will pick up the item(s) and a phone number to contact with questions regarding the Order. Any Laboratory order or Central Supply order requested or completed within the OR must be signed. The order mode appropriate for intraoperative Orders include: with read back “Verbal, verification”. with read back “Telephone, verification”. The name of the attending surgeon or provider who delegates the order must be recorded in the EHR. If the primary attending or provider who delegates the order does not auto-populate, the checkbox by “Filter providers treatment team must be deselected and the primary members” attending or provider may be searched for by name. Order Sets The OR nurse does not need to document anything in the section. “Order Sets” Orders to be entered by the OR nurse (i.e. microbiology, items from central supply) should be entered in the section. “Orders” Clinician Communication It is recommended that the circulator transfer any phone call related to critical lab results to the anesthesia provider. If the critical communication is then received by the anesthesia provider, no documentation in the tab is “Clinician Communication” necessary. However, in case of emergency in which the circulator does communicate the information to the surgeon, document as described below. Document communication of critical lab values, critical test reports, or other important information communicated to the circulating nurse, and subsequently from the circulating nurse to the surgeon in the section. “Clinician Communication” Indicate the reason for communication. Most often, this will be a critical lab value or critical test report called to the OR, which the circulator will communicate to the anesthesia provider and/or the surgeon. Populate the of and sections with the “Name Care Provider” “Provider Role” name of the person receiving the information (i.e. surgeon, resident, anesthesia provider). Indicate what kind of information is being communicated either in the – section or the Test section. “Critical Lab Values” “Critical Report” Indicate the time the information was received by the circulator in “Time of should be populated with Critical Result Received”. “Time Notification” the time the circulator communicated the information to the surgeon (or anesthesiologist, resident, etc.). Indicate whether the communication was critical and if the MD is aware in “Critical Notification” Document communication between the pathologist and the surgeon in this section. If frozen section results are called to the circulator and then communicated to the
will pick up the item(s) and a phone number to contact with questions regarding the Order. Any Laboratory order or Central Supply order requested or completed within the OR must be signed. The order mode appropriate for intraoperative Orders include: “Verbal, with read back verification”. “Telephone, with read back verification”. The name of the attending surgeon or provider who delegates the order must be recorded in the EHR. If the primary attending or provider who delegates the order does not auto-populate, the checkbox “Filter providers by treatment team members” must be deselected and the primary attending or provider may be searched for by name. Order Sets The OR nurse does not need to document anything in the “Order Sets” section. Orders to be entered by the OR nurse (i.e. microbiology, items from central supply) should be entered in the “Orders” section. Clinician Communication It is recommended that the circulator transfer any phone call related to critical lab results to the anesthesia provider. If the critical communication is then received by the anesthesia provider, no documentation in the “Clinician Communication” tab is necessary. However, in case of emergency in which the circulator does communicate the information to the surgeon, document as described below. Document communication of critical lab values, critical test reports, or other important information communicated to the circulating nurse, and subsequently from the circulating nurse to the surgeon in the “Clinician Communication” section. Indicate the reason for communication. Most often, this will be a critical lab value or critical test report called to the OR, which the circulator will communicate to the anesthesia provider and/or the surgeon. Populate the “Name of Care Provider” and “Provider Role” sections with the name of the person receiving the information (i.e. surgeon, resident, anesthesia provider). Indicate what kind of information is being communicated – either in the “Critical Lab Values” section or the “Critical Test Report” section. Indicate the time the information was received by the circulator in “Time Critical Result Received”. “Time of Notification” should be populated with the time the circulator communicated the information to the surgeon (or anesthesiologist, resident, etc.). Indicate whether the communication was critical and if the MD is aware in “Critical Notification” Document communication between the pathologist and the surgeon in this section. If frozen section results are called to the circulator and then communicated to the
epic_charting_document_rough_draft_1.docx