Transcript HEO/WIZ, HED, AdminRX down orders, nurse documentation

HEO/WIZ, HED, AdminRX down
orders,
nurse documentation,
barcode scanning
MD Before
MD During
MD after
Enter transfer orders for potential transfers
Reference StarPanel and paper copy of
orders in the medical record ( blue chart) at
the patient bedside.
DO NOT ENTER INTO HEO ANY ORDERS
WRITTEN DURING DOWNTIME- IT MAY
RESULT IN DUPLICATES
Special Considerations
TPN ordering-
Review Nursing documentation in blue
chart.
Enter Discharge orders for potential
discharges including completing discharge
letter
Write orders on Physician Order Sheet
(POS) in the Medical Record (blue chart) at
the patient bedside
• Sign orders, print name, and denote
contact #( beeper , etc)
• Use only Black Ball Point Pens and
press hard to go through all copies
Pharmacy will enter medications.
Nursing will enter non medication on going
orders.
It may take several hours for all orders to
be “caught up”.
Order sets will be available online
for reference
https://orderset.mc.vanderbilt.edu/orderse
t/orderset
Renew restraint orders
Admissions- include Attending, Service,
Team and allergies.
Transfers ONLY- denote orders on the
Transfer Order sheet in the blue chart- line
through orders to discontinue, denote
edits, write new orders on blank lines.
Discharges- write discharge orders and
discharge instructions on POS. Enter Rx in
RX star.
•System support will be
rounding
•Pharmacy system will
operational.
Reference paper nursing documentation for
events during downtime.
Cumulative I&O and last set of VS will be
entered into HED and will display in
StarPanel.
 New orders- write Order to
consult TPN team, TPN
Pharmacist will complete order
form
 Existing TPN- TPN team will adjust
TPN Sun am based on labs.
Insulin Drip & Electrolyte
Replacement Protocols- RNs will
adjust rate according to protocol
Nurse Managed Heparin
Protocol will revert to Provider
Managed Heparin Protocol – RN will
call HO will PTT result and adjust
orders.
Restraints- Charge nurse will
contact HO to renew and after
downtime is over
Code Status orders- Enter in
StarForm as well as complete DT Code
Status form ( Edocs)
Referencing OrderSets During HEO/WIZ Downtime
Sat, May 12 from 7pm to Sun, May 13 1pm
From Web or Link in starpanel… access orderset web site.
https://orderset.mc.vanderbilt.edu/orderset/orderset