1. O R D E R SETS

2. Order Set Committee Jessica Meleskie GBHN, Chair Sharon Musehl Nursing, SBGHC Lisa LavioletteNursing, GBHS Michelle Scime-BenningerNursing, HDH Trent FookesPharmacy, GBHS Greg YoungLaboratory, HDH Dr. Randy MontagHDH Dr. Paul EisenbarthHDH Dr. Lisa RothSBGHC Dr. Roger SkinnerGBHS Dr. Brendan MulroyGBHS Pat GivenHIS, Order Sets Susan DownsHIS, Clinical documentation Darlene YoungGBHN, Education/Utilization Julia MetzgerGBHN, Administrative Assistant Others as needed on an adhoc basis Meeting once a week to move project forward quickly

3. How to Access Website Start at Desk top on your computer Select Order Sets Icon This will open the Web page to the Order Sets

4. Website Initially see entire list of orders available Click on name of document to print off and use Search via key word at the top of the list, or select your areas yellow file folder on the left side to narrow your list to your areas orders. Can also see the entire library of Open Source Order Sets if click on “Master OS Repository” on the left hand side Involved with Cerner to build the order sets as developed into PowerOrders NOTE: these do not replace the clinical pathways– they are still available on the EBC website via the icon on the desktop. The pathway orders will be available on both sites – the EBC site as well as the Order Sets site

5. Order Set Legend  indicates mandatory order unless crossed out by physician. Open Box indicates optional order, activated when checked .

7. Current Order Sets : 16 Thrombolytic Therapy Acute Coronary Syndromes Adult Subcutaneous Insulin COPD Clostridium difficile Treatment CAP CHF Stroke-Non-thrombolytic Ischemic/Hemorrhagic Stroke Rehab Stage Thrombolytic Therapy for Acute Stroke Admission Pre-Op Fractured Hip Post-Op Fractured Hip Post-Op FH (Receiving Hospital Post-Op THR Post-Op THR (Receiving Hospital) Post-Op Total Knee Replacement

8. Clinical Protocols: 10 Adult Potassium Dosing Bowel Care Cardiac Activity Levels Hypoglycemia Intermittent Bladder Catheterization for Urinary Retention New Diarrhea and Possible Melena Stools Thrombolytic Therapy Tirofiban tPA Dosage for Ischemic Stroke tPA Stroke Protocol- Inclusion/Exclusion Criteria

9. Education You can view the May 07 presentation on the Order Set Project on the GBHN website which gives on overview of “Why we are doing this project?” Or contact Evidence-Based Care Program by e-mail dayoung@gbhs.on.ca or phone 519-364-2341 ext 350 and Darlene can give an update to your unit

10. Communications: Will be releasing a memo each month with the new/changed orders available on the website to ensure staff/physicians are up to date on the latest changes Also releasing a newsletter as necessary to update staff/physicians on project status