Emergency Department orders should not be active on the inpatient unit; providers writing inpatient orders are notified if active ED orders exist. Click Cancel at this prompt if the patient is still receiving active care in the Emergency Department.
ED to Admit Orders—ED to Admit special sessions are written for patients who are being admitted as inpatients from the main Emergency Department (ED) treatment areas. The process allows the ordering provider to review the active orders in the ED, and indicate which should be re-ordered for the admission. ED to Admit orders are similar to transfer orders. However, when orders are re-ordered for inpatient use, each is checked automatically to determine if the ED parameters such as start time, dosing, fluid, and so on, translate exactly to those available for inpatients. If needed, the inpatient form opens for you to complete the order for inpatient care; these orders are flagged as <updated to>admit order<from>ED order. When a patient has ED to Admit orders, the Order Status includes the ED to Admit flag. (See UCM - Order Status Codes.)
Writing—Providers in the ED treatment areas can write ED to Admit sessions as soon as the need for admission is identified. When signed, ED to Admit sessions written in the ED are saved to await activation once the patient reaches the inpatient care unit. However, if a patient who has active ED orders flagged as <ED order only> arrives on an inpatient care unit without an ED to Admit session, providers writing inpatient orders are prompted to create the ED to Admit session. This allows the admitting provider to review the ED orders and consider whether they are needed for inpatient treatment. When written from an inpatient unit, ED to Admit orders are active immediately on signing, and all ED orders are re-ordered or discontinued as indicated. See Writing ED to Admit Orders.
Authorization—MDs, NPs, CNMs, and PAs can write ED to Admit special sessions. RNs and Medical students are not authorized.
Expiration—ED to Admit special sessions expire 36 hours after signing. Although the ED to Admit session expires, the ED to Admit order status still appears on the UCM. The orders must be discarded before another ED to Admit session can be written. See Discarding ED to Admit Orders.
Other special orders—ED to Admit orders cannot be written for patients with Pre-Admit, Transfer, or Post-op orders pending activation. Providers who need to write any of these special orders must either activate or discard the ED to Admit session. See Activating Special Orders or Discarding Special Orders.
Chemotherapy orders—Chemotherapy orders are not included in the active orders review when writing ED to Admit orders. All chemotherapy orders are carried forward automatically.
Activation—ED to Admit orders written from an ED treatment area must be activated on the inpatient unit when the patient arrives. When a patient has ED to Admit orders, clinicians writing new inpatient orders are prompted to either activate the ED to Admit orders or to inactivate all orders previously written in the main ED. Inactivating active ED orders does not affect the ED to Admit session; it remains awaiting activation, and the patients order status still includes ED to Admit.
ED to Admit orders written from an inpatient care unit are active on signing.
Discarding or discontinuing ED to Admit orders—ED to Admit orders can be discarded before activation, but once activated must be discontinued the same as any other active orders. See Discarding ED to Admit Orders.
See also: ED to Admit Order Procedures