I am probably not the best one to answer this, as I pretty much do all the orders myself, e.g. print them and save them. I only send referrals to a staff member.
With the vaccines, it would be sent to your nurse in her inbox. She could then do whatever she wanted with that message. She could delete it, save it, or send it back to you and say OK. I think deleting it is OK, as she will be entering the vaccine in the record and this will go into the note, IF the chart has not been signed off yet. The advantage to her saving it, is it would give you something to compare it to if the wrong shots were given.
I guess I need more information to know the best work flow. Are you in the room seeing the patient at the time? Or are you seeing the chart before your nurse is. I ask because if you are in the room, then the flow is awkward (to me), because you have to send the order to her and wait for here to record the vaccines before signing off. Do you know how long you will be waiting for he/her? Of course, she can always record them later; they just won't be in the note.
For years, I figured out all the shots and then ordered them on the Superbill. But, I have found that once I delegated that to my MA, it is much better. In this scenario, she sees the patient, decides on the vaccines, records them so they are in the vaccine record and the bottom of the note. She forwards the chart to me, and if I am in agreement, I sign the note after I finish it. 95% of the time, she is right. If not, I delete it from the note, make the changes in what I want on the Superbill, and she gives those shots and makes the necessary changes in the shot record. Works for me. I just find the order setup a bit cumbersome. What if the nurse is in another room or what if she doesn't refresh her screen.
On the lab orders, she will get these in her inbox, but then she has to go back in and redo the requisition unless you had printed it out. In which case, she would just save it or delete it. For me, it has always worked best if I am the one printing out the order. I then send it to me and save it to the chart. I could send it to my MA, but I don't think that works as well. Again, I have the req in hand, the patient is in the room or leaving to get the specimen done somewhere else. If the nurse needs to get a urine sample or blood sample, I think leaving the patient in the room and hoping she reads her message is inefficient. It is just as easy for me to print an order for a CBC, save the order to the chart, put it in the rack on the door or give it to my MA verbally tell her I need a CBC in room 1.
Again, I am new to this order thing, and I have probably confused you, me and everyone.
