Dream Factory by TruBridge Ideas Portal
Currently, if clinical staff documents on an order in Order Chronology and changes the action time to before the order start time, the documentation pulls to a previous order, even if the previous order was discontinued. For example, Percent Consumed on diet orders: if the order start time was 1500 and the nurse selects 1400 in percent consumed, the documentation pulls to the last d/ced diet order. It would be more efficient if entering a time to anything prior to the order start date/time would halt further documentation and alert the user that they cannot select a time before the start date/time.
Hi Jenny, thank you for your response. This is just an issue documenting on Dietary orders if there are more than one active orders in Order Chronology.
Case Scenario: Clear liquid diet order placed on patient start time 1500. Regular Diet order also active but from 0800. Nurse clicks on Clear Liquid diet order in Order Chronology. They click Percent Consumed, they change the time to 1450, select 75%, enter comment "Dinner" and then click Save. Instead of the Percent Consumed on the Clear Liquid Diet, the documentation is pushed to the Regular diet because the documentation was changed to before the Clear Liquid order start time. This can cause confusion and lose integrity of documentation.
It would be better functionality if there were a hard stop that did not allow the user to save the Percent Consumed entry if the date/time entered was before the order start date/time, either with the date/time picker only active after the order start date/time, or an alert error message that pops up saying "Date/Time entered before the Order Start Date/Time". Another suggestion would be an option to auto discontinue all previous active diet orders if a new diet order is being placed.
@Guest Thank you for your feedback. To clarify, is this just an issue with documenting on Dietary orders or are you expecting to see this functionality with Nursing Type orders as well? Can you please provide a use case scenario so we can better understand the need. Any additional feedback is also welcome. Thank you!