A Superior System for Managing All Orders
Physician Orders is the center of the NetSolutions™ electronic medication management system. It increases efficiency and accuracy of entering and maintaining all orders in Long-Term and Post-Acute Care residents’ electronic medical records, while also improving resident safety and reducing medication errors. Utilize physician orders to define standard orders and order sets to improve standards of care.
Share Medication and Treatment Orders
Physician Orders shares medication and treatment orders with NetSolutions applications including:
- eCharting for the eMAR/eTAR
- ePrescribing for sending orders electronically by NCPDP message and auto-fax
- Clinical Decision Support for medications
Optimal Organizational Tools on Summary Page
The Physician Orders Summary page is a powerhouse – displaying maximum information and connecting you to tools that add precision and accessibility. From this one page you can:
- Add and edit orders for medications, treatment, lab tests, and x-rays
- Use eSignatures for order review
- Chart PRN order results
- Check drug interactions on demand
- Document lab/x-ray results
- Add notes about a resident
- Indicate that a medication was taken prior to admission
- Filter orders displayed by active, discontinued, telephone, pre-admit, and discharge
- View information including prescribing physician, advance directives, diagnoses, allergies
- Link to U.S. National Library of Medicine, Medline Plus Connect
- Show orders that were paused before order entry was complete
- Select reports to view, display uploaded images
- Reconcile medications
Reduce the Risk of Data Entry Errors
Add medication orders using NDC codes. Choose from a lookup list of codes and the software spells out the data embedded in the code: product name, strength, dosage form, and route of administration.
Set up your facility’s standard orders and order sets with their codes in the master page
When you enter a resident’s orders, you enter only the code. The full, editable order appears online and in reports. Order text can be copied, pasted, and edited to enter additional orders. Multiple standard orders can be selected at one time. Order sets allow for multiple orders to be entered all at once.
Keys to the codes for orders, time, and medications, with their values, are instantly available in look-up lists as you enter orders.
Standard Admitting orders are identified and one, some, or all can be added for the resident.
Additional Order Entry features:
- Order date, order code, and order text are required fields for all orders. Additional fields can be required for certain order types. An over-ride by order code is available.
- Time codes can be set up by location and by order type. For example, you can set up BID as the code for two times per day. When the order prints or displays in the MAR/TAR, it can show 8:00 AM and 5:00 PM for one station and 8:30 AM and 5:30 PM for another.
- Order Sets allows facilities to add pre-defined groups of orders, most commonly used and assists in adding protocol orders quickly.
- Orders can be entered in free-form text; drug-interaction checking will not occur.
- “Resident takes no medications” can be checked to differentiate from orders not yet entered.
- Partial orders can be saved and completed later. Generate a report of pending orders.
Prescribers and nurses with security rights can review current orders, electronically sign and note orders, and sign unsigned orders in a PO Manager summary panel.
The built-in NetSolutions Dashboard puts key performance indicators (KPI) at your fingertips with drill-downs for details. Check the Dashboard for the number of residents triggering KPIs such as Anxiolytics, Sedatives, and Hypnotics Use; Benzodiazepines Use; Pending Physician Orders; Physician Review Past Due; Unsigned Orders; and Nurses Un-noted Orders. Click the number for a list of those residents, along with actionable data.
Clinical Decision Support
When your system includes NetSolutions Clinical Decision Support, each order entry is automatically screened for negative interactions. Drug Interaction warnings can be viewed from the Physician Orders summary page and the eMAR. Drug Points gives clinicians instant drug information needed for safe administration. Resident/Patient Teaching guides clinicians on educating their residents and their families about the medications and treatments being administered.
Key telephone orders go directly into the system. Prescribers can receive and review a list of orders and sign them electronically. A prompt displays to remind nurses to read back the order to the prescriber during the telephone exchange. Nurses can chart the read-back in the same screen. All orders can be printed as telephone orders for the prescribers’ signature.
Link to Reference Website
While entering orders, users can link to the U.S. National Library of Medicine, Medline Plus Connect (www.nlm.nih.gov/medlineplus/medlineplus.html). The website will open to the medication ordered and provide information such as why it was prescribed, how it should be used, side effects, dietary instructions, storage/disposal, and brand names. A link is also available on the Summary page and main menu. NetSolutions supports adding links to additional reference websites.
Lab and X-ray orders
Physician Orders in conjunction with NetSolutions eMAR, ePrescribing, eResults, and eDocuments, provides a complete system for managing lab and x-ray orders. By entering the order, the system can then auto-fax it from your computer to the lab or x-ray company. Prompts to facilitate the lab test or x-ray will display in eMAR. Results can be received with NetSolutions eResults. Users can also attach faxed results to the resident’s EHR using eDocuments.
Physician Orders software can document that a medication review and reconciliation occur at admission, at care level changes, and at discharge. At admission, information on medications taken prior to admission can be documented, including fields for prior location, data source, and whether the medication will be continued at the facility.
Another medication reconciliation occurs at discharge to identify medications to be continued after discharge. Users can generate a report listing those medications. The system also offers the option of automatically discontinuing all orders on discharge and allows user to document the reason order was discontinued in a separate report.
- Import diagnoses, indication for use, and allergies from NetSolutions ADT. Diagnoses can be added while entering an order. Multiple diagnoses can be associated with an order
- Documents physician reviews of each resident’s orders and schedules the next review
- Quick Order Entry for Physicians and Advanced Practitioners saves order entry time
- Provides lists of choices to assist with order entry and to avoid unapproved abbreviations
- Completes drug names based on initial typing. The route is added based on NDC selected
- Supports opening another application from an active PO page, performing a task such as entering a progress note and returning to the PO page
- Tracks actions in the software such as edits, and includes the date/time and user
- Exports master order setups to other facilities
- Imports order data at initial implementation from a third-party system. The data is first exported to an Excel spreadsheet template where it is organized and audited
NetSolutions provides a central page for maintaining residents’ status on immunizations, particularly influenza and pneumococcal. Data on those immunizations populates MDS 3.0 Sections O0250 and O0300.
The Immunization Record is updated automatically by data captured during eMAR charting sessions. You can set up a separate med pass for flu shots with eMAR filters, that use flu season dates and resident’s recorded consent/refusal. The Immunization Record can record the vaccine manufacturer, lot number, and whether there is a declared shortage of vaccine.
Ordering and Reordering Medications
Each time a new medication order is added or marked for reorder, the information is entered automatically in NetSolutions’ order processing system. For reorders, the request is added to a list and held for review. For new orders, the data is sent to a report for faxing to a pharmacy.
When your facility’s system includes NetSolutions ePrescribing, it checks if the pharmacy, lab or x-ray company accepts orders by electronic message (NCPDP format) and sends them accordingly. The user will be alerted if any required data is missing or the order is not received.
The NetSolutions system uses NDC codes to identify medications. The complete library of 40,000 National Drug Codes (NDC) is included with Physician Orders and is updated quarterly. It provides information such as brand and generic names, strength, form, manufacturer, route of administration, and unit dose.
With the NDC Master page, you can maintain a list of NDC Codes commonly used by your facility to add efficiency and support standardization. These codes display when you use the Search for NDC Codes window.
The NDC Master page includes the Therapeutic Class panel, which displays the four-level therapeutic class for each code provided by the system for reference. In the Therapeutic Class Correlation dialog, you can associate order codes with NDC codes at any level of the therapeutic class hierarchy.
Vitals for the EMR
Document residents’ vital parameters and text notes for their EHR with the Physician Orders and Care Plan features of NetSolutions. Parameters include blood glucose, weight, temperature, pulse, blood pressure, oxygen saturation, level of consciousness, and respiration.
The Vitals feature maintains monitoring ranges and alerts staff to values outside those ranges. A report shows at a glance whether data is missing or needs attention.
Data can flow to Vitals from CareConnection devices using an optional interface.
Reports from Physician Orders
The following are some of the on-demand reports that can be viewed and printed with NetSolutions Physician Orders:
- Physician Orders – resident’s current orders, can be sorted by location or physician
- Lab and X-ray Orders
- Reviewed Orders
- Pending Orders
- Medication Reconciliation Status
- Pre-Admission Orders
- Discharge Orders
- Telephone Orders
- Documentation forms, including MAR
- Order Text Search
- Orders by Order Type, Code, Date
- Orders missing NDC codes
- Pharmacy Reorder Requests
- PRN Messages
- eCharting Transactions
Physician Orders is part of the Web-based NetSolutions system. It shares data with all NetSolutions applications, including MDS 3.0 software, ADT, eMAR, ePrescribing, and Clinical Decision Support-Medications, and the CareConnection® interface.