@Steven I was joking about the U/A reflex. That is pretty much standard in adult medicine, which is why the ER docs continue to order them on 6 month olds. But, infants and children don't tend to localize their infection as well as far as inflammatory cells. I don't generally do a urine test on a girl over 14. If an 18 year old has a U/A that is wrong, oh well. I agree doing a U/A, then looking at it would be crazy. We do TSH reflexes all the time.
As for the orders, I guess you will have to write a book and spell out to me the difference. We could do ICD-9 code, alphabetical templates, etc. with the older (and much simpler) method. I just don't see what was wrong with before. But, supposedly Jon is supposed to make it better some time soon.