patient is located.
After you Sign Orders, your new orders will print at the nurses’ station where your patient is located.
Providers are advised to enter batches of orders before signing them to minimize print outs.
Providers are advised to enter batches of orders before signing them to minimize print outs.
RN/UC will pick order up from printer, flag chart yellow (routine), or red (stat) and order will be fulfilled based on department workflow. All Stat orders MUST also be communicated to clerk/nurses verbally. Otherwise they can’t be appropriately prioritized.
RN/UC will pick order up from printer, flag chart yellow (routine), or red (stat) and order will be fulfilled based on department workflow. All Stat orders MUST also be communicated to clerk/nurses verbally. Otherwise they can’t be appropriately prioritized.
yellow
Diagnostics & Treatment
Orders
Diagnostics & Treatment
Orders
Or Search here
Choices appear in the right panel
Click button next to category to show Common lists
Click Entire service for all choices
Click on the Plus sign to expand the Plus List
Highlight the test you want. Select multiple tests from multiple categories or even tabs before clicking OK to save yourself time.
Fill out any additional information
Fields with an Asterisk * or yellow fields are required
Radiology information also needs to be entered in Radiologue
Click OK
If you are done adding orders and everything looks ok, sign your orders by entering your password here
This brings you back to the Sign Orders screen
Patient Care OrdersPatient Care Orders
Pt. Care OrdersPt. Care Orders
Patient Care orders are entered the same as Diagnostics and Treatment, and Medication orders
If you can’t find your order, choose Miscellaneous and then Misc Patient Care Free Text
Type over the “MISC: FREE TEXT” with your order, specify details in Comments, then click OK
Current Orders tab
(Active Orders)
Current Orders tab
(Active Orders)
THE CURRENT TAB SHOWS ACTIVE ORDERS
Select the order(s) you want to D/C or Revise, then click the button to mark.
Click Enter Order Changes to proceed. You must sign your order to make changes.
Meds will have the status REVIEWED until processed by Pharmacy. Once approved, they will say VERIFIED.
Priority indicates Routine or PRN
IF YOU NEED HELP1. Find the nearest Superuser on your unit
(Charge Nurse is backup)2. Visit the CPOE Help Desk @ goo.gl/PaJws
3. Call 206-5529 (CPOE Hotline, staffed intermittently)3. Call 206-5035 (IT help desk)
4. If still unable to find a solution Do It On PAPER (Patient Care First)
Email [email protected] with low priority problems/suggestions/comments/criticisms, and we will try to
respond as soon as possible