How does your practice enter orders for future vaccinations to be given at nurse visits?
A situation we encounter frequently is that a child arrives as a new patient from outside the US either 1) with vaccine records from outside the US that need to be interpreted and entered, which is rarely possible on the same-day visit, 2) without vaccine records and we draw titers, or 3) without vaccine records and we restart the vaccine series. Once the historical vaccines are entered or the titer results are received the provider needs to order the vaccines that are due.
Currently providers are entering vaccine orders in a Progress Note Follow-Up field (ie 2 weeks: nurse visit for MMR-V); or, when the nurse enters the historical vaccines, she sends a TE to the provider saying that the vaccines are entered and that 4y vaccines are due, and the provider responds with the order to give MMR-V and Dtap-IPV at a nurse visit. Both of these workflows don’t make it easy for the nurse to locate the provider’s orders, the nurse needs to scroll through Progress Notes and TEs to locate what the provider wrote.
We are hoping to avoid having to ask nursing staff to grab a provider on the floor to input the vaccine orders at the time of the nursing visit. Looking forward to your suggestions and input!