O R D E R SETS

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O R D E RSETS
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Order Set Committee

• Jessica Meleskie GBHN, Chair
• Sharon Musehl Nursing, SBGHC
• Lisa Laviolette Nursing, GBHS
• Michelle Scime-Benninger Nursing, HDH
• Trent Fookes Pharmacy, GBHS
• Greg Young Laboratory, HDH
• Dr. Randy Montag HDH
• Dr. Paul Eisenbarth HDH
• Dr. Lisa Roth SBGHC
• Dr. Roger Skinner GBHS
• Dr. Brendan Mulroy GBHS
• Pat Given HIS, Order Sets
• Susan Downs HIS, Clinical documentation
• Darlene Young GBHN, Education/Utilization
• Julia Metzger GBHN, Administrative Assistant
• Others as needed on an adhoc basis

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Website

• Initially see entire list of orders available
• Click on name of document to print off and use
• Search via key word at the top of the list, or
  select your areas yellow file folder on the left
  side to narrow your list to your areas orders.
• Can also see the entire library of Open Source
  Order Sets if click on Master OS Repository on
  the left hand side
• Involved with Cerner to build the order sets as
  developed into PowerOrders
• NOTE these do not replace the clinical pathways
  they are still available on the EBC website via
  the icon on the desktop. The pathway orders will
  be available on both sites the EBC site as well
  as the Order Sets site

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Order Set Legend

• Rindicates mandatory order unless crossed out by
  physician.
• Open Box indicates optional order, activated
  when checked R.

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How to Access Website

• Start at Docushare
• Select Forms
• Then Select Open Source Order Sets which will
  open the Web page to the Order Sets

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Current Order Sets 16

• Thrombolytic Therapy
• Acute Coronary Syndromes
• Adult Subcutaneous Insulin
• COPD
• Clostridium difficile Treatment
• CAP
• CHF
• Stroke-Non-thrombolytic
• Ischemic/Hemorrhagic Stroke Rehab Stage
• Thrombolytic Therapy for Acute Stroke Admission

• Pre-Op Fractured Hip
• Post-Op Fractured Hip
• Post-Op FH (Receiving Hospital
• Post-Op THR
• Post-Op THR (Receiving Hospital)
• Post-Op Total Knee Replacement

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Clinical Protocols 10

• Adult Potassium Dosing
• Bowel Care
• Cardiac Activity Levels
• Hypoglycemia
• Intermittent Bladder Catheterization for Urinary
  Retention
• New Diarrhea and Possible Melena Stools

• Thrombolytic Therapy
• Tirofiban
• tPA Dosage for Ischemic Stroke
• tPA Stroke Protocol-Inclusion/Exclusion Criteria

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Education

• You can view the May 07 presentation on the
  Order Set Project on the GBHN website. It will
  answer the Why are we doing this project?
• Or contact Evidence-Based Care Program by
  e-mail dayoung_at_gbhs.on.ca or phone [phone]
  ext 350 and Darlene can give an update on your
  unit.

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Communications

• Will be releasing a memo each month with the
  new/changed orders available on the website to
  ensure staff/physicians are up to date on the
  latest changes
• Also releasing a newsletter as necessary to
  update staff/physicians on project status