Connect Care FAQ: Orders

Showing posts with label Orders. Show all posts

Why was my STAT test not processed quickly?

Question: I ordered a test as STAT for collection but it was not processed STAT. Why?

Context: STAT testing can be requested when results are urgently required for immediate patient care or a true medical emergency. However, STAT collection and STAT processing are not the same thing in acute care facilities. While any test can be ordered as STAT for collection, only tests on the Acute Care Facility STAT Testing List are automatically processed STAT without additional approval. This list was standardized provincially in 2025 (see lab bulletin New Provincial Stat List for Acute Care Facilities). There are no departmental exceptions to this rule, e.g., specimens from Emergency Departments are not processed STAT unless they are both ordered as STAT and the test is on the approved list.

In addition, for tests on the STAT List, final turnaround time will depend on where the test is performed:

On-site testing: Collected and performed STAT, with an expected turnaround time of 90 minutes.
Off-site testing: STAT collection occurs, and STAT transport may be arranged depending on clinical urgency, test type, location, and prior arrangements with the laboratory.
Performing departments and testing locations are listed in the APL Test Directory.

Note that a separate, more limited Community STAT Testing List is also available.

Answer: If a test ordered as STAT for collection is on the STAT List, it will be automatically processed STAT without additional approval. If a test ordered as STAT for collection is not on the STAT List:

STAT collection will occur; however, STAT processing is not automatic.
Approval for STAT processing must come from the laboratory medical/scientific staff (e.g., General Pathologist, Microbiologist, Chemist) at the performing department (listed in the APL Test Directory).
To obtain approval for STAT processing, the prescriber must call the appropriate laboratory medical/scientific staff via:

Calgary & Edmonton Zones: Use the Regional On Call Application (ROCA).
Central, North & South Zones: Call via the facility switchboard.

Why can't I cancel a lab order?

Question: My patient no longer needs a lab test I ordered. Why can't I cancel the order?

Context: For lab test orders that are no longer needed, once a specimen has been sent to the lab, the lab must be contacted directly to cancel the order. Previously the system allowed a prescriber to cancel the order even though this was not the appropriate workflow; an update has been made as of December 2, 2025 to prevent this.

Answer: If a prescriber attempts to cancel an order where the specimen has already been received in the lab, the prescriber will see a pop-up that they do not have sufficient security to cancel the test (click the camera icon for a screenshot). Prescribers will need to contact the lab to have the lab cancel the testing.

Why were my discharged patient's lab orders cancelled?

Question: How do I place lab orders for my patient to get after they are discharged from an inpatient unit?

Context: When a patient is discharged, if any lab tests were ordered during that admission but were not performed, those orders get autocancelled within 2 hours of discharge. If existing inpatient lab orders are not converted to after-visit orders or new post-discharge lab orders are not entered, patients arriving at a patient service centre (PSC) for collection may be turned away because they will not have open/pending lab orders available in the system.

Answer: When a patient is discharged from an inpatient unit, any incomplete lab orders are automatically cancelled within 2 hours. To ensure any required lab orders can be collected after discharge, the inpatient lab orders must be reordered or new lab orders entered, through the "External Orders" activity. See the tip sheet for more details on this workflow.

How can I place an inpatient order for a DI procedure at another site?

Question: How can a prescriber place an order for a Diagnostic Imaging (DI) procedure not in the host facility's inpatient order catalogue?

Context: Inpatients at some facilities may require urgent or semi-urgent DI interventions that are not available at the patient’s current facility. The patient needs to be sent to another facility using a “Leave of Absence for Procedure” workflow.

However, when the intended procedure is not available at the host facility, it will not appear on the facility inpatient order list. How is the prescriber to enter an order for an external DI procedure at another facility?

Answer: When a DI intervention must be performed at a separate facility, the imaging order must be placed using the “External Orders” tab within the inpatient “Orders” activity. External Orders gives access to the outpatient order catalogue. This is important to appreciate because the ordering process may include wording more familiar in an outpatient context.

Why has the Holter monitoring procedure I ordered for a rural patient not been scheduled yet?

Question: I ordered a Holter monitoring procedure for a rural patient, and the procedure still hasn't been scheduled - why?

Context: Urban sites often have a separate cardiology department with administrative/booking resources available to call patients directly to schedule their Holter monitoring appointments. However, most rural sites do not have these resources, and their Holter procedures are typically performed by Lab or Diagnostic Imaging staff, and so patients must call or present in person at their local site to book their appointment on their own. This remains unchanged with the implementation of Connect Care.

Answer: In most rural health centres, Holter monitoring appointments are self-scheduled by the patient. These procedures are typically performed by Lab or Diagnostic Imaging staff, and patients must call or present in person at their local site to book their appointment. If you are placing an order for a Holter monitoring procedure to be performed at a rural site, to support your patient:

Clearly explain the next steps to them when placing the order.
Consider including instructions in the "Order Comment" box OR use the "Patient Other Instructions" section to include next steps.
If your clinic has been booking on the patient’s behalf, please continue to do so.

Around the end of summer 2025, updates will be made to the After Visit Summary (AVS) to include clearer instructions for rural site Holter orders.

Why were my discharged patient's DI orders cancelled?

Question: How do I place diagnostic imaging (DI) orders for my patient to get after they are discharged from the emergency department (ED)/inpatient unit?

Context: When a patient is discharged, if any DI tests were ordered during that admission but were not performed, those orders get autocancelled upon discharge.

Answer: When a patient is discharged from an ED or inpatient unit, any incomplete DI orders are automatically cancelled. To ensure the required imaging is completed in the community, new outpatient orders must be placed. This can be done by placing an After Visit type order from the "Dispo" activity (ED) or Discharge navigator (inpatient). See the tip sheet for more details on this workflow.

Why did my Pulmonary Function Test request not go through?

Question: How do I order a Pulmonary Function Test (PFT) correctly to make sure it goes in the PFT Lab's scheduling workqueue?

Context: There have been a few recent incidents where a patient called the PFT Lab about a PFT ordered by their provider, but the request was not on their workqueue. After some investigation, it was found this was due to details selected in the order composer.

Answer: There are two separate Connect Care orders for PFTs, based on the software that the particular PFT Lab uses (Sentry Suite or Ascent). The sites that use each software are listed in the "Process Instructions" of the appropriate order and are selectable from the "Preferred site for this order" field within the appropriate order. For both orders, in the "Status" field, "Normal" should NOT be selected, as this will result in the PFT request not appearing on the PFT Lab's scheduling workqueue. In addition, note that "Non-Connect Care – Req to Print" should only be selected for PFTs being requested at private, non-AHS PFT Labs; the request will then need to be printed and manually faxed.

See the Quick Start Guide for screenshots and more information.

Guide: Pulmonary Function Test (PFT) Quick Start Guide

How do I reorder parenteral nutrition (PN) to ensure the order stays active?

Question: Why are the PN orders for my patient no longer visible in active orders?

Context: Recently there have been a few tickets related to PN orders no longer being visible as active orders. This appears to be due to the Order Frequency not being changed as needed when a PN reorder is placed. The PN Order Frequency determines when and how long the order will be active for; if the Order Frequency is not changed, the field will default to the number of doses/days for which the previous order was active. There is currently no technical solution to prevent this from happening but can be prevented by following the workflow.

Answer: Each time PN is reordered, review the Order Frequency field. If it is not changed, the field will default to the number of doses/days for which the previous order was active, which may not be appropriate for the reorder.

If you anticipate updating the PN prescription daily, use a frequency of "1 day". This will populate a start time of 18:00 and an end time of 17:59. The reorder button will appear to easily update the next order’s prescription.
If you anticipate updating the PN prescription less frequently (i.e., stable patient), consider entering the PN order with a frequency for a specific duration (i.e., 7 days).

For more information, see the Quick Start Guide (page 9).

Guide: Parenteral Nutrition Ordering for Dietitian Prescribers

How is COVID-19 Testing Ordered? - UPDATED

Question: How can a prescriber order COVID-19 laboratory testing in Connect Care?

Answer: Ordering of rapid COVID-19 PCR occurs using the "Respiratory Infection (incl. COVID-19) NAT" order. Connect Care prescribers can enter "COVID" when searching for an order in ER, outpatient or inpatient contexts. Any physician can order the test. If the "Respiratory Infection (incl. COVID-19) NAT" test does not immediately appear in one's department preference list, be sure to click on the "Facility List" tab to find the order. This order is also used to order rapid influenza/RSV PCR and the respiratory pathogen panel (RPP); rapid COVID-19 testing will be automatically selected by default.

Be sure to indicate the reason for testing (symptomatic, infection control screen or pre-transplant testing) and then patient location/disposition (not required for outpatient orders). As resources for rapid on-site testing are limited, answering accurately whether the patient is admitted or is likely to be admitted is very important to ensure the sustainability of the rapid COVID-19 testing program.

For more information, see the tip sheet and lab bulletin.

[Note: This post was updated May 13, 2024]

How do I manage orders for Long-Term Care/Supportive Living patients on dialysis?

Question: How do I manage orders in Connect Care for Long-Term Care (LTC) and Supportive Living (SL) residents requiring hemodialysis (HD), peritoneal dialysis (PD), or an Alberta Kidney Care (AKC) clinic appointment?

Context: If an LTC/SL resident requires HD/PD or an AKC clinic appointment, there is a specific workflow that needs to be followed so that information flows appropriately through Connect Care. This will allow medication orders to work correctly and help to mitigate patient safety concerns. The specific workflow is dependent on whether the facility is on Connect Care, and, if it is, whether the facility has an on-site pharmacy (e.g., CareWest or Capital Care facilities) or uses a contracted/community pharmacy.

Answer: For HD, PD, or AKC clinic appointments, the LTC/DSL Prescriber and Nephrologist must follow the workflow specific to the whether the facility is on Connect Care (as this will determine whether the resident is considered an outpatient or an inpatient) and whether the facility has an onsite vs. contracted/community pharmacy, with the following considerations in mind:

Connect Care facilities with on-site pharmacy: Medications are ordered in the inpatient "Orders" activity.
Connect Care facilities with a contracted/community pharmacy: Medications are ordered in the "External Orders Community" tab.
For HD: Ordered via the Hemodialysis Therapy Plan, with any changes to be made by the Nephrologist. The "Dialysis Treatment Orders", "Hemodialysis-Anemia Management Protocol" and "Hemodialysis-Intradialytic Anticoagulation Protocol" medications are already included in the Hemodialysis Therapy Plan. It is important for the LTC/DSL Prescriber to ensure there are not duplicative orders for medications, as duplicative orders may lead to patient safety concerns.
For PD: Ordered via the Adult Peritoneal Dialysis Order Sets, with any changes to be made by the Nephrologist.

Please see the memo and tip sheet for further details.

How do I manage orders for admitted patients on dialysis?

Question: How do I manage orders in Connect Care for admitted patients on hemodialysis (HD) or peritoneal dialysis (PD)?

Context: If an admitted patient requires HD/PD, there is a specific workflow that needs to be followed so that information flows appropriately through Connect Care. This will allow medication orders to work correctly and help to mitigate patient safety concerns. (Note: There is a separate blog post for managing orders for Long-Term Care/Supportive Living patients on dialysis.)

Patients receiving dialysis have their dialysis treatment and associated intradialytic medications ordered via the Hemodialysis Therapy Plan or Peritoneal Dialysis Therapy Plan. When a patient with a Hemodialysis/Peritoneal Dialysis Therapy Plan is admitted to the hospital, the Therapy Plan is automatically placed on hold so that the Nephrology team can adjust the prescription and intradialytic medication orders. Once the prescription and orders have been adjusted, the Therapy Plan is available for the duration of the admission.

Answer: For HD and PD, to ensure information flows correctly and medication and blood product orders function properly in Connect Care, a non-nephrologist admitting prescriber should first place a consult order to Nephrology. Then there are specific workflows for medication and blood product ordering, including (but not limited to) the below:

For HD: The dialysis treatment prescription, anemia and intradialytic medications are already included in the Hemodialysis Therapy Plan, and changes are to be made by the Nephrologist. It is important to ensure there are not duplicative orders for medications, as duplicative orders may lead to patient safety concerns.
For PD: All PD treatments and medication orders are ordered via the Peritoneal Dialysis Adult Order set and inpatient orders by the Nephrologist.

Please see the memo and tip sheet for further details.

How can I refer a patient to the FAST program?

Question: How do I refer a patient to the Facilitated Access to Specialized Treatment (FAST) program?

Context: As part of the Alberta Surgical Initiative (ASI), a central access and intake program called Facilitated Access to Specialized Treatment (FAST) has been implemented across Alberta. The FAST program is responsible for reviewing referrals for completeness and assigning them to a next available provider with the shortest waitlist, a specific provider, clinic or site, or an out-of-zone provider.

Not all specialties have implemented FAST. Previously, a customized FAST referral order was available for each relevant specialty. Now, to both accommodate a growing number of specialties using FAST and reduce confusion, FAST referrals are placed via the standard specialty-specific referral order. If that specialty uses FAST, a question will be available in the order where the prescriber can indicate that the referral should be directed to FAST and include any FAST specialty-specific questions that may need to be answered.

Answer: To submit a FAST referral, search for the standard specialty-specific referral order (e.g., "Referral to Orthopedics"), and then add a specialty reason of FAST. Searching for "FAST" referral orders will bring up specialties that are FAST-eligible.

Can I use Z-codes to change the status of a patient to Alternate Level of Care?

Question: Can I enter Z-codes to indicate the barriers to discharge that cause my patient to remain in hospital as an Alternate Level of Care (ALC) patient?

Context: When inpatients no longer need the intensity of care or level of service provided by their admitting acute care facility, it is important for the Most Responsible Provider (MRP, usually the attending prescriber) to change their "patient status" to "Alternate Level of Care" (ALC). The ALC designation effectively stops the clock measuring a patient's actual length of stay (LOS). Recognizing when medical management has finished and switching to ALC status is among meaningful use norms expected of prescribers.

The easiest way to make changes to the inpatient status is to use the "Level of Care" column in patient lists. This is built-in to the Rapid Rounds patient list template. Double-clicking on the LOC row value for a patient opens a pop-up editing tool where the "ALC - TBD" button should be used.

Prescribers can also initiate an ALC status using the "Orders" activity, by using an "Initiate ALC" order or a "Patient Status" order, then using the "ALC - TBD" speed button.

It is important that prescribers ONLY select "ALC - TBD" and not Z-codes. Transition coordinators and/or nursing staff take care of more detailed (Z-code) ALC statuses. Selecting Z-codes too early can trigger direct charges to the patient.

Note: If a patient already has an ALC status and an "Initiate ALC" order is entered with "ALC - TBD" selected, any Z-codes assigned to that patient will be overwritten.

Answer: To change the status of a patient to Alternate Level of Care, the MRP should use the "Level of Care" patient list column or enter an "Initiate ALC" order. Either way, it is important to use the "ALC - TBD" quick-button, and to NOT select ALC statuses with Z-codes. Prescribers can document barriers to discharge using the Expected Date of Discharge (EDD) comment field and the Discharge Planning report built-in to the inpatient sidebar.

For more information:

How are triplicate (duplicate) prescriptions handled in Connect Care?

Question: How should prescribers handle tracked (triplicate or duplicate) prescriptions required for outpatient use of controlled substances?

Context: The Alberta Tracked Prescription Program (TPP, tppalberta.ca) monitors use of prescription drugs prone to abuse. It does this by ensuring that such prescriptions are handwritten to prescription pads with security features and copies. Unfortunately, the program has yet to take advantage of the additional security and surveillance made possible by digital health records. It is hoped that the emergence of e-prescribing (PrescribeIT) will avoid paper workflows in the future. Please note that the new Connect Care workflow for sending prescriptions directly to community pharmacies via electronic fax ("eFax") cannot be used for prescriptions for drugs classified as Type 1 under the TPP; these prescriptions still require the use of a paper TPP secure prescription form.

Prescribers must follow TPP requirements for managing tracked prescription copies and records:

TPP: Program Guide

How, exactly, are Connect Care prescribers to keep a copy of a triplicate (duplicate) prescription?

Answer: Connect Care made application to the Alberta TPP program for workflow adaptations appropriate to Connect Care, as a fully integrated clinical information system, like Connect Care. A TPP decision was made (July 2019) to the effect that Connect Care prescribers do not need to scan a copy of the TPP paper form for attaching to the digital chart. The acceptable workflow is as follows:

Order all prescriptions in Connect Care, including TPP specified Type 1 controlled substances.
Write out a manual (handwritten) TPP prescription (3-part or newer 2-part TPP pad) for specified Type 1 controlled substances.
Record the TPP prescription identification number (unique to each prescription) in Connect Care (ideally in the comments field of the actual order).
Do ONE of the following with the original (paper) pharmacy/TPP prescription (see guide):

Option 1: Provide to patient and do not fax to pharmacy.
Option 2: Fax to the patient's one chosen pharmacy, marking "FAXED" on the prescription and do not provide to the patient.

Continue to protect the TPP (duplicate or triplicate) pad with its copy of the hand-written original.
Destroy any leftover copies or artefacts.

The Connect Care tracked prescription order constitutes the official record. It is NOT necessary to scan or otherwise copy the paper TPP prescription to attach to the Connect Care digital record.

How did I get that test order wrong?

Question: Having ordered what seems like the right test, a result is not returned or the test is declined with a request to order differently. How does this happen and how can it be avoided?

Context: Those new to Connect Care may fumble with the occasional test or procedure order. The is more likely with tests based on samples (e.g., aspirates) that can be collected in different ways in different contexts. Possible reasons for delays or declines include:

Wrong Test

A vast number of tests are available to request via Connect Care, including all possible orderables for an entire province.
Different tests can have similar names. It is important to consider possible alternative test names, check the "Facility List" if nothing familiar appears on the "Preference List", and chose the most specific test description to fit your intent.

Wrong Sample

Test orderables can have similar names but relate to different clinical needs.
If ordering a pH, for example, be sure to select the test appropriate to the fluid being sampled (e.g., venous, arterial, pleural).

Wrong Details

Orders for similar investigations may have specific required details for samples collected during specific workflows (e.g., surgical operation).

Wrong Location

An increasing number of assays can be performed using Point of Care Testing (POCT), with rapid result availability. However, the instrumentation needs to be available in-facility, as well as the test kits for the desired assay, with staff certified to use the equipment.
Local variation in POCT availability is inevitable. Be sure to check with colleagues, or laboratory services, that the POCT orderable found in Connect Care is available on site.

Wrong Permission

In some cases, special assays require special permission in order to be performed. This will usually be communicated to the ordering prescriber.

Answer: Just as has always been the case, prescribers need to build an awareness of the laboratory services available at a particular facility. If in doubt, ask. Local laboratory services will know what can be ordered, and how. In addition, Connect Care "Resource Links" (top menu in Hyperspace) are provided for:

Why must all medication prescriptions be entered into Connect Care at discharge?

Question: Why must responsible prescribers enter and review medications within Connect Care at discharge from inpatient encounters?

Context: When newly onboarded prescribers first encounter discharge workflows, it may seem easiest to continue to write out medication prescriptions on paper pads.

Apart from the fact that such manual medication workflows over time impose greater informational and safety burdens on prescribers, what other reasons justify the requirement that all medications be entered (ordered) within Connect Care, irrespective of what is manually written?

Connect Care minimum use norms unequivocally indicate that all medications must be entered into the legal record of care (Connect Care) and that medication reconciliation must be done at all discharges or interfacility transfers.

Answer: Proper discharge medication management, including entry of all new or changed medications into the Connect Care record of care, is an unequivocal professional and organizational expectation of discharging prescribers. It is not acceptable to manually write out prescriptions without appropriately recording the patient's intended medications in the Connect Care chart.

This requirement is reflected in hospital accreditation standards, medical staff bylaws and College of Physicians and Surgeons of Alberta standards.

Aside from matters of professionalism, regulation and good clinical practice, a failure to properly record medication orders at discharge can have unintended consequences, including impacts on the following areas:

Community Pharmacy Report

A "MedRec for Community Pharmacist" report is generated at every discharge once discharge orders are completed. The report lists all medications that a patient should be taking at discharge, highlighting home medications that may have been changed or discontinued.
The report should be manually faxed to the patient's registered pharmacy (it cannot be automatically sent at this time). In the absence of a preferred pharmacy, the report can be provided to the patient together with any printed prescriptions they are taking to a community pharmacy.

Decision Supports

Checks for drug-allergy, drug-dose, drug-drug, drug-disease and drug-lab interactions are flawed if Connect Care does not have a complete and up-to-date medication list.

Summative Documentation

Standard provincial templates for summative documents (e.g., discharge summary) sent to Netcare and community electronic medical records automatically incorporate Connect Care medication information.

Colleague Information Burdens

Accurate discharge medication records make information flows faster when patients return for outpatient or emergency reassessments.

Risk of Medication Harms

Prescriptions missing from medication profiles in Connect Care (such as those manually written at discharge) can result in these medications being overlooked when patients re-present for care.

Compliance with minimum use norms is tracked in Connect Care, with performance measures reviewable in personal and group minimum use dashboards. The measures may also be reportable under prescriber individual service agreement contracts with Alberta Health and Alberta Health Services.

How can "non-standard" medications be ordered?

Question: When an inpatient medication is not found on the Connect Care facility list, is there a way to order (request) its use during hospital care?

Context: Whereas outpatient medication orders represent what is dispensable from any of many community pharmacies, inpatient medications reflect what is approved, available and configured within a particular facility. Some medications may not be on the Alberta Health Services (AHS) formulary but still possible to procure or make.

For example, melatonin can be used for seniors' sleep-cycle regulation. While the AHS Drugs & Therapeutics Committee has removed this non-formulary medication from inpatient facility lists, there may be reason to continue the medication at admission for some patients. Other non-standard medications can be made available in some facilities.

Answer: If a medication cannot be found on inpatient facility order lists (be sure to try different spellings and the generic drug name), it is likely non-standard. A pharmacist will need to check to see if it can be provided.

The ordering prescriber should request the medication by placing a "Non Standard Medication" order. Enter "non-standard" in the order search box (using the "Facility List" tab if needed). Other synonyms will work including "Other", "Non-formulary", "Custom", "Unable" and "Non".

Upon selecting the "Non Standard Medication" order, one is presented with a pop-up requiring the drug name, form (e.g., "tablet"), request reason (e.g., "patient taking"), together with details of dose, route and frequency.

Once all details are entered, the specific non-standard medication order can be saved as a favourite (be sure to copy in the drug identification details and suitably name the favourite before saving). This will allow the medication to be ordered in the future without having to enter all the data required of a de-novo non-standard order.

Is a Goals of Care Designation valid when printed from Connect Care?

Question: Is a Goals of Care Designation (GCD) record that has been generated from a Connect Care order, then printed, valid?

Context: A GCD status record is automatically printed when goals of care orders are entered to Connect Care and signed by authorized providers. The printed "green sleeve" document is provided to patients and may later be important to, for example, paramedics or non-Connect Care transfer destinations.

Historically, GCD paper forms were "wet-signed" by prescribers. Printed digital GCD records do not have a "wet" signature but are instead considered electronically signed. Some may question whether the e-signature is valid without a handwritten signature from the ordering prescriber.

Answer: A GCD order generated from Connect Care, like all medical orders, is considered valid without any addition or change. An e-signature generated within Connect Care verifies this. If authenticity verification is required, the order with the e-signature can be viewed in the Advance Care Planning (ACP)/GCD navigator.

Manual: Goals of Care Management

How is discontinuation of isolation ordered for patients on COVID-19 precautions?

Question: Are there special considerations when discontinuing isolation for patients with COVID-19 risks, exposures or disease?

Context: Inpatient and emergency patients can be placed on contact and/or droplet and/or airborne precautions by means of an "Initiate Isolation" order. A different order is required to remove isolation precautions already in place.

“Discontinue Isolation” orders must be mindful of evolving COVID-19 protocols. The order composer reflects this by providing within-order links to current guidance and policy while also providing pop-up summaries of relevant clinical data from the patient's chart.

Answer: The discontinue isolation order is unchanged for most exposures. There are special requirements for discontinuation of COVID-19 precautions. Ordering prescribers are asked to affirm that the order complies with those requirements. Links to both relevant guidance and data are provided within the order to facilitate efficient workflows.

Tip: Isolation Precautions - Inpatient and Emergency

How can an inpatient's provider service be changed by ward clerks?

Question: How can the clinical service for an inpatient be corrected by a ward clerk?

Context: Inpatients are associated with a location (e.g., emergency department, ward, facility), a clinical service (e.g., family medicine, general internal medicine) and one or more inpatient or consultant provider teams.

The clinical service assignment is important. It affects the integrity of lists and reports. Patients are assigned to an appropriate clinical service (e.g., general surgery) as part of admitting and bed allocation workflows.

The clinical service can change during an admission if a patient is transferred to a new service (e.g., cardiology, critical care) or when patients are moved within a facility to manage things like outbreaks. Bed management and service census reports depend upon accurate service attachments.

Intra-facility transfer workflows are largely facilitated by non-prescribers, who can double-check and correct inpatient service assignments. The current service attachment is easy to see. Look to the StoryBoard (leftmost column) and the "ADMITTED" section. Hover to reveal admission details, with the "Service" identified:

Answer: Service assignments can be updated during intra-facility transitions. The following steps are available to ward clerks (inpatient unit clerk role), with similar workflows available to nursing and inpatient unit managers.

With Hyperspace opened to an appropriate role and department (e.g., specific ward), select the "Unit Manager" workspace, which lists patients in the location for the login department.
Select a patient by clicking within the appropriate row of the unit list.
Select the "Update" button from among the command buttons at the top of the Unit Manager workspace.

If the Update button is not present, be sure to check the personalization tool (wrench icon at far right of button row at the top of the Unit Manager workspace) for rarely used buttons that can be dragged back to the Unit Manager button bar.
The selected patient chart will open with an "Update Admission" activity displayed by default. Look to the "Service" field, where a new inpatient service can be selected (be sure to document the reason in the field provided by selecting "Patient Status/Service Changed"). The "Finish" (bottom-right) button must be used to save the change.

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