UChart

Please follow the steps listed below to create and complete Orders for admission for any patient being admitted from an Outpatient clinic.
  • For any new admission, an ‘ORDERS FOR ADMISSION ENCOUNTER’ needs to be created.
  • Once the Provider completes the Orders for Admission (and the patient has been admitted), the Provider would need to continue documenting with the Admission Navigator workflow in UChart.
1. Click on the Encounter button.
2. Search for the patient that will be admitted.
3. Once the patient is found, click on the NEW button.
4. In the TYPE selection field, click the magnifying glass. Select Orders for Admission (Change department to receiving department) and click Accept.
5. VERY Important: The Provider must change the Department to the location where the patient is going to be Admitted. Click Accept.
6. Within the Visit Navigator.
a. Click on Order Sets.
b. Search for UM General Admission Order Set.
c. Click on Open Order Sets.
7. The order set will automatically default at the bottom.
a. Complete ALL that is Required (Hardstops) within the order set:
8. Under UM Admission Panels, Providers must complete the following sections: Level of Care, Facility where the pt. will be admitted, COVID-19, Diagnosis, Admission Type, Reason for Admission, Admission Date, Estimated Length of Stay, Admitting Physician, Attending Physician and Add a Provider Care Team.
9. Code Status and Diet/Nutrition must be documented on every admission.
10. Adding additional orders to the current order set being used: click within the search box Additional SmartSet Orders.
11. Adding additional order or order sets click within the search box Additional Orders and Order Sets.
All Mid-Levels, Residents, Fellows and PA Providers, when placing an Admission Orders, you are required to enter an appropriate Authorizing Provider before signing the orders. If this is not done, you will get a Hardstop warning which will prevent you from signing.
12. Click the Providers button prior to signing admission orders.
13. Add the Authorizing Provider.
14. Click Sign Orders for Admission.
Providers who use the Orders for Admission Encounter to place direct admission orders will now see a New Order Context Window. Upon signing the provider will be prompted to enter the Sign and Hold Reason with Admission Reason & expected date. This feature will allow the provider to group orders together by the specific reason and date. This will provide nursing with a highly visible detail at the top which will increase accuracy in releasing the right orders. Ex: Chemo infusion 6/06/2020.
Remember: these orders are not active on the patient’s chart until the receiving nurse releases the orders once the patient arrives at the receiving unit.
When signing orders, Review Content window will appear.
15. Enter the Sign and hold reason: click the magnify glass and select Orders for Admission
16. Enter the Admission Reason and expected date:
a. Free Text: Be very descriptive (Ex: Chemo Infusion on XXXX date)
b. Click Accept to finish
When viewing Signed and Held Orders that originated from an Orders for Admission Encounter, nurses will now see order context detail at the top of each group of orders when sorted by Order Set.
17. Once you have signed the orders, click the X next to the patient’s name to exit out of the chart.

UChart Tip Sheet Last Updated 12/3/2020

If you require additional assistance, please contact the UChart Help Desk at 305-243-5999, Option 2 or UChartHD@med.miami.edu.