Emergency Department Code Orange Workflow

In this topic:
Creating Visits
Entering Patient Demographics
Completing Visit Information

PLEASE READ CAREFULLY

In the event of a code orange, pre-printed charts and pre-printed cards will be used. All pre-packaged charts are red, yellow or green in colour with the appropriate requisitions in each package.

When patients begin arriving to the ER the triage nurse will choose the appropriate coloured chart for each patient.

You will be given a sheet with the patients ID (MRN) number on it. Please use this number to create a visit in EPR for each patient.

Below you will find step by step instructions on how to create a visit, how to register a patient and how to complete the visit information.

NOTE: ALL PATIENTS WILL BE A NUMBER REGARDLESS OF WHETHER OR NOT WE HAVE A NAME. ALL PATIENTS WILL BE IDENTIFIED USING THIS NUMBER THROUGHOUT THEIR ENTIRE VISIT

YOU WILL NOT BE REQUIRED TO PRINT A CHART FOR ANY OF THESE PATIENTS

STEP 1 - CREATE THE VISIT

How to Create a Visit for Code Orange Patients

1. Click on CODE ORANGE tab and select Code Orange Patient Reg and Visit Completion (Edit).

2. Enter the MRN number from Yellow hospital card.
Enter Patient ID

****Patient name refers to the name on the pre-printed yellow card - for example - Twozero, Red - this is the patient's name throughout their entire visit****

3. Select patient
Select Patient Name

4. Choose (A) Add A New Visit
Add a New Visit

5. Choose (A) Accept
Accept Encounter Information

6. Press Enter on keyboard twice

STEP 2 - ENTER REGISTRATION INFORMATION

How to Enter All Registration Information

***Please try to enter as much information as possible***

1. Select Patient Arrival - Select Code Orange MRN to create Visit

2. Enter MRN.
Enter patient ID

3. Select patient

4. Choose (E) Edit Registration to edit record

5. Complete registration screens
Complete Patient Registration Screens

6. Select Patient Demographics first - Enter as much information as possible. See details below:
codeOrangePtDemographicsScreen

Option 2 - Sex - (M) Male, (F) Female, (U) Unknown
Option 4 - duplicate Y or N - if the patient has been here before enter Y if not, leave blank
Option 5 - Title - if known
Option 6 - Identified As - ***Enter patient's real name here***
Option 9 - Date of Birth - if you don't have a DOB then enter 1868
Options 10-16 - Enter Insurance or OHIP number and Version Code if you have it
Option 17 - Address, if available
Option 19 - Distinguishing features - e.g. tattoos, birthmarks, scars, etc.
Option 20 - Primary Phone Number
Option 21 - Secondary Phone Number

7. Select Mailing Address/Emergency Contact - Enter the following information if it is available:

code OrangePtMailingAndEmergencyScreen

Option 2 - Primary Care Provider
Option 10 - Next of Kin Name
Option 11 - Relationship
Option 12 - Next of Kin Home Phone
Option 15 - Next of Kin Other Phone

For further details on all fields, see the Patient Registration topic.

8. Click OK and choose (P) Accept as partial

9. The visit number will generate. Press the Enter key on your keyboard or click OK

***Please record all the information in the log book provided***

STEP 3 - COMPLETE VISIT INFORMATION

To Complete Visit Information:

1. From the Code Orange tab click Select Code Orange MRN - Patient Registration and Visit Completion
2. Enter MRN or begin search for patient
3. Select the appropriate visit
Select Correct Visit

4. Complete the Visit screen. See details below to know the information to enter into each field.
Encounter Information screen

Option 7 - enter patient type (ambulatory)
Option 8 - brought in by (self, EMS, other)
Option 9 - presenting complaint - obtain from triage note
Option 10 - Insurance/Payor - if you don't have this then leave blank
DO NOT ENTER ANYTHING FOR OPTION 15 AND 16
Option 18 - Physician on Duty

5. Enter and choose (A) Accept to save the changes

*****NOTE: ALL PATIENTS WILL BE A NUMBER REGARDLESS OF WHETHER OR NOT WE HAVE A NAME. ALL PATIENTS WILL BE IDENTIFIED USING THIS NUMBER THROUGHOUT THEIR ENTIRE VISIT*****

****YOU WILL NOT BE REQUIRED TO PRINT A CHART FOR ANY OF THESE PATIENTS****