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Hi L'ers!
We are working on building complex admission orders sets here at Centura in
Denver and we have run across a couple of issues that I thought I would through
out to the L list for feedback.
Our plan for Phase I is to use a combination of paper order sets (for
physicians as POM is Phase II) and electronic order sets built in Meditech for
nursing, clerks, etc. to use when utilizing OM through POM. We have been very
successful at building the order sets on paper and now the time has come to
translate this work into Meditech.
Our issue at the moment is what to do with physician protocols such as DVT
protocol, Insulin Sliding scale, etc. While we know where to build and how to
handle these in Meditech, we are unsure of how to handle them on paper.
For those of you that have built paper order sets, did you include the entire
protocol on the paper order set? For example, we have an admission order set
built for CAP (Community Aquired Pneumonia). Inside of that admission order
set, we have included the option to order the DVT protocol for patients that
meet that criteria. While this is a great way to offer DVT protocols to
physicians, on paper it is cumbersome. Our paper order sets are very long when
all of the protocols are included with the rest of the admission order set.
I'd appreciate any feedback on how to handle protocols with paper order sets.
Did you include them on the paper and just have the physicians get used to
having long paper order sets? Did you separate the protocols out from the
admission order sets so there were two sets of paper orders? Did you find
another way around this?
Does anyone have documented best practices around how to handle paper order
sets and protocols?
Thank you in advance!
Raechella Cates, RN, BSIT, MBA/MHCM
Sr. Implementation Specialist
First Consulting Group
Centura Health - POM/PCM
Denver, Co.
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