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Good morning, I am a lab person experimenting with OE and "add-on" lab orders for inpatients in an attempt to reduce phone calls and phone tag. My OE knowledge is quite basic. Very frequently as docs make rounds the nursing units will call to see if certain other lab tests can be performed on specimens already collected. We then have to verify that we have an appropriate specimen, that it is not too old, or has not been stored in a way that won't work for the add-on, then call the unit back to let them know we can or can't do it, document the phone order, including a "read-back" from the person on the unit, and THEN do the test. A significant time sink for both lab and nursing. I set up an add-on procedure according to Knowledge Base #2166, specifically addressing added orders. Category AOT and procedure AOT with a CDS asking which tests. It's a process by care area category. This prints in the lab. We can then look for the specimen, add the requested test if appropriate and be on our way. No phone calls. However, I have two questions: 1. Is it necessary for the AOT procedure to be completed in OE? It would be easy enough to give lab a shortcut to complete the order. 2. If the AOT was for a few tests, and not all of them can be done, what would we do then? It looks like cancelling the AOT would not print back at the nursing unit, but would instead just print again in lab. And, we would not want to mark it complete if it wasn't. I know we would call the unit to tell them what tests can't be done, but how to handle the order and how to document completing only part of the order has me stumped. If anyone has a good streamlined process for handling add-ons, especially for inpatients, I would appreciate your suggestions. Thanks, Judy Hill _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
