cerner order entry basics. subject menu objectivesstep 3: sign the order orders terminologystep 4:...
TRANSCRIPT
Cerner Order EntryBasics
Subject MenuObjectives Step 3: Sign the Order
Orders Terminology Step 4: Refresh The Screen
Opening the Orders Section Creating Favorites Folders
- Orders Section Overview Using the Favorite Folders
Order Entry: 4 Basic Steps Organizing the Favorite Folder
Step 1: Find the Order Removing an Order
- Basic components of the Add Order window Duplicate Order Alert Order Options
Step 2: Complete the Order Details Modifying an Existing Order
- Adding the Ordering Physician Discontinuing an Order
- Mandatory Fields Conclusion
Objectives
• Upon completion of this module the learner will have a basic understanding of: – Orders Terminology
– Order Entry: 4 Basic Steps
– Creating Favorites Folders
– Using the Favorite Folders
– Organizing the Favorite Folder
– Removing an Order
– Duplicate Order Alert Order Options
– Modifying an Existing Order
– Discontinuing an Order
Orders Terminology• Add Orders Window - Starting point for the order entry process.
Allows for searching of the specific orderable desired.
• Orders Profile - Opening widow in Orders section displays processed orders. Orders are separated by category.
• Order Status Filter – Allows orders to be displayed in the Orders Profile filtered by status, in which the user can change to their preference.
• Scratch Pad – Area in which the selected orders reside prior to signing. Allows for order details to be added or changed.
• Menu (View) - Displays the various sections of the Orders Profile, separated onto categories.
Opening the Order Section
• Open the chart• Click the Orders band in the Menu
Orders Section OverviewAdd Order Button
Order Status Filter
Order Profile
Menu (VIEW)
Order Entry: 4 Basic Steps
1. Find the Order
2. Complete the Order Details
3. Sign the Order
4. Refresh the Screen
Step 1: Find the Order
• Click the +Add button to open the Add Order Window.
• When the Add Order window opens type the first 3-4 letters of the order in the Find box (system will do an automatic search)
• Then click the Order in the list
The Basic Components of the Add Order Window
Patient Demographic Banner
Diagnosis
Problems
Find box Filter Order Type
Step 2: Complete the Order Details
• Now select the appropriate Order Sentence from the list (“None” is the default)
• When finished click the OK button
Note: Order Details can also be completed
on the Order Scratch Pad
Adding the Ordering Physician
• Non-providers MUST add the name of the Ordering Physician and the Communication Type used.
• When finished click the OK button to close the Ordering Physician window
• Then click the Done button to open Scratch Pad
Mandatory Fields
• Mandatory fields (Details) are yellow and identified by this ICON
Step 3: Sign the Order
• When the Order Details (mandatory and non-mandatory) are complete, click the Sign button in the lower right corner
Step 4: Refresh The Screen
• After signing, the order Status is “Processing”
• Click the Refresh button to change Status
• After refreshing, the order Status is “Ordered”
Creating Favorites Folders• Right click on the Order• Then select Add to
Favorites
• Now click the New Folder button and name the folder
• When finished click the OK button.
Using the Favorites Folder
• Click the Star ICON located in the Add Order window
• Click the Folder you wish to open
• Click Order in folder to move to scratch pad
Setting a Home Folder
A Favorites Folder can be set as the Home or Default when the Add Order window opens
•Click the Star to open the Favorites Folder
•Right click on the favorites folder you want to designate as the Home folder
•Click “Set as Home Folder”
The Meds folder has now been set as the Home and will default open
Organizing The Favorites Folder
• Click the down Arrow to the right of the Star ICON and click Organize Favorites
• Then follow the directions in the upper left corner of the Organize Favorites window
• When finished click the Close button
Removing an Order
To remove an order before it is signed:•Right click on the order and then click Remove
Duplicate Order Alert Options• Duplicate Order Alerts fire when duplicate Orderables are
identified in the system (i. e. CBC with Diff).
• The New order alert has a yellow triangle ICON to the left of the order and has 3 options to address the alert:– Order Anyway
– Remove new order
– Modify new order
Duplicate Alert Options Cont.
• An existing order has only 1 option when selected to address the alert:– Cancel/DC
Modifying an Existing Order
• Right click on the existing order and left click Modify
• Now “modify” the existing order details and click the Orders For Signature button (lower right corner)
• Then click the Sign button and Refresh the screen
Discontinuing an Order
• Right click on the existing order
• Left click Cancel/DC
• Add a cancel reason if needed then click the Orders For Signature button (lower right corner)
• When finished click the Sign button and Refresh the screen
Conclusion• We hope this Computer Based
Learning course has been both informative and helpful.
• Feel free to review this course until you are confident about your knowledge of the material presented.
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For further information about this module please contact Cinda Cowen at 226-5366