<< Click to Display Table of Contents >> Navigation:  Order Chronology > Release Admission Orders

Thrive has the ability to place admission orders from the Order Entry application within the ED.

 

NOTE: Please see the Order Entry User Guide for information on this process.

 

Once signed, the system will send these orders to a holding queue until the patient is admitted to a hospital bed or discharged from the ED.

 

Admission orders will NOT be automatically verified but will be defined by the provider at the time of order (not the ED predefined setting of X1 and STAT). These orders will follow the order path specified in the ChartLink Control Table at the time the patient is admitted (orders released).

 

The status of these Admission Orders will be "Pending Admit" when viewed in Order Chronology. These orders will be automatically released once the patient has been admitted into a hospital bed via the Admit to Hospital function from the Patient Location Maintenance screen. This is accessed from the Tracking Board or the Location Maintenance screen from within the patient's chart.

 

NOTE: The functionality for the release of admission orders is not intended to work for any other path of admission.

 

An Order Detail screen is available for Pending Admit orders. Selecting a Pending Admit order (prior to release) and then Order Detail or double-clicking a Pending Admit order will display a non-editable version of the relevant (ancillary, medication or nursing) order edit screens. Once the orders are released, the Order Detail screen will be the same as regular orders pre- and post-verification.

 

Pending Admit orders may be manually released prior to admission:

 

 

 

 

A Release option is also available in the Action Bar within the Order Detail screen. Selecting Release from the Order Detail screen will bypass a Pending Release status and immediately release the Pending Admit order.

 

If the orders are released prior to the patient being admitted to the floor, these orders will follow the Emergency Department order path (auto-verify) but keep the frequency of the order as placed and signed by the provider.

 

Admission Orders may be placed by multiple providers and will be held for simultaneous release at admission.

 

Pending Admit orders in Order Chronology will have the Discontinue and Modify action buttons active as appropriate in the Action Bar. When discontinued prior to release, the orders simply become inactive (automatically discontinued) and will no longer display in Order Chronology. If the account is discharged prior to the admission orders being released, these orders will be set to inactive (automatically discontinued) and no longer display in Order Chronology.

 

Cosign functionality is available for Admission Orders via the ESign View folder on the Home Screen of the cosigner. Home Screen cosigning functionality for orders is currently only available for Admission Orders. When a mid-level places Admission Orders, they will be prompted at signature to define an individual cosigner or group. Once signed by the mid-level, the orders may be cosigned at any time via the Home Screen. When the cosigner selects the alert, he/she will be taken to the Order Edit screen for that type of order, which will be non-editable. When the order is signed, the user will be taken back to the Home Screen folder, and the alert will be cleared. If the patient is discharged prior to the orders being released, the orders will become inactive (automatically discontinued), and the Home Screen alerts are removed from the ESign View folder.

 

NOTE: Admission Orders will update the appropriate MU2 CPOE stats on the CPOE stats report.