Why do I get 99999/99999 Occurances?

It appears that some users are still running into the issue of 99,999 occurances of an order being generated when "changing" from one img to another.

The cause is still being investigated, but one important bit of information is that it appears to be happening during the following (incorrect) workflow....

1. Order checked in
2. appt canceled
3. Ancillary orders used to change the order

Remember, when an order has been checked in (an you'll know it has been, if it has an acc#) you can no longer change the order using "ancillary orders". Keep the order on your tech worklist and use the "verify" button to make the change.

Important Note about revising exams

Revising exams correctly has proven to be one of the bigger challenges we have seen since implementing EPIC. This was especially true when attempting to revise an order across modality.

The key to making a successful revision is to use the "verify" tool. This is true whether or not you have checked in your appt. Very often, users were checking in appointments then cancelling them, then using ancillary orders to change the order. The problem with this workflow is that ancillary orders changes only the parent order. When the order gets checked in, the parent order releases a child order which is the order holding on to the accession number. PACS then shows the child order with the accession number, as well as the newly created order (from the change order process) with a brand new accession number. That is all bad news!

The good news is that you can avoid this by following these steps.....

1. Determine whether you need to change/revise the order
2. Determine if you need to change across modality
3. Use the "Verify" tool from your toolbar
4. Change the order from the old IMG to the new IMG
5. If you are changing across modality you will need to now reschedule the appt to the correct resource
6. If you need to reschedule, use the cancel/undo button to cancel the original appt
7. If the patient is an inpatient, the order will now be available on the Schedule Orders Report (of the correct modality). Schedule it from there
8. If the patient is and OP, you will need to access the order on the orders tab of the patients Appt Desk. Schedule it from there.
9. Once you change the order, cancel the original appt, reschedule it and check it in, the order should populate your Modality Worklist

This process keeps EPIC/Pacs/Powerscribe all in synch.

The important things to remember are ....

• use the Verify Tool to revise your orders (not Ancillary orders).
• If you are crossing modalities it is not enough to simply revise the order. You must also reschedule it to the correct resource for it to appear on your Modality Worklist.
• One note: If you need to revise an order that has not been scheduled yet, you can do so from Ancillary orders.

Thanks