Skilled Nursing Facilities

Overview of the Order Entry Window

The Order Entry window is where you enter individual orders for a resident.

To open the Order Entry window go to the Orders tab of the resident's chart, click New or select the order template using the search bar.

This window contains multiple sections that are required to complete each order:

Order Details - order information including Order Category, Ordered by, ordered item (medication name, diagnostic test, diet type), order type and route of administration.

  • Some fields depend on the Order Category selected.

Scheduling Details - timing, frequency, indications for user, date range and directions. Some schedules can be combined in a single order for efficiency.

  • Routine - orders that are needed routinely for specific date range or indefinite period of time. Can have multiple routine schedules per order.

  • PRN - orders that are only as needed for specific date range or indefinite period of time. Can have multiple PRN schedules per order.

  • One Time Only - orders that are needed one time only or during a specific date range.

  • Titration - orders that are required to change dosing over a specific period of time.

  • STAT - orders that are needed immediately.

Source Details - information about the source or provider of the item ordered (pharmacy, in-house stock, provider lab used for Laboratory testing). Not all orders entered contain this section.

Order information shows on the right side of the window as the Order Details, Scheduling Details, and Source Details sections are completed.

  • Order Summary - a summary of the order, this is what shows on the medication block in the eMAR.

  • Formularies - indicates if the order is found in a category of formulary types. Hover over icons to see Pharmacy, Medical Professional, Facility Favorite or Payer. Formulary name is listed and Y or N indicates if the formulary contains the order.

  • Additional Information - shows Alerts such as Black Box Warnings, Drug Interactions, Dose Checking, Overdose warnings, Drug Allergy Alerts or if Dose Checking is unavailable. Click alert for more information.

  • Clinical Reviews - shows notes added to specific medications or therapeutic classes in the Clinical Order Review Library during configuration. 

  • The fields that appear depend on the Order Category selected.

  • Click the + or - to expand or collapse the Order Details, Scheduling Details, and Source Details sections.

  • If Formularies are not setup, the Formularies area shows No Formulary Found.

  • When using Order Templates, information automatically appears in the Order Entry Window. Review the auto-populated information and complete other sections before saving.

  • The Queue and New button saves the order to a queue while other orders are completed. Queued orders must be reviewed and saved to be active on the chart.

  • To save a order as Active, the resident must have Allergy, Date of Birth and Gender (Social Insurance Number (SIN) and Primary Payer may be required if configured) entered on the profile. If any are missing, the order is saved as Pending Confirmation until these are added to the profile. Then the order can be confirmed and is active on the resident chart.