medical officer reference guide - queensland health · 2018. 11. 26. · 1.0 02.02.2018 dr raelene...

Medical Officer Reference Guide Version 1.5

Digital Hospital Program Apr 18 v1.5

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Document details

Contact for enquiries and proposed changes If you have any questions regarding this document or if you have a suggestion for improvements, please contact: Contact Officer Karen Mitchell Title Senior Training Coordinator Email [email protected]

Version history Version Date Modified by Description

0.1 30.01.2018 Karen Mitchell Initial draft

0.2 31.01.2018 Angela Vyden Reviewed and modified

0.3 31.01.2018 Kim Pham Reviewed and modified

0.3 31.01.2018 Dr Raelene Donovan Additional Order Entry information

0.3 31.01.2018 Dr Rosalind Crawford Reviewed and modified

1.0 02.02.2018 Dr Raelene Donovan Finalised

1.1 12.02.2018 Dr Mark Horder Updated screen shots

1.4 13.02.2018 Dr Mark Horder Finalised

1.5 09.04.2018 James Grant Updated Allergy Reporting section

Acknowledgements The Authors of this document wish to thank and acknowledge the Metro South and Princess Alexandra Hospital training team for their help in developing this document for QLD Health state wide publication.

Copyright © The State of Queensland, Queensland Health 2017 Copyright protects this publication. Except for purposes permitted by the Copyright Act, reproduction by whatever means is prohibited without the prior written permission of Queensland Health. Inquiries should be addressed to the Executive Director, Clinical Informatics and Technology Services, Metro South Health.

Commercial-in-Confidence This document may contain commercial-in-confidence information. The document has been produced for the sole use of Queensland Health and should not be provided to external organisations without the written approval of the Executive Director, Clinical Informatics and Technology Services, Metro South Health.

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Terminology

Medication Administration Record (MAR) Summary

The MAR Summary is the only cross encounter view of medications where you can easily find previous medication history, without having to search through charts.

All clinicians have access to the MAR Summary to view concise medication information, including pending, given and withheld medications

Provides read-only access to all prescribed inpatient medication orders and related tasks (enteral

MAR Summary is an extremely important screen for completing safe and effective clinical handover

Medication Administration Record (MAR)

The MAR is a current encounter view where medication and fluid administration can be reviewed or documented.

The MAR includes two sections; the Navigator section and the Medications section. In the Navigator, the medications that are displayed are categorised by type into the following groups: Scheduled, Unscheduled, PRN, Continuous Infusions, Future, and Discontinued.

Sections which are grey in colour cannot be charted against. The yellow highlighted column shows the current time.

There are several types of MAR view types available to suit different clinical and treatment requirements.

Home Medications

Home medications are the medications the patient is usually on which can be continued or paused on hospital admission

Home Medications are cross encounter, and must be reviewed at the beginning of each encounter to ensure it remains up to date.

Home Medications are manually entered by the doctor, nurse or pharmacist.

Home Medications can be quickly converted to inpatient orders.

If changes are made to Home Medications, these will automatically pull through to a Discharge Reconciliation that has already been commenced. If this is the case, ensure the changes are discussed and reconciled with whoever signed the Discharge Reconciliation.

Home Medications is not static and will change to reflect decisions made in the Discharge Reconciliation. The Pharmacist Admission History note should be used as the source of truth for Home Medication prior to admission

Order Sentences

Order sentences are the required details attached to an order, including the medication name, strength, form, dose and frequency.

Order sentences help the ordering clinician by completing these required fields, therefore streamlining the medication ordering process, and increasing patient safety by minimising errors.

Order sentences must be selected carefully, as the medications catalogue includes paediatric order sentences, based on weight and age. It is recommended to include both the generic drug and strength in the search to reduce the risk of selection error.


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Order sentences only reflect the most commonly used order details. If different details are required, they can be edited within the Order Entry Field before signing.

Products

Medications are ordered as products. This is similar to selecting a PBS script.

MAP (Medication Assessment Plan) issues

The MAP issues form is the digital version of the pharmacists’ ‘purple pen’.

Once the pharmacist has completed their reconciliation, a summary can be found in the Pharmacy Admission History note.

An electronic log of the MAP issues can be found in the Activities and Interventions section of the patients chart, and within the patient’s documentation.

A medical officer should document their action in the first box for the pharmacist to review. Only a pharmacist should mark the intervention as resolved (by marking Yes at the bottom of the form).

Interventions will show in documentation prior to being signed

Signed (completed) Interventions will be removed from the MAP issues and MultiPatient Task List (MPTL), making this a good place the review the current or outstanding interventions for a patient

Admission Reconciliation

An Admission Reconciliation is the process of determining which Home Medications are to be continued or withheld during an in-patient encounter.

It also audits the data in the chart to ensure that the chart is accurate and up to date.

Admission Reconciliation allows for home medications to be quickly converted into inpatient medication orders.

Every medication must be reconciled. Unreconciled Home Medications are identified

with an orange star icon. Once complete, a Green Tick will appear on the top right of the Orders screen.

Always SIGN your reconciliation, selecting PLAN is not advised as the actions will remain pending.

Transfer Reconciliation

The Transfer Reconciliation is never to be used.

This is NOT for an inter-hospital transfer

Therapeutic substitution

If the Home Medication that the patient has been taking is not a List Approved Medication (LAM) and there is a similar LAM product available, a Therapeutic Substitution window will display. You can accept this substitution by pressing OK, or select a Decline reason and click OK. Automatic substituations will also occur to improve patient safety e.g. addition of Patch Removal Tasks.


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Routine vs. now priority

If you select the priority as Routine, the dose will be charted to be administered at the next scheduled time.

If you select the priority as NOW, the dose will be charted to be administered immediately.

If you select the priority as None, this will allow you to enter a specific time for the first dose

Be careful in terms of the next scheduled dose occurring in an appropriate clinical timeframe when using NOW priority medications e.g Ibruprofen Now order given at 1130 with next dose with a THREE TIMES DAILY order next due at 12MD – (only thirty minutes later). Reschedule the second dose as appropriate.

Decision Support – beware of alert fatigue These tools are only recommendations, are not all inclusive, and do NOT replace sound clinical judgment.

Dose Range Checks: alert if maximum recommended single dose for any medication is exceeded

Duplicate Order Checking: ensures different users don't chart the same drug by accident

Drug Interaction Checking: warns users if different charted medications have an interaction when given together. This can also be done retrospectively.

Allergy Checking: alerts user if they chart a medication with a listed allergy***

Allergy checking can be done retrospectively.

Renal and Liver dysfunction: alert for relevant medications

Custom Rules – alerts that are written for specific drugs e.g. VTE rule, methotrexate dosing.

*** It is important to ensure that a patient’s allergies are recorded in the patient’s chart, and updated accordingly to allow for optimum allergy checking. Orders Screen Customisation

The Orders screen will show all orders across encounters

To reduce the risk of error, group orders by clicking on

Apply either of the following selections based on personal preference:

OR

Antibiotic orders – Review Schedule

You should always confirm the medication and order details before signing.

All IV antibiotic order sentences default to a priority of NOW. It is important to check the schedule of doses. Click Review Schedule to review when the first dose and second doses are scheduled.

Oral antibiotics in comparison have the first dose set as Routine. For first dose to be administered NOW, the time needs to be modified at the time of ordering.

The dose schedule is displayed. You are able to modify the second dose administration date and time, or skip the second dose if appropriate. You are happy with the current schedule.


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Consider the prescription over a longer period e.g 24 hours that the daily cumulative dose is appropriate such as three doses of antibiotic given in 24 hours

Prescriptions

The Pharmaceutical Benefits Scheme (PBS) is an Australian Government program that covers part of the cost of medicines to make them more affordable.

PBS allows doctors to prescribe PBS medications, based on criteria as defined by Medicare Australia.

A prescription is defaulted to a Non-PBS status unless the PBS details are selected within the PBS tab

When a PBS listing is selected, quantity and PBS codes auto-populate. However, the number of Repeats (Refills) must be manually specified.

Some PBS medications do not require clinicians to contact Medicare

Some PBS medications do not require clinicians to contact Medicare, if ordering within restrictions specified.

For PBS medications that do hold restrictions, such as Full Authority scripts, clinicians may need to contact Medicare (unless ordering privately) to obtain approval.

Any attempt to increase the recommended PBS details and repeat numbers will require a mandatory PBS approval number for the prescription.

Streamlined Authority PBS medication

If you see an open padlock icon on the PBS tab, this means that the Products displayed can be ordered using a streamlined authority approval number which will be automatically entered into the details screen when a PBS code is selected from the PBS Tab.

Full Authority PBS Medications

Product displayed with a locked padlock symbol indicates that the medication is restricted, and an authority approval number must be obtained by the prescriber.

PowerPlans

A PowerPlan is a set of orders that are grouped together to communicate care for a patient. An order can be related to:

Patient care activity related (IV insertion, vital signs etc.)

Plans of care with identified clinical/functional outcomes

Consultations from or to other clinicians

Investigations including pathology, radiology and procedural (e.g. ECG)

Medications, intravenous fluids, Blood products and nutritional supplements

PowerPlans can cross encounters, so that orders can be placed and care planned for future admissions.

Powerplans can be single or multi-phase; ALWAYS check what phase is being viewed before in the FIRST instance

PowerPlans have two buttons at the bottom – Initiate and Sign. You can use these buttons together, or separately.

o Sign only – Once you have selected the orders within the PowerPlan, you can click Sign to sign the orders. The PowerPlan will then be available to be initiated at the appropriate time.


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This is useful when delayed care is anticipated e.g commence the iron infusion in Day Therapy Unit next week as the RN will initiate the iron infusion next week.

o Initiate then Sign – If this is done, you will activate the PowerPlan immediately. Always review orders on the Orders for Signature page BEFORE signing.

Once a powerplan, or phase is no longer required, remember it needs to be DISCONTINUED

PowerPlan icons

The icon for a PowerPlan is

The Notifications icon provides a hyperlink to state-wide guidelines.

The Pushpin/yellow note icon indicates a comment.

The Clipboard icon represents an order.

The Reference Text icon opens a new window containing relevant reference text.

The Dose Calculator icon – Indicates the calculator will be invoked for this order

The Pharmacy Verification icon – inidcates the order is yet to be verified by a pharmacist.

Related results

Click Related Results to review any laboratory results relevant to the medication selected.

This view will also show you the last dose date and time that the medication was administered, and any related medications that have also been administered.

This information can be useful to the provider at the time of order entry to help determine what orders are appropriate for the patient.

Discharge Reconciliation

When it’s time to discharge your patient, you will need to complete a Discharge Medications Reconciliation. By doing this you authorise which orders will Continue/Discontinue upon discharge, and convert medications to discharge prescriptions where required.

Every medication must be reconciled. Unreconciled Home Medications are identified

with an orange star icon. Once complete, a Green Tick will appear on the top right of the Orders screen.

Always SIGN your reconciliation, selecting PLAN is not advised as the actions will remain pending.

Reconciliation not started


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Incomplete discharge reconciliation

Complete discharge reconciliation

Within the discharge reconciliation any medications that have an orange star next to them have not yet been reconciled. Reconciling Home Medications

The Continue function will continue the documented home medication in the patient’s chart so that it is viewable in future encounter

The Prescription function will convert the documented home medication into a discharge script. It will also continue the order as a documented home medication in the patient’s chart so that it is viewable in future encounters.

The Discontinue function will stop the documented home medication from being documented in the patient’s chart for future encounters.

Reconciling Inpatient Medication orders

The Continue function will convert the inpatient medication order into a documented home medication in the patient’s chart so that it is viewable in future encounter

The Prescription function will convert the inpatient medication order into a discharge script. It will also continue the order as a documented home medication in the patient’s chart so that it is viewable in future encounters.

The Discontinue function will cancel the inpatient medication order upon completing the reconciliation. The discontinued medication will not be documented as a home medication.

Blood Products

The processes for generating an order with blood bank and obtaining blood products from blood bank will remain unchanged. The orders that are placed electronically for blood products are for the administration of blood products only. You will not be electronically ordering blood products.


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Allergies It is essential to check medication orders against the patient’s allergies. It is vital not to rely on decision support only. Best practice is to complete the relevant checks as below:

1. Check the patient banner bar; does the patient have any documented allergies?

2. If the patient has a documented drug allergy, does the drug show a green tick? Yes- The system will perform an allergy check when ordering medications No - the system will not perform an allergy check when ordering medications

3. Have you chosen the correct vocabulary (Allergy/Substance vs. Multum)?

Drug allergies must be recorded using the Multum vocabulary to initiate the allergy checking. Sulfa drugs has a green tick (above) is because it was recorded using the Multum drug library.

The Sulphur allergy was not recorded using the Multum vocabulary; therefore an allergy check cannot be performed.

The sulfa drugs allergy will perform an allergy check.

The sulphur allergy will not perform an allergy check.


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4. When entering or checking a drug allergy in the chart does it have a red circle with a white cross?

If you see the icon below, this indicates that drug allergy checking is not available. It is recommended that you cancel this allergy entry, and re-enter it by selecting a result from the Multum vocabulary.

5. Are you recording an allergy to a SAS drug, or a custom made drug (i.e. it does not come in a packet)?

Allergy checking will not occur on SAS and custom-made drugs. (No decision support will occur for these drugs.)See example below:

Allergy troubleshooting and Common Mistakes

An allergy report has been generated to help optimise the use of the ieMR allergy reporting

function and maximise the number of allergy alerts being fired. The report listed all allergies

entered as ‘other’, allowing ieMR clinicians to isolate documented allergies which could have

been entered under a codified drug name.

Common drugs that could be codified

This list specifies drugs commonly documented as ‘other’ which should be documented

under a codified drug name. Tips for locating these drugs and possible reasons for a

clinician’s inability to locate the drug in the search screen are listed beside.


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Codified drug name Tips for locating

Maxolon / metoclopramide Commonly misspelled as ‘Maxalon’

Try searching ‘max’

Sulfonamide / sulfur containing drugs Commonly spelled as ‘sulphonamide’ or ‘sulphur’

Beta blockers Search ‘beta blocker’

Vaccines (e.g. tetanus toxoids, tet-tox, Fluvax,

pertussis vaccines, dTpa, pneumococcal vaccine)

Try searching ‘vaccine’

Try searching by disease, e.g. pertussis

Angiotensin converting enzyme inhibitor ACE inhibitors’ not codified

Search ‘angiotensin’

NSAIDs Try searching ‘NSAID’

Not locatable in unabbreviated form

Statins Try searching ‘statin’

Pethidine Commonly misspelled as ‘pethadine’

Try searching ‘peth’

Bactrim / sulfamethoxazole-trimethoprim Can be found by searching sulfamethoxazole OR

trimethoprim OR Bactrim

Chlorhexidine topical Search ‘chlorhexidine’ and alphabetise name column

Shellfish Often entered as ‘crustaceans’ or ‘shell fish’

Try searching ‘shell’

Alcohol swabs / Rubbing alcohol wipes Search ‘alcohol wipes’ or ‘alcohol swabs’

Oxycodone Search ‘oxycodone’

Zinc oxide topical Try searching ‘zinc topical’

Amethocaine topical Often entered as ‘Angel cream’

Search ‘amethocaine’

Antihistamines Search ‘antihistamine’

Vitamin E Cream Search ‘Vitamin E cream’

Silicone Search ‘silicone’

Di-gesic Often misspelled without hyphen (i.e.Digesic) -cannot

be located this way. Must search ‘Di-gesic’.

Opioid-like analgesics / narcotic analgesics Often searched as ‘opioids’ or ‘narcotics’.

Try searching ‘opioid’ or ‘narcotic’.


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Common mistakes

Spelling mistakes

Not searching for the drug / typing too much into the search bar

Smaller word fragments like pen for pencillin can be used easily to improve search functionality

Not clarifying which drug within the class the patient is allergic to

o ‘Injectable iron’ should be entered as ‘Ferinject’ or ‘Ferrosig’

o Contrast dyes can only be entered as specific types (e.g. gadolinium-based)

Entering the patient’s entire allergy list in ‘other’ instead of entering each drug separately

Using the ‘catalog’ tab instead of searching – this limits options significantly

Recommendations

If drug cannot be found, try searching AMH/MIMs to check spelling, and refer to above table

Try searching the first part of the word instead of the whole word

Some foods which cannot be coded are still selectable instead of using ‘other – food’

It is important to enter each allergy separately to allow alerts to fire where appropriate

Use the search function rather than selecting the ‘catalog’ tab

Icons

Documented home medication

Inpatient medication

Discharge prescription

An order which has not yet been reconciled

Ambulatory Order - Denotes that this order is administered in an outpatient clinic

Therapeutic substitution

Non- LAM (Listed Approved Medication)

SAS drug

Hard Stop Renewal - Hard-stop orders discontinue after they reach their stop date

and time. For example, if a physician orders a medication with a site-defined hard-

stop policy for three days, it stops automatically in three days.


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Soft Stop Renewal - Orders that reach their soft stop need to be renewed or

discontinued. The difference between a hard stop and a soft stop is that soft-stop

orders are not discontinued automatically.

Nurse Review - Indicates that nurse review of the order is required.

Admin Note - Indicates that there is a nurse-to-nurse communication attached to the

order, such as "Do not allow patient to walk unassisted". Opens the Admin Note

window where the note can be viewed and cleared if desired.

Pharmacy Comment - Indicates that there is a pharmacy comment attached to the

order. Opens the Order Information For <medication name> window with the

Comments tab active.

Pending - A preference set by your system administer determines if this icon is

displayed. If set to display, it does so only if all of the following conditions are met: 1)

the order has passed its stop date and time; 2) it is not a soft-stop order; and 3) the

order is either in a Pending Complete status or it is not in one of the following

statuses: Completed, Discontinued, Cancelled, Voided With Results, or Voided

Without Results.

Immediate Priority - This icon is displayed when there is a task that has a priority of

STAT and NOW.

Request Pharmacy Verification - The medication order has not been verified by

pharmacy.

Rejected by Pharmacy - The order has been rejected by pharmacy. Check all order

information before administering. (This also produces rejected tasks.)

Note

If a new order is rejected by pharmacy, the order is not dispensed. However, an

order that previously has been verified and dispensed can be rejected upon an

erroneous modification. The rejected icon alerts the nurse not to give the

medication. However, if for any reason the medication was administered to the

patient, the nurse can document it.

PowerPlan - The medication order is part of a PowerPlan order sequence.

CareSet - The medication order is part of a CareSet.

Clinical Calculator - Launches the clinical calculator so that the user can make a

calculation.

Modification (Delta symbol) - Indicates when a core detail on the order is modified.

This symbol shows on the task following the modification date/time.

Order History - The order history icon displays on the IV and PRN charting windows

and when selected displays the order history window which displays the versions of


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the order. If an order is modified the user can select which version of the order they

want to chart against by selecting this icon.

Taper Dosing- Opens the Taper Dose Tool

IV Sequence - The order is part of an IV Sequence, and a grouping of one or more

continuous infusion orders that are to be administered in a particular sequence one

after the other exist.

Drug allergy checking will occur

Drug allergy checking is not available

Order details not complete

Dose Calculator - Launches the dose calculator.

Order within a PowerPlan

Reference Text - This icon indicates that reference text is associated.

Variable dosing – click to activate variable dosing

Tamperproof paper is required for printing

The schedule for this order should be reviewed

Order Entry Fields (OEF) for Medications This section of the document is to explain the key OEF for Medications that you will find important to ensure orders are correct.

Dose:

The dose can be changed by clicking on the box, and modifying the number.

DO NOT enter a range e.g. 5-10mg in this box as the Dose Range Alert function will not work.


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Route of Administration

The route of administration can be altered. The list is extensive; please take care in selecting the right route.

Frequency

Frequency is listed as hours, minutes and daily.

You will need to change the frequencies from time to time as NOT every order sentence with all frequencies is in the catalogue.

You will not find QID, Q4H, BD etc. o QID = 6 hourly o BD = Twice daily

There are additional options e.g. Daily (M, W, F)

First Dose Priority

This refers to when the first dose is due.

NOW -> will place the time as NOW (immediate) and the task will prompt nursing that it must be given now.

ROUTINE -> will indicate that the ordered medication is not due until the next routine administration time ie. if ordered at 0817 and has a frequency of TWICE DAILY (0800 and 2000), an administration task for the nurses will not drop until 2000.

Clicking on the drop down allows you to choose the First Dose Priority


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First Dose Time

It is good practice to review this time and date to ensure that the first dose hasn’t fallen to the following day.

For example, ordering a daily dose of atenolol for 0800. But the time is currently 0900 (during the ward round). The dose (unless first dose priority is changed to NOW) will fall to 0800 TOMORROW.

PRN

Ordering a PRN will prompt you to select an indication (from a drop down menu)

NB: any scheduled medication can be changed to PRN by clicking the PRN drop down and selecting the indication. ONLY do this if you would like a scheduled order sentence to become PRN. Max PRN dose/24 hr

All PRNs should have a maximum dose over a 24 hour period.

This can be a dose, or comment referring to sedation or pain score.


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Indication

Indication is a mandatory field

The indication field will be yellow (mandatory) for all scheduled medications.

The exception is for prn, where it is filled with a -. PRN indication is completed using a drop down field.

Special instructions

Are to be completed for orders with dose ranges

Any other significant or specific instructions should also be entered here

Dosing for Antibiotics

IV antibiotics all have their first dose priority as NOW. This is for BOTH Once Only and Scheduled doses.

It is common for first doses of antibiotics to be given as a Once Only. This means that the Scheduled order needs to have their first dose changed to ROUTINE; otherwise it will appear that you want a second dose to be given at the wrong interval.

It may also need the other doses to be rescheduled.


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Consider

First dose priority

Timing of first dose (when ordering the regular scheduled dose after the Once Only has been given)

Reviewing the schedule

1. First Dose Priority can be changed from NOW to Routine

2. Timing of the first dose can be changed by altering First dose/time

3. The Schedule can be changed by clicking on the next to Frequency, reviewing

the schedule and adjusting the time.

The reschedule window appears and a new time for the next dose can be entered.


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4. The final option is to click on the Review Administration!

Within this window, a new schedule can be chosen.

Orders screen menu options

Useful Definitions

PAPER ieMR

STAT Once Only

Withhold (Several Doses) Suspend (& Resume)

Withhold (Single Dose) Chart Not Done

Cease Cancel/Discontinue vs Cancel/Reorder

Order Page Status Definitions (Medications)

Documented Home medication documented on admission

Prescribed Medication that has had a prescription ordered electronically

Ordered Order placed (and active)

Completed Order has finished, ie end date reached

Discontinued Order has been Ceased

Cancelled Order has been cancelled (ie not ever administered)

Pending Order just placed, page needs to be “refreshed”

Renew -> returns order to original form

Modify -> change the order’s frequency, indication, priority but NOT dose

Copy -> Do not copy medication orders, as it can drop duplicate orders for the medication

Cancel/Reorder-> To modify the dose

Cancel/Discontinue-> To cease the dose

Suspend-> Withhold several doses

Resume-> Resume the suspended order (a suspended order must be resumed prior to discontinuing)

Delete-> remove an order that has just been placed but not administered

Complete-> Complete a IV fluid order or infusion

Order Information->

Convert to Prescription->


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Order Entry Fields for Radiology

Radiology have several Mandatory fields (in yellow)

Mandatory fields will differ dependent on investigation e.g. MRI, CT, Plain films.

Date and times can be altered if the test is required in the future e.g. an outpatient in

three months – change the date to 3 months hence or put a comment –USS at 32

weeks gestation EDD x, USS please approximately April 7th.

The “reason for examination” field is where the patient’s clinical history details are to be documented. This is critical to ensure that Medical Imaging can triage and prioritise patients’ appointments appropriately (most urgent first).

Medical Officers need to provide sufficient clinical information in this field to

justify MID performing the examination where ionising radiation is used

determine the most appropriate imaging examination to be performed

to assist the reporting radiologist make a diagnosis and guide care.

The “Special instruction” field is generally for non-clinical information e.g. MRSA, sedation required, arrange in 2 weeks, special imaging views etc. However we encourage use of this OEF for additional clinical history if run out of space in “reason for examination”. Alternatively a phone call or an additional note can be made.

Both the Reason for Exam and Special instruction fields appear small with limited

characters to ordering providers. Please do not limit your clinical comments or

instructions to fit within the size of the field. Generally only approximately 20

characters are visible at the point of ordering, however more are available (about 50)

if further characters are typed. The radiology system will show all the typed

characters once the order is submitted. See screenshot below for an example:

At the point of ordering MR Brain:

Once the order is signed:

*The full text will display in the Order Information in the radiology system.


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CT Images

Both require medical alerts to be completed

The priority for imaging can also be changed

Order Entry Fields Pathology

1. Mandatory fields

There is only one mandatory field. This is the reason for placing the order.

Many tests with the reson completed will benefit the pathologists when reporting:

o Coagulation studies

o INR

o Blood Cultures

o Specimens eg CSF, PD fluid


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2. Priority

This can given the indication of ugency for completion.

It will also indicate the run time for collection (Priority AM vs Routine AM)

It is also where to indicate ADD ON

o You will also need to indicate “collected”, and no need to call the lab)

3. Collection time

This can be changed to a future time/day for future orders


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4. Defaults settings

Clinician Collect “yes” and Collected “No”

This means that the labels can be printed.

Change collected to “yes” for add ons

Clinician Collect will still go to phelbotomy, but changing the collection priority will

identify which pathology run that it will be collected on.

If you take the blood, the order is completed and no longe on the phelbotomists

tasks.

medical officer reference guide - queensland health · 2018. 11. 26. · 1.0 02.02.2018 dr raelene...

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