STAT Order Solution

The STAT Order solution expedites a physician's STAT orders to the patient's care team, providing a systemic improvement in nursing efficiency.

The facility identifies the STAT orders for specific lab/radiology/pharmacy orders. Vocera receives the EHR HL7 feed for specified STAT order events.

Repeated logins to the EHR, searching for results or calling providers to check on an order, are typical examples of non-clinical tasks that reduce productivity and job satisfaction. Vocera-managed STAT order notifications result in nurses spending more time in the "executive functioning" required to navigate a patient's journey.

When a physician writes an order for lab/radiology/pharmacy for a patient, it is entered in the facility EHR. Vocera receives the event in the EHR HL7 feed, which triggers a rule to send a STAT order notification message to the patient's assigned nurse or care team.

Using an ORC field in the RDE-O11 Message

Vocera leverages the HL7 RDE-O11 message with ORC segments to identify STAT orders. The RDE-O11 message communicates the pharmacy or treatment application's encoding of the pharmacy/treatment order. An ORC.7 field addresses quantity and timing for the order.

In this HL7 sample, a STAT medication order displays the priority in ORC.7.6; the STAT priority is represented by the "S" flag at the end of this segment:

(^2 TIMES DAILY (9A \T\ 5P)&0900,1700^^20200915090000^20200917101916^S)

The RDE-O11 message can include additional details in the RX (RXE, RXR, and RXC) segments, as shown.

MSH|^~\&|EPIC|1CDHP|ES|ES|20200917101921|SEVERINO|RDE^O11|24095549|P|2.3
PID|||999999999^^^MR^MR||LAST NAME^FIRST NAME^MI||19700101|F||W|Home Address|DUPA|Home Phone^P^PH||ENGLISH|W|CHR|12345678|SSN|||N|^^IL
PV1||I|3A^0302^A^^^^^^^^NMHCDEP||||26429^Admitting^Physician^~25955^Attending^Physician^||||||||||||12345678|||||||||||||||||||||||||20200914211000
ORC|DC|1368868700^EPC|||||^2 TIMES DAILY (9A \T\ 5P)&0900,1700^^20200915090000^20200917101916^S|12345678|20200915001629|||AD Login^Ordering^Physician^MI|||||||||C
RXE|^2 TIMES DAILY (9A \T\ 5P)&0900,1700^^20200915090000^20200917101916^S|2903232^FUROSEMIDE 10 MG/ML INJ SOLN^ADS^^^^^^furosemide (LASIX) injection 40 mg|40||3^mg|70|Undiluted direct IV injections may be administered at a rate of 20mg to 40 mg over 1 to 2 minutes|||1|VL^Vial||AD Login^Ordering^Physician^MI||||||||||||10|3^mg||||AD
RXR|IVPUSH^IVPush
RXC||2903232^FUROSEMIDE 10 MG/ML INJ SOLN^ADS|40|mg^mg|40|mg^mg