SCM (CareVISION) Update

Patient Care OrdersPharmacy OrdersCancel Reasons

When to use Patient Care Orders• These orders tend to be overused

• Communicate only with nursing

• Since the orders are seen only by nursing, they will not be seen by other ancillary departments

• Whenever possible, use specific orders NOT—Patient Care orders!

Med Order Communication to Pharmacy• Do not enter pharmacy orders under

“Patient Care Orders”! – Pharmacy will not see these orders– If the order is complicated, enter a “Med

Communication order”• Type “med” to find this order• This order will go directly to pharmacy

For complicated medication orders type

“med”

Then click on “Medication

Communication Order”

Pharmacy IV orders

• Do not enter any IV orders, including initiation, changes or discontinuation as a Patient Care order

• As before, these orders will not be seen by the Pharmacy

• Instead, filter for the IV under the orders tab– Set status filter for “active”– Set order selection filter for “ Intravenous”

Select Active

Select intravenous

fluids

Change or Discontinue an IV

• Right click on this “filtered” order• To discontinue IV, click on dc/cancel• To change IV, click on dc/reorder

– Enter password to discontinue order– Click “active” order entry icon and find

order in the summary window– Double click on order and change rate as

needed

To cancel order

To cancel

and reorder

To reorder, click

“active” order entry

icon

Find order in the Summary window. Edit as necessary.

Pharmacy Orders - STAT

• Order “stat” in the priority field, not the frequency field

• Order the frequency in its field

Never order STAT in a

“frequency” field

Order stat in the

Priority field

Pharmacy Orders - Tidbits

• “Once” only orders should include the time of administration

• When entering the name of a medication, type only 3-4 letters– Typing only 2 letters will take the system

longer to find a match– Typing too many letters may exclude the

medication

For routine pharmacy orders

try to enter at least 3 letters

In this example, too many letters

were entered to find Aqua-Mephyton

This “Once” Medication is to be given STAT. You could select “specify time in box to right” to enter a

specific time.

Dose to be given once

A short comment

to reinforce

your intent

Specify time

Specify tomorrow’

s date

Pharmacy Orders

• Do not use the “comment field” to enter instructions that contradict what you entered in the dose or frequency field.

Cancelled Orders – Finding the reason

• Sometimes an order is “Cancelled by Performing Department”

• To find out why, right mouse click on the order and chose “History” and then “Status”

• NOTE: Entering a cancel reason is not mandatory for many departments so this may be blank.

Click on “Status”

The cancel reason in this example is

“physician cancelled order”

For Questions or Help- Call Beeper #1267

Or Call Marc Silverstein M.D.

350-3710