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Title: FW: Duplicate flu and pneumonia order forms
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From: Parsons,Jack D JR
Sent: Monday, October 16, 2006 11:04 AM
To: '[email protected]'
Subject: Duplicate flu and pneumonia order forms
We have a flu query "Y"/"N"/"UN" in which the cursor stops based on age and date. If "N" or "UN" then a physician order form prints for vaccine. We have the same type query for pneumonia minus the date restriction with the order printing for vaccine for "N" or "UN".
If the patient is on the acute side and we've done the admission assessment and triggered the vaccine orders and then the patient is discharged and admitted to swingbed the nurse does the same admission assessment again with answers from the previous assessment dropping into the new assessment.
The problem is that if the flu and/or pneumonia queries were "N" or "UN" on the acute admission we already have the vaccine orders. When the patient is admitted to swingbed the flu and pneumonia queries, along with all other history questions, default into the new assessment and the vaccine orders are triggered again.
If we did not default in the flu and pneumonia query answers the nurse would ask the question again because the cursor stops based on age and date restriction. If we skip the questions based on location, the nurse would be trying to get the cursor back to the flu and pneumonia questions because the patient falls within the parameters.
For those of you that have patients move from acute to swingbed, how do you prevent duplicate orders from printing?
I appreciate your suggestions,
Jack Parsons, RN, MSEd
Clinical Informatics Coordinator
Freeman Health System
417.347.5819
[EMAIL PROTECTED]
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