Pending Future Order Review

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Pending Future Order Review

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The Pending Future Order Review screen may be accessed by selecting Review from the action bar on the Future Order Entry screen. The screen will launch with each pending order displayed and any icons (Clinical Monitoring icon, Required Information icon), the item description, the Start Date/Time, Order Type, and Ordering Physician. The Order Reason(s) will display underneath the description, if it has been addressed (see below).

 

 

Select Web Client > Whiteboard List > Select Patient > Order Entry > Future Orders > Future Order Entry > Review

 

pending future order review

Pending Future Order Review

 

Action Bar options include:

Sign: Prompts the user to address all required information and Clinical Monitoring prior to prompting for the passphrase.

Add Orders: Returns to the Future Order Entry screen.

Edit: Accesses the Edit screen for any selected item(s).

Edit Required: If selected when the screen is initially accessed, this will launch the Order Edit screen(s) for all pending orders that have any required information fields (Order Entry questions, an underscore in a nursing order, Order Reason Required is turned on in System Administration, etc.). It will create a queue and save each order and open the next in the sequence to be edited.

Remove: Deletes any selected pending orders.

Clear All: Deletes ALL pending orders.

Recurrence: Allows a recurrence to be set on multiple items at the same time. Selecting this option opens the Recurrence Options screen (more information below).

Change Start/Schedule Date: Opens the same screen as the Set Start/Schedule date to set selected items to a specific date and time.

Address Clinical Monitoring: This may be manually selected to view Clinical Monitoring, which is a required step before signing. Required Clinical Monitoring Overrides may be addressed.

Change Expiration Date: The expiration date will default to one year from the current date/time the order is being placed.

Order Reason: The description, ICD-10, and SNOMED code to show the reason for the order.

 

The Order Reason Behavior Controls may be set to Required in System Administration for Ancillary, Pharmacy, and Nursing orders. The Order Reason may be entered as the same reason on multiple/all orders if they are multi-selected from Pending Orders and then Order Reason is selected from the action bar. If it is set to required, the Required Information icon will appear to the left of the order item description. Once the Order Reason has been addressed, the Required Information icon will no longer appear. All Required Information must be addressed prior to signing orders.

 

The Future Order Reasons List will open to "Favorites" when Order Reason is selected. Much like other areas of the system, such as Problem List, Health History, etc., the user's Favorites with the Description, ICD-10 code, and SNOMED code will display. Each procedure (order) that was selected for Order Reason will display at the top of the screen. The user may choose by the Description, ICD10, SNOMED, or Problem List, which will display any problems that have already been entered on the patient's Problem List.

 

The Add to Favorites option is available to add any new descriptions to the Favorites list for the user. From the Reason/Diagnosis lookup List, double-click the description or single-click and select Add to Pending to add the description to the Selected Future Order Reasons/Diagnosis area. Select as many reasons as needed and then select Update.

 

 

Select Web Client > Whiteboard List > Select Patient > Order Entry > Future Orders > Future Order Entry > Select pending orders > Order Reason(s) > Search and Select Reason(s) > Update

 

future order reasons list

Future Order Reasons List

 

The Order Reason may also be entered for each order separately in the order edit screens or by multi-selecting items from the Review (Pending Future Order Review) screen and selecting Order Reason from the action bar. The selected reason(s) description and codes will appear on the Pending Future Order Review screen beneath the item description.

 

The Recurrence option allows the selected items to be set to recur on a specified basis. Recurrence Options and Range of Recurrence may be addressed.

 

The Recurrence Pattern has multiple options with free-text fields to enter a "set number" for the frequency of the recurrence:

Daily - Every ___ day(s) to schedule the item to recur every "set number" of days or Every weekday for an order that needs to be performed on a daily basis.

Weekly - Recur every ___ week(s) on to schedule the item to recur every "set number" of weeks and selecting the day(s) of the week on which the item should recur.

Monthly - Day ___ of every ___ month(s) to schedule the item to recur every "set number" of days and month(s). The other option is to select the drop-down for first, second, third, fourth, last, then the drop-down for day, weekday, weekend day, Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, of every ___ month(s) with the "set number" of months.

 

Range of Recurrence must have a Start date and either an End after ___ occurrences or End by date.

 

 

Select Chart > Order Entry > Future Orders > Future Order Entry > Review > select Pending Orders > Recurrence

 

recurrence options

Recurrence Options

 

 

Once a recurrence has been set for orders, it will display the details of the recurrence on the Pending Future Order Review screen.

 

 

Select Select Patient > Order Entry > Future Orders > Future Order Entry > Review

 

pending order with occurrences

Pending Future Order Review

 

 

Prior to Signing (as a provider) or Updating (as a nurse/employee), finish addressing any required information. Select Sign or Update once complete.

 

Sign: Providers will be prompted to enter their passphrase (and select a co-signing provider, if required).

 

Update: Orders will be sent to the Ordering Physician's Tasks Screen Future Orders folder for cosignature.

 

 

Select Web Client > Whiteboard List > Select Patient > Order Entry > Future Orders > Future Order Entry > Review > Sign or Update

 

Pending future order review 2

Pending Future Order Review

 

 

Select Web Client > Whiteboard List > Select Patient > Order Entry > Future Orders > Future Order Entry > Review > Sign

 

sign orders

Enter Passphrase

 

 

To review or release orders manually after being placed, select Order Chronology. The Status column displays Pending Future orders. The ability to release orders will depend upon the behavior controls that have been granted for the login. Future Orders may be modified from Order Chronology prior to the order being signed or released. Any part of the order may be modified with the exception of the actual order item. If the Future Order has been signed or released, the ability to modify the order will not be available.

 

 

Select Web Client > Whiteboard List > Select Patient > Order Chronology

 

Order Chronology

Order Chronology

 

 

Select a Pending Future Order to view the detail, which will display information including the Order Reason and the Originating Account number from which the Future Orders were placed. The Order Reason option is available on the action bar if the Order Reason needs to be changed or if additional reasons need to be added.

Once the provider has signed the order, the Sign Date/Time/Physician will populate the information in the Future Order Detail screen.

Once the Future Order has been released, it will become an Active Order and will display the standard Order Detail screen. The Future Order Detail screen may be accessed by selecting the Future Order Hx button on the action bar of the Order Detail screen.

 

 

Select Web Client > Whiteboard List > Select Patient > Order Chronology > select Pending Future order

 

order detail

Future Order Detail