2Learning Objectives: Generate Unsigned Orders Search Discuss the HIM Role in Searching for Unsigned Orders.Compare and Contrast the use of Written, Policy, Verbal, and Telephone “Nature of Order”.
3Unsigned Orders Search Unsigned orders reportsRunning a report for all unsigned orders:Select EHR MAIN MENU Option: cprs CPRS Manager MenuCL Clinician Menu ...NM Nurse Menu ...WC Ward Clerk Menu ...PE CPRS Configuration (Clin Coord) ...IR CPRS Configuration (IRM) ...Select CPRS Manager Menu Option: pe CPRS Configuration (Clin Coord)
4Unsigned Orders Search Select one of the following:AL Allocate OE/RR Security KeysKK Check for Multiple KeysDC Edit DC ReasonsGP GUI Parameters ...GA GUI Access - Tabs, RPLMI Miscellaneous ParametersNO Notification Mgmt Menu ...OC Order Checking Mgmt Menu ...MM Order Menu Management ...LI Patient List Mgmt Menu ...FP Print FormatsPR Print/Report Parameters ...RE Release/Cancel Delayed OrdersUS Unsigned orders searchEX Set Unsigned Orders View on ExitNA Search orders by Nature or StatusDO Event Delayed Orders Menu ...PM Performance Monitor ReportSelect US – Unsigned orders search
5Unsigned Orders Search Select one of the following:Released/UnsignedUnsignedUnsigned/UnreleasedEnter the type of orders to search: 3 Unsigned/Unreleased
6Unsigned Orders Search Select one of the following:Service/SectionProviderPatientLocationEntered ByDivisionEnter the sort criteria: 2 ProviderWould you like a specific Provider? NO//Enter a starting date: t-200 (APR 10, 2006)Enter an ending date: t (OCT 27, 2006)Print summary only ? NO//DEVICE: HOME// VT
8HIM Role in Searching for Unsigned Orders HIM is responsible for monitoring unsigned orders.HIM shall run unsigned orders list at least weekly.Providers with unsigned orders should be contacted immediately.
9Written, Policy, Verbal, and Telephone “Nature of Order”. Verbal/Telephone Order – Orders that are either spoken aloud or spoken over the telephoneEntering verbal/telephone orders in EHR – When the selection of verbal or telephone order is made within the EHR, the order is released and a notification is sent to the Provider for signature
10Written, Policy, Verbal, and Telephone “Nature of Order”. Policy Orders – also known as standing orders, protocols, etc…CMS approves the use of policy orders. However, the policy order must be documented in the medical record and signed by the Provider.In EHR, if Policy Order is selected, the order is released. However, a notification is not sent to the Provider for signature.A note must be created with an object that imports all policy orders into the note. The note creator should then assign the responsible Provider as an additional signer.Note: The above method is being used successfully at Cherokee Nation. The TIU object we use is not a standard object. We had it created.