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SCM (CareVISION) Update. Patient Care Orders Pharmacy Orders Cancel Reasons. When to use Patient Care Orders. These orders tend to be overused Communicate only with nursing Since the orders are seen only by nursing, they will not be seen by other ancillary departments
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SCM (CareVISION) Update Patient Care OrdersPharmacy OrdersCancel Reasons
When to use Patient Care Orders • These orders tend to be overused • Communicate only with nursing • Since the orders are seen only by nursing, they will not be seen by other ancillary departments • Whenever possible, use specific orders NOT—Patient Care orders!
Med Order Communication to Pharmacy • Do not enter pharmacy orders under “Patient Care Orders”! • Pharmacy will not see these orders • If the order is complicated, enter a “Med Communication order” • Type “med” to find this order • This order will go directly to pharmacy
For complicated medication orders type “med” Then click on “Medication Communication Order”
Pharmacy IV orders • Do not enter any IV orders, including initiation, changes or discontinuation as a Patient Care order • As before, these orders will not be seen by the Pharmacy • Instead, filter for the IV under the orders tab • Set status filter for “active” • Set order selection filter for “ Intravenous”
Select Active Select intravenous fluids
Change or Discontinue an IV • Right click on this “filtered” order • To discontinue IV, click on dc/cancel • To change IV, click on dc/reorder • Enter password to discontinue order • Click “active” order entry icon and find order in the summary window • Double click on order and change rate as needed
To cancel order To cancel and reorder
Pharmacy Orders - STAT Order “stat” in the priority field, not the frequency field Order the frequency in its field
Neverorder STAT in a “frequency” field Order stat in the Priority field
Pharmacy Orders - Tidbits • “Once” only orders should include the time of administration • When entering the name of a medication, type only 3-4 letters • Typing only 2 letters will take the system longer to find a match • Typing too many letters may exclude the medication
In this example, too many letters were entered to find Aqua-Mephyton
This “Once” Medication is to be given STAT. You could select “specify time in box to right” to enter a specific time.
Dose to be given once A short comment to reinforce your intent Specify time Specify tomorrow’s date
Pharmacy Orders • Do not use the “comment field” to enter instructions that contradict what you entered in the dose or frequency field.
Cancelled Orders – Finding the reason • Sometimes an order is “Cancelled by Performing Department” • To find out why, right mouse click on the order and chose “History” and then “Status” • NOTE: Entering a cancel reason is not mandatory for many departments so this may be blank.
The cancel reason in this example is “physician cancelled order”
For Questions or Help- Call Beeper #1267 Or Call Marc Silverstein M.D. 350-3710