12.0 Configure Perioperative Orders Flashcards
A phase of care indicates… What?
When an order should be acted upon.
A signing action indicates… What?
Whether an order should be acted upon… now or later.
Why is phase of care so important for perioperative orders?
Because it affects many major areas of orders management, including:
- Determining whether an order is signed or signed and held by default.
- Grouping perioperative medications together on the MAR (Medication Administration Record).
- Automatically marking orders to be discontinued in medication reconciliation.
- Allowing orders to be automatically discontinued, held, or un‐held upon patient transfer.
Do all orders need a phase of care?
Although phase of care is crucial for perioperative orders, not all orders need a phase of care.
True or false: Orders placed for a patient in the perioperative area are usually only given once and are administered whenever the patient enters the appropriate stage of surgery?
True.
True or false: Inpatient‐mode orders are generally scheduled orders given at regular intervals?
True.
True or false: The Phase of Care Options Table Unlike is read from the top down and the order of the entries matters.
False: the Phase of Care Options table is read differently.
- The system first checks whether the department associated with the patient’s current location is listed in the table. If it is, the system applies the signing action listed in that row for the phase of care.
- If no department overrides match the patient’s current location, the system next checks the patient’s encounter department.
- If no department and phase of care combination matches the order, then the system checks for and applies the signing action of the row in which the phase of care matches and no department is listed. (Ultimately, this means that the order in which phases of care are listed in the table doesn’t matter.)
An Order Set is a preconfigured list of orders specific to…?
A scenario or situation. (Procedure, Service, Stage of surgery, etc.)
Order Sets are used to quickly and efficiently place many orders at once, such as all preprocedure orders needed for surgery. Who builds order sets?
The OpTime team does not generally build Order Sets; these are typically built by the Orders team.
A preference list is a preconfigured list of orders specific to…?
A user or job role. (Surgeon, Preprocedure nurse, PACU nurse, etc.)
Once phases of care and default signing actions have been defined, you can begin building preference lists. What are the Preference List Build Steps?
- Analysis and design.
- Build the preference list.
- Attach the preference list to a profile.
- Attach the profile to the appropriate level.
What are Preference lists are made up of?
“Sections”, which help group like orders together, as well as “items”, which are the individual orders.
What are small, modular preference lists a good idea?
- By making the lists more modular, you can move pieces between different users.
- By building it as its own list, you can easily assign it to both roles without having to duplicate the build in two separate lists.
When you select a List Type of “Procedures”, you see a row of options along the bottom of the window. You can use this field to specify… What?
What type of procedure (EAP) records a preference list will contain. When making preference lists for OpTime users, you will usually choose Orderable (things that can be ordered, like a chest x‐ray) or Mixed (everything in the procedure (EAP) master file). In training, you should use the default of Mixed.
What does ordering mode determine?
Whether this list will be used in an inpatient or outpatient context. When setting up preference lists for use in the OpTime day‐of‐surgery chart, you will always choose Inpatient.
