ED Muskoka Physicians - Living the Dream

DI ordering

Hi all,

Question…
Would every doc be okay to fax a copy of the facesheet to DI when we write down a test to be done????

I think it is the best way to go to ensure the rads have the info they need from the chart and our clerical staff or nursing staff then don’t need to put anything in the comments box in terms of history except the indication for a test if not in their main menu.

The rads want this info!!!
It is standrd of care elesewhere.
There have been countless hours used trying to come up with a work around/electronic version/powerchart access for rads/etc….etc…etc…..

DI will take the faxed sheet and marry it with the cerner order. They wil double check the order then and all people then seem to be happy..

Thougths?

I give you one week to comment on this.

thanks
John

Comments

  1. Kersti Kents says:

    This sounds like a bit of a waste of resources (ie. paper). Do the rads not get the “comments” section off of the order? And when the order is transcribed into the digital chart, does DI not enter the “comments” in? I do my own direct ordering and always enter the patient history (the relevant data) into the comments section and do not find this to be onerous.

  2. Emma Love says:

    This seems like extra unnecessary work that would add up when being done for every single text we order. Who is doing the faxing, us or the nurses or ward clerks?

    I’m not sure how helpful it would be also since a lot of the time I put orders for xrays (writing the indication on the orders) before I chart anything to get my investigations going, although they would I guess then have the triage and nursing notes?

    Over all I guess my vote is no. If it HAS to be done, maybe only for CTs and ultrasounds? X-rays would come up so much… I prefer Kersti’s suggestion that it could be typed into the comment field. I have only rarely ordered my own stuff but didn’t find that part to be that hard.. It’s all the other clicks that are annoying and slow.

  3. Emma Love says:

    Text = test

  4. John Simpson says:

    The request to get the facesheet has come from radiology.

    Despite best efforts at putting in comments (free text) for diagnositic imaging they are frequently left “wondering and wanting more info”. Usually the info in the triage note is what they are looking for.

    There have been hours spent by many trying to come up with an electronic way to get the rads what they want ( powerchart/cerner access, pasting cerner info to isite, etc) with no success at all.

    So – with one button the facesheet can be faxed to DI and they upload it to isite ( and they have agreed to do this) and problem solved for the time being while still and electronic solution is found.

    Also – now you need not put any comments in the cerner free text box really ….so that can save time on that front.

    Appreciate the dialogue and that is just a couple more thoughts to help answer questions posed.

  5. Emma Love says:

    So are we docs faxing them?

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