[MEDITECH-L] AM ORDERS FOR LAB
Simon, Bobby
We are having an issue with our staff remembering when ordering AM orders to
change the service date and time. Meditech tells me that the system can not
default in a date and time based off of the priority. My Lab director and
myself find this difficult to believe. My question to you all is twofold:
1. Is the functionality truly not there?
2. Can you write a rule to default in service date and time based off
of priority?
Thank you so much!
Bobby L. Simon
Clinical Systems Analyst
bsi...@brhc.org <mailto:bsi...@brhc.org>
Bothwell Regional Health Center
601 E. 14th
Sedalia, MO 65301
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Cohen, Julie - CRMC
We use a priority rule in OE that Triggers error messages based on
Routine, Stat, and Urgent. Stats can only be ordered for now, urgents
must have a time, and routine is to be left blank. We have requested
that the nurses use routine for morning run. Leaving it blank assigns
the time of UNK. They could still potentially order morning run as
Urgent and put a time, but we address this on a case by case basis. We
have educated the nurses that urgent is to be used as a "timed" draw.
This works most of the time for us but people will always find a work
around. One place it doesn't work is when the nurse orders a "series",
the rule doesn't apply then. Here is the rule we use:
("Will not file: No STAT future Lab orders allowed")^MSG1,
("Time Entry Req, Change to ROUTINE unless specific time ordered by
phys")^MSG2,
("Will not file: Stat Priority - Time Entry Required")^MSG3,
("Change to ROUTINE unless specific time ordered by phys")^MSG4,
("No Lab orders can be placed for past time. Call Lab for
assistance")^MSG5,
("Do not enter a time for ROUTINE priority")^MSG6,
('[f ord ser tm])^NOTIME,
([f ord ser tm])^TIME,
([f ord ser tm]="N")^NOW,
([f ord pri]="U")^TIMED,
([f ord pri]="R")^ROUTINE,
([f ord pri]="S")^STAT,
(([f ord pri]="S")&([f ord ser tm]>[f now]))^FSTATTIME,
(([f ord pri]="S")&([f ord ser dt]>[f today]))^FSTATDAY,
(([f ord pri]="S"!"U"!"R")&([f ord ser tm]<[f now]))^FTIME2,
(([f ord pri]="S"!"U"!"R")&([f ord ser dt]<[f today]))^FDAY2,
(([f ord pri]="S"!"U"!"R")&([f ord ser dt]=[f today]))^FDAY3,
IF{((NOW)&(STAT)) [f ord ok];
(([q OECBN]="Y")&(ROUTINE)) [f ord ok];
(FDAY2) [f ord err msg](MSG5);
(FDAY3&FTIME2) [f ord err msg](MSG5);
(FSTATDAY!FSTATTIME) [f ord err msg](MSG1);
((NOTIME)&(TIMED)) [f ord err msg](MSG2);
((NOTIME)&((STAT))) [f ord err msg](MSG3);
(((TIME)&(TIMED))!((NOW)&(TIMED))) [f ord msg](MSG4);
(((TIME)&(ROUTINE))!((NOW)&(ROUTINE))) [f ord err msg](MSG6);
[f ord ok]};
Julie Cohen
LAB Computer Coordinator
Catholic Healthcare West
Chandler Regional Medical Center
475 S. Dobson Rd. Chandler, AZ 85224
480-728-3878 Fax: 602-294-5986
julie...@chw.edu
"To be yourself in a world that is constantly trying to make you
something else is the greatest accomplishment." - Ralph Waldo Emerson
Kuhns Nicole
priority 'R' but they must answer a query asking which collection
category (today, am, early am ). These priorities are defined in LIS
parameters and the query is listed in those parameters as well. The
orders come to us with a default time of UNK but we work off of the
collection categories rather than the default time.
A timed order is entered with priority 'R' and the query is answered 'T'
for a timed specimen. We have an attribute on the query so the user must
enter a service time if they answered 'T'. STAT orders are entered with
the 'S' priority and 'N' defaults in for service time; there's an
attribute somewhere that skips the query in this case. If someone uses
the 'U' priority from OE, it is mapped to 'S' in the LIS parameters.
We do have an occasional problem with tomorrow's AM orders going in with
today's service date (or timed orders with UNK if they used 'T' instead
of 'R' as OE priority); we address these on an individual basis.
Nicole Kuhns, MT(ASCP)
Muskogee Regional Medical Center
Muskogee OK 74401
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--------Original Message--------
Message: 26
Date: Thu, 28 Aug 2008 16:05:11 -0500
From: "Simon, Bobby" <bsi...@brhc.org>
Subject: [MEDITECH-L] AM ORDERS FOR LAB
Message-ID:
<823B19E7AD0C2B49867A...@exchange.brhc.org>
Content-Type: text/plain
Fellow Meditech L'ers,
We are having an issue with our staff remembering when ordering AM
orders to
change the service date and time. Meditech tells me that the system can
not
default in a date and time based off of the priority. My Lab director
and
myself find this difficult to believe. My question to you all is
twofold:
1. Is the functionality truly not there?
2. Can you write a rule to default in service date and time
based off
of priority?
Thank you so much!
Bobby L. Simon
Clinical Systems Analyst
bsi...@brhc.org <mailto:bsi...@brhc.org>
Bothwell Regional Health Center
601 E. 14th
Sedalia, MO 65301
Lisee, Jan
Our lab implemented Care Fusion.. As part of that, ALL TESTS needed a
service TIME.. So no more UNKs allowed.
As we worked through the workflows.. The lab decided to establish
STANDARD draw times. This would allow lab management to look at tech
coverage in a new way. Also let staff and doctors know when to expect
labs to be drawn.
We used the Service time dictionary in OE.
AM - in the moring - 0500
NEXT - Next Draw - 05,10, 14, 18, 21
PM - in the PM - 1800
TD - Today - 05, 10, 14, 18, 21 (goes to next draw time)
This is working well.. Still have to do a bit of analysis is tech has
just left the floor and a new order is written.. Call and ask tech to
come back or do Urgent for a few minutes from now!
Janice B Lisee RNC, BSN
Senior Systems Analyst
Frederick Memorial Hospital
240-566-3437
<mailto:jli...@fmh.org>