Taking admission orders over the phone.

[YippiNurse]

I just recently started working in a trauma 2 ED and often ED docs give me thier phone so admitting docs can give me the admission orders. I have to stop everything I'm doing (I'm usually in the middle of doing 3 things at the same time) to take these orders. Meanwhile the docs/residents are at the desk talking or already on the computer. Is this normal at other EDs? Aren't the docs that have seen the patients in better position to enter these orders including medications & labs, not to mention they enter orders all the time? How does it work in your ED? Just a little frustrated!

[zabelrose]

The whole idea of CPOE is for the DOCTOR to enter the orders. Any doctor affiliated with the hospital should be able to log on from wherever he is and place the orders?????? Good luck

[northshore08]

The whole idea of CPOE is for the DOCTOR to enter the orders. Any doctor affiliated with the hospital should be able to log on from wherever he is and place the orders?????? Good luck

HAHAHAHAHAHA!

Sorry. :stone

3 months into CPOE and the nurses are more proficient than docs, especially floor nurses. From what I understand, only a few of the attendings will do it themselves; they will make the nurse do it or they will call the hospitalist to do the admission. EPIC people say they are "tracking the trends" of who is doing the entry and who won't. I have to commend the docs who have learned to do it. It is much faster and easier than written orders.

Apparently we ED nurses have fussed so much and made so many mistakes they had a mandatory class for us to attend to "remind us how to enter the orders correctly."

Me, I avoid it as much as possible. The ED doctors discourage it when they can, and we forward the ones who want to call direct admit orders in.