Notifications
Clear all
Topic starter
For folks entering charges thru EMR, a question on workflows used within the Orders module on in-house procedures (ex: Immunizations, Urine Dips, etc.)...
- Do you document a provider's Order 'request' for a service as a separate Order from the 'administration' of that same service?
- Do you just place the 'request' in the note as text/flowsheet items?
- Do you place it on Admin Hold and have staff complete the same Order.
- Do you just yell to the staff?
This applies in those scenarios where a service actually does not get done (ex: sick, crying, left office) by the MA/Nurse.
Posted : August 29, 2014 12:14 am
We set our in-house services by MA staff as Service orders, but set to In Process instead of complete upon signing. We set up dummy desktops for those orders (we have 13 clinics, so each clinic has their own) and set it up so a flag is generated to the dummy desktop when that type of order is placed. (However, I think 95% of the time it's communicated by yelling to the staff.)
When the order is placed, the staff completes the service (drug screen, or IM injection) and then completes the order, which sends it to billing. If the patient doesn't have the service (gets sick, cries, runs away when they hear they need a drug screen) they remove the order with an appropriate removal reason.
A caveat: if the orders aren't completed on the same date of service as the visit in which they were created, they create a second ticket in billing. Then your billing staff has to move the charges to the original ticket, void the duplicate, grumble that the clinic doesn't know what they're doing.
Posted : August 29, 2014 3:27 am
