Order Entry Enhancements Cheri Rogers Clinical Informatics Analyst North Bay Regional Health Centre

Order Entry (using Meditech Magic 5.64) OE being used for Order processing with interfaces to the Lab and Dietary Various print formats to Departments like Diagnostic Imaging, Bed Allocation and referrals throughout multi disciplines Customized reports to have orders flow through server as text message to Phones and pagers

Order Entry Blood products for transportation by Pneumatic Tube If a Porter has to obtain the Lab req. from the unit then walk to the Blood bank to get a product & return, What time can we save? What direct patient transportation could they be doing? How many steps saved? If a Nurse has to take the req from their unit and walk to the Blood bank & return, What direct patient care could they be doing? What time can we save? How many steps saved? Can we do this securely? With little to No Risk?

Many steps

Product Release Request Created a procedure in OE to request product once Cross match completed Ease of use, system well understood by frontline staff Enabled nurses to remain on unit providing care and request product on their timeline of availability Pneumatic Tube system uses a secure delivery, pass code protected with defined time limit if carrier not picked up by nurse

Order Entry Screen

Blood bank conducted pre-LIVE studies to determine Effects on Blood products using Pneumatic Tube transport including Time and Temperature changes

More Time to Care Deep Dive Area Operating Room

OE for Physician Entry of Non elective OR Board cases Surgical Non elective cases are defined into 4 types; A case emergent < 2 hours B case within 2 – 12 hours C case within 12 – 48 hours D case within 2 – 7 days Historically tracked by the Charge nurse

Multiple phases to change past practice Step 1 Unbury the Charge nurse from paper scraps and post its Step 2 Operating Room developed a paper Booking form for Physicians that could be hand delivered or faxed to the OR team station Step 3 Create an OE screen of the Booking form & teach Super users to help train surgeons *make it easy to use* Step 4 Train Physicians to use Order Entry without calling it OE * stigma related to “Order Entry”*

Typical Order Entry Screen How to make it not look like Order Entry?

Use POE in the PCI view

Simple to access, structured like the booking form developed. Uses a Meditech view Physicians are used to.

Next Phase Super users are currently giving demonstration and one to one instructions to add a case in Meditech. These orders print to the OR team station and are written on “The Board” Move OR Board to LIVE screen using a large monitor or TV.

OR Non Elective Cases

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