Clinitek Unsolicited Orders

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We currently have our UA and urine pregnancy tests performed on the Clinitek and use an unsolicited order. This has been working great, however we still need to have an order from the provider telling the staff to do the test. To accomplish this, we created a collection order that requires staff to place the order then go in and enter a result of "collected" or "not collected". The issue that I run into is that sometimes they forget to place the collection order. Does anyone have a different process that they use and has been successful?  We us Meditch for our LIS and Telcor for our middleware.

Thank you!

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Hi Cindy,
We have unsolicited orders for our Cliniteks also and the staff needs to enter an order.  Our EPIC group created the nursing orders so no reply documentation in that order is needed.  It finallizes on its own.  Recently they also created rules in EPIC that look for POCT results for each EPIC order entered and also looks for an EPIC order for the POCT results ordered unsolicited from SQ.  If it doesn't find an order within the specific time frame (i believe it's set for 24 hrs) it will not allow the physician to close the chart.  That has helped us alot to make sure any POCT results or EPIC orders entered are done.  If you need more info feel free to contact me.

Adonica, your process sounds awesome! Ours is similar. We use unsolicited orders for our Clinitek results and have the providers place the task order in the EMR (Epic). The task order for the urine dipstick testing in Epic automatically gets a status of "completed" anytime the order is placed. The POC office performs an audit each month to catch when provider's did not place the task order but testing was performed. The audit goes to the department/clinic managers and lists out the specific providers that did not place the order and how many times he/she didn't place the order for his/her patients that month.  The audit also gives an overall compliance score by comparing # of tests performed vs # of tests without an order for each performing department. 

We created a nursing task which nursing is very familiar with and they just mark in completed on their side.  (CERNER)

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Cindy Engbert
almost 3 years ago
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