1. DOWNTIME:HEO/WIZ, VOOM Saturday September 28, 2013 All other applications will be operational
MD Before DT
MD During DT
MD after DT
Enter transfer orders for potential transfers
Reference  StarPanel  and paper copy of orders in the Medical Record (pt. chart) at the patient bedside/nurses station
DO NOT ENTER ANY ORDERS WRITTEN DURING DOWNTIME- IT MAY RESULT IN DUPLICATES
Enter TPN orders early to be able to use VGR and to assure TPN is made in time
TPN ordering-
VUH
New orders- write Order to consult TPN team, TPN Pharmacist will complete order form
Existing TPN- TPN team will adjust TPN Sun am based on labs.
VCH- complete TPN Ordersheet (in E-DOCS)
No requirement
Enter Discharge orders for potential discharges including completing discharge letter
Write Orders on Physician Order Sheet (POS) in the Medical Record (Pt. chart)
Sign orders, print name, and denote contact #(beeper, etc)
Use only Black  Ball Point Pens
One order sheet per set of orders, X out blank space
Use approved abbreviations
Order sets will be available online for reference
SSS website with other DT resources:
Pharmacy will enter medications, Nursing will enter non medication on going orders. It may take several hours for all orders to be “caught up”
Renew restraint and pain orders
Admissions Orders- use POS and be sure to include Attending, Service, Team and allergies
Transfers Orders ONLY- denote  orders on the Transfer Order sheet in the pt. chart- line through orders to discontinue, denote edits, write new orders on blank lines
Discharges Orders- write discharge orders and discharge instructions on POS.  Enter Rx in RxStar as usual
Special Considerations
Consults
Write order for ”consult (service)” and then provider to contact consulting provider (call operator for # or reference list on units).
Insulin Drip & Electrolyte Replacement Protocols- RNs will adjust rate according to protocol
Nurse Managed Heparin Protocol see Protocol in E-Docs or in SSS website
Code Status orders- Enter in StarForm and ALERT THE RN.

2. Referencing OrderSets During HEO/WIZ Downtime September 28, 2013 From Web or Link in StarPanel… access orderset web site