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<< Click to Display Table of Contents >> Discontinue Ancillary Orders |
  
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<< Click to Display Table of Contents >> Discontinue Ancillary Orders |
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Ancillary orders may be discontinued by a physician if the Order Entry order is at a !Pending status. Incomplete orders which have been verified by nursing, and ancillary orders placed by nursing, may also be discontinued by the physician.
NOTE: Nursing may not Discontinue an order at !Pending status.
Select Web Client > Patient Chart > Order Chronology
Order Chronology
| 1. | Highlight the order and select Discontinue from the action bar. The status will change to Pending Discontinue. |
| 2. | Select Process. |
Select Web Client > Patient Chart > Order Chronology > Discontinue > Process
Pending Order Review
| 3. | From the Pending Order Review, the following are available from the task bar: |
| ▪ | Sign: Allows the discontinue process to be electronically signed with the physician's passphrase. |
| ▪ | Add Orders: Returns to the Order Entry application to add additional orders. |
| ▪ | Edit: Not applicable for Ancillary Orders. |
| ▪ | Remove: Removes the order at a Pending Order. |
| ▪ | Clear All: Removes all orders displayed as Pending Orders. |
| ▪ | Change Start/Schedule Date: Allows the Start or Schedule Date to be edited. |
| ▪ | Address Clinical Monitoring: Not applicable for Ancillary Order |
| 4. | Once the order is electronically signed the !Pending order status will change to Discontinued and will be removed from the nursing verification queue. If the order had been verified/acknowledged by nursing the verified order will change to a status of !DC Pending until verified/acknowledged by nursing. The current time will be used as the discontinue date and time. |
Incomplete Ancillary orders may be discontinued by a nursing employee.
Select Web Client > Patient Chart > Order Chronology
Order Chronology
| 1. | Highlight the order and select Discontinue from the action bar. The status will change to Pending Discontinue. |
| 2. | Select Process. |
NOTE: Nursing may not Discontinue an order at a !Pending status.
Select Web Client > Patient Chart > Order Chronology > Discontinue > Process
Order Type Selection
| 3. | From the Order Type Selection, Order Type must be selected from the drop-down. |
| 4. | The Ordering Physician will display but may be edited from the magnify glass. |
| 5. | Verbal and Telephone orders will require a Readback and the discontinued order will be sent to the Electronic Signature queue. Protocol orders will also go to the Electronic Signature queue. |
| 6. | Once the order is processed by selecting Save, the status will update. The ancillary orders status will change to Canceled. The current time will be used as the discontinue date and time. |
Select Web Client > Patient Chart > Order Chronology > Discontinue > Process > Order Cancel Reason
Order Cancel Reason
After selecting the Order Type, nursing has the ability to apply a cancel reason in Order Chronology when discontinuing an ancillary order. A prompt will display to select a cancel reason based on location and if "Prompt for cancel reason" is selected in Department Table, page 4.
When verbal, phone or protocol nursing and ancillary orders are discontinued, the order will be sent to the physician's e-sign queue to be signed. In addition, a Verbal/Phone/Protocol Order sheet will print, if setup to do so, and will print to the Physician Entered Orders Report (PEOR).
When discontinuing frequency ancillary orders, the following screen will display:
Discontinue/Cancel Ancillary Frequency Order
Users have the ability to Discontinue Series which will discontinue the parent order along with any child orders that have not been completed. The other option is Cancel Selected item(s). This option is disabled until one or more child orders have been selected from the list. When the option is selected, Thrive will take users to the Pending Orders Review screen. Users must have the Behavior Control for Discontinue Series for Ancillary Orders. This behavior is not a default behavior.
NOTE: If the parent order has reached its charge point or is Complete, an individual test in the series or the entire series may be canceled in Order Chronology.
After discontinuing a series, the Pending Order Review screen will display.
Pending Order Review for Canceling Series of Ancillary Orders
In the Pending Orders Review screen, the initial scheduled date and time of the order(s) will appear before the Stop Date/Time.
After updating, a cancel order reason must be documented as shown earlier in this chapter.