Order Entry for ED Boarders Moves to BICS
The Emergency Department (ED) in March transitioned to BICS order entry for boarder patients, or patients who remain in the ED two hours after they have been admitted to an inpatient unit but have yet receive a bed assignment. For these patients, clinicians no longer write orders in the ED order entry, or ED OE, system, since this change was effective March 20.
“This change improves consistency of care when the inpatient boarders move from the ED to inpatient units and eliminates the confusion that can arise sometimes when orders are entered in both ED OE and BICS OE,” Ron Walls, MD, chairman of Emergency Medicine, said.
For all ED Boarder patients, with the exception of ICU, observation unit and Cath Lab-admitted patients, clinicians now enter orders entered through BICS Order Entry (OE).
ED OE is no longer be available for new orders once the patient becomes an ED Boarder. Orders entered through ED OE can still be reviewed and discontinued if necessary using the new routines outlined below.
All orders on ED Boarders requested to be done in the ED must be entered from the ED admission template that you will be prompted with. If you would rather not have orders implemented in the ED on ED Boarder patients, then you can exit from the template and enter your admission orders in BICS.
Every time you enter orders for an ED Boarder patient, you will be prompted with a message to review all active orders that were placed in ED OE. You should review the orders and D/C any of them that you don’t acted on.
In BICS OE and ED Tracking, staff has access to a combined view of all ED OE and BICS OE orders. Once the patient is confirmed in their bed on the in patient unit, the admitting team will receive a page upon the arrival of the patient on the unit.