Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
- Place in Outpatient/Hospital Ambulatory Surgery Order - Updated Availability
Since the launch of Connect Care, several common errors have been identified in the selection of ADT (Admission, Discharge, Transfer) orders and/or using the incorrect order to facilitate patient movement. One example of this is using the "Place in Outpatient/Hospital Ambulatory Surgery" order AFTER an "Admit to Inpatient" order has been placed.
In order to reduce confusion and prevent providers from entering the Place in Outpatient/Hospital Ambulatory Surgery order after an admit order has been placed, the order has been removed from the facility pick list. Effective December 12, 2024, the order can only be found and selected within the pre-admission order sets which should be done preoperatively. For those surgeons who do not enter pre-procedure order sets, the order can also be found within the post-procedure order set.
In order to reduce confusion and prevent providers from entering the Place in Outpatient/Hospital Ambulatory Surgery order after an admit order has been placed, the order has been removed from the facility pick list. Effective December 12, 2024, the order can only be found and selected within the pre-admission order sets which should be done preoperatively. For those surgeons who do not enter pre-procedure order sets, the order can also be found within the post-procedure order set.
- Place in Outpatient/Hospital Ambulatory Surgery: This is an ADT order that should only be used for Day Surgery patients.
- Using the Prep for Procedure navigator, the order can be found in the Surgical Admission pre-procedure order sets.
- Should be selected for patients expected to discharge after surgery.
- Admit to Inpatient: This order should ONLY be used for a Day Surgery class patient if they require an inpatient admission (i.e., they are no longer a Day Surgery patient).
- Once the admit order is placed, it cannot be undone by placing a Place in Outpatient/Hospital Ambulatory Surgery order.
- The patient class will update to Inpatient after the admit order is placed, which will require surgeons to complete a discharge summary and full medication reconciliation.
- To facilitate patient movement for Day Surgery patients into inpatient spaces (keeping them as Day Surgery class), use the extended stay workflow.
- If plans have changed post-procedure and the patient requires extra recovery time on a unit, the surgeon can modify the existing Place in Outpatient/Hospital Ambulatory Order and select "Yes" to "Is this patient expected to stay later than regular business hours?".
The Place in Outpatient/Hospital Ambulatory Surgery order is not required to move a Day Surgery patient from a day surgery/cath lab to an inpatient unit. The nurse can simply create a bed request from the status board to facilitate this patient movement. For more information on how to facilitate bed planning on an inpatient unit for day surgery/extended stay patients, see the extended stay workflow tip sheet.
For more information on surgical workflows and choosing the correct navigator:
[Post updated February 7, 2025]