cpoe

Computerized Provider Order Entry System (CPOE)

Rev: 04/12/23

GENERAL ADMISSION & ORDER SETS

GENERAL ADMISSION & ORDER SETS

Search for your patient by name, MRN, list or unit

Medications “continued” through reconciliation do not need to be re-entered through CPOE. Meds that

required a separate form DO need to be re-entered.

Perform a medication reconciliation on admission

This process is unchanged from before

Before you can print the medication reconciliation, you’ll need to review the problem list. Follow the onscreen directions.

NEXT, CLICK ON WRITE ORDERS

You will see “Add Allergies” screen if no one has entered Allergies

Add Allergy

Highlight Allergy or NKDA

Reaction andSeverity

Then Proceed to OrdersClick Reviewed

Or Add Allergies tab to add a new allergy

If allergy information already exists, click Reviewed to update, then Proceed to Orders

Click on Order Sets tab

Order Sets are lists of selectable orders that take the place of paper forms

Order Sets are lists of selectable orders that take the place of paper forms

Click on desired category or categories

Click OK

Select the check boxes appropriate for the patient's condition

Scroll through the orderset pages

Click OK only after reviewing ALL pages

Blue Text provides ordering guidance. Pay attention to it.

Some orders will need additional details (meds, EKG, etc.)

Asterisk * or yellow field means required

The Sign Orders screen lets you review your orders

Select order(s) then Change or Delete here

Or cancel all of themEnter password and Sign Orders

TO ADD ADDITIONAL ORDERS CHOOSE FROM THE OTHER TABS.YOU CAN DO THIS BEFORE SIGNING

MEDS AND IVS MEDS AND IVS

Click on the Meds & IVs tab

Click button nextto category to show Common lists

Entire service lists all meds in category

Or search for meds here

Click “Lexi-Comp” to show our formulary with detailed medication information and indications.

If you still can’t find your med, search for “Message”

This allows free text entry for a medication. Use this after speaking with a pharmacist.

Highlight the med or meds and Click OK

Fill in the details. Pay attention to Start Date/Time, change if needed. Consider First Dose Now & Routine

The blue link will bring you to Lexi-Comp information about the medication Click OK

For additional dosing frequency options, click More from the Frequency drop down

Sign Orders screen will appear once details are all complete. To add more meds before signing, click on the Meds & IVs tab again. Select multiple meds and/or orders before signing to save time and decrease printouts.

After you Sign Orders, your new orders will print at the nurses’ station where your patient is located.

After you Sign Orders, your new orders will print at the nurses’ station where your patient is located.

Providers are advised to enter batches of orders before signing them to minimize print outs.

Providers are advised to enter batches of orders before signing them to minimize print outs.

RN/UC will pick order up from printer, flag chart yellow (routine), or red (stat) and order will be fulfilled based on department workflow. All Stat orders MUST also be communicated to clerk/nurses verbally. Otherwise they can’t be appropriately prioritized.

RN/UC will pick order up from printer, flag chart yellow (routine), or red (stat) and order will be fulfilled based on department workflow. All Stat orders MUST also be communicated to clerk/nurses verbally. Otherwise they can’t be appropriately prioritized.

yellow

Diagnostics & Treatment

Orders

Diagnostics & Treatment

Orders

Or Search here

Choices appear in the right panel

Click button next to category to show Common lists

Click Entire service for all choices

Click on the Plus sign to expand the Plus List

Highlight the test you want. Select multiple tests from multiple categories or even tabs before clicking OK to save yourself time.

Fill out any additional information

Fields with an Asterisk * or yellow fields are required

Radiology information also needs to be entered in Radiologue

Click OK

If you are done adding orders and everything looks ok, sign your orders by entering your password here

This brings you back to the Sign Orders screen

Patient Care OrdersPatient Care Orders

Pt. Care OrdersPt. Care Orders

Patient Care orders are entered the same as Diagnostics and Treatment, and Medication orders

If you can’t find your order, choose Miscellaneous and then Misc Patient Care Free Text

Type over the “MISC: FREE TEXT” with your order, specify details in Comments, then click OK

Current Orders tab

(Active Orders)

Current Orders tab

(Active Orders)

THE CURRENT TAB SHOWS ACTIVE ORDERS

Select the order(s) you want to D/C or Revise, then click the button to mark.

Click Enter Order Changes to proceed. You must sign your order to make changes.

Meds will have the status REVIEWED until processed by Pharmacy. Once approved, they will say VERIFIED.

Priority indicates Routine or PRN

IF YOU NEED HELP1. Find the nearest Superuser on your unit

(Charge Nurse is backup)2. Visit the CPOE Help Desk @ goo.gl/PaJws

3. Call 206-5529 (CPOE Hotline, staffed intermittently)3. Call 206-5035 (IT help desk)

4. If still unable to find a solution Do It On PAPER (Patient Care First)

Email DPH-SFGH-CPOE@sfdph.org with low priority problems/suggestions/comments/criticisms, and we will try to

respond as soon as possible