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List Type and Department options can be used to search for nursing, ancillary, and pharmacy orders.

 

If Nursing staff is placing orders from Future Order Entry, they will need to select the Order Type (Written, Verbal, Telephone, Protocol) and the Ordering Physician. Providers will not see the Order Type or Ordering Physician fields. Once the orders have been Updated, the Ordering Physician will receive the orders to sign in the Future Orders Tasks folder.

 

 

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

 

Future Order Entry - Nursing

 

 

Use the Search field to locate the items to be ordered and select the items from Search Orders to add them to the Pending Orders queue. The CPT field is also available for searching for Ancillary and Pharmacy items by the associated CPT Code.

 

 

Nursing Orders

 

Nursing orders are available to order in the Future Orders application in version 6. If the List Type is set to Departments, selecting Nursing will allow the Nursing Category selection drop-down list to appear. Select the Category and then select the Order to add it to Pending Orders. The Nursing Order Edit screen may be addressed from the Future Order Entry screen under Pending Orders or from the Pending Future Order Review screen.

 

 

Select Web Client > Whiteboard List > Select Patient > Order Entry > Future Orders > Future Order Entry > Departments > Nursing > Category

 

Future Order Entry - Provider (CPOE)

 

 

The Nursing Order Edit screen may be edited by selecting the item from under the Pending Orders, or from the Pending Future Order Review screen. To edit the order, type into the Description field(s) until it has been completed.

 

The following labels/fields will display:

•Description: To edit the order, type the order instructions into this field. It is a 250 character limit.

•Category: Displays the selected Nursing Category.

•Ordering Physician: This will display as a label for provider and as a drop-down for a nurse.

•Order Type: This label and drop-down field will only display for Nursing staff.

•Recurrence: This will display based upon what has been entered in the Recurrence screen.

•Start Date/Time: May be edited

•Stop Date/Time: May be edited

•Expiration Date field will default to a year from the date on which the order is being placed, but may be changed.

•Read Back: This is a required field that will only be addressed by Nursing.

•Order Reason: This field is red, indicating that the field is required and must be addressed. This may be addressed at the time of placing the orders or prior to Signing/Updating the orders from the Review screen. See the Order Reason screen.

 

Select Update on the Nursing Order Edit screen once the item has been addressed.

 

Any orders entered for Code Status, Isolation, Suicide Risk, or Physician Admit Reason will follow the typical Order Entry work flow, where the Demographics for the future visit will be updated with the entered information once the orders have been released.

 

Nursing Order Edit - Provider (CPOE)

 

Nursing Order Edit - Nursing

 

 

Ancillary Orders

 

Future Ancillary Orders may be selected from the specific Department search or by using the All search. Ancillary items may be searched for by the item description or by the item CPT code.

 

Future Order Entry - Provider (CPOE)

 

To access the Ancillary Order Edit screen, select the item from under Pending Orders or from the Pending Future Order Review screen.

 

•Item Name: Description of Ancillary Item and Item Master Number.

•CPT: Associated CPT Code and Description for Ancillary Item (if applicable)

•Order Type: This label and drop-down field will only display for Nursing staff.

•Ordering Physician: Provider that placed the order or the provider that was selected during nursing order entry as the ordering provider.

•Recurrence: This will display based upon what has been entered in the Recurrence screen.

•Scheduled Date/Time: The Date and Time that the order is to be performed

•Collect Date/Time/Initials: The Date and Time and the Initials of the staff that marked the order as Collected

•Expiration Date: A year from the date the order was placed

•Order Reason: Description and ICD-10 Code

•Read Back: This is a required field that will only be addressed by Nursing.

•OE Questions: OE Question answers, if applicable (e.g., Radiology order Reason for Order)

 

Once the item has been addressed, select Update on the Ancillary Order Edit screen.

 

Future Order Edit - Nursing

 

 

Pharmacy Orders

 

Pharmacy orders are available to order if the Future Orders application is set to version 6. Pharmacy items may be searched for by the item description or by the item CPT code. If the List Type is set to Departments, selecting Pharmacy will narrow down the search options to Non-IV, IV, Diabetic Record, and Non-Formulary. PCAs will not be available for Future Order Entry.

 

Pharmacy Future Order Entry - Provider (CPOE)

Pharmacy orders may then be selected and edited. Some information may need to be changed, such as the default frequency, depending on the nature of the patient's visit. For a one-time medication order, select the X1 frequency. If the future order is for an inpatient stay, keep the default frequency, if desired.

 NOTE: If the Pharmacy Control table switch "Only Allow Predefined Routes in OE" has been checked, the Route look-up will not be available and the user must choose from the predefined frequencies for the selected medication.

 

•Medication Name: Description of Pharmacy Item from the Pharmacy Item Master.

•CPT: Associated CPT Code and Description for Medication Item (if applicable)

•Order Type: This label and drop-down field will only display for Nursing staff.

•Ordering Physician: Provider that placed the order or the provider that was selected during nursing order entry as the ordering provider.

•Recurrence: This will display based upon what has been entered in the Recurrence screen.

•Dose: This field will display for non-IV medications only. Dose and Unit.

•Flowrate: This field will display for IV medications only.

•Route: The Route of administration for the medication.

•Frequency: For Future Orders on outpatient visits, medication orders should be entered with a X1 frequency.

•Times: See Order Entry user guide

•Duration: See Order Entry user guide.

•First Dose Date/Time: Optional

•Start Date/Time: Optional

•Stop Date/Time: Optional

•Indication: See Order Entry user guide

•Instructions: Any special instructions may be added.

•Patient's Own Medication: See Order Entry user guide.

•Expiration Date: A year from the date the order was placed

•Read Back: This is a required field that will only be addressed by Nursing

•Order Reason: Description and ICD-10 Code

 

 

Once the item has been addressed, select Update on the Medication Order Edit screen. See examples of different medication orders below.

 

IV Medication Order Edit screen will display the following:

 

IV Medication Order Edit - Provider (CPOE)

 

Non-IV Medication Order Edit screen will display the following:

 

Non-IV Medication Order Edit - Provider (CPOE)

 

Diabetic Record - Non-IV Medication Order Edit screen will display the following:

 

Non-IV Medication Order Edit (Diabetic Record) - Provider (CPOE)

 

 

Set Start/Schedule Date

 

When a Set/Start Schedule Date is set, all orders placed into pending orders will have the same Start Date/Time. (Selecting the Reset Start/Schedule Date option will reset the selected schedule.)

 

When finished setting the schedule, select Update.

 

Select Web Client > Whiteboard List > Select Patient > Order Entry > Future Orders > Future Order Entry > Set Start/Schedule Date

 

Set Start/Schedule Date