Maternal/Newborn Orders

[Millie Braxton]

Group,
Today on the call someone briefly brought up the topic of Standing
Orders in the Maternal/Newborn department. I would love to talk more
about "what is a good process" for L&D Admissions and Newborn Nursery
Admission Orders.
Right now our nurses start the order set and write it as a Telephone/
Verbal Order even though we know they don't actually call the
physician. This has caused the physicians confusion since we started
using Order Source and entering in all T/V orders and having them show
up on the physician's sign queue. Mostly because we still require the
physicians to sign the paper copy also because we don't have all
nursing orders built into OE yet.
Let me know if anyone has a great solution to this one.
Thanks,
Millie Braxton
Registered Nurse, BSN
Information Systems
Bozeman Deaconess Hospital
915 Highland Boulevard
Bozeman, MT 59715
Tel: 406.556.5373

[Nicole Rothove]

Try creating a standing order - order source for this purpose that does
not queue for signature since the physician is still signing the paper
copy. Then, once all your orders are built in OE and there is no need
for the paper copy, switch it to queue for signature.

Nicki Rothove, RN
IT Applications Analyst
Ozarks Medical Center

Office: (417) 257-6782 Ext. 6097
Department: (417) 256-1779
Fax: (417) 257-5969

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[James Pryor]

This method will work but can cause a lot of orders to end up in the providers queue which can be a big dissatisfier when starting cpoe.  What we did is create one order "Newborn Protocol" that is entered with a source called "Sign Protocol" which goes to queue for signature, which allows the entire newborn order set to then be entered with a "protocol' order source that does not go to queue for signature. This satisfies the need for protocols to be initiated by a provider,  allows nursing to use the protocol, and reduces the number of orders in the providers queue.  Realize though that this method requires that a protocol be written in policy and approved by med exec..

James Pryor RN, BSN

Clinical Information System Specialist

Chambersburg Hospital (Summit Health)

[Neva McMullen]

How would you meet meaningful use this way? The MD is not entering the medications.

 

Neva McMullen,RN

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[Alexa Thompson]

We have done the same concept the protocol is in a cds then the meds are all prn per protocol so the dr has actually ordered the med I can send you a screen shot if you want it

Alexa Thompson RN

660-890-7144

Sent from my iPhone

On May 18, 2012, at 8:11 AM, Neva McMullen <nmcm...@colquittregional.com> wrote:

How would you meet meaningful use this way? The MD is not entering the medications.

 

Neva McMullen,RN

<image001.jpg>

[Evans, Felicia]

I would also like to have the screen shot as well, if you do not mind.

 

 

Thanks,

 

Felicia

IT Systems Analyst

Hardin Memorial Hospital

Information Technology Dept.

Phone: 270-706-5173

Fax: 270-706-1313

 

 

 

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[Fabrici...@sih.net]

I would be curios to see a screen shot too if you don't mind sending one my way.

Thanks!
Fabricio Gamboa
Sr. Clinical analyst-Physician Liaison
Fabrici...@sih.net
Sent from my BlackBerry Torch 9850 - Fabricio Gamboa

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[Kaiser, Janet L.]

I would love the screen shots also.

Thanks so much!!


Janet Kaiser RNC BSN
Clinical Analyst
St. John Medical Center
Office 440-827-559
Blackberry 216-538-4239

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[Stimson, Nancy]

Are you able to send a screen shot to the group?  If not, sign me up too please.

 

Nancy Stimson, RN, BSN

Director CPOE Training, MNDOG

Centura Health

720-321-1841 Office

www.centura.org

nancys...@centura.org

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[Purkey, Susan]

Me as well and THANKS!!

 

Susan Purkey RN
Manager Clinical Informatics

Phone: (765) 298-2920 - Fax: (765) 298-5889 - Cell: (765) 208-0427 

[Alexa Thompson]

I hope that this is what you are looking for. I hope that I didn't miss understand you all.  this is what we are doing and we got this idea from lake Regional in Osage beach mo.  they call their's "guide" orders but I really like the Sign Protocol "  the enduser would understand MUCH better.  we ran the guide by the dr's and they looked at me like "" WHAT"  I don't know you all so that is the G rated version of what they really were saying.

Alexa  :-)

[James Pryor]

I believe that as long as the regulations related to protocol orders are followed that because it is initiated by the provider these orders were truly ordered by the provider and therefore count for both the denominator and numerator, while non emergent verbal orders would count toward the denominator and NOT the numerator which then hurts your numbers.  I hope I said that correctly.

 

James Pryor RN, BSN

Chambersburg Hospital (Summit Health)

Clinical Information System Specialist

Clinical Process Improvement

 

>>> Neva McMullen <nmcm...@colquittregional.com> 5/18/2012 9:11 AM >>>

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[Evans, Felicia]

Alexa and anyone else who could help out!

We are just getting started on CPOE. We are in the process of building our orders and plan to have our providers up live by November 1. We will need to start training our nursing staff (including unit secretaries) on how to enter orders from POM vs OE. We would like to have them as resources for our providers as they start out. Does anyone have any type of training material that could help us out? (for providers or nursing)

We are a 5.65 Client Server Site.

 

Thanks,

 

Felicia

IT Systems Analyst

Hardin Memorial Hospital

Information Technology Dept.

Phone: 270-706-5173

Fax: 270-706-1313

 

 

 

[Stimson, Nancy]

See attached.  The beginning is for unit secretaries accessing POM from the ORM, so you will need to modify.

 

Nancy Stimson, RN, BSN

Director CPOE Training

Centura Health