Help with Post Operative CPOE Ordering

[James Pryor]

Our Facility is preparing to go-live with CPOE for our Surgery groups (including OB/GYN) and we are struggling to come up with a good method for post operative ordering. We see that some other facilities suggest using the transfer routine and we felt this was the best option as well...but...

• When we run through scenarios with this we realize the surgeon (who may just be a consultant) may be presented with a very large list of orders that he/she may or may not know whether to continue or discontinue. 
• Another struggle may be that this transfer process would prompt the surgeon to address orders just entered by anesthesia and we do not want them to accidentally stop these orders.
• Also because this list of orders to review could be very large and the surgeon will then also be adding their post op set to this list, there is a high probability that we would end up with many duplicate orders. 
• How are other facilities dealing with these struggles, or how they got buy in from the surgeons during training for this process?

[Stimson, Nancy]

James,
I'd be happy to talk to you about this. Would take a longer email than I have time for 2 weeks before go live!

Please call my office if you would like to talk next week.
Nancy Stimson
Director of CPOE Training
Mountain Group
Centura Health
720-321-1841

Sent from my iPad

On Sep 13, 2012, at 1:12 PM, "James Pryor" <jdp...@gmail.com<mailto:jdp...@gmail.com>> wrote:

Our Facility is preparing to go-live with CPOE for our Surgery groups (including OB/GYN) and we are struggling to come up with a good method for post operative ordering. We see that some other facilities suggest using the transfer routine and we felt this was the best option as well...but...

* When we run through scenarios with this we realize the surgeon (who may just be a consultant) may be presented with a very large list of orders that he/she may or may not know whether to continue or discontinue.
* Another struggle may be that this transfer process would prompt the surgeon to address orders just entered by anesthesia and we do not want them to accidentally stop these orders.
* Also because this list of orders to review could be very large and the surgeon will then also be adding their post op set to this list, there is a high probability that we would end up with many duplicate orders.
* How are other facilities dealing with these struggles, or how they got buy in from the surgeons during training for this process?

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[James Pryor]

Would you have time on your schedule for Me to give you a call on Monday anytime between 9:00am and 10:30am?

I would love to take the opportunity to discuss this with another facility.

 

James Pryor RN, BSN

Clinical Information System Specialist

Clinical Process Improvement (ext. 1808)

Chambersburg Hospital (Summit Health)

Phone - (717)267-3000 ext. 2349

Pager - (717)262-1263

 

>>> "Stimson, Nancy" <NancyS...@Centura.Org> 9/14/2012 1:42 PM >>>

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[Millie]

James, 

I'm sorry I am out of the office on maternity leave. 

Thanks, 

Millie Braxton

Bozeman Deaconess Hospital

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