module 2: block 1 / order entry

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Module 2: BLOCK 1 / Order Entry

Objectives

As a result of this module the student should demonstrate the following competencies:

SoftLab Super User/End User TrainingModule 2: BLOCK 1 / Order Entry

SoftLab Super User/End User Training

Recognize Order Entry Buttons

Use Search Screen and Functions

Create a New Patient

Work with Patient Stays

Place a Lab Order

Place a Micro Order

Create Order Entry Flags

Utilize the Results Tab

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SoftLab/Mic Block 2 - Order Entry ButtonsSoftLab/Mic Block 2 - Order Entry Buttons

Click each individual enlarged button to display it’s function. Another click on the same button will hide it’s

function.

Open - To open an existing record, click the Open button, press CTRL + O, or select File > Open.

Edit Mode - You can edit records if you have the security access. To enable the editable fields, click the Edit Mode button, select Edit> Record, or press F7. The fields will display as editable by changing color.

Save - To save the information you have added or edited, click the Save button, select File > Save, or press CTRL + S.

Add Next Order - To add a new order to the current patient record, click the Add Next Order button.

Print - To print the currently displayed record to a specified printer, click the Print button or select File > Print.

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Move Order to New Stay - To move an order to a new stay, click the Move Order to New Stay button.

Verify Order - To verify an order, click the Verify Order button.

Delete - To delete the current record from the database, click the Delete button. The system will then display a message box prompting you to confirm the deletion. Click Yes to delete the record or click No to retain the record.

Send Order – To send an order, test(s), SC (Status Change) message or batch to the HIS. In an HIS, an example of status change is when a specimen has been collected, or a specimen has been received, etc.


function.

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Help Topics - To display overview help information for the current window, click the Help Topics button or select Help > Help Topics.

What’s This? - To display help information for any field, button, check box, or option button, click the Help button, press F1, or select Help > What’s This.

Run New Report - To display the Available Reports window, click the Run Report button or press CTRL + R, or select Tools > Run Report. Select the report that you want to generate and click OK.

View Existing Report - To view reports that have been generated and then saved in electronic format, click the View Existing Report button or press SHIFT + F2, or select Tools > View Existing Report.

Lab Results Query - To bridge to the Lab Results Query option, click the Lab Query button or select Tools > Lab Results Query. The system queries the database and displays lab results information for the current record.


function.

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Specimen Tracking - To bridge to the Specimen Tracking option, click the Specimen Tracking button or select Tools > Specimen Tracking.

Check Printers - To clear a printer or stop a print job, click the Check Printers button.

Printer Status - To view the current status of all printers, click the Printer Status button.

Find/View Test Formulary - Clicking this button opens up a Test Catalog. This allows the user to search for the formulary for any test defined in the SoftLab, SoftMic and SoftBank database.

Run Pathology – To bridge to Pathology, click the Run Pathology button.


function.

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Run Radiology - To bridge to Radiology, click the Run Radiology button.

Run Patient Maintenance - To bridge to the Patient Maintenance option to add/edit patient records, click the Run Patient Maintenance button or select Tools > Patient Maintenance.

Run Pharmacy - To bridge to Pharmacy, click the Run Pharmacy button.

Run Micro Result Entry - To run Microbiology’s Results Entry, click the Run Micro Result Entry button, press CTRL + M, or select Tools > Micro Results Entry.


function.

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Hotkeys (when available) are listed to the right of the function.

Functions for OE buttons can also be initiated through the menu bar.

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To return to a recent order, simply exit out of the Search screen and select File > Recent Orders > and then select the order to which you want to return.

Click Recent Patients when

you are finished reading.

SoftLab/Mic Block 2 - Search Screen and FunctionsSoftLab/Mic Block 2 - Search Screen and Functions

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To return to a recent order, simply exit out of the Search screen and select File > Recent Orders > and then select the order to which you want to return.

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Upon opening Order Entry, the Search screen will appear.


You can search orders by patient, stay or order by entering the required information.

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SoftLab/Mic Block 2 - Creating a New PatientSoftLab/Mic Block 2 - Creating a New Patient

Click this check box when you are

finished reading.

To create a New Patient:

From the SoftLab Desktop, click the OE icon.

From the Order Entry screen, select New > New Patient Result: The OE Search window will display.

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Now select New

Patient.

In order to create a new patient, you must:

Check Open in Edit Mode (based on customizations)Select New > New Patient

NOTE: Edit in Edit Mode – when this is checked, it displays the Order Entry window in editmode, once searching is completed.

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Click in the Last name field to simulate completion of this window.

You would now need to provide required information (these fields are backlit in yellow ) per local directives. In this case, we will complete these fields for you upon your next click.

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Click Patient Comm.


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Click CanMesg.

Notice that besides canned messages (F5), you can add the date (F6), the time (^F6) and perform a spell check (F11).

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Click CanMesg.

Canned message are available. We will not use any here.

Click Cancel.

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Click here to add a message

to this text field.

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Click OK.

Patient Comments; Once you enter them, they become a permanent part of the record. You can type free text comments or utilize canned comments.

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When you are finished reading,

click down arrow of the Priority field.

The green check shows that there is a patient comment.

The Stay Com in this Stay section works the same as the Patient Comment in the above Patient section.

SoftLab/Mic Block 2 - Patient Stays SoftLab/Mic Block 2 - Patient Stays

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Select the Insurance tab.


Notice that the requesting physician and the priority fields must be selected.

If Mixed priority is selected, and additional field will be added to the order tab allowing you to specify the priority of each test.

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Click Add.

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From the list that appears, you can select the patient’s insurance. The remainder of the insurance information can now be entered.

Select choice 2.

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Click OK.

From the list that appears, you can select the patient’s insurance. The remainder of the insurance information can now be entered.

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SoftLab/Mic Block 2 - Placing a Lab OrderSoftLab/Mic Block 2 - Placing a Lab Order

We have entered the insurance information for you. Click

Insert.

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The Insert button can be used to look up infrequently used tests. In this module we will utilize the more frequently used tests.

In Type columnI = Individual testG = Group test

Click Cancel when

finished reading.

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Click Keypad.

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We will utilize the first method here.

Click G Basic Metabolic Panel

when done reading.

• Place a check in blue box next to test by clicking• Highlight desired test using arrow down button and press Enter key• Type in letter next to desired

The Order Entry Keypad is essentially a file of frequently ordered tests.

There are three ways for you to select tests from Keypad:

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The selected test appears in Ordered table.

Collect and receive in the Specimen tab.

Click the Specimens tab when you are finished reading.

Notice that the Specimen tab now has a (1), indicating the presence of one test.

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Notice that the

Specimen tab now has a (2)

instead of a (1).

If the Modify button does not appear, click

here to get a drop down list.

You would right click to accomplish this in

SoftLab.

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Notice that the


instead of a (1).

Select Modify.

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Notice that the


instead of a (1).

Click the now available Modify button.

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Notice that the


instead of a (1).

If you were to select the Collected and Received check boxes and click OK, both the Collect and Receive buttons would be unavailable.

You can adjust collected/received times and or flags as desired in this window. Click

the x.

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Notice that the


instead of a (1).

Now select the Comment

button.

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Notice that the


instead of a (1).

The Comment tab allows either free text or select desired canned message, date, time or spell check.

Click to simulate typing.

The History tab allows the recording of any history and/or any relevant comments pertaining to the specimen.

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Click the Tags tabs.

The Comment tab allows either free text or select desired canned message, date, time or spell check.

The History tab allows the recording of any history and/or any relevant comments pertaining to the specimen.

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Notice that the


instead of a (1).

Click here to simulate typing.

Click OK

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Notice that the


instead of a (1). Click

OK

Any modification of specimen comments would be documented in the Tags tab.

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Notice that the


instead of a (1).

Click Save.

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Notice that the


instead of a (1).

The label printing dialogue box will appear.

The printer to which this print job will be sent can be seen.

Click OK when finished reading.

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Notice that the


instead of a (1).

SoftLab/Mic Block 2 - Placing a Micro OrderSoftLab/Mic Block 2 - Placing a Micro Order

We will now consider how to place a Micro order.

Select the Micro tab.

NOTE: If you are logged onto SoftMic, the Order Entry Micro tab is automatically selected.

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Click the check box of Culture Respiratory.

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Click Yes.

Notice that the Micro tab has appeared.

Click to activate drop down menu in Source field.

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Click Yes.

Select #2 Bronchial Washing.

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Click Yes.

Click OK.

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Click Yes.

Bronchial Washing has now been added to the Source field.

The Site field is now active. The window that appears on the upper right will give you options for this field.

Click Left to add this to

the Site field.

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Click Yes.Left has now

been added to the Site field. Your next choice will add Upper also.

Click Upper to add this also to the Site field.

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Click Yes.

Upper has now been added to the Site field also.

Click the Add button.

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Click Yes.

The time has been added to this Collected by field.

Click the second Add

button.

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Click Yes.

Click Current antibiotic therapy

to activate the drop down window.

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Click Yes.

Select #10 Amoxicillin.

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Click Yes.

Click OK.

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Click Yes.

Click Specimen Quality.

Notice that amx is in the first field and the second field has become active, waiting for another antibiotic.

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Click Yes.

Click the down arrow.

This is an optional feature to document specimen quality or handling issues.

If desired, this field can also be used to pull statistical reports.

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Click Yes.

Select #3 Not Refrigerated.

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Click Yes.

Click OK.

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Click Yes.

Select the Results tab.The now

present green check mark indicates that a specimen quality designation has been chosen.

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This tab is only used when results are required at Order Entry (i.e. Volume, Dosage Dates and Times, etc.) It can be used as quick reference for existing orders. Standard resulting should be done using Result Entry button from instrument interface menu or Resulting Worklist.

Click the Save button after

reading.

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Click the OK button.

If you were to see the below insurance warning, you will need to add insurance information for this patient prior to saving this order.

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SoftLab/Mic Block 2 – Summary and Hands On

Suggested SoftLab Block 2 Hands-On Practice:

Create a new patient using the following criteriaLast Name = First letter of your last name + Test (for example, if your last name is Smith your patients last name would be STEST)First Name, Middle Initial = Your first name and middle initialSSAN = First 4 numbers are your SSAN + 12345MRN /Billing # = Per local directivesOnce the patient is created order the following tests:CBCBMP (Basic Metabolic Profile)Urine CultureCoag Panel (PT, PTT)DO NOT collect and receive all orders (these orders will be used for future end of block exercises


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Objectives

As a result of this module the student should demonstrate the following competencies:

• Recognize Order Entry Buttons• Use Search Screen and Functions• Create a New Patient• Work with Patient Stays • Place a Lab Order• Place a Micro Order• Create Order Entry Flags• Utilize the Results Tab


module 2: block 1 / order entry

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