Ordering Blood Components and Diagnostic Tests

Use the following instructions to order blood components and associated diagnostic tests. Remember that from this dialog, unlike other CPRS ordering dialogs, you can order several different items from the same dialog.

As with many CPRS order dialogs, users can create personal quick orders and then use them to place these orders. A Clinical Application Coordinator (CAC) at your site can also create quick orders and place them on an order menu for users.

Items within this topic:

·      Ordering Blood Products and Diagnostic Tests

·      Creating Blood Bank Personal Quick Orders

·      Placing Blood Bank Personal Quick Orders

 

To order blood components and diagnostic tests, use these steps:

1.     Go to the Orders tab, by clicking on the tab or pressing Ctrl + O.

2.     Under Write Orders, select Blood Bank (or whatever your site names the VBECS item).

3.     Review the Patient Information tab for pertinent information.

4.     Select the Blood Bank Orders tab.

The Blood Component and Diagnostic Test Order Form displays.

 

The VBECS order dialog

This dialog enables users to electronically enter orders for blood products and diagnostic tests, view information about blood products related to this patient, and view lab information, if available, related to the blood product or test selected. The location of the Diagnostic Tests and Blood Components areas might be switched at different sites because this can be configured at each site.

 

5.     Select the needed blood component from the drop-down list. (When the user selects a blood component or a diagnostic test, the quick order field is no longer displayed).

Note:      For some blood components, a message may appear under the Diagnostic Test drop-down list indicating that a diagnostic test, such as a type and screen, is needed. However, you may want to complete all of the fields for the blood component first. Otherwise, you will have to switch back to fill out the needed fields. Also, if there are lab results, they will now be on the Lab Results Available tab.

 

6.     Enter the quantity.

7.     (Optional) Select a modifier from the list if needed.

8.     Indicate when the blood product is needed by accepting the default of Now, typing in date or using the calendar control (the button with three dots) to select a date and time.

9.     Select the urgency from the drop-down list.

10.   If you select Pre-Op, you must select a surgery from the drop-down list.

11.   If you select Pre-Op and choose a surgery, the Reason for Request field is automatically populated with the surgery. However, you can also type in a reason for request. (It must be less than 76 characters.)

Note:      If you select a surgery that is listed in the MSBOS as not requiring blood components, CPRS displays a dialog warning that no blood is required for the surgery. The MSBOS contains a list of how many units of blood are generally used for the specified surgery.

 

12.   Under Comment, type any needed comments.

13.   If a diagnostic test is needed, select the appropriate test under Diagnostic tests.

Note:      When you choose a diagnostic test, the fields relating to the blood component are cleared. If you want to see or edit them again, highlight the blood component under the Blood Component and Diagnostic Test area.

 

14.   Select the collection type from the drop-down list.

Note:      Which collection type the user selects first affects the default start time that displays. If Ward Collect is selected first, the default is NOW and stays NOW even if Send Patient is then selected.  If Send Patient is selected first, then the default is TODAY and stays TODAY even if Ward Collect is then selected. Immediate collect defaults to a time 10 minutes in the future.

 

15.   Enter the time and date for the specimen collection.

16.   To order more blood components, repeat steps 5-12.

17.   To order additional diagnostic tests, repeat steps 13-15.

18.   When you have finished, review the order text at the bottom of the dialog.

19.   When you have the order defined as wanted, select Accept Order.

Note:      For nursing administration orders, sites will have to create their own orders.

 

Other items within this topic:

·      Creating Blood Bank Personal Quick Orders

·      Placing Blood Bank Personal Quick Orders

· Back to top

 

To create blood component and diagnostic test personal quick orders, use these steps:

1.     Follow steps 1-18 above.

2.     Instead of selecting Accept Order, go to the main CPRS window and select Options | Save as Quick Order....

3.     In the Add Quick Order (Blood Bank) dialog, type the name for your personal quick order.

4.     If you want to change where the order will appear in the list, highlight the order and use the arrow buttons on the left of the dialog to move it up or down in the list.

5.     Select OK.

After creating the personal quick order, the next time you open the Blood Components and Diagnostic Tests Order Form, your personal quick orders will be listed in the first field.

Note: For nursing administration orders, sites will have to create their own orders.

 

Other items within this topic:

·      Ordering Blood Products and Diagnostic Tests

·      Creating Blood Bank Personal Quick Orders

·      Placing Blood Bank Personal Quick Orders

· Back to top

 

 

To place blood bank orders using personal quick orders, use these steps:

1.     Go to the Orders tab, by clicking on the tab or pressing Ctrl + O.

2.     Under Write Orders, select Blood Bank (or whatever your site names the VBECS item).

3.     Review the Patient Information tab for pertinent information.

4.     Select the Blood Bank Orders tab.

5.     Select the appropriate personal quick order from the drop-down list.

Note:      If you inadvertently select the wrong quick order, you can choose Remove All or Cancel to exit the dialog and then reenter the dialog.

6.     Make any changes or additions as needed. Remember that to change part of an order you must highlight that item in the list first.

7.     When finished, select Accept Order.

Note:      For nursing administration orders, sites will have to create their own orders.

 

Other items within this topic:

·      Ordering Blood Products and Diagnostic Tests

·      Creating Blood Bank Personal Quick Orders

·      Placing Blood Bank Personal Quick Orders

· Back to top

 

Related Topics

How to Write Orders

Blood Products (Overview)