ED to Admit orders can be started from EDIS (the treatment area display), or from the Provider Order Entry (POE) patient list for the area (UCM).
Pre-admission orders for chemotherapy differ from non-chemo pre-admit orders. See Ordering Chemotherapy .
From the UCM, if you haven't already:
Click Special Orders (ALT+O).
Click ED to Admit Order (ALT+I).
Click New (ALT+N).
Type the expected date of admission.
Click OK (ALT+O).
Review the Current Active Orders:
To open Knowledge Link:
Click .
Click Exit (ALT+E) to return to the orders list.
Click Pop Out (ALT+P) to detach the KnowledgeLink window from the CAS. Toggle between Order Entry and KnowledgeLink by clicking the icons in the taskbar. Click to close the Knowledge Link window.
For each item on the list, click the corresponding checkbox to indicate whether to Continue or Discontinue the order when the transfer orders are activated.
If the patient has no active orders, this step is skipped.
You must click a checkbox to indicate whether to Continue or Discontinue these order types: Medications, IV, Respiratory, Blood Products, Labs, Foods and Nutrition, Restraints/Code Status, and General Care orders for wound care, precautions, diagnosis, vascular access devices, and anti-embolism.
Chemotherapy and chemotherapy-related orders are carried forward automatically.
Some orders, including life-sustaining treatment and required pneumococcus and seasonal influenza vaccination review, are pre-checked to continue. If you click to discontinue these orders, you will have to add new ones to the session.
Current active orders that are expected to be carried out before transfer are displayed as view only. These include Radiology, Consults, Vital Signs, Diagnostic Studies, one-time (X1) medications, and General Care orders except wound care, precautions, diagnosis, vascular access devices, and anti-embolism.
To generate a paper copy of orders that must be added to the ED to Admit session if they are needed post-admission, click Print View Only Orders.
Click OK (ALT+O).
Continued orders are displayed in the Transfer Orders session scratch pad.
Complete the orders:
Add any orders needed for care on admission, just the way you would in a routine order session. See Writing Orders.
Sign the current session. See Signing Orders.
To return to the patient list:
Click Close (ALT+C).
Click Back to UCM Options (ALT+B).
ED to Admit orders must be activated and transcribed by the receiving unit after the patient arrives on the floor.
See also: