Providers will be entering their own orders electronically. There may be circumstances when Nursing or Allied Health users will enter orders (i.e. in emergency circumstances or completing therapeutic interventions). The Orders routine is shared between Providers and Nursing/Allied Health.

Once filed, orders flow to their respective modules. For example, lab orders flow to the lab module, medication orders to Pharmacy and eMAR and so forth. Orders will also flow to the status board and the worklist.

Accessing the Orders routine:

1. From the black navigation bar, clicking the Orders button will launch the Orders routine. 
2. Upon opening the Orders routine, the Current Orders will display and the default sort will be by Category. 
3. Click on the Category button to change the sorting to Name or Order Set.
4. Click on the blue ‘i’ icon to view order details. Clicking the name of the order will initiate the process of editing the order.

Click on the arrow beside Current orders to view:

1. Hold Queue Orders: orders entered for a future date (eg. prior to admission)
2. Historical Orders: completed or cancelled orders

Entering an order

Click on the Enter button to begin order entry.

Nursing and Allied Health are required to enter the name of the Provider and the order Source (ie. WHO you got the order from and HOW you got the order).

• Ordering Provider
• The provider will always default to the Attending provider/MRP
• If the provider is not the MRP, you can search for the user, or if they are already associated to the patient’s care team, their name will display
• It is important to select the correct physician. Watch for similar names. 
• Source 
• Telephone and Verbal orders will be sent to the provider’s sign queue for review and to sign electronically 

The selected Default Provider and Source will be used for all orders entered while in the Orders routine.

There are several ways of searching for an order. The default when you click on Enter Orders is Favourites 

• Favourites: This is a convenience section for frequently used orders. Favourites are set by each user by clicking on the star within the order.
• Orders: will allow you to search by category of orders
• Sets: will allow you to search by order sets

Alternatively, the Search All field can be used to search for an order. The system displays all of the possible medications, non-medications, and order sets that are available for the combination of letters that you enter. Type ‘Meddir’ to search for Medical Directives.

The icon to the left of the order gives an indication of the type of order:

• Rx = medication
• Pencil/Paper = test
• File folder = order set

Select a medication, non-medication, or order set and choose a checkbox under the item you selected to indicate the appropriate dose and route you want for the order. The number of total orders appears next to the Submit button and additional fields appear where you can add information for the order. Required fields appear in red.

Entering Lab Test Orders

After selecting a lab test order, the Priority must also be selected. The Priority differs depending on the category and will include Stat, Urgent, Routine, AM LAB DRAW, Timed.

Entering a Medication

Search for a medication, then select the appropriate medication string. All aspects of the medication that display in green font can be edited (eg. dose, route, frequency).

If a Conflict exists, a yellow alert triangle icon will display within the string and a red Conflict button will display in the Reference panel. Conflicts include Duplicate Therapy or Drug Interaction. Conflicts must be addressed with the provider. The system will not allow the orders to be submitted until conflicts are resolved. If you click Submit and a conflict exists it will request that you override or erase the order.