Transcript Essentials of CPOE

Computerized Provider Order
Entry System (CPOE)
Rev: 4/8/2015
GENERAL ADMISSION &
ORDER SETS
Search for your patient by name, MRN,
list or unit
Perform a medication reconciliation on admission
This process is unchanged from before
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.
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
Highlight Allergy or NKDA
Reaction and
Severity
Add Allergy
Click Reviewed
Then Proceed to Orders
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
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 them
Enter password
and Sign Orders
TO ADD ADDITIONAL ORDERS
CHOOSE FROM THE OTHER TABS.
YOU CAN DO THIS BEFORE SIGNING
MEDS AND IVS
Click on the
Meds & IVs tab
Click button next
to 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
For additional dosing frequency options,
click More from the Frequency drop down
The blue link will bring you to Lexi-Comp
information about the medication
Click OK
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.
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
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.
Diagnostics &
Treatment Orders
Click button next to category
to show Common lists
Choices appear in
the right panel
Click Entire service
for all choices
Or Search here
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
This brings you back to the Sign Orders screen
If you are done adding orders and everything
looks ok, sign your orders by entering your
password here
Patient Care Orders
Patient Care orders are entered the same as Diagnostics
and Treatment, and Medication orders
Pt. Care 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)
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 HELP
1. 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