Computerized Provider Order Entry (CPOE) in the Emergency

Department

Basics

Introduction

• Computerized physician order entry (CPOE) is a system that allows direct entry of medical orders and instructions for the treatment of patients by a medical practitioner.

• The orders are communicated through a computer network to medical staff or other various departments responsible for fulfilling an order, including pharmacy, radiology or laboratory.

http://www.healthcareitnews.com/directory/computerized-physician-order-entry-cpoe

Tracking Board ICONsMedication List

Orders

Results Review

Document Viewer

Open Chart

Order Notification (Co-sign)

Discharge –Attending Approval

MD Re - Assess

Dr. Exam

Attending Assigned patient, Note NOT started

Note Started, “Saved” by Attending

Note “Signed” by Attending

Opening Orders From The Tracking Board

• First click the Order ICON from the Tracking Board:

– Then Click the Add Button to open the Add Order window

NOTE:The +Add button, located on the Orders band in the Menu, may also be used to open the Add Order window

ED - Orders Section Overview

Add Order Button

Order Status Filter

Order ProfileMenu (VIEW)

Orders: The 4 Basic Steps

1. Find the Order

2. Complete the Order Details

3. Sign the Order

4. Refresh the Screen

ED - Add Order Window OverviewPatient Demographic Banner

Diagnosis

Problems

Find box Filter Order Type

ED Common Orders Folders

ED Order Plans

Viewing Reference Information• Right click on the

Order:

– Left click “Reference Information” from the MENU

– When finished click the “Ok” button

Working with ED Common Orders

• Click a Common folder (Labs) to open:

– Now select the Order (BMP)

– When finished click the “Done” button

Order Sentences (Details)• Then click the “OK” button

to close the Order Sentences window (leave on “None”)

• Now complete the Order Details

NOTE:ED Orders default to “Stat” as a collection Priority

• When finished click the Sign button and Refresh the screen

Working With ED Order Plans• Type ED in the “Find” box:

– Select the Order Plan from the list

– When finished click the “Done” button

Viewing the Order Plan

• The Order Plan is now listed in the MENU (View)

Order Plan Components• Tool Bar

– Merge View (view existing orders)

– Discontinue– (add order to plan)

• Order Plans contain multiple orders for:– Nursing– Medications– Sub Phases– ETC.

Order Plan Components

• Check the orders you wish to include in the plan

• More Details can be added by clicking the down arrow

Adding Sub-Phases

• Click the box to the right of the double yellow ICON to open the Sub-Phase:

– Then select the Orders from the Sub-Phase you wish to add

– When finished click the “Return to ....” button to go back to the plan

Viewing the Sub-Phase

• The Sub-Phase is now listed in the MENU (View) under the Original Order Plan

Weight Based Medications

• When a weight based medication is selected:

– The Dosage Calculation Window will open with the “calculated dose” filled in with a dose based on the charted weight

Weight Based Medications

• Click the “Formula” button if you wish to view the calculation used for the drug you’ve selected

Weight Based Medications

• When you have selected the dose:

– Click the “Apply Dose” button to close the window and add the order to plan

How to Add an Order to an Order Plan

• Click Add to Phase:– Select “Add Order”

• Find Order:– Click done

Signing the Order Plan

• First click the “Orders For Signature” button...

Reviewing the Order Plan

• Then review the Order Plan:

– Complete any required fields, etc.

– When finished click the “Sign” button and Refresh the screen

How to View the Order Plan After it Has Been Signed

• Click the name of the Order Plan you wish to review:– Notice the status is now Initiated (active)

How to Modify an Order

• Right click on the order:– Then left click

“Modify” from the Menu

How to Cancel a Single Order

• Right click on the Order:– Then left click

“Cancel/DC from the Menu

How to Cancel an Order Plan• Right click on the Order

Plan in the Menu:

– Then left click “Discontinue”

– When the Discontinue window opens click the “OK” button

How to Cancel an Order Cont...

• Now click the “Orders for Signature” button:

– Then click the “Sign” button and Refresh the screen

NOTE:If you get this far and want to stop the process, right click anywhere in the order and left click “Reset”

How to Cosign Orders From the Tracking List

• Double left click on the ICON in the CS column:

– Then review the Orders

– When finished click the “Cosign” button

NOTE:This ICON will reappear when a new order is added

Conclusion• We hope this Computer Based

Learning course has been both informative and helpful.

• Feel free to review this course until you are confident about your knowledge of the material presented.

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For further information about this module please contact Cinda Cowen at 226-5366