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