Computerized Provider Order Entry (CPOE) in the Emergency Department

1. Computerized Provider Order Entry (CPOE) in the Emergency Department Basics

2. Introduction • Computerized physician order entry (CPOE) is a system that allows direct entry of medical orders and instructions for the treatment of patients by a medical practitioner. • The orders are communicated through a computer network to medical staff or other various departments responsible for fulfilling an order, including pharmacy, radiology or laboratory. http://www.healthcareitnews.com/directory/computerized-physician-order-entry-cpoe

3. Tracking Board ICONs

4. Opening Orders From The Tracking Board • First click the Order ICON from the Tracking Board: • Then Click the Add Button to open the Add Order window NOTE: The +Add button, located on the Orders band in the Menu, may also be used to open the Add Order window

5. ED - Orders Section Overview Add Order Button Order Status Filter Menu (VIEW) Order Profile

6. Orders: The 4 Basic Steps • Find the Order • Complete the Order Details • Sign the Order • Refresh the Screen

7. ED - Add Order Window Overview Patient Demographic Banner Filter Order Type Find box Diagnosis ED Common Orders Folders ED Order Plans Problems

8. Viewing Reference Information • Right click on the Order: • Left click “Reference Information” from the MENU • When finished click the “Ok” button

9. Working with ED Common Orders • Click a Common folder (Labs) to open: • Now select the Order (BMP) • When finished click the “Done” button

10. Order Sentences (Details) • Then click the “OK” button to close the Order Sentences window (leave on “None”) NOTE: ED Orders default to “Stat” as a collection Priority • Now complete the Order Details • When finished click the Sign button and Refresh the screen

11. Working With ED Order Plans • Type ED in the “Find” box: • Select the Order Plan from the list • When finished click the “Done” button

12. Viewing the Order Plan • The Order Plan is now listed in the MENU (View)

13. Order Plan Components • Tool Bar • Merge View (view existing orders) • Discontinue • (add order to plan) • Order Plans contain multiple orders for: • Nursing • Medications • Sub Phases • ETC.

14. Order Plan Components • Check the orders you wish to include in the plan • More Details can be added by clicking the down arrow    

15. Adding Sub-Phases • Click the box to the right of the double yellow ICON to open the Sub-Phase: • Then select the Orders from the Sub-Phase you wish to add • When finished click the “Return to ....” button to go back to the plan 

16. Viewing the Sub-Phase • The Sub-Phase is now listed in the MENU (View) under the Original Order Plan

17. Weight Based Medications  • When a weight based medication is selected: • The Dosage Calculation Window will open with the “calculated dose” filled in with a dose based on the charted weight

18. Weight Based Medications • Click the “Formula” button if you wish to view the calculation used for the drug you’ve selected

19. Weight Based Medications  • When you have selected the dose: • Click the “Apply Dose” button to close the window and add the order to plan

20. How to Add an Order to an Order Plan • Click Add to Phase: • Select “Add Order” • Find Order: • Click done

21. Signing the Order Plan • First click the “Orders For Signature” button...

22. Reviewing the Order Plan • Then review the Order Plan: • Complete any required fields, etc. • When finished click the “Sign” button and Refresh the screen

23. How to View the Order Plan After it Has Been Signed • Click the name of the Order Plan you wish to review: • Notice the status is now Initiated (active)

24. How to Modify an Order • Right click on the order: • Then left click “Modify” from the Menu

25. How to Cancel a Single Order • Right click on the Order: • Then left click “Cancel/DC from the Menu

26. How to Cancel an Order Plan • Right click on the Order Plan in the Menu: • Then left click “Discontinue” • When the Discontinue window opens click the “OK” button

27. How to Cancel an Order Cont... • Now click the “Orders for Signature” button: • Then click the “Sign” button and Refresh the screen NOTE: If you get this far and want to stop the process, right click anywhere in the order and left click “Reset”

28. How to Cosign Orders From the Tracking List • Double left click on the ICON in the CS column: • Then review the Orders • When finished click the “Cosign” button NOTE: This ICON will reappear when a new order is added

29. Conclusion • We hope this Computer Based Learning course has been both informative and helpful. • Feel free to review this course until you are confident about your knowledge of the material presented. For further information about this module please contact Cinda Cowen at 226-5366