Patient Care - Reference Manual - Physician - Fraser Health Authority

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CHAPTER 5 – ORDER ENTRY DOWNTIME PROCEDURES1. Introduction to DowntimeHospital information system (Meditech) downtime planning ensures continuity ofinformation flow pertaining to patient care in the event of a scheduled or unscheduleddowntime. This chapter will discuss what to do in the event Order Entry is down.The definition of a scheduled downtime is a computer system downtime that isregularly scheduled to perform software, hardware, network, and peripheralmaintenance. Scheduled downtime is communicated to all staff of Fraser Health. TheFH Information Management Service Desk distributes scheduled downtime notificationthrough email prior to the scheduled date and time for the downtime i.e. every secondTuesday of the month. The Information Systems Services Department, with thedepartment application coordinators, determines dates and times for special scheduleddowntime events in order to reduce the impact of information flow to patient care. TheInformation Services Department reviews the impact of Meditech downtime with anyaffected departments or areas as requested.The definition of an unscheduled downtime is a computer system downtime due tounexpected problems or circumstances, and is generally not communicated to staff ofFraser Health ahead of time. The FH Information Management Service Desk notifies allaffected areas or departments during unscheduled downtime, as applicable, regardingprogress towards resolution and computer system availability.Health InformaticsHealth Information Systems and Services© Fraser Health Authority, 2006. All rights reserved.34
MATERIALS REQUIRED Downtime RequisitionsPROCEDUREDowntimeRequisitionsDowntimeexpected tolast 4 Hours orlessNote:Downtimeexpected tolast greaterthan 4 HoursProcessing Patient Orders During Downtime It is the responsibility of the nursing unit to ensure that all necessarydowntime requisitions are readily available. Process “Stat – S” and “Urgent – U” orders during downtime usingdowntime requisitions. All remaining orders will be processed oncethe hospital information system is functioning. The receiving department is to be notified by phone or pager for allStat and Urgent patient orders. Complete the appropriate downtime requisition for the patient orderand deliver/fax to the receiving department. A copy of the requisition is placed on the patient’s chart forverification Orders that are sent on downtime requisitions are not entered intoMeditech by the nursing staff once the system is functioning. It is the responsibility of the nursing unit to ensure that all patientorders placed prior to the downtime were transmitted to receivingdepartments. Process all orders using downtime requisitions. The receiving department is to be notified by phone or pager for allStat and Urgent patient orders. Complete the appropriate downtime requisition for the patient orderand deliver/fax to the receiving department. A copy of the requisition is placed on the patient’s chart forverification Orders that are sent on downtime requisitions are not entered intoMeditech by the nursing staff once the system is functioning.Health InformaticsHealth Information Systems and Services© Fraser Health Authority, 2006. All rights reserved.35
Page 1 and 2: Patient Care - Reference ManualNurs
Page 3 and 4: CHAPTER 1 - INTRODUCTION1. Introduc
Page 5 and 6: 4) A pop-up box will display titled
Page 7 and 8: 3. What is the TOOLBAR?The toolbar
Page 9 and 10: 5. How do I change my PASSWORD?1) F
Page 11 and 12: ) There are three tabs in Enter/Edi
Page 13 and 14: e) The Allergies/Adverse Reactions
Page 15 and 16: 2. Patient Allergy and Adverse Reac
Page 17 and 18: 4) Enter the patient name (Note: Th
Page 19 and 20: The Active Function ButtonsE - Ente
Page 21 and 22: g) Quantity (Qty) - the field displ
Page 23 and 24: 3. Introduction to the Care Area Or
Page 25 and 26: 4. Entering a Basic Order1) Choose
Page 27 and 28: 6. Entering Series OrdersSeries Ord
Page 29 and 30: 4) After you select an order set, a
Page 31 and 32: 9. Reviewing Duplicate OrdersA ‘D
Page 33: a) If unsure of the category mnemon
Page 37 and 38: ReportPatient Order SummaryUnverifi
Page 39 and 40: 2. Introduction to Printing Medicat
Page 41 and 42: 4. Printing MARs for Selected Patie
Page 43 and 44: 6. Introduction to Printing Medicat
Page 45 and 46: 8. Printing Medication Profiles for
Page 47 and 48: 10.Listing Pharmacy Floor Stock & N
Page 49 and 50: 3. The Basics of navigation in EMRI
Page 51 and 52: 2) Recent Access Menu Option - The
Page 53 and 54: 6. A Word about Selecting ‘Visits
Page 55 and 56: 2) The Menu Frame - The Menu Frame,
Page 57 and 58: e) To view a snapshot screen of a g
Page 59 and 60: 7) Order History Panel - use the Or
Page 61 and 62: i) Blood Bank Tests panel is used t
Page 63 and 64: iv) Patient height (Standard and me
Page 65 and 66: GLOSSARYAccessAdmissionStatusButton
Page 67 and 68: InterfaceLocationThe ability to pas
Page 69 and 70: RoutineService DateSessionTabTimeUn

Patient Care - Reference Manual - Physician - Fraser Health Authority

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