At SFGH, telemetry orders automatically time-out after 24-72 hours based on the indication (chosen at the time of ordering). I think a similar system within Apex would help support our recent focus on reducing unnecessary tele use and getting patients off tele an appropriate amount of time before discharge (as is now included in the Discharge Dashboard that medicine residents are receiving).

The tele order screen could have the indications re-grouped by length of time recommended (based on a consensus recommendation of faculty, and thus also being educational). To help hospital flow, each order period could be rounded so that it ends at noon (no matter when it is ordered), allowing nurses to contact teams to extend or renew orders at a time when teams are making plans for the day (and thus making sure that tele renewals dont get mindlessly performed by night float.)