Templates: Action Orders

Action orders are used to create all non-medical orders needed in your instance (such as CIWA, check vital signs, or change bedsheets). Creating templates allows you to pre-build frequently needed orders to save time. You can also add action orders to protocols, which allow you to bundle medication orders and action orders together to create a series of instructions that can be assigned to a patient in one click.

Required Permissions: Only super admins and users with the Manage Templates or Manage Templates - Orders permissions can access and create templates.

1. To start, click on Templates > Orders > Action Orders.
2. Type in the name of the action you'd like to filter by, and select it from the drop-down.
•  Set the toggle to OR to filter by templates that use the OR condition or to AND to filter by templates that use the AND condition.

Creating Action Orders

1. To create a new action template, click on the New Action Order button.
2. Then name your Action Order template and click on the Add Button.
1. Important: Kipu recommends using the convention "Action, frequency, duration (if applicable), justification (if applicable)" (e.g., Vitals and CIWA-B every 4 hours for 3 days) for naming your quick order action templates to avoid confusion and misuse.
   
3. Once in the order creation page, all fields are optional, so fill out the order as desired.
1. Locations: If you have a master instance, you can use the checkboxes under the location names to enable the template for some (or all) of your locations.
2. Action/Description: Enter the action or description of the order.
3. Enabled: Check off this box to make the template available for use.
4. Show in MARs: Check off this box if you need the order to show up in the Med Log (MORs/MARs) tab.
5. PRN: Check this box if the action order should be classified as PRN (as needed).
6. Continue on Discharge: Check this box if you need the action order to populate on the Patient Discharge Medication field of the Discharge form.
7. Duration (in # days): Enter the number of days this action should be completed on. If you add days (by clicking on the Add Days + button), the duration in days will calculate automatically.
8. Justification: Add any reasons for the order.
9. Note: Add any notes, as necessary.
10. Frequency: Use the drop-down menu to set how often you would like the action to be repeated. Use the hour and minute drop-downs under At to set specific times when needed.
4. If you need to set up different frequencies for multiple days, use the Add Day + button and set up the new day(s) as desired. If you have added a day in error, use the trash can icon to delete it.
1. Important: If you delete some of the frequencies, make sure the Duration in days matches the number of days in frequencies.
5. Once your template is ready to go, click on the Save button.

Add Action Orders from the Patient Chart

1. Navigate to the Doctor's Order tab and click on Quick Order+.
2. In the order window, click on Action Orders tab.
3. Select one or more action orders and click Review Orders.
4. Review and update the following fields as needed:
• Action: Name of the action order configured in the template.
• Start Date: Default to current date and time.
• Show in Med Log: Choose whether or not the action order should appear in the med log.
• PRN: Check off this box if the medication can be prescribed to a patient as needed.
• Duration (# of days): The number of days the action order should persist.
• Justification: Free type the reason for prescribing this medication. 
• Notes: Free type any desired notes in this field.
• Continue on Discharge: Check off if you wish the client to continue taking the medication after discharge. 
• Frequency: Click on the Frequency drop-down to choose how frequently the medication is administered. Once you select a frequency, three additional fields will appear.
5. After reviewing all fields, click Submit.
6. The action orders displays in the Doctor's Orders tab.
• If you select the option to display the order in the Med Log, it will appear there for administration tracking and documentation purposes.