Skilled Nursing Facilities

Complete Clinical Review of Other's Order

After orders requiring clinical review are saved to the clinical chart, anyone can review that order, and save it as an active order or strike it out.

  1. From the order list, locate orders with a status of Pending Clinical Review.

  2. Click Actions then click Review to the left of the order. The Order Entry window appears with all fields non-editable. Clinical Review Required appears under the medication name and review notes appears in the Clinical Reviews box on the right of the window.

  3. Select Review to note the order as reviewed and save as Active.

  4. Select Strike Out to strike out the order.

  • A filter appears in the Display Filters on the resident's order tab so that orders can be filtered by only those requiring clinical review.

  • A user with appropriate security can also access orders to be reviewed by taking the following steps:

    1. Select Orders Portal.

    2. Select Pending orders. Note: This tab was renamed when Clinical Review functionality was enabled. It was previously labeled orders Pending Confirmation.

    3. Select orders Pending Clinical Review depending upon security access and action being taken.

    4. Click Review.

    5. After review is complete, select Review and Next to save current review, enter Authentication (if required), and automatically advance to the next order for clinical review.

  • When you are confirming/reviewing other orders, the system validates whether you have access to confirm and/or review others orders and takes the following action:

    • If Yes to Confirm Others' orders and Yes to Review OWN orders:

      • System allows you to confirm and review in same action.

      • On save, order is saved as active.

      • The audit history logs the order as confirmed and reviewed by you at the date and time the order is saved.

    • If Yes to Confirm Others' Orders and No to Review OWN orders

      • System alerts that the order requires additional review.

      • On save, the order status is Pending Clinical Review.

      • Order is not active.

      • Review link appears on order list.

      • Audit History shows the user logged in as confirmed by and date/time saved as confirmed date and time. Clinical Review by and date is blank.