✍ Orders & Monitoring

This section allows you to order and complete treatments specific to your anesthetic procedure.

Order Entry (Tx Sheet)

You can Order or One-Off any active product from the Tx Sheet and use the Ax Mode toggle to include that order on the current Ax Sheet. You can even order Ax Mode products if the patient does not have an active Ax Sheet yet. If there isn’t an Ax Sheet in progress at that moment, the Ax Mode tagged orders will be added when an Ax Sheet is created.

To order an Ax Mode product on the Tx Sheet:

Select the product from the order dropdown
Toggle Ax Mode ON
Select an Ax Tag
Complete the other required fields
Click Order

For Ax Mode orders you can set frequencies of every 15 minutes, 30 minutes, 45 minutes, or 90 minutes. This means that up to four treatments may be scheduled in one hour block on the Tx Sheet for Ax Mode.

90 Minute Frequencies

For medications that need to be given on a 90 minute schedule, simply select the Every 90min frequency when ordering the treatment.

Hovering over the scheduled Treatment on the Tx Sheet displays a tooltip if more than one Treatment is scheduled within that one hour block for Ax Mode.

Ax Mode Treatments will display with a purple background to stand out from non-Ax Mode Treatments.

To order an Ax Mode product as a One-Off:

Select the product from the One-Off button
Complete the required fields
Toggle Ax Mode ON
Select an Ax Tag
Click Complete

Ax Mode Fluids and CRIs:

If patient has an existing order on the TX sheet for IV Fluids or CRIs but will continue on IVF/CRI during and after procedure, it is recommended to use the pre-made AX vitals as to not clash with Tx sheet orders. As part of the setup process, our team will add new products such as AX IV Fluids, AX CRIs, AX IVF Additives, and AX Transfusions to be used on the Ax Sheet.

Product Groups

Just like the treatment sheet, Product Groups can be used to add multiple orders to your Ax Sheet at one time.

Bulk Editing

Clicking the Bulk Edit pencil icon in the lower left corner of the Ax Sheet allows you Edit the Ax Tag, Frequency, Start/End Time, Doctor, and Discontinue in bulk.

Order Entry (Ax Sheet)

All products ordered from an Ax Sheet will display on the Tx Sheet, however only products tagged with Ax Mode will display on the Ax Sheet.

Ordering a product from the Orders & Monitoring section of an Ax Sheet will follow the same process as ordering a product from the Tx Sheet, with two unique differences:

The Ax Mode toggle will default ON and cannot be toggled OFF (unless you’re editing an existing order in the Orders & Monitoring section).

The frequency menu will offer special 90 minute, 45 minute, 30 minute, and 15 minute options for any Ax Mode toggled Treatments.

🏷️ Ax Tags

Ax Tags are used to indicate the anesthetic category the Ax Mode enabled treatment will be labeled as. If Ax Mode is toggled ON, an Ax Tag is required. Instinct will display either a long name or short name depending on the space available for the Ax Tag label.

Pre-Meds (long name) / Pre-Meds (short name)
Induction Meds (long name) / Induction (short name)
Sedation (long name) / Sedation (short name)
Local/Regional Meds (long name) / Local (short name)
Perioperative Workup (long name) / Ax Workup (short name)
Perioperative Treatments (long name) / Ax Treatment (short name)
Intraoperative Meds (long name) / Intra-op Meds (short name)
Postoperative Treatment (long name) / Post-op Meds (short name)

Long Name

Short Name

🎓 Student/Draft Mode Restrictions

Student/Draft Mode restricts certain staff members from ordering medications, diagnostics, continuous infusions, and miscellaneous treatments without approval by another staff member that has approval access prior to these orders being “live” on the Tx Sheet or Ax Sheet. However, students may edit the Ax Sheet Setup Panel without requiring approval.

When approving drafts from the Tx Sheet, only non-Ax drafts can be approved.