[MT-L] Transfer Orders
Misty Sanders
Are there any other facilities out there, live with CPOE, that utilize
the transfer routine in the ED? When a patient is admitted, the ED
physician enters admission orders via the Transfer routine.
Our problem is with the OE parameter 'Create new orders upon
transfer'.......We don't want new orders created on the nursing units,
but we do need new orders created from ED transfers.
Is anyone else dealing with these same issues?
Misty Sanders, RN
IS Clinical Analyst
Russell Medical Center
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Shelly Hardman
I don't know if this is helpful or not. We do not use the transfer process out of ED at this time, but we do use it in house a lot. What works best for us is setting the Copy and Edit Transfer Meds to N in the CDP of OE. This will discontinue all orders that are not checked and continue the orders that are checked.
Shelly Hardman, RN, BSN
Newton Medical Center
Ext: 3931
Good Morning L-
Misty Sanders, RN
IS Clinical Analyst
Russell Medical Center
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Lesley Bailey
We have 96% of our orders in POM and we do the same as Shelly. We could not acknowledge new orders every time a transfer level of care occurred. But note that if you have a stop date for a medication like a narcotic or a SCIP antibiotic the date stays the same. This might be good but it also might be contradictory to your paper process.
Lesley
Lesley Bailey RN,BC MBA
Manager of Clinical Analysts
Northeast Health Systems
85 Herrick Street
Beverly, Ma 01915
Phone: 978-922-3000 ext. 2605
email: lba...@nhs-healthlink.org
>>> Shelly Hardman <shelly....@newmedctr.org> 11/29/2011 11:49 AM >>>
Misty,
Good Morning L-
Misty Sanders, RN
IS Clinical Analyst
Russell Medical Center
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Curtis, Tristan
Happy Friday Everyone,
We are looking for a little help with an attribute that will be attached to a PRV.PROC cds! We want the attribute to look at the patient's primary insurance and return a warning message if the procedure code is not covered by that insurance.
The problem is that there are too many different insurance mnemonics that need to be evaluated. The attribute would be too long! So, we thought we would try a macro; well... the macro is only evaluating the error message and not evaluating the condition (which is the insurance)! Below is the Macro that we have been toying with! Any help would be appreciated at this point!
;this macro compares the patients insurance for the free vaccines
;~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
IF{(/[ANS%0,"NYV-FC01"]|0'="CDPHPCD",
/[ANS%0,"NYV-FC01"]|0'="CDPHPCPS",
/[ANS%0,"NYV-FC01"]|0'="EMPCHP",
/[ANS%0,"NYV-FC01"]|0'="FIDT",
/[ANS%0,"NYV-FC01"]|0'="FID",
/[ANS%0,"NYV-FC01"]|0'="GHICHP",
/[ANS%0,"NYV-FC01"]|0'="GHIMCD",
/[ANS%0,"NYV-FC01"]|0'="MCD",
/[ANS%0,"NYV-FC01"]|0'="MCDOTHER",
/[ANS%0,"NYV-FC01"]|0'="MCDPEND",
/[ANS%0,"NYV-FC01"]|0'="SPARC/CHP",
/[ANS%0,"NYV-FC01"]|0'="SPUNINSURE",
/[ANS%0,"NYV-FC01"]|0'="UBHCDPHPCD",
/[ANS%0,"NYV-FC01"]|0'="WCARE",
/[ANS%0,"NYV-FC01"]|0'="SP",
/[ANS%0,"NYV-FC01"]|0'="CC")},
@Window.centered(11,60,8)^#,
"Warning":60C^#,
N(D(4,0))^#,
N("The insurance that this patient is registered with")^#,
N("is not eligible to receive the Free Vaccines")^#,
N("Please use the vaccine codes.")^#,
N("Press <Enter> to Continue.")^#,
#0,
We have tried using ADM.PAT as well with the Macro, but that didn't work either!!
Thanks, Tristan
Tristan Curtis, RN
Clinical Analyst
Seton Health, St. Mary's Hospital
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Joe Cocuzzo
Syntax of IF:
IF{CONDITION<space>STATEMENT}
You have, effectively:
IF{EXPRESSION,EXPRESSION,EXPRESSION,EXPRESSION} So it does nothing to control whether the message prints.
One way to write it would be to compare the query value to all the good values and if it is not equal to any of them, display the message, note that this IF statement needs to be all on one line:
IF{[ANS,"NYV-FC01"]|0'="CDPHPCD"'="CDPHPCPS"'="EMPCHP"'="FIDT"'="FID"'="GHICHP"'="GHIMCD"'="MCD"
'="MCDOTHER"'="MCDPEND"'="SPARC/CHP"'="SPUNINSURE"'="UBHCDPHPCD"'="WCARE"'="SP"'="CC" @ALERT.MESSAGE},
EXIT;
ALERT.MESSAGE
@Window.centered(11,60,8)^#,
"Warning":60C^#,
N(D(4,0))^#,
N("The insurance that this patient is registered with")^#,
N("is not eligible to receive the Free Vaccines")^#,
N("Please use the vaccine codes.")^#,
N("Press <Enter> to Continue.")^#,
#0
The other approach is to load the list of insurances into slash and then compare in an IF statement:
1^/INS["CDPHPCD"],
1^/INS["EMPCHP"],
..etc..
IF{/INS[[ANS,"NYV-FC01"]|0] @ALERT.MESSAGE},
EXIT;
PS, it is not necessary to refer to queries with /[ANS%0,QUERY]|0. You only need to extract the / and put it outside the [ if you are assigning to the query.
So this is fine syntax: IF{[ANS,"PROXY"]|0="Y" @W.return("Patient has Proxy")}
If you are trying to write to the temp value of the query, then you need to use the % operator to keep the syntax checker from preventing filing:
IF{[ANS,"PROXY"]|0="Y" "PROXY"^/[ANS%0,"PROXYSTA"]|0}
Joe Cocuzzo
Vice President
NPR Services
Iatric Systems, Inc.
Phone/Fax: (978) 805-4115
Email: mailto:Joe.C...@iatric.com
Web: http://www.iatric.com/
Iatric Systems is a leading provider of integrated software applications, interfaces and reporting solutions for hospitals and healthcare systems.
__________
-----Original Message-----
From: meditech-...@mtusers.com [mailto:meditech-...@mtusers.com] On Behalf Of Curtis, Tristan
Sent: Friday, December 02, 2011 9:27 AM
To: medit...@mtusers.com