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Clinical Roles and Responsibilities with CPOE |
Clinical Roles and Responsibilities with CPOE
Any computerized order entry system is not meant to dictate how to care for patients. Instead, it is a tool like any other, to be used in conjunction with other technological aides.
While the basic tenants of high patient safety and quality of care remain constant, the introduction of CPOE into the daily workflow will have impact not only to the physicians, but to the clinical and administrative floor staff and clinical ancillaries as well.
Every hospital, and every unit within, is unique, which is why changes are not proposed until a full workflow and dataflow analysis is completed, identifying areas where CPOE will necessitate change.
Below is an example of what the various CPOE roles could become in a production-CPOE environment. Note that the biggest change is the shifting of the order entry into the computer application:
CPOE ROLES
Physician Responsibilities:
- Assess patient conditions
- Enter medication and procedure orders directly into
- Electronically Sign phone & verbal orders placed by nurses
Pharmacy Responsibilities:
- Verify and Process medication requests
- Process allergy information
- Place physician phone orders per policy
- Edit med orders per policy
Nurse Responsibilities:
- Complete Assessments, Nursing Notes
- Administer physician orders and nursing protocols
- Place physician phone & verbal orders, per policy
Unit Secretary Responsibilities:
- Coordinate unit activity
- “Traffic Officer” – main point of contact between unit & transport, ancillaries
- Answer External calls
- Awareness of new orders
- Place patients in rooms
- Intra-unit transfers
- Will need to retain the ability to place individual orders, per policy
CRNA (Cert Nurse Anes), Physician Assistant, Nurse Practitioner Responsibilities:
- Administer physician orders and nursing protocols
- Enter co-signed orders
Clinical Ancillary Responsibilities:
- Examples include Lab/BBK/Micro, Dietary, Rehab (PT, OT, Speech), Radiology, Respiratory Therapy
- Collect, result and complete physician orders
- Contact Ordering Physician for corrections to submitted orders
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