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Hold and Resume Orders

Hold and Resume Orders. VCH NLB Lillian McGehee, Systems Support . New Functionality Wiz/HEO . Provider will have ability to: Hold an active med on a specific date/time Resume a med currently on hold by Date/time Number of Day(s) Number of Dose(s). Problem We Are Trying to Solve.

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Hold and Resume Orders

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  1. Hold and Resume Orders VCH NLB Lillian McGehee, Systems Support

  2. New Functionality Wiz/HEO Provider will have ability to: • Hold an active med on a specific date/time • Resume a med currently on hold by • Date/time • Number of Day(s) • Number of Dose(s)

  3. Problem We Are Trying to Solve • Home or Maintenance meds are not resumed • Adverse Events • Examples: • Antibiotics not restarted after therapeutic levels reviewed • Psychotropics not restarted • Transplant meds • Pt admitted to ICU had home antipsychotics discontinued for evaluation.  After extubation transferred to general care unit. • Pt had active delirium and required transfer back to ICU to manage withdrawal and redosing of home antipsychotic.

  4. Scenario 1: HOLD by Provider HOLD indefinitely Requires a current med order Link for hold when selecting med Provider selects when to start hold • Date or • NOW Provider selects when to resume by • Date/time • Number of days, hours or doses after placed on hold • Select ENTER for unlimited hold

  5. Scenario 1: HOLD by Provider WIZ/HEO, OPC, eMAR displays Held Care Organizer • Held appears Status column • Nurse to reconfirm med HED • No schedules will appear in Admin Rx

  6. StarPanel – Inpatient all Orders

  7. StarPanel - eMAR Examples of meds to be held in the future Examples of meds currently on hold

  8. Future Hold and Care Organizer • Med placed on hold in future • Care Organizer will display Ordered not Held • Will change to held on the day to be held

  9. OPC

  10. Scenario 1: HOLD and Resume by date Provider orders: Lisinopril 15mg po q1h starting at 1300 Team decides to place med on hold by doses starting Nov 15th 1800 through Nov 16th 10:00am Provider selects hold to begin • 11/15 1800 Provider selects resume • Nov 16 1000 • The 10:00am WILL BE A SCHEDULE TO GIVE

  11. Meds and Areas Excluded • IV fluids • Chemo agents • IV insulin • Excludes ED departments

  12. Next Steps • Complete testing – ensuring discoverable data • Medication policy review • LMS module • Communication to providers via email

  13. Training and Implementation Plan • Tentative GO LIVE March 19th • Housewide ( excludes EDs) • Resources: • LMS module • Educators • CAPS Support • pocket aides • Implementation Support • SSS/CAPS: Tuesday- Friday, days, Night Support - rounding • Educator • HelpDesk

  14. Questions?

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