TIP SHEET FOR USE OF AN ORDER

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FACT SHEET 79 15TH APRIL 2003 USE

Order Sets

Tip Sheet for use of:

An Order Set is a pre-printed or pre-formatted physician order and is developed for a number of reasons including:

Improved safety and error reduction

Improved work flow

Better compliance with best practices

Other persons who may order an Order Set are Acute Care Nurse Practitioners/Midwives

What do staff need to know?

In addition to date and time, a physician signature is required at the bottom of each page of the Order Set

The following table provides a description of the symbols you will see on the Order Set that will impact order transcription

Symbol	What does it mean?
A box with a checkmark	Orders that are always transcribed and carried out unless crossed out by the clinician ** often referred to as defaulted orders
A blank box ( )	Orders that are to be transcribed and carried out only if the box is checked off by the clinician (i.e.  or X ) ** often referred to as optional orders
An underscored line ( _____ )	An area for the clinician to write any additional orders or instructions, when appropriate
A pill and capsule	Identifies medication orders

These symbols give the physician flexibility to adapt the order set to individual patient needs

Only those who have ordering rights can order on an Order Set unless the physician has given a telephone order for an order set to be initiated, then:

The RN may initiate the ordered pre – printed set and tick in the option boxes ONLY if the physician has ordered

Remember: always read back those ‘tick box’ orders and any defaulted orders that the physician has decided not to order

The Physician must then verify those orders on the next physician visit

Once the orders are signed – no one can add, subtract or edit those orders. If a change order is to occur then the Physician (or in the case of a telephone order, the RN) will write beneath all previous orders:

A statement of either clarification to the ‘identified’ order OR a discontinuation of the ‘identified’ order
Write new order
Send copy to Pharmacy (if applicable)

A Clinical Protocol is an ‘order set’ that contains all default orders. Default orders are recognized by the bullet symbol  preceding the order

Can be initiated by ordering the name of the Clinical Protocol itself

Can be ordered as part of a pre-printed order set or as part of a patient’s on-going treatment plan

Unlike preprinted Order Sets, a Clinical Protocol does not need to be signed by the ordering clinician to be implemented (but does need to be ordered to activate)

Need more information?

Order Sets Web page can be found on :
GBHS Intranet: Select Open Source Order Sets on the left side under Quick

Links

Hanover and District Hospital: Start at Docushare
Select Forms
Select Open Source Order Sets
SBGHC: Start at DeskTop
Select Order Sets Icon

Searching for and Printing an Order Set or Clinical Protocol on your unit

Click search feature on top of the page, then
Type the order set or clinical protocol title in the first field
Enter search, a list of order sets or clinical protocols containing similar names will appear on the screen
Click on the title to open the document

Or by:

Click Advance search and enter the detail you wish to use for your search eg: Corporation option has a drop down box for GBHS, SBGHC and Hanover

Or by:

Clicking on the Health System listed on the left and then the drop down options within that health system (e.g. General Medicine, Oncology, ect)

To print copies:
- Click on the Printer icon at the top of the file you opened
- If the Clinical Protocol is 2 pages or more double sided print option is available on most printers.

Other information on Order Set Webpage is located on the top left hand corner

GBHN-Admin Documents: -Terms of reference of the Order Set Committee

-Order Set Committee, Development, Review Process

and Forms

GBHN-Links:-EBC (Pathways)

-Newsletter & Memos

-Staff Education

Contact OSOS:-Send your questions or comments directly to Open Source

OSC/Nov 2004/ Revised for GBHN Aug 2007

6 COVER SHEET (PLEASE USE THIS SHEET
ANSWER THE FOLLOWING QUESTIONS IN SUPPLIED “ANSWER SHEETS”
ASSIGNMENT COVER SHEET STUDENT NAME STUDENT

Tags: order set, the order, sheet, order

TIP SHEET FOR USE OF AN ORDER

Order Sets

Tip Sheet for use of:

Hanover and District Hospital: Start at Docushare

Select Forms

Select Open Source Order Sets

SBGHC: Start at DeskTop

Select Order Sets Icon