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Computerized Provider Order Entry
(CPOE) in the Emergency Department
Basics
Introduction
• Computerized physician order entry (CPOE) is a system that allows
direct entry of medical orders and instructions for the treatment of
patients by a medical practitioner.
• The orders are communicated through a computer network to medical
staff or other various departments responsible for fulfilling an order,
including pharmacy, radiology or laboratory.
http://www.healthcareitnews.com/directory/computerized-physician-order-entry-cpoe
Tracking Board ICONs
Medication List
Orders
Results Review
Document Viewer
Open Chart
Order Notification (Co-sign)
Discharge –Attending Approval
MD Re - Assess
Dr. Exam
Attending Assigned patient, Note NOT started
Note Started, “Saved” by Attending
Note “Signed” by Attending
Opening Orders From The
Tracking Board
• First click the Order ICON
from the Tracking Board:
– Then Click the Add Button to
open the Add Order window
NOTE:
The +Add button, located on the Orders
band in the Menu, may also be used to
open the Add Order window
ED - Orders Section Overview
Add Order Button
Order Status Filter
Menu (VIEW)
Order Profile
Orders: The 4 Basic Steps
1. Find the Order
2. Complete the Order Details
3. Sign the Order
4. Refresh the Screen
ED - Add Order Window Overview
Patient Demographic Banner
Find box
Diagnosis
Filter
Order Type
ED Common Orders Folders
ED Order Plans
Problems
Viewing Reference Information
• Right click on the
Order:
– Left click “Reference
Information” from
the MENU
– When finished click
the “Ok” button
Working with ED Common Orders
• Click a
Common folder
(Labs) to open:
– Now select the
Order (BMP)
– When finished
click the “Done”
button
Order Sentences (Details)
• Then click the “OK” button
to close the Order
Sentences window
(leave on “None”)
NOTE:
ED Orders default to
“Stat” as a collection
Priority
• Now complete the
Order Details
•
When finished click the Sign
button and Refresh the screen
Working With ED Order Plans
• Type ED in the “Find” box:
– Select the Order Plan from the list
– When finished click the “Done” button
Viewing the Order Plan
• The Order Plan is now listed in the MENU (View)
Order Plan Components
• Tool Bar
– Merge View (view existing orders)
– Discontinue
–
(add order to plan)
• Order Plans contain multiple
orders for:
– Nursing
– Medications
– Sub Phases
– ETC.
Order Plan Components
• Check the orders
you wish to
include in the
plan



• More Details can
be added by
clicking the down
arrow

Adding Sub-Phases
• Click the box to the
right of the double
yellow ICON to open
the Sub-Phase:
– Then select the
Orders from the SubPhase you wish to add
– When finished click
the “Return to ....”
button to go back to
the plan

Viewing the Sub-Phase
• The Sub-Phase is now listed in the MENU (View)
under the Original Order Plan
Weight Based Medications
• When a weight
based medication is
selected:
– The Dosage
Calculation Window
will open with the
“calculated dose”
filled in with a dose
based on the charted
weight

Weight Based Medications
• Click the
“Formula” button if
you wish to view
the calculation
used for the drug
you’ve selected
Weight Based Medications
• When you have
selected the dose:
– Click the “Apply
Dose” button to close
the window and add
the order to plan

How to Add an Order
to an Order Plan
• Click Add to Phase:
– Select “Add Order”
• Find Order:
– Click done
Signing the Order Plan
• First click the “Orders
For Signature”
button...
Reviewing the Order Plan
• Then review the
Order Plan:
– Complete any
required fields, etc.
– When finished click
the “Sign” button and
Refresh the screen
How to View the Order Plan
After it Has Been Signed
• Click the name of the Order Plan you wish to review:
– Notice the status is now Initiated (active)
How to Modify an Order
• Right click on the
order:
– Then left click
“Modify” from the
Menu
How to Cancel a Single Order
• Right click on
the Order:
– Then left click
“Cancel/DC
from the Menu
How to Cancel an Order Plan
• Right click on the Order
Plan in the Menu:
– Then left click
“Discontinue”
– When the Discontinue
window opens click the
“OK” button
How to Cancel an Order Cont...
• Now click the “Orders
for Signature” button:
– Then click the “Sign”
button and Refresh the
screen
NOTE:
If you get this far and want to stop the
process, right click anywhere in the order
and left click “Reset”
How to Cosign Orders
From the Tracking List
• Double left click on
the ICON in the
CS column:
– Then review the
Orders
– When finished click
the “Cosign” button
NOTE:
This ICON will reappear when
a new order is added
Conclusion
• We hope this Computer Based
Learning course has been both
informative and helpful.
• Feel free to review this course until you
are confident about your knowledge of
the material presented.
For further information about this module
please contact Cinda Cowen at 226-5366
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