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1 | C:\AraxisMergeCompare\Pri_un\EPIP combined\PSJ_5.0_348 | psj_5_nurse_um_p348.doc | Thu Feb 7 19:26:42 2019 UTC |
2 | C:\AraxisMergeCompare\Pri_re\EPIP combined\PSJ_5.0_348 | psj_5_nurse_um_p348.doc | Tue Feb 12 19:32:48 2019 UTC |
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1 | Department of Vetera ns Affairs Inpatient Medicatio ns Nurse’s User Manu al | |
2 | INPATIENT MEDICATION S | |
3 | NURSE’S US ER MANUAL | |
4 | Version 5. 0 | |
5 | December 1 997 | |
6 | (Revised M arch 2019) | |
7 | Department of Vetera ns Affairs | |
8 | Enterprise Program M anagement Office | |
9 | (This page included for two-si ded copyin g.) | |
10 | Revision H istory XE "Revision History" | |
11 | DateRevise d PagesPat ch NumberD escription 03/2019 RE F PSJ_5_34 8 \h | |
12 | \* MERGEF ORMAT 10 | |
13 | ||
14 | 46 | |
15 | ||
16 | 47 | |
17 | ||
18 | 85 | |
19 | ||
20 | ||
21 | 93 | |
22 | PSJ*5*348N oted that the Pick L ist report might not include w ard stock at some si tes. | |
23 | Added bull et to clar ify medica tion route used when both Pro vider and Quick Code medicatio n routes e xist. | |
24 | Noted that when Othe r Print In fo text ex ists for a n IV Quick Code, Pro vider Comm ents are a ppended to that text . | |
25 | Noted that orders fo r certain IV drugs c annot be f inished if the dosag e is outsi de the upp er and low er bounds defined fo r the drug in the IV ADDITIVE file (#52. 6). | |
26 | Described the follow ing new fe atures ava ilable whe n finishin g an order : | |
27 | Automatic entry of Q uick Code informatio n for a pr ovider-edi ted order. | |
28 | Display of medicatio n dosage a bove the d ispense dr ug selecti on in Vist A. | |
29 | Entry of i nstruction al text fo r IV label s. | |
30 | (G. Miller , PM; E. W eaver, Tec h Writer)0 2/2017i-x, 23-24 PSJ *5*325Upda ted Revisi on History and Table of Conten ts. | |
31 | Added Sect ion 4.2.1. Display o f Disconti nued or Ed ited IV Or ders. | |
32 | (L. Behun iak, PM; B . Thomas, Tech Write r)10/20169 | |
33 | 10 | |
34 | 25 | |
35 | 51 | |
36 | 61 | |
37 | PSJ*5*317U pdated Rev ision Hist ory and Ta ble of Con tents | |
38 | Added Hidd en action - ‘PD’ ac tion. | |
39 | Added Drug IEN and P ADE Stock Item Indic ator | |
40 | Added sect ion 4.1.9 PADE Main Menu Opti on. | |
41 | Added PADE Stock and Ward Stoc k Items | |
42 | Added Inpa tient Orde r Entry pr ofile -‘PD ’ flag. | |
43 | (S. Soldan PM; R.Wal ters, Tech Writer)08 /2016i-v | |
44 | 24 | |
45 | 128PSJ*5*3 15Updated Revision H istory and Table of Contents | |
46 | Added text for new D uration of Administr ation prom pt to Inpa tient Orde r Entry op tion | |
47 | Added text for reque sting addi tional use r activit y for ente ring speci fic inform ation in t he new Dur ation of A dministrat ion prompt | |
48 | (D. Connol ly, PM; E. Phelps, T ech Writer )06/2016i. | |
49 | 88-89PSJ*5 *313Update Revision History an d Table of Contents | |
50 | Added lang uage to Se ction 4.5. 7 re chang es to IV A dditive an d Orderabl e Item. Ad ded exampl e: Multipl e items fo r an Order able Item. Added Exa mple: Mult iple IV Ad ditives fo r same ord er with mu ltiple ite ms attache d to the O rderable I tem. | |
51 | Updated Re vison Hist ory and TO C | |
52 | Zak, Analy st, L. Ram os, Tech W riter)04/2 016i,v-vi | |
53 | 19, 20, | |
54 | 28, 47, | |
55 | 56, 65, | |
56 | 66, 67 | |
57 | 93, 94, | |
58 | 95, 96, | |
59 | 97, 98, | |
60 | 99, 100, | |
61 | 101, 102, | |
62 | 103, 104, | |
63 | 105, 106, | |
64 | 107, 108, | |
65 | 109, 110, | |
66 | 111, 112, | |
67 | 113, 114, | |
68 | 115, 116, | |
69 | 117, 118, | |
70 | 119, 120, | |
71 | 121, 122, 123 | |
72 | 185,186 | |
73 | 188, 195, | |
74 | 197 | |
75 | PSJ*5*281U pdate Revi sion Histo ry | |
76 | Update Tab le of Cont ents | |
77 | Update scr een captur es | |
78 | Add OI & D D Enh Orde r Check | |
79 | Moved cont ent from s ections 4. 10.1 - 4.1 0.4 to sec tion 4.9 | |
80 | ||
81 | Add Allerg y Order Ch eck | |
82 | Add Clinic al Reminde rs | |
83 | Update Glo ssary | |
84 | Update Ind ex | |
85 | (H. Cross, PM; S. He iress, M.D anneeru,Te ch Writer) 05/201569P SJ*5*259Ad ded verbia ge to sect ion 4.5.3 Verify | |
86 | (A. Sessle r, PM; G. Werner, Te ch Writer )03/2014Al l | |
87 | i-iv, v-vi | |
88 | 1 | |
89 | 40-41 | |
90 | 47 | |
91 | 50, 80 | |
92 | 107 | |
93 | 98, 102, 1 63‑164 | |
94 | 173, 174 | |
95 | 179-181 | |
96 | 100 | |
97 | ||
98 | 85-86PSJ*5 *252 | |
99 | PSJ*5*297 | |
100 | Remedy Tic ket #84421 5Renumbere d all page s & format heading a lignment | |
101 | Update Rev ision Hist ory and Ta ble of Con tents | |
102 | Added to t he Related Manuals | |
103 | Added Bott le | |
104 | Update scr een | |
105 | Added refe rence to O rder Check s | |
106 | Added 4.10 .4. Dosing Order Che cks | |
107 | Update or delete con tent | |
108 | ||
109 | Update Glo ssary | |
110 | Update Ind ex | |
111 | Updated th e last par agraph | |
112 | ||
113 | Added text for placi ng orders for CPRS I npatient M edications | |
114 | (C. Powell , PM; S. H eiress, Te ch Writer) 12/2013i-i v, 29, 29a -29b, 48, 48a-48d, 7 4m, 74x, 1 27, 127a-1 27b, 139-1 42PSJ*5*27 9Added IV Bag Logic, Infusion Rate T@0, Pre-Exchan ge Report, and Miss ing Dose R equest Pri nter funct ionalities . | |
115 | Updated Gl ossary and Index. | |
116 | (R. Santos , PM; B. T homas, Tec h Writer)0 4/2013i-x, 11, 12, 1 3-14, 14a, 16d-16f, 74m-74x, 77, 98, 10 0-101, 140 -141 PSJ*5 *275Added Clinic Ord ers functi onality | |
117 | (R. Singer , PM; B. T homas, Tec h Writer)0 1/2013i | |
118 | v | |
119 | 5 | |
120 | vii, 9, 11 | |
121 | ||
122 | 10, 20, 14 0 | |
123 | 16, 16a, 1 6c, 26, 40 , 40a, 40c , 41-42, 5 2, 57, 67, 71, 74a, 74c, 74d, 77, 99, 10 4, 106, 10 7, 111, 11 4 | |
124 | 73a-73d | |
125 | 74f-74f1 | |
126 | 74f2 | |
127 | 124 | |
128 | ||
129 | 125-138 | |
130 | 139-142PSJ *5*260, | |
131 | PSJ*5*268U pdated Rev ision Hist ory | |
132 | Updated Ta ble of Con tents | |
133 | Fix text w rapping (P age 1 of 1 ) in scree n | |
134 | Added new option Che ck Drug In teraction & Display Drug Aller gies | |
135 | Change lab el for OCI | |
136 | Added Crea tinine Cle arance (Cr Cl) and Bo dy Surface Area (BSA ) | |
137 | ||
138 | ||
139 | ||
140 | ||
141 | ||
142 | ||
143 | Added new section fo r Check Dr ug Interac tions func tion | |
144 | Added Clin ic Orders informatio n | |
145 | Drug aller gy update | |
146 | Added Hidd en Action Check Inte ractions & Display D rug Allerg ies, and u pdate OCI | |
147 | Updated Gl ossary | |
148 | Updated In dex | |
149 | (D.McCance , PM; S. H eiress, Te ch Writer) 09/2012i-i ii, 12, 12 a-12b, | |
150 | 14, 14a-14 b, 16d-16f , | |
151 | 24b-24d, 2 6-27, 27a- 27b, 30, 3 0a-30b, 59 , 59a-59b | |
152 | 131PSJ*5*2 67Added No Allergy A ssessment logic | |
153 | ||
154 | ||
155 | Updated Sp ecial Inst ructions/O ther Print Info | |
156 | (R. Singer , PM; B. T homas, Tec h Writer)0 1/2012i-iv | |
157 | v-vi | |
158 | 10 | |
159 | 20 | |
160 | 23 | |
161 | 35 | |
162 | 47, 53, 60 | |
163 | 74d | |
164 | 74f-74g | |
165 | 74k | |
166 | 74l | |
167 | 124, 127, 131, 133, 134 | |
168 | 137-140PSJ *5*254Upda ted Table of Content s | |
169 | Added Orde r Checks/I nterventio ns (OCI) to “Hidden Actions” section | |
170 | Defined OC I Indicato r | |
171 | Updated Sc hedule Typ e text | |
172 | Updated te xt under I nterventio ns Menu | |
173 | Updated Ph armacy Int erventions for Edit, Renew, an d Finish o rders | |
174 | Added note to Drug-D rug Intera ctions | |
175 | Added note to Drug-A llergy Int eractions | |
176 | Added “Dis play Pharm acist Inte rvention” section | |
177 | Defined Hi storical O verrides/I nterventio ns | |
178 | Updated Gl ossary | |
179 | Updated In dex | |
180 | (R. Singer , PM; C. B ernier, Te ch Writer) 09/201165P SJ*5*235Up dated ‘Not e’ section regarding Expected First Dose | |
181 | Scott PM, G. Werner Tech Write r)07/2011C over Page | |
182 | i, 16 | |
183 | 140PSJ*5*2 43Removed the acrony m PD on Co ver page | |
184 | Update Rev ision Hist ory | |
185 | Update Ind ex | |
186 | Revised th e existing display i n the Non- Verified/P ending Ord ers [PSJU VBW] optio n from a p ure alphab etic listi ng of pati ent names, to a cate gorized li sting by p riority. A dded “prio rity” to I ndex. | |
187 | (N. Goyal, PM; E. Ph elps/John Owczarzak, Tech Writ ers)04/201 1i | |
188 | v-vi | |
189 | 12 | |
190 | 13 | |
191 | 15-16d | |
192 | ||
193 | ||
194 | ||
195 | 18 | |
196 | 20 | |
197 | 26-27 | |
198 | 33-34b | |
199 | 35-39 | |
200 | 40-40d | |
201 | 46 | |
202 | 67 | |
203 | 71 | |
204 | 72-73 | |
205 | 74 | |
206 | 74a-74c | |
207 | 74d-74f | |
208 | 74f-74g | |
209 | 105 | |
210 | 119-120 | |
211 | 121-122 | |
212 | 123-136 | |
213 | 137-140PSJ *5*181Upda ted Revisi on History | |
214 | Updated Ta ble of Con tents | |
215 | New Exampl e: Patient Informati on Screen | |
216 | New Exampl e: Non-Ver ified/Pend ing Orders | |
217 | Updated: E xample: Sh ort Profil e, HOURS O F RECENTLY DC/EXPIRE D field (# 7) and INP ATIENT WAR D PARAMETE RS file (# 59.6) info rmation, a nd Example : Profile. | |
218 | Updated “S elect DRUG :” | |
219 | New Exampl e: Dispens e Drug wit h Possible Dosages a nd New Exa mple: Disp ense Drug with Local Possible Dosages | |
220 | New Exampl e: New Ord er Entry | |
221 | New Exampl e: New Ord er Entry ( Clinic Loc ation) | |
222 | New Exampl es of all the New In tervention s | |
223 | Updated th e View Pro file and N ew Example : Profile View | |
224 | New Medica tion Profi le Discont inue Type Codes | |
225 | New Exampl e: Flagged Order | |
226 | New Exampl e: Inpatie nt Profile | |
227 | Updated Or der Checks | |
228 | New Exampl e: Local O utpatient Order Disp lay and Ne w Example: Remote Ou tpatient O rder Displ ay | |
229 | Duplicate Therapy | |
230 | Drug-Drug Interactio n | |
231 | CPRS Order Checks | |
232 | Updated Ex ample: Aut horized Ab sence/Disc harge Summ ary (conti nued) | |
233 | CPRS Order checks: H ow they wo rk | |
234 | Error Mess ages | |
235 | Glossary - fix page numbering | |
236 | Index - ne w entries and fix pa ge numberi ng | |
237 | (C.Flegel, S. Heires s, Tech Wr iter)06/20 10i-vi, 22 -23, 23a-2 3b, 24, 24 a-24b, 74a -74b, 74e- 74f, 133, 136-137 | |
238 | 77, 100, 1 03, 108-11 0, 112, 11 4PSJ*5*113 Added new Order Vali dation Req uirements. | |
239 | Removed Du plicate Or der Check Enhancemen t function ality, PSJ *5*175 (re moved in a prior pat ch). | |
240 | Miscellane ous correc tions. | |
241 | (R. Singer , DM, B. T homas, Tec h Writer)1 2/200960a, 60b | |
242 | viPSJ*5*22 2Added des cription o f warning displayed when finis hing a Com plex Unit Dose Order with over lapping ad min times. Corrected page numb ers in Tab le of Cont ents. | |
243 | (E. Wright , PM; R. S utton, Tec h Writer)0 7/200948PS J*5*215Whe n Dispense Drug is e dited for an active Unit Dose, an entry is added t o the acti vity log. | |
244 | (G. Tucker , PM; S. B . Scudder, Tech Writ er)02/2009 125PSJ*5*1 96Update t o IV Durat ion | |
245 | (A. Scott, PM; G. We rner, Tech Writer)08 /200819-37 , 58-59, 65, 134 PS J*5*134Inp atient Med ication Ro ute change s added, p lus detail s on IV ty pe changes for infus ion orders from CPRS , pending renewal fu nctions, a nd expecte d first do se changes . | |
246 | (S. Temple ton, PM; G . O’Connor , Tech Wri ter)10/200 7iv, 74a-7 4d | |
247 | ||
248 | 5, 12, | |
249 | 16- 17, 26 , 34-38, | |
250 | 41-42, | |
251 | 72-73PSJ*5 *175 | |
252 | PSJ*5*160M odified ou tpatient h eader text for displ ay of dupl icate orde rs. | |
253 | Added new functional ity to Dup licate Dru g and Dupl icate Clas s definiti ons. | |
254 | Modificati ons for re mote aller gies, to e nsure all allergies are includ ed when do ing order checks usi ng VA Drug Class; An algesic or der checks match aga inst speci fic class only; chec k for remo te data in teroperabi lity perfo rmed when entering p atient’s c hart; and list of re mote aller gies added to Patien t Informat ion screen . | |
255 | (R. Singer , PM; E. P helps/C. V arney, Tec h Writer)0 7/200779a- 79b, | |
256 | 86a-86b, 9 2a-92bPSJ* 5*145On 24 -Hour, 7-D ay, and 14 -Day MAR R eports, ad ded prompt to includ e Clinic O rders when printing by Ward or Ward Grou p. Also ad ded prompt to includ e Ward Ord ers when p rinting by Clinic or Clinic Gr oup. | |
257 | (R. Singer , PM; E. P helps, Tec h. Writer) 05/200724P SJ*5*120Mo dified Inp atient Med ications V . 5.0 to c onsider th e duration the same way as all other sto p date par ameters, r ather than as an ove rride. | |
258 | (R. Singer , PM; E. P helps, Tec h. Writer) 12/20051, | |
259 | 73-74bPSJ* 5*146Remot e Data Int eroperabil ity (RDI) Project: R emoved doc ument revi sion dates in Sectio n 1. Intro duction. U pdated Sec tion 4.9. Order Chec ks, to inc lude new f unctionali ty for rem ote order checking. | |
260 | (E. Willia mson, PM; M. Newman, Tech. Wri ter)01/200 5AllPSJ*5* 111Reissue d entire d ocument to include u pdates for Inpatient Medicatio ns Orders for Outpat ients and Non-Standa rd Schedul es. | |
261 | (S. Temple ton, PM, R . Singer, PM, M. New man, Tech. Writer)Ta ble of Con tents XE " Table of C ontents" | |
262 | 11 | |
263 | Introducti on | |
264 | ||
265 | ||
266 | 32 | |
267 | Orientatio n | |
268 | ||
269 | ||
270 | 53 | |
271 | List Manag er | |
272 | ||
273 | ||
274 | 63.1 | |
275 | Using List Manager | |
276 | ||
277 | ||
278 | 73.2 | |
279 | Hidden Act ions | |
280 | ||
281 | ||
282 | 124 | |
283 | Order Opti ons | |
284 | ||
285 | ||
286 | 134.1 | |
287 | Order Entr y | |
288 | ||
289 | ||
290 | 144.2 | |
291 | Non-Verifi ed/Pending Orders | |
292 | ||
293 | ||
294 | 234.2.1 | |
295 | Display of Discontin ued or Edi ted IV Ord ers | |
296 | ||
297 | ||
298 | 244.3 | |
299 | Inpatient Order Entr y | |
300 | ||
301 | ||
302 | 264.4 | |
303 | PADE Main Menu Optio n | |
304 | ||
305 | ||
306 | 274.5 | |
307 | Patient Ac tions | |
308 | ||
309 | ||
310 | 274.5.1 | |
311 | Patient Re cord Updat e | |
312 | ||
313 | ||
314 | 284.5.2 | |
315 | New Order Entry | |
316 | ||
317 | ||
318 | 534.5.3 | |
319 | Detailed A llergy/ADR List | |
320 | ||
321 | ||
322 | 584.5.4 | |
323 | View Profi le | |
324 | ||
325 | ||
326 | 624.5.5 | |
327 | Patient In formation | |
328 | ||
329 | ||
330 | 634.5.6 | |
331 | Select Ord er | |
332 | ||
333 | ||
334 | 654.6 | |
335 | Order Acti ons | |
336 | ||
337 | ||
338 | 654.6.1 | |
339 | Discontinu e | |
340 | ||
341 | ||
342 | 674.6.2 | |
343 | Edit | |
344 | ||
345 | ||
346 | 754.6.3 | |
347 | Verify | |
348 | ||
349 | ||
350 | 764.6.4 | |
351 | Hold | |
352 | ||
353 | ||
354 | 784.6.5 | |
355 | Renew | |
356 | ||
357 | ||
358 | 844.6.6 | |
359 | Activity L og | |
360 | ||
361 | ||
362 | 854.6.7 | |
363 | Finish | |
364 | ||
365 | ||
366 | 934.6.8 | |
367 | Flag | |
368 | ||
369 | ||
370 | 944.6.9 | |
371 | Speed Acti ons | |
372 | ||
373 | ||
374 | 944.7 | |
375 | Discontinu e All of a Patient’s Orders | |
376 | ||
377 | ||
378 | 944.8 | |
379 | Hold All o f a Patien t’s Orders | |
380 | ||
381 | ||
382 | 954.9 | |
383 | Inpatient Profile | |
384 | ||
385 | ||
386 | 974.10 | |
387 | Order Chec ks | |
388 | ||
389 | ||
390 | 1224.10.1 | |
391 | Clinic Ord ers | |
392 | ||
393 | ||
394 | 1254.10.2 | |
395 | Order Vali dation Che cks | |
396 | ||
397 | ||
398 | 1274.10.3 | |
399 | Display of Provider Overrides and Pharma cist Inter ventions | |
400 | ||
401 | ||
402 | 1294.10.4 | |
403 | Dosing Ord er Checks | |
404 | ||
405 | ||
406 | 1294.11 | |
407 | Check Drug Interacti ons | |
408 | ||
409 | ||
410 | 1314.12 | |
411 | Pharmacy - Edit Clin ic Med Ord ers Start Date/Time | |
412 | ||
413 | ||
414 | 1314.12.1 | |
415 | Search Med Orders Da te Entry | |
416 | ||
417 | ||
418 | 1324.12.2 | |
419 | Search by Clinic, Cl inic Group or Patien t | |
420 | ||
421 | ||
422 | 1334.12.3 | |
423 | Select Pat ient from Clinic | |
424 | ||
425 | ||
426 | 1334.12.4 | |
427 | View Patie nt Clinic Order Entr y Profile | |
428 | ||
429 | ||
430 | 1374.12.5 | |
431 | Entering a New Start Date/Time | |
432 | ||
433 | ||
434 | 1374.12.6 | |
435 | Order Entr y View wit h New Star t Date | |
436 | ||
437 | ||
438 | 1384.12.7 | |
439 | New Start Date Updat e Confirma tion | |
440 | ||
441 | ||
442 | 1394.12.8 | |
443 | Conditiona l Messages Displayin g after Ne w Start Da te | |
444 | ||
445 | ||
446 | 1404.12.9 | |
447 | Conditiona l Messages Displayin g after Se lection of Orders | |
448 | ||
449 | ||
450 | 1435 | |
451 | Maintenanc e Options | |
452 | ||
453 | ||
454 | 1435.1 | |
455 | Edit Inpat ient User Parameters | |
456 | ||
457 | ||
458 | 1435.2 | |
459 | Edit Patie nt’s Defau lt Stop Da te | |
460 | ||
461 | ||
462 | 1456 | |
463 | Output Opt ions | |
464 | ||
465 | ||
466 | 1456.1 | |
467 | PAtient Pr ofile (Uni t Dose) | |
468 | ||
469 | ||
470 | 1466.2 | |
471 | Reports Me nu | |
472 | ||
473 | ||
474 | 1466.2.1 | |
475 | 24 Hour MA R | |
476 | ||
477 | ||
478 | 1546.2.2 | |
479 | 7 Day MAR | |
480 | ||
481 | ||
482 | 1606.2.3 | |
483 | 14 Day MAR | |
484 | ||
485 | ||
486 | 1666.2.4 | |
487 | Action Pro file #1 | |
488 | ||
489 | ||
490 | 1686.2.5 | |
491 | Action Pro file #2 | |
492 | ||
493 | ||
494 | 1706.2.6 | |
495 | AUthorized Absence/D ischarge S ummary | |
496 | ||
497 | ||
498 | 1746.2.7 | |
499 | Extra Unit s Dispense d Report | |
500 | ||
501 | ||
502 | 1756.2.8 | |
503 | Free Text Dosage Rep ort | |
504 | ||
505 | ||
506 | 1766.2.9 | |
507 | INpatient Stop Order Notices | |
508 | ||
509 | ||
510 | 1776.2.10 | |
511 | Medication s Due Work sheet | |
512 | ||
513 | ||
514 | 1796.2.11 | |
515 | Patient Pr ofile (Ext ended) | |
516 | ||
517 | ||
518 | 1816.3 | |
519 | Align Labe ls (Unit D ose) | |
520 | ||
521 | ||
522 | 1826.4 | |
523 | Label Prin t/Reprint | |
524 | ||
525 | ||
526 | 1837 | |
527 | Inquiries Options | |
528 | ||
529 | ||
530 | 1837.1 | |
531 | Dispense D rug Look-U p | |
532 | ||
533 | ||
534 | 1847.2 | |
535 | Standard S chedules | |
536 | ||
537 | ||
538 | 1858 | |
539 | CPRS Order Checks: H ow They Wo rk | |
540 | ||
541 | ||
542 | 1858.1 | |
543 | CPRS Order Checks In troduction | |
544 | ||
545 | ||
546 | 1858.2 | |
547 | Order Chec k Data Cac hing | |
548 | ||
549 | ||
550 | 1879 | |
551 | Error Mess ages | |
552 | ||
553 | ||
554 | 1879.1 | |
555 | Error Info rmation | |
556 | ||
557 | ||
558 | 18910 | |
559 | Glossary | |
560 | ||
561 | ||
562 | 20311 | |
563 | Index | |
564 | ||
565 | ||
566 | ||
567 | ||
568 | Since the documentat ion is arr anged in a topic ori ented form at and the screen op tions are not, a men u tree is provided b elow for t he newer u sers who m ay need he lp finding the expla nations to the optio ns. | |
569 | Menu Tree XE "Menu T ree" | |
570 | Topic-Orie nted Secti on XE "Top ic Oriente d Section" | |
571 | ||
572 | Align Labe ls (Unit D ose) | |
573 | Output Opt ions | |
574 | ||
575 | Discontinu e All of a Patient's Orders | |
576 | Order Opti ons | |
577 | EUP | |
578 | Edit Inpat ient User Parameters | |
579 | Maintenanc e Options | |
580 | ||
581 | Hold All o f a Patien t's Orders | |
582 | Order Opti ons | |
583 | IOE | |
584 | Inpatient Order Entr y | |
585 | Order Opti ons | |
586 | IPF | |
587 | Inpatient Profile | |
588 | Order Opti ons | |
589 | ||
590 | Check Drug Interacti on | |
591 | Order Opti ons | |
592 | ||
593 | INQuiries Menu… | |
594 | Inquiries Option | |
595 | ||
596 | Dispense D rug Look-U p | |
597 | Inquiries Option | |
598 | ||
599 | Standard S chedules | |
600 | Inquiries Option | |
601 | ||
602 | Label Prin t/Reprint | |
603 | Output Opt ions | |
604 | ||
605 | Non-Verifi ed/Pending Orders | |
606 | Order Opti ons | |
607 | ||
608 | Order Entr y | |
609 | Order Opti ons | |
610 | ||
611 | PAtient Pr ofile (Uni t Dose) | |
612 | Output Opt ions | |
613 | ||
614 | Reports Me nu… | |
615 | Output Opt ions | |
616 | ||
617 | 24 Hour MA R | |
618 | Output Opt ions | |
619 | ||
620 | 7 Day MAR | |
621 | Output Opt ions | |
622 | ||
623 | 14 Day MAR | |
624 | Output Opt ions | |
625 | ||
626 | Action Pro file #1 | |
627 | Output Opt ions | |
628 | ||
629 | Action Pro file #2 | |
630 | Output Opt ions | |
631 | ||
632 | AUthorized Absence/D ischarge | |
633 | Output Opt ions | |
634 | ||
635 | Summary | |
636 | ||
637 | ||
638 | Extra Uni ts Dispens ed Report | |
639 | Output Opt ions | |
640 | ||
641 | Free Text Dosage Re port | |
642 | Output Opt ions | |
643 | ||
644 | INpatient Stop Orde r Notices | |
645 | Output Opt ions | |
646 | ||
647 | Medicatio ns Due Wor ksheet | |
648 | Output Opt ions | |
649 | ||
650 | Patient P rofile (Ex tended) | |
651 | Output Opt ions | |
652 | (This page included for two-si ded copyin g.) | |
653 | Introducti on XE "Int roduction" | |
654 | The Inpati ent Medica tions pack age provid es a metho d of manag ement, dis pensing, a nd adminis tration of inpatient drugs wit hin the ho spital. In patient Me dications combines c linical an d patient informatio n that all ows each m edical cen ter to ent er orders for patien ts, dispen se medicat ions by me ans of Pic k Lists XE "Pick Lis t" , print labels, c reate Medi cation Adm inistratio n Records (MARs), XE "Medicati on Adminis tration Re cords (MAR s)" and c reate Mana gement Rep orts. Inpa tient Medi cations al so interac ts with th e Computer ized Patie nt Record System (CP RS XE "CPR S" ) and t he Bar Cod e Medicati on Adminis tration (B CMA XE "BC MA" ) pack ages to pr ovide more comprehen sive patie nt care. | |
655 | This user manual is written fo r the Nurs ing Staff, the Autom ated Data Processing Applicati on Coordin ator (ADPA C), and ot her health care staff for manag ing, dispe nsing, and administe ring medic ations to the patien ts within the hospit al. The ma in text of the manua l outlines patients’ ordering options fo r new and existing o rders, edi ting optio ns, output options, and inquir y options. | |
656 | The Inpati ent Medica tions docu mentation is compris ed of seve ral manual s. These m anuals are written a s modular components and can b e distribu ted indepe ndently an d are list ed below. | |
657 | ||
658 | Nurse’s Us er Manual V. 5.0 | |
659 | ||
660 | Pharmacist ’s User Ma nual V. 5. 0 | |
661 | ||
662 | Supervisor ’s User Ma nual V. 5. 0 | |
663 | ||
664 | Technical Manual/Sec urity Guid e V. 5.0 | |
665 | ||
666 | Pharmacy O rdering En hancements (POE) Pha se 2 Relea se Notes V . 1.0 | |
667 | ||
668 | Pharmacy O rdering En hancements (POE) Pha se 2 Insta llation Gu ide V. 1.0 | |
669 | ||
670 | Dosing Ord er Check U ser Manual | |
671 | ||
672 | VistA to M OCHA Inter face Docum ent | |
673 | (This page included for two-si ded copyin g.) | |
674 | Orientatio n XE "Orie ntation" | |
675 | Within thi s document ation, sev eral notat ions need to be outl ined. | |
676 | Menu optio ns XE "Men u Option" will be i talicized. | |
677 | Example: I npatient O rder Entry XE "Inpat ient Order Entry" i ndicates a menu opti on XE "Men u Option" . | |
678 | Screen pro mpts XE "S creen Prom pts" will be denote d with quo tation mar ks around them. | |
679 | Example: “ Select DRU G:” indica tes a scre en prompt. | |
680 | Responses in bold fa ce indicat e what the user is t o type in. | |
681 | Example: P rinting a MAR report by group (G), by wa rd (W), cl inic (C), or patient (P). | |
682 | Text cente red betwee n arrows r epresents a keyboard key that needs to b e pressed in order f or the sys tem to cap ture a use r response or move t he cursor to another field. <E nter> indi cates that the Enter key (or R eturn key on some ke yboards) m ust be pre ssed. <Tab > indicate s that the Tab key m ust be pre ssed. | |
683 | Example: | |
684 | Press <Tab > to move the cursor to the ne xt field. | |
685 | ||
686 | Press <Ent er> to sel ect the de fault. | |
687 | Text depic ted with a black bac kground, d isplayed i n a screen capture, designates reverse v ideo or bl inking tex t on the s creen. | |
688 | Example: | |
689 | (9) Ad min Times: 01-09-15- 20 | |
690 | *(10) Provider: PSJPHARMA CIST,ONE | |
691 | Note: Indi cates espe cially imp ortant or helpful in formation. | |
692 | Options a re locked with a par ticular se curity key . The user must hold XE "Hold" the part icular sec urity key to be able to perfor m the menu option XE "Menu Opt ion" . | |
693 | Example: W hen the nu rse holds the PSJ RN URSE key X E "PSJ RNU RSE Key" , it will b e possible to take a ny availab le actions on select ed Unit Do se or IV o rders and verify non -verified orders. | |
694 | Some of th e menu opt ions have several le tters that are capit alized. By entering in the let ters and p ressing <E nter>, the user can go directl y to that menu optio n XE "Menu Option" (the lette rs do not have to be entered a s capital letters). | |
695 | Example: F rom the Un it Dose Me dications XE "Unit D ose Medica tions" op tion: the user can e nter INQ a nd proceed directly into the I NQuiries M enu option . | |
696 | ?, ??, ??? One, two , or three question marks can be entered at any of the promp ts for on- line help. One quest ion mark e licits a b rief state ment of wh at informa tion is ap propriate for the pr ompt. Two question m arks provi de more he lp, plus t he hidden actions XE "Hidden A ctions" a nd three q uestion ma rks will p rovide mor e detailed help, inc luding a l ist of pos sible answ ers, if ap propriate. | |
697 | ^ Caret ( up arrow o r a circum flex) and pressing < Enter> can be used t o exit the current o ption. | |
698 | List Manag er XE "Lis t Manager" | |
699 | The new sc reen, whic h was desi gned using List Mana ger XE "Li st Manager " , has dr amatically changed f rom the pr evious ver sion. | |
700 | This new s creen will give the user: | |
701 | More perti nent infor mation | |
702 | Easier acc essibility to vital reports an d areas of a patient ’s chart t he user ma y | |
703 | wish to s ee. | |
704 | Please tak e the time to read o ver the ex planation of the scr een and th e actions that can n ow be exec uted at th e touch of a button. This type of prepar ation befo re using L ist Manage r XE "List Manager" is effect ive in sav ing time a nd effort. | |
705 | Inpatient List Manag er | |
706 | XE "List Manager" | |
707 | ||
708 | ||
709 | ||
710 | ||
711 | Screen Tit le XE "Scr een Title" | |
712 | ||
713 | ||
714 | ||
715 | ||
716 | ||
717 | ||
718 | ||
719 | ||
720 | ||
721 | ||
722 | ||
723 | ||
724 | ||
725 | CWAD* Indi cator XE " CWAD Indic ator" | |
726 | Patient In formation Sep 15, 2000 11:32 :08 P age: 1 of 1 | |
727 | PSJPATIENT 2,TWO Ward: 1 West < A> | |
728 | PID: 00 0-00-0002 R oom-Bed: A -6 H t(cm): 167 .64 (04/21 /99) | |
729 | DOB: 02 /22/42 (58 ) W t(kg): 85. 00 (04/21/ 99) | |
730 | Sex: MA LE A dmitted: 0 9/16/99 | |
731 | Dx: TE ST PATIENT Last tran sferred: * ******* | |
732 | Allergies - Verified : CARAMEL, CN900, LO MEFLOXACIN , PENTAMID INE, PENTA ZOCINE, | |
733 | CHOCOL ATE, NUTS, STRAWBERR IES, DUST | |
734 | No n-Verified : AMOXICIL LIN, AMPIC ILLIN, TAP E, FISH, | |
735 | FLUPHE NAZINE DEC ANOATE | |
736 | Remote : | |
737 | Adverse Reactions : | |
738 | Inpatient Narrative : Inpatien t narrativ e for PSJP ATIENT2 | |
739 | Outpatient Narrative : This pat ient doesn 't like wa iting at t he pickup window. | |
740 | He gets ve ry angry. | |
741 | ---------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---- | |
742 | PU Patient Record Up date NO New Ord er Entry | |
743 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
744 | VP View Pr ofile | |
745 | Select Act ion: View Profile// | |
746 | * Crises, Warnings, Allergies, and Direc tives (CWA D) | |
747 | Screen Tit le XE "Scr een Title" : The scr een title changes ac cording to what type of inform ation List Manager X E "List Ma nager" is displayin g (e.g., P atient Inf ormation X E "Patient Informati on" , Non- Verified O rder XE "N on-Verifie d Order" , Inpatient Order Ent ry XE "Inp atient Ord er Entry" , etc). | |
748 | CWAD Indic ator XE "C WAD Indica tor" : Thi s indicato r will dis play when the crises , warnings , allergie s, and dir ectives in formation has been e ntered for the patie nt. (This informatio n is enter ed via the Text Inte gration Ut ilities (T IU) packag e.) When t he patient has Aller gy/Adverse Drug Reac tion (ADR) data defi ned, an “< A>” is dis played to the right of the war d location to alert the user o f the exis tence of t his inform ation. | |
749 | Note: This data may be display ed using t he Detaile d Allergy/ ADR List a ction). Cr ises, warn ings, and directives are displ ayed respe ctively, “ <C>”,“<W>” ,“<D>”. Th is data ma y be displ ayed using the CWAD hidden act ion. Any c ombination of the fo ur indicat ors can di splay. | |
750 | Header Are a XE "Head er Area" : The heade r area is a “fixed” (non-scrol lable) are a that dis plays the patient’s demographi c informat ion. This also inclu des inform ation abou t the pati ent’s curr ent admiss ion. The s tatus and type of or der are di splayed in the top l eft corner of the he ading, and will incl ude the pr iority XE "Priority" (if defi ned) for p ending ord ers. | |
751 | List Area: XE "List Area" (sc rolling re gion): Thi s is the s ection tha t will scr oll (like the previo us version ) and disp lay the in formation that an ac tion can b e taken on . The Alle rgies/Reac tions line includes non-verifi ed and ver ified Alle rgy/ADR in formation as defined in the Al lergy pack age. The a llergy dat a is sorte d by type (DRUG, OTH ER, FOOD). If no dat a is found for a cat egory, the heading i s displaye d as “Alle rgies/Reac tions: No Allergy As sessment”. The Inpat ient and O utpatient Narrative lines may be used by the inpat ient pharm acy staff to display informati on specifi c to the c urrent adm ission for the patie nt. | |
752 | Message Wi ndow XE "M essage Win dow" : Thi s section displays a plus sign (+), if t he list is longer th an one scr een, and i nformation al text (i .e., Enter ?? for mo re actions ). If the plus sign is entered at the ac tion promp t, List Ma nager XE " List Manag er" will “jump” for ward to th e next scr een. The p lus sign i s only a v alid actio n if it is displayed in the me ssage wind ow XE "Mes sage Windo w" . | |
753 | Action Are a XE "Acti on Area" : The list of valid a ctions ava ilable to the user d isplay in this area of the scr een. If a double que stion mark (??) is e ntered at the “Selec t Action X E "Select Action" :” prompt, a “hidden” list of ad ditional a ctions tha t are avai lable will be displa yed. | |
754 | Using List Manager X E "List Ma nager" | |
755 | List Manag er XE "Lis t Manager" is a too l designed so that a list of i tems can b e presente d to the u ser for an action. | |
756 | For Inpati ent Medica tions, the List Mana ger XE "Li st Manager " gives t he user th e followin g: | |
757 | Capability to browse through a list of o rders. | |
758 | Capability to take a ction(s) a gainst tho se items. | |
759 | Capability to print MARs, labe ls, and pr ofiles fro m within t he Inpatie nt Order E ntry XE "I npatient O rder Entry " option. | |
760 | Capability to select a differe nt option than the o ption bein g displaye d. | |
761 | Hidden Act ions XE "H idden Acti ons" | |
762 | A double q uestion ma rk (??) ca n be enter ed at the “Select Ac tion XE "S elect Acti on" :” pro mpt for a list of al l actions available. Typing th e name(s) or synonym (s) at the “Select A ction:” pr ompt enter s the acti ons. | |
763 | The follow ing is a l ist of gen eric List Manager XE "List Man ager" act ions with a brief de scription. The synon ym for eac h action i s shown, f ollowed by the actio n name and descripti on. | |
764 | SynonymAct ionDescrip tion+Next Screen Mov es to the next scree n-Previous Screen Mo ves to the previous screenUPUp a Line Mo ves up one lineDNDow n a line M oves down one lineFS First Scre en Moves t o the firs t screenLS Last Scree n Moves to the last screenGOGo to Page M oves to an y selected page in t he listRDR e Display Screen Red isplays th e current screenPSPr int Screen Prints th e header a nd the por tion of th e list cur rently dis playedPTPr int List P rints the list of en tries curr ently disp layedSLSea rch List F inds selec ted text i n list of entriesQQu it Exits t he screenA DPLAuto Di splay (On/ Off) Toggl es the men u of actio ns to be d isplayed/n ot display ed automat ically>Shi ft View to Right Shi fts the vi ew on the screen to the right< Shift View to Left S hifts the view on th e screen t o the left The follow ing is a l ist of Inp atient Med ications s pecific hi dden actio ns XE "Hid den Action s" with a brief des cription. The synony m for each action is shown fol lowed by t he action name and d escription . | |
765 | SynonymAct ionDescrip tionMARMAR Menu Disp lays the M AR Menu24 24 Hour M AR Shows t he 24 Hour MAR7 7 D ay MAR Sho ws the 7 D ay MAR14 14 Day MAR Shows the 14 Day MA RMD Medic ations Due Worksheet Shows the Worksheet LBLLabel P rint/Repri nt Display s the Labe l Print/Re print Menu ALUD Alig n Labels ( Unit Dose) Aligns th e MAR labe l stock on a printer LPUD Labe l Print/Re print Allo ws print o r reprint of a MAR l abelALIV Align Labe ls (IV) Al igns the I V bag labe l stock on a printer ILIV Indi vidual Lab els (IV) A llows prin t or repri nt of an I V bag labe lSLIV Sch eduled Lab els (IV) A llows prin t of the s cheduled I V bag labe lRSIV Rep rint Sched uled Label s (IV) All ows reprin t of sched uled IV ba g labelsOT HOther Pha rmacy Opti ons Displa ys more ph armacy opt ionsPIC P ick List M enu Displa ys the Pic k List Men uEN Enter Units Dis pensed All ows entry of the uni ts actuall y dispense d for a Un it Dose or derEX Ext ra Units D ispensed A llows entr y of extra units dis pensed for a Unit Do se orderPL Pick Lis t Creates the Pick L ist report RRS Repor t Returns Allows the entry of units retu rned for a Unit Dose orderRPL Reprint P ick List A llows repr int of a p ick listSN D Send Pi ck list to ATC Allow s a pick l ist to be sent to th e ATC (Aut omated Tab let Counte r)UP Upda te Pick Li st Allows an update to a pick listRETRet urns/Destr oyed Menu Displays t he Returns /Destroyed optionsRR Report R eturns All ows entry of units r eturned fo r a Unit D ose orderR D Returns /Destroyed Entry (IV ) Allows e ntry of un its return ed or dest royed for an orderPR OPatient P rofiles Di splays the Patient P rofile Men uIP Inpat ient Medic ations Pro file Gener ates an In patient Pr ofile for a patientI V IV Medi cations Pr ofile Gene rates an I V Profile for a pati entUD Uni t Dose Med ications P rofile Gen erates a U nit Dose P rofile for a patient OP Outpat ient Presc riptions G enerates a n Outpatie nt Profile for a pat ientAP1Act ion Profil e #1 Gener ates an Ac tion Profi le #1AP2Ac tion Profi le #2 Gene rates an A ction Prof ile #2EXPa tient Prof ile (Exten ded Genera tes an Ext ended Pati ent Profil eCWADCWAD Informatio nDisplays the crises , warnings , allergie s, and dir ectives in formation on a patie ntDADispla y Drug All ergiesDisp lays signs /symptoms of an alle rgy associ ated to a med orderC KCheck Int eractionAl lows a use r to perfo rm order c hecks agai nst the pa tient’s ac tive medic ation prof ile with o r without a prospect ive drug.T he followi ng actions are avail able while in the Un it Dose Or der Entry XE "Order Entry" Pr ofile XE " Unit Dose Order Entr y Profile" . | |
766 | SynonymAct ionDescrip tionDCSpee d Disconti nue Speed discontinu e one or m ore orders (This is also avail able in th e Inpatien t Order En try and Or der Entry (IV) optio ns.)RNSpee d Renew Sp eed renewa l of one o r more ord ersSFSpeed Finish Sp eed finish one or mo re ordersS VSpeed Ver ify Speed verify one or more o rdersThe f ollowing a ctions are available while vie wing an or der. | |
767 | SynonymAct ionDescrip tionCOCopy an orderA llows the user to co py an acti ve, discon tinued, or expired U nit Dose o rderDINDru g Restrict ion/Guidel ine Inform ationDispl ays the Dr ug Restric tion/Guide line Infor mation for both the Orderable Item and D ispense Dr ugIMark In completeAl lows the u ser to mar k a Non-Ve rified Pen ding order incomplet eJPJump to a Patient Allows th e user to begin proc essing ano ther patie ntNMark No t to be Gi venAllows the user t o mark a d iscontinue d or expir ed order a s not to b e givenOCI XE "OCI" Overrides/ Interventi ons XE " Order Chec k/Interven tions " In dicates th ere are as sociated C PRS Overri des and/or Pharmacis t Interven tions. Whe n the OCI displays o n the Orde r Detail s creen, the user can type “OCI” to displa y associat ed CPRS Pr ovider Ove rrides and /or Pharma cist Inter ventions. From the I npatient O rder Entry screen, t he user ca n access P ADE Activi ty via the PD action , which di splays all of the PA DE transac tions. | |
768 | Example: H idden Acti on (PD PAD E Activity ) Inpatien t Order En try screen display | |
769 | - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - - - - - | |
770 | 3 CA PTOPRIL TA B ? ***** * **** P | |
771 | Give: 75MG PO TID | |
772 | 4 LE VOTHYROXIN E TAB ? ***** * **** P WS | |
773 | Give: 0.02 5MG BY MOU TH *Q8H | |
774 | Enter ?? f or more ac tions | |
775 | PU Patien t Record U pdate NO New Or der Entry | |
776 | Enter RETU RN to cont inue or '^ ' to exit: | |
777 | The follow ing action s are also available : | |
778 | + Next Screen PS Print Scr een OTH Oth er Pharmac y Options | |
779 | - Previ ous Screen PT Print Lis t DC Spe ed Discont inue | |
780 | UP Up a Line SL Search Li st RN Spe ed Renew | |
781 | DN Down a Line Q Quit SF Spe ed Finish | |
782 | FS First Screen ADPL Auto Disp lay(On/Off ) SV Spe ed Verify | |
783 | LS Last Screen MAR MAR Menu CWAD CWA D Informat ion | |
784 | GO Go to Page LBL Label Pri nt/Reprint CK Che ck Interac tions | |
785 | RD Re Di splay Scre en JP Jump to a Patient IN Int ervention Menu | |
786 | PD PADE Activity | |
787 | Enter RETU RN to cont inue or '^ ' to exit: | |
788 | Drug IEN a nd PADE St ock Item I ndicator | |
789 | From Hidde n Actions, and from the VistA Pick List, the user can view t he drug na me from th e drug Int ernal Entr y Number ( IEN) field . | |
790 | Also, if t he medicat ion listed is a PADE stock ite m, the wor d “PADE” w ill be add ed to the VistA Pick List repo rt. | |
791 | Note: Some sites do not use wa rd stock e ntries for cart fill s. If the user who g enerates t he Pick Li st exclude s ward sto ck, then i t will not be shown on the Pic k List rep ort. | |
792 | Example: P ick List w ith Drug I EN and PAD E stock it em indicat or | |
793 | (106) PICK LIST REPORT 03/18/1 5 11:19 | |
794 | Ward group : BCMA Page: 12 | |
795 | Fo r 03/19/15 15:01 th rough 03/2 0/15 15:0 0 | |
796 | Team: ** N /F ** | |
797 | Room-Bed Patie nt Uni ts Units | |
798 | M edication ST U/D Need ed Disp'd | |
799 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
800 | ========== ========== ========== ==== WARD: BCMA ==== ========== ========== ========== | |
801 | 422-1 IAPATIEN T,ONE (12 34): | |
802 | ||
803 | ASCORBIC A CID 250MG TAB (1353) C PADE ATC 1 1 1 | |
804 | Give: 250M G PO DAILY | |
805 | 10 | |
806 | Sta rt: 03/13/ 15 14:02 Sto p: 04/12/1 5 14:00 | |
807 | ---- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
808 | HEPARIN 50 00 UNITS/M L INJ 1ML (154) C PADE ATC 1 W S ____ | |
809 | Give: 5000 UNIT/1ML S C Q8H | |
810 | 06- 14-22 | |
811 | Sta rt: 03/13/ 15 14:01 Sto p: 04/12/1 5 14:00 | |
812 | ||
813 | LEVOTHYROX INE 0.025M G (989) C ATC 1 1 ____ | |
814 | Give: 0.02 5MG BY MOU TH DAILY | |
815 | 0900 | |
816 | Sta rt: 03/18/ 15 10:25 Sto p: 06/26/1 5 24:00 | |
817 | ---- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
818 | MORPHINE S ULFATE 10M G SYRINGE (322) P PA DE 1 2 ____ | |
819 | Give: 10MG /1ML IV BI D PRN | |
820 | Sta rt: 03/18/ 15 10:26 Sto p: 06/26/1 5 24:00 | |
821 | (This page included for two-si ded copyin g.) | |
822 | Order Opti ons XE "Or der Option s" | |
823 | The Unit D ose Medica tions XE " Unit Dose Medication s" option is used t o access t he order e ntry, pati ent profil es, and va rious repo rts, and i s the main starting point for the Unit D ose system . | |
824 | Example: U nit Dose M enu | |
825 | Select Uni t Dose Med ications O ption: ? | |
826 | Align Labe ls (Unit D ose) | |
827 | Discontinu e All of a Patient's Orders | |
828 | ECO Edit Clini c Med Orde rs Start D ate/Time | |
829 | EUP Edit Inpat ient User Parameters | |
830 | ESD Edit Patie nt's Defau lt Stop Da te | |
831 | Hold All o f a Patien t's Orders | |
832 | IOE Inpatient Order Entr y | |
833 | IPF Inpatient Profile | |
834 | RO Act On Exi sting Orde rs | |
835 | Check Drug Interacti on | |
836 | INQuiries Menu ... | |
837 | Label Prin t/Reprint | |
838 | Non-Verifi ed/Pending Orders | |
839 | Order Entr y | |
840 | PAtient Pr ofile (Uni t Dose) | |
841 | PIck List Menu ... | |
842 | Reports Me nu ... | |
843 | Within the Inpatient Medicatio ns package there are three dif ferent pat hs the nur se can tak e to enter a new ord er or take action on an existi ng order. They are ( 1) Order E ntry XE "O rder Entry " , (2) No n-Verified /Pending O rders XE " Non-Verifi ed/Pending Orders" and (3) In patient Or der Entry XE "Inpati ent Order Entry" . E ach of the se paths d iffers by the prompt s that are presented . Once the nurse has reached t he point o f entering a new ord er or sele cting an e xisting or der, the p rocess bec omes the s ame for ea ch path. | |
844 | Note: When the selec ted order type (non- verified o r pending) does not exist (for that pati ent) while the user is in the Non-Verifi ed/Pending Orders XE "Non-Veri fied/Pendi ng Orders" option, the user c annot ente r a new or der or tak e action o n an exist ing order for that p atient. | |
845 | Patient lo cks XE "Pa tient Lock " and ord er locks X E "Order L ocks" are incorpora ted within the Inpat ient Medic ations pac kage. When a user (U ser 1) sel ects a pat ient throu gh any of the three paths, Ord er Entry X E "Order E ntry" , No n-Verified /Pending O rders XE " Non-Verifi ed/Pending Orders" , or Inpati ent Order Entry XE " Inpatient Order Entr y" , and t his patien t has alre ady been s elected by another u ser (User 2), the us er (User 1 ) will see a message that anot her user ( User 2) is processin g orders f or this pa tient. Thi s will be a lock at the patien t level wi thin the P harmacy pa ckages. Wh en the oth er user (U ser 2) is entering a new order for the p atient, th e user (Us er 1) will not be ab le to acce ss the pat ient due t o a patien t lock XE "Patient L ock" with in the Vis tA package s. A lock at the ord er level i s issued w hen an ord er is sele cted throu gh Inpatie nt Medicat ions for a ny action other than new order entry. An y users at tempting t o access t his patien t’s order will recei ve a messa ge that an other user is workin g on this order. Thi s order-le vel lock i s within t he VistA p ackages. | |
846 | The three different paths for entering a new order or taking an action on an exi sting orde r are summ arized in the follow ing sectio ns. | |
847 | Order Entr y XE "Orde r Entry" | |
848 | [PSJU NE] | |
849 | The Order Entry XE " Order Entr y" option allows th e nurse to create, e dit, renew , hold XE "Hold" , a nd discont inue Unit Dose order s while re maining in the Unit Dose Medic ations mod ule. The O rder Entry XE "Order Entry" o ption func tions almo st identic ally to th e Inpatien t Order En try XE "In patient Or der Entry" option, but does n ot include IV orders on the pr ofile and only Unit Dose order s may be e ntered or processed. | |
850 | The Order Entry [PSJ U NE] opti on also al lows for p rocessing of clinic orders. Ne w clinic o rders cann ot be crea ted. Clini c orders a re display ed separat ely from n on-clinic orders. | |
851 | After sele cting the Order Entr y XE "Orde r Entry" option fro m the Unit Dose Medi cations XE "Unit Dos e Medicati ons" opti on, the nu rse will b e prompted to select the patie nt. At the “Select P ATIENT:” p rompt, the user can enter the patient’s name or en ter the fi rst letter of the pa tient’s la st name an d the last four digi ts of the patient’s social sec urity numb er (e.g., P0001). | |
852 | Before the Patient I nformation screen di splays, if the patie nt selecte d has no a llergy ass essment on file, the following prompt di splays to the pharma cist/user: | |
853 | "NO ALLERG Y ASSESSME NT exists for this p atient! Wo uld you li ke to ente r one now? " | |
854 | If the pha rmacist/us er enters 'YES,' he/ she is pro mpted to e nter the a llergy inf ormation. | |
855 | If the pha rmacist/us er enters 'NO,' a ph armacist i nterventio n is creat ed, with a type of ' NO ALLERGY ASSESSMEN T.' The ph armacist/u ser is the n prompted for Provi der and Re commendati on informa tion. | |
856 | Note: If t he selecte d patient is Sensiti ve, Discha rged, both Sensitive and Disch arged, or Deceased, there are variations in the Or der Entry process an d in the p rompts tha t display to the pha rmacist/us er. | |
857 | Example: P harmacist Answers ‘Y es’ and En ters Aller gy Informa tion | |
858 | Select PAT IENT: PSJP ATIENT1, O NE | |
859 | NO ALLERGY ASSESSMEN T exists f or this pa tient! | |
860 | Would you like to en ter one no w? No// Y ES (Yes) | |
861 | Does this patient ha ve any kno wn allergi es or adve rse reacti ons? : Yes | |
862 | This patie nt has no allergy/ad verse reac tion data. | |
863 | Enter Caus ative Agen t: LATEX | |
864 | Checking e xisting PA TIENT ALLE RGIES (#12 0.8) file for matche s... | |
865 | Now checki ng GMR ALL ERGIES (#1 20.82) fil e for matc hes... | |
866 | Now checki ng the Nat ional Drug File - Ge neric Name s (#50.6) | |
867 | Now checki ng the Nat ional Drug File - Tr ade Names (#50.67) | |
868 | Now checki ng the ING REDIENTS ( #50.416) f ile for ma tches... | |
869 | . ..OK? Yes/ / Y (Yes) | |
870 | LATEX OK? Yes// (Yes) | |
871 | Example: P harmacist Answers ‘N o’ and Int ervention is Created | |
872 | Select PAT IENT: PSJP ATIENT1, O NE | |
873 | NO ALLERGY ASSESSMEN T exists f or this pa tient! | |
874 | Would you like to en ter one no w? No// N (No) | |
875 | Now creati ng Pharmac y Interven tion | |
876 | PROVIDER: | |
877 | Selec t one of t he followi ng: | |
878 | 1 UNABLE TO ASSESS | |
879 | 2 OTHER | |
880 | RECOMMENDA TION: ^ | |
881 | See 'Pharm acy Interv ention Men u' if you want to de lete this | |
882 | interventi on or for more optio ns. | |
883 | Press Retu rn to cont inue... | |
884 | The Patien t Informat ion XE "Pa tient Info rmation" Screen is displayed: | |
885 | Example: P atient Inf ormation X E "Patient Informati on Screen Example" Screen | |
886 | Patient In formation Feb 10, 20 11@10:44:5 5 Page: 1 of 1 | |
887 | TESTYPATNM ,TEST Ward: GEN MED A | |
888 | PID: 66 6-00-0423 Room-Bed: Ht(cm) : ______ ( ________) | |
889 | DOB: 01 /01/50 (61 ) Wt(kg) : ______ ( ________) | |
890 | Sex: MA LE A dmitted: 0 2/13/07 | |
891 | Dx: OB SERVATION Last tran sferred: * ******* | |
892 | Allergies - Verified : PENICILL IN, ASPIRI N | |
893 | No n-Verified : | |
894 | Adverse Reactions : | |
895 | Inpatient Narrative : | |
896 | Outpatient Narrative : | |
897 | Enter ?? f or more ac tions | |
898 | PU Patient Record Up date NO New Ord er Entry | |
899 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
900 | VP View Pr ofile | |
901 | Select Act ion: View Profile// | |
902 | The nurse can now en ter a Pati ent Action XE "Patie nt Action" at the “ Select Act ion XE "Se lect Actio n" : View Profile XE "View Pro file" //” prompt in the Action Area XE " Action Are a" of the screen. | |
903 | Non-Verifi ed/Pending Orders XE "Non-Veri fied/Pendi ng Orders" | |
904 | [PSJU VBW] | |
905 | The Non-Ve rified/Pen ding Order s XE "Non- Verified/P ending Ord ers" opti on allows easy ident ification and proces sing of no n-verified and/or pe nding orde rs. This o ption will also show pending a nd pending renewal o rders, whi ch are ord ers from C PRS XE "CP RS" that have not b een finish ed by Phar macy Servi ce. Unit D ose and IV orders ar e displaye d using th is option. | |
906 | The Non-Ve rified/Pen ding Order s [PSJU VB W] option also allow s for proc essing of clinic ord ers. New c linic orde rs cannot be created . Clinic o rders are displayed separately from non- clinic ord ers. | |
907 | If this is the first time into this opti on, the fi rst prompt will be: Select IV ROOM NAME. If not, t hen the fi rst prompt is “Displ ay an Orde r Summary? NO// ”. A YES answe r will all ow the nur se to view an Order Summary of Pending/N on-Verifie d Order To tals by Wa rd Group X E "Ward Gr oup" , Cli nic Group XE "Clinic Group" , and Clinic XE "Clini c" . The P ending IV, Pending U nit Dose, Non-Verifi ed IV, and Non-Verif ied Unit D ose totals are then listed by Ward Group , Clinic G roup, and Clinic. Th e nurse ca n then spe cify wheth er to disp lay Non-Ve rified Ord ers, Pendi ng Orders or both. | |
908 | A ward gro up indicat es inpatie nt nursing units (wa rds) that have been defined as a group w ithin Inpa tient Medi cations to facilitat e processi ng of orde rs. A clin ic group i s a combin ation of o utpatient clinics th at have be en defined as a grou p within I npatient M edications to facili tate proce ssing of o rders. | |
909 | Example: N on-Verifie d/Pending Orders XE "Non-Verif ied/Pendin g Orders E xample" | |
910 | Non-Verifi ed/Pending Orders | |
911 | Select IV ROOM NAME: TST IS C ROOM | |
912 | You are si gned on un der the TS T ISC ROOM IV ROOM | |
913 | Enter IV L ABEL devic e: HOME// COMPUTER ROOM | |
914 | Enter IV R EPORT devi ce: HOME// COMPUTE R ROOM | |
915 | Display an Order Sum mary? NO// YES | |
916 | Searching for Pendin g and Non- Verified o rders..... .......... .......... .......... | |
917 | Pen ding/Non-V erified Or der Totals by Ward G roup/Clini c Location | |
918 | Pending Non- Verified | |
919 | Ward Group /Clinic Lo cation IV UD IV UD | |
920 | Ward Group s | |
921 | GEN MED 5 5 0 3 | |
922 | TST 1 Grou p 1 3 0 0 | |
923 | TST 3 0 2 0 0 | |
924 | ^OTHER 5 27 1 5 | |
925 | Clinics | |
926 | 45 CLINIC PATTERN 5 0 0 0 | |
927 | 1) Non-Ver ified Orde rs | |
928 | 2) Pending Orders | |
929 | Select Ord er Type(s) (1-2): | |
930 | Note: The Ward Group XE "Ward Group Sor t:^OTHER" of ^OTHER includes all orders from ward s that do not belong to a ward group. Us e the Ward Group Sor t option t o select ^ OTHER. | |
931 | Next, the nurse can select whi ch package s to displ ay: Unit D ose Orders , IV Order s, or both , provided this user holds the PSJ RNFIN ISH XE "PS J RNFINISH Key" and the PSJI RNFINISH X E "PSJI RN FINISH Key " keys. I f the user holds onl y one of t he RNFINIS H keys, th en either Unit Dose or IV orde rs will be displayed . | |
932 | The next p rompt allo ws the nur se to sele ct non-ver ified and/ or pending orders fo r a group (G), ward (W) XE "Wa rd" , clin ic (C) XE "Clinic" , patient ( P), or pri ority XE " Priority" (PR). Whe n group is selected, a prompt to select by ward gr oup (W) X E "Ward Gr oup" or cl inic group (C) XE "C linic Grou p" displa ys. | |
933 | If ward or ward grou ps is sele cted, pati ents will be listed by wards, then by pr iority, th en by team s, and the n by patie nt name. P atients th at have on e or more STAT pendi ng orders will be li sted first , followed by patien ts with on e or more ASAP pendi ng orders, and then all other patients t hat have o nly ROUTIN E pending orders. Wi thin each priority, the patien t listing is sorted alphabetic ally by te am and the n by patie nt name. | |
934 | When prior ity is sel ected, onl y patients with the selected p riority wi ll display , listed b y team and then by p atient nam e. | |
935 | Before the Patient I nformation screen di splays, if the patie nt selecte d has no a llergy ass essment on file, the following prompt di splays to the pharma cist/user: | |
936 | "NO ALLERG Y ASSESSME NT exists for this p atient! Wo uld you li ke to ente r one now? " | |
937 | If the pha rmacist/us er enters 'YES,' he/ she is pro mpted to e nter the a llergy inf ormation. | |
938 | If the pha rmacist/us er enters 'NO,' a ph armacist i nterventio n is creat ed, with a type of ' NO ALLERGY ASSESSMEN T.' The ph armacist/u ser is the n prompted for Provi der and Re commendati on informa tion. | |
939 | Note: If t he selecte d patient is Sensiti ve, Discha rged, both Sensitive and Disch arged, or Deceased, there are variations in the pr ocess and in the pro mpts that display to the pharm acist/user . | |
940 | Example: P harmacist Answers ‘Y es’ and En ters Aller gy Informa tion | |
941 | Select PAT IENT: PSJP ATIENT1, O NE | |
942 | NO ALLERGY ASSESSMEN T exists f or this pa tient! | |
943 | Would you like to en ter one no w? No// Y ES (Yes) | |
944 | Does this patient ha ve any kno wn allergi es or adve rse reacti ons? : Yes | |
945 | This patie nt has no allergy/ad verse reac tion data. | |
946 | Enter Caus ative Agen t: LATEX | |
947 | Checking e xisting PA TIENT ALLE RGIES (#12 0.8) file for matche s... | |
948 | Now checki ng GMR ALL ERGIES (#1 20.82) fil e for matc hes... | |
949 | Now checki ng the Nat ional Drug File - Ge neric Name s (#50.6) | |
950 | Now checki ng the Nat ional Drug File - Tr ade Names (#50.67) | |
951 | Now checki ng the ING REDIENTS ( #50.416) f ile for ma tches... | |
952 | . ..OK? Yes/ / Y (Yes) | |
953 | LATEX OK? Yes// (Yes) | |
954 | Example: P harmacist Answers ‘N o’ and Int ervention is Created | |
955 | Select PAT IENT: PSJP ATIENT1, O NE | |
956 | NO ALLERGY ASSESSMEN T exists f or this pa tient! | |
957 | Would you like to en ter one no w? No// N (No) | |
958 | Now creati ng Pharmac y Interven tion | |
959 | PROVIDER: | |
960 | Selec t one of t he followi ng: | |
961 | 1 UNABLE TO ASSESS | |
962 | 2 OTHER | |
963 | RECOMMENDA TION: ^ | |
964 | See 'Pharm acy Interv ention Men u' if you want to de lete this | |
965 | interventi on or for more optio ns. | |
966 | Press Retu rn to cont inue... | |
967 | 1) Unit Do se Orders | |
968 | 2) IV Orde rs | |
969 | Select Pac kage(s) (1 -2): 1-2 | |
970 | Select by GROUP (G), WARD (W), CLINIC (C ), PATIENT (P), or P RIORITY (P R): PATIEN T <Enter> | |
971 | Select by WARD GROUP (W) or CL INIC GROUP (C): WARD <Enter> | |
972 | Select PAT IENT: P SJPATIENT1 ,ONE 000-00-0 001 08/18 /20 B-1 2 1 EAST | |
973 | ||
974 | Select PAT IENT: <Ent er> | |
975 | ||
976 | A profile prompt is displayed asking the nurse to choose a p rofile for the patie nt. The nu rse can ch oose a sho rt, long, or no prof ile. If NO profile i s chosen, the orders for the p atient sel ected will be displa yed, for f inishing o r verifica tion, by l ogin date with the e arliest da te showing first. Wh en a pendi ng Unit Do se order h as a STAT priority X E "Priorit y" , this order will always be displayed first in the profil e view and will be d isplayed i n blinking reverse v ideo. If a profile i s chosen, the orders will be s elected fr om this li st for pro cessing (a ny order m ay be sele cted). The following example d isplays a short prof ile. | |
977 | Example: S hort Profi le XE "Sho rt Profile Example" | |
978 | Select Uni t Dose Med ications O ption: No n-Verified /Pending O rders | |
979 | Display an Order Sum mary? NO// y YES | |
980 | Searching for Pendin g and Non- Verified o rders..... .......... .......... .......... | |
981 | .......... .......... .......... .......... .......... ..... | |
982 | Pend ing/Non-Ve rified Ord er Totals by Ward Gr oup/Clinic Location | |
983 | Pending Non- Verified | |
984 | Ward Group /Clinic Lo cation IV UD IV UD | |
985 | Ward Group s | |
986 | BCMA 56 75 10 30 | |
987 | GEN MED 5 5 0 0 | |
988 | TEST AGAIN 1 18 2 4 | |
989 | TST 1 GROU P 1 4 0 0 | |
990 | TST 2 GROU P 0 10 0 0 | |
991 | TST 3 0 2 0 0 | |
992 | ^OTHER 6 32 0 4 | |
993 | Clinics | |
994 | 45 CLINIC PATTERN 5 0 0 0 | |
995 | BARBARA'S CLINIC 1 0 0 0 | |
996 | BECKY'S CL INIC 1 0 0 0 | |
997 | 1) Non-Ver ified Orde rs | |
998 | 2) Pending Orders | |
999 | Select Ord er Type(s) (1-2): 1 | |
1000 | 1) Unit Do se Orders | |
1001 | 2) IV Orde rs | |
1002 | Select Pac kage(s) (1 -2): 1 | |
1003 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): g ROUP | |
1004 | Select by WARD GROUP (W) or CL INIC GROUP (C): wARD | |
1005 | Select WAR D GROUP: b cma | |
1006 | PHARMACY | |
1007 | ...a few m oments, pl ease...... .......... .......... .......... .. | |
1008 | ORDERS NOT VERIFIED BY A PHARM ACIST - BC MA | |
1009 | No. TEA M PATIENT | |
1010 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
1011 | 1 Not Found BCM A,EIGHTY-P ATIENT (00 80) | |
1012 | 2 Not Found BCM A,EIGHTYEI GHT-PATIEN T (0088) | |
1013 | 3 Not Found BCM A,EIGHTYFI VE-PATIENT (0085) | |
1014 | 4 Not Found BCM A,EIGHTYSI X-PATIENT (0086) | |
1015 | 5 Not Found BCM A,EIGHTYTH REE-PATIEN T (0083) | |
1016 | 6 Not Found BCM A,EIGHT (0 008) | |
1017 | 7 Not Found BCM A,FIFTEEN- PATIENT (0 015) | |
1018 | 8 Not Found BCM A,FIFTYTHR EE-PATIENT (0053) | |
1019 | 9 Not Found BCM A,FIFTYTWO -PATIENT ( 0052) | |
1020 | 10 Not Found BCM A,FORTYTWO -PATIENT ( 0042) | |
1021 | 11 Not Found BCM A,FOUR-PAT IENT (0004 ) | |
1022 | 12 Not Found BCM A,FOURTEEN -PATIENT ( 0014) | |
1023 | 13 Not Found BCM A,NINETY-P ATIENT (00 90) | |
1024 | 14 Not Found BCM A,NINETYTW O-PATIENT (0092) | |
1025 | 15 Not Found BCM A,ONE HUND RED-PATIEN T (0100) | |
1026 | 16 Not Found BCM A,SEVENTYS EVEN-PATIE NT (0077) | |
1027 | 17 Not Found BCM A,SIXTEEN- PATIENT (0 016) | |
1028 | 18 Not Found BCM A,TEN-PATI ENT (0010) | |
1029 | Select 1 - 18: 1 | |
1030 | Do you wan t to print a profile for the p atient? NO // y YES | |
1031 | SHORT, LON G, or NO P rofile? S HORT// S HORT | |
1032 | Select PRI NT DEVICE: home;80;9 999 COMPU TER ROOM | |
1033 | I N P A T I E N T M E D I C A T I O N S 03/16/ 11 10:32 | |
1034 | VAMC: ZZ ALBAN Y-PRRTP (5 00PA) | |
1035 | - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - | |
1036 | BCMA,EIGH TY-PATIENT Ward : BCMA | |
1037 | PID: 6 66-33-0080 Room -Bed: 12-B Ht(cm): 167.64 (0 3/30/09) | |
1038 | DOB: 0 4/07/35 ( 75) Wt(kg): 90.00 (0 3/30/09) | |
1039 | Sex: F EMALE Admitted: 02/07/02 | |
1040 | Dx: H IGH FEVER | |
1041 | CrCL: < Not Found> BSA (m2): 2.05 | |
1042 | Allergies : CODEINE, ASPIRIN, CAFFEINE, STRAWBERRI ES | |
1043 | ADR : | |
1044 | - - - - - - - - - - - - - - N O N - V E R I F I E D - - - - - - - - - - - - - - | |
1045 | 1 E NOXAPARIN 30MG/0.3ML /SYR INJ ? ***** ***** N | |
1046 | Give: XXX SC XXX@09 -13 | |
1047 | 2 M ULTIVITAMI NS/MINERAL S TAB ? ***** ***** N | |
1048 | Give: ONE TABLET PO QAM | |
1049 | 3 P REDNISONE TAB ? ***** ***** N | |
1050 | Give: 200 0MG PO NOW | |
1051 | - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - - - - - | |
1052 | 4 D OCUSATE NA CAP,ORAL ? ***** ***** P | |
1053 | Give: 100 MG PO QAM | |
1054 | 5 A CETAMINOPH EN TAB ? ***** ***** P | |
1055 | Give: 325 MG PO Q6H | |
1056 | 6 i n CISPLATI N 250MG IN 0.9% NACL 250 ML ? ***** ***** P | |
1057 | 7 i n CISPLATI N 250MG IN 0.9% NACL 250 ML 10 ? ***** ***** P | |
1058 | 8 i n CISPLATI N 250MG IN 0.9% NACL 250 ML 10 ? ***** ***** P | |
1059 | 9 i n DOPAMINE 400MG/D5W 1600MCG/M L 250 ML ? ***** ***** P | |
1060 | 10 i n DOPAMINE IN 200ML D5W 200 ML 50MCG/KG/ ? ***** ***** P | |
1061 | 11 H EPARIN/SOD IUM CHLORI DE INJ,SOL N ? ***** ***** P | |
1062 | Give: IV CONTINUOU S DRIP | |
1063 | View ORDER S (1-11): 1 | |
1064 | ----- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
1065 | Patient: B CMA,EIGHTY -PATIENT Sta tus: NON-V ERIFIED | |
1066 | Orderable Item: ENOX APARIN 30M G/0.3ML/SY R INJ | |
1067 | Instruct ions: | |
1068 | Dosage Ord ered: XXX | |
1069 | Dura tion: St art: 04/05 /10 13:00 | |
1070 | Med R oute: SUBC UTANEOUS ( SC) | |
1071 | S top: 07/14 /10 24:00 | |
1072 | Schedule Type: NOT FOUND | |
1073 | Sche dule: XXX@ 09-13 | |
1074 | (No Adm in Times) | |
1075 | Prov ider: PHAR MACIST,ONE [w] | |
1076 | Un its Unit s Inacti ve | |
1077 | Dispense Drugs U/D Di sp'd Ret' d Date | |
1078 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
1079 | ENOXAPARI N 30MG/0.3 ML INJ SYR INGE 0.3ML 1 0 0 | |
1080 | ORDER NOT VERIFIED | |
1081 | Self Med: NO | |
1082 | Entry By: PHARMACIST ,ONE Entry Da te: 04/05/ 10 14:36 | |
1083 | Enter RETU RN to cont inue or '^ ' to exit: | |
1084 | Select pro file type for order processing . | |
1085 | SHORT, LON G, or NO P rofile? S HORT// S HORT | |
1086 | Non-Verifi ed/Pending Orders Mar 16, 20 11@10:33:0 8 Page: 1 of 2 | |
1087 | BCMA,EIGHT Y-PATIENT Ward: BCMA A | |
1088 | PID: 66 6-33-0080 Room-Bed: 12-B Ht(cm) : 167.64 ( 03/30/09) | |
1089 | DOB: 04 /07/35 (75 ) Wt(kg) : 90.00 (0 3/30/09) | |
1090 | Sex: FE MALE A dmitted: 0 2/07/02 | |
1091 | Dx: HI GH FEVER Last tran sferred: * ******* | |
1092 | CrCL: <N ot Found> B SA (m2): 2 .05 | |
1093 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
1094 | - - - - - - - - - - - - - - N O N - V E R I F I E D - - - - - - - - - - - - - - | |
1095 | 1 EN OXAPARIN 3 0MG/0.3ML/ SYR INJ C 04/05 0 7/14 N | |
1096 | Give: XXX SC XXX@09- 13 | |
1097 | 2 MU LTIVITAMIN S/MINERALS TAB C 09/21 1 2/20 N | |
1098 | Give: ONE TABLET PO QAM | |
1099 | 3 PR EDNISONE T AB O 09/21 1 0/21 N | |
1100 | Give: 2000 MG PO NOW | |
1101 | - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - - - - - | |
1102 | 4 DO CUSATE NA CAP,ORAL ? ***** * **** P | |
1103 | Give: 100M G PO QAM | |
1104 | 5 AC ETAMINOPHE N TAB ? ***** * **** P | |
1105 | Give: 325M G PO Q6H | |
1106 | +--------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
1107 | PI Patien t Informat ion SO Select Order | |
1108 | PU Patien t Record U pdate NO New Or der Entry | |
1109 | Select Act ion: Next Screen// | |
1110 | The orders on the pr ofile are sorted fir st by stat us (ACTIVE , NON-VERI FIED, NON- VERIFIED C OMPLEX, PE NDING RENE WALS, PEND ING COMPLE X, PENDING , RECENTLY DISCONTIN UED/EXPIRE D), then a lphabetica lly by SCH EDULE TYPE . Pending orders wit h a priori ty XE "Pri ority" of STAT are listed fir st and are displayed in a bold and blink ing text f or easy id entificati on. After SCHEDULE T YPE, order s are sort ed alphabe tically by DRUG (the drug name listed on the profi le), and t hen in des cending or der by STA RT DATE. | |
1111 | Example: S hort Profi le | |
1112 | Inpatient Order Entr y Jun 12, 20 06@23:12:5 4 Page: 1 of 1 | |
1113 | PSJPATIENT 11, ONE Ward: 2AS M | |
1114 | PID: 00 0-55-3421 Room-Bed: 102-1 Ht(cm) : ______ ( ________) | |
1115 | DOB: 12 /02/23 (82 ) Wt(kg) : 100.00 ( 06/24/03) | |
1116 | Sex: MA LE A dmitted: 1 2/11/01 | |
1117 | CrCL: <N ot Found> B SA (m2): _ _____ | |
1118 | Dx: HE IS A PAIN . Last tran sferred: 1 2/11/01 | |
1119 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
1120 | 1 CE FAZOLIN 1 GM C 06/12 0 6/22 H | |
1121 | in 5% DEXTRO SE 50 ML Q 8H | |
1122 | 2 CI METIDINE T AB C 06/12 0 7/12 A | |
1123 | Give: 300M G PO BID | |
1124 | 3 FU ROSEMIDE T AB C 06/01 0 6/15 HP | |
1125 | Give: 40MG PO QAM | |
1126 | - - - - - - - - - - - - - - N O N - V E R I F I E D - - - - - - - - - - - - - - | |
1127 | 4 CA PTOPRIL TA B C 06/14 0 6/28 N | |
1128 | Give: 25MG PO BID | |
1129 | - - - - - - - - - - - - P E N D I N G R E N E W A L S - - - - - - - - - - - - | |
1130 | 5 HA LOPERIDOL TAB ? ***** * **** P 06/14 | |
1131 | Give: 5MG PO BID | |
1132 | - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - - - - - | |
1133 | 6 HE PARIN/DEXT ROSE INJ,S OLN ? ***** * **** P | |
1134 | Give: IV | |
1135 | 7 LA CTULOSE SY RUP ? ***** * **** P NF | |
1136 | Give: 10GM /15ML PO B ID PRN | |
1137 | - - - - - - - - - - - RECENTLY DISCONTIN UED/EXPIRE D (LAST X HOURS) - - - - - - - - - - | |
1138 | 8 FO LIC ACID T AB | |
1139 | ||
1140 | ||
1141 | ||
1142 | C 06/14 06/16 D | |
1143 | Give: 1MG PO QAM | |
1144 | 9 GE NTAMICIN 8 0 MG C 06/12 0 6/12 D | |
1145 | in 5% DEXTRO SE 100 ML Q8H | |
1146 | 10 IS ONIAZID TA B C 04/03 0 4/17 DF | |
1147 | Give: 300M G PO QD | |
1148 | 11 PO TASSIUM CH LORIDE 10M EQ C 06/12 0 6/12 DA | |
1149 | in 5% DEXTRO SE 1000 ML Q8H | |
1150 | 12 PO TASSIUM CH LORIDE 40 MEQ C 06/12 0 6/12 DD | |
1151 | in 5% DEXTRO SE 250 ML 120 ml/hr | |
1152 | 13 PR OPRANOLOL TAB C 06/15 0 6/20 DP | |
1153 | Give: 40MG PO Q6H | |
1154 | 14 TH IAMINE TAB C 04/03 0 4/17 E | |
1155 | Give: 100M G PO BID | |
1156 | X – Repres ents the v alue set i n either t he ward or system pa rameter | |
1157 | Ent er ?? for more actio ns | |
1158 | PI Patien t Informat ion SO Select Order | |
1159 | PU Patien t Record U pdate NO New Or der Entry | |
1160 | The HOURS OF RECENTL Y DC/EXPIR ED field ( #7) has be en created in the IN PATIENT WA RD PARAMET ERS file ( #59.6). Th e Inpatien t Medicati ons profil es will di splay the recently d iscontinue d/expired orders tha t fall wit hin the nu mber of ho urs specif ied in thi s field. T he value d efined in this field will take precedenc e over the Inpatient System pa rameter. T he inpatie nt ward pa rameter al lows for a minimum v alue of on e (1) hour and a max imum value of one hu ndred twen ty (120) h ours. The Inpatient Ward Param eters Edit [PSJ IWP EDIT] opti on allows the user t o edit thi s new ward parameter . If this parameter is not set the softw are will u se the val ue in the HOURS OF R ECENTLY DC /EXPIRED f ield (#26. 8) in the PHARMACY S YSTEM file (#59.7). If neither parameter is set th e software will defa ult to twe nty-four ( 24) hours. | |
1161 | The HOURS OF RECENTL Y DC/EXPIR ED field ( #26.8) has been crea ted in the PHARMACY SYSTEM fil e (#59.7). The Inpat ient Medic ations pro files will display t he recentl y disconti nued/expir ed orders that fall within the number of hours spe cified in this field . This par ameter all ows for a minimum va lue of one (1) hour and a maxi mum value of one hun dred twent y (120) ho urs. The S ystems Par ameters Ed it [PSJ SY S EDIT] op tion inclu des the ab ility for a user to edit this inpatient site param eter. If n either par ameter is set the so ftware wil l default to twenty- four (24) hours. | |
1162 | On the med ication pr ofile in t he status column the codes and the actio n they rep resent are as follow s. | |
1163 | Order Stat us: The cu rrent stat us of the order. The se statuse s include: | |
1164 | A | |
1165 | Active | |
1166 | N | |
1167 | Non-Verifi ed | |
1168 | O | |
1169 | On Call (I V orders o nly) | |
1170 | I | |
1171 | Incomplete | |
1172 | HP | |
1173 | Placed on hold by pr ovider thr ough CPRS | |
1174 | H | |
1175 | Placed on hold via b ackdoor Ph armacy | |
1176 | E | |
1177 | Expired | |
1178 | DP | |
1179 | Discontinu ed by prov ider throu gh CPRS | |
1180 | DE | |
1181 | Discontinu ed due to edit via b ackdoor Ph armacy (Un it Dose or ders only) | |
1182 | D | |
1183 | Discontinu ed via bac kdoor Phar macy (IV & UD); disc ontinued d ue to edit via backd oor Pharma cy (IV) | |
1184 | The Status column wi ll also di splay some additiona l disconti nue type a ctions per formed on the order. The codes and the a ction they represent are as fo llows: | |
1185 | DF | |
1186 | Discontinu ed due to edit by a provider t hrough CPR S | |
1187 | DD | |
1188 | Auto disco ntinued du e to death | |
1189 | DA | |
1190 | Auto disco ntinued du e to patie nt movemen ts | |
1191 | Example: P rofile | |
1192 | Inpatient Order Entr y Jun 12, 20 06@23:12:5 4 Page: 1 of 1 | |
1193 | PSJPATIENT 11, ONE Ward: 2AS M | |
1194 | PID: 00 0-55-3421 Room-Bed: 102-1 Ht(cm) : ______ ( ________) | |
1195 | DOB: 12 /02/23 (82 ) Wt(kg) : 100.00 ( 06/24/03) | |
1196 | Sex: MA LE A dmitted: 1 2/11/01 | |
1197 | Dx: HE IS A PAIN . Last tran sferred: 1 2/11/01 | |
1198 | CrCL: <N ot Found> B SA (m2): _ _____ | |
1199 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
1200 | 1 CE FAZOLIN 1 GM C 06/12 0 6/22 H | |
1201 | in 5% DEXTRO SE 50 ML Q 8H | |
1202 | 2 CI METIDINE T AB C 06/12 0 7/12 A | |
1203 | Give: 300M G PO BID | |
1204 | 3 FU ROSEMIDE T AB C 06/01 0 6/15 HP | |
1205 | Give: 40MG PO QAM | |
1206 | - - - - - - - - - - - - - - N O N - V E R I F I E D - - - - - - - - - - - - - - | |
1207 | 4 CA PTOPRIL TA B C 06/14 0 6/28 N | |
1208 | Give: 25MG PO BID | |
1209 | - - - - - - - - - - - - P E N D I N G R E N E W A L S - - - - - - - - - - - - | |
1210 | 5 HA LOPERIDOL TAB ? ***** * **** P 06/14 | |
1211 | Give: 5MG PO BID | |
1212 | - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - - - - - | |
1213 | 6 HE PARIN/DEXT ROSE INJ,S OLN ? ***** * **** P | |
1214 | Give: IV | |
1215 | 7 LA CTULOSE SY RUP ? ***** * **** P NF | |
1216 | Give: 10GM /15ML PO B ID PRN | |
1217 | - - - - - - - - - - - RECENTLY DISCONTIN UED/EXPIRE D (LAST 24 HOURS) - - - - - - - - | |
1218 | 8 FO LIC ACID T AB | |
1219 | ||
1220 | ||
1221 | ||
1222 | C 06/14 06/16 D | |
1223 | Give: 1MG PO QAM | |
1224 | 9 GE NTAMICIN 8 0 MG C 06/12 0 6/12 D | |
1225 | in 5% DEXTRO SE 100 ML Q8H | |
1226 | 10 IS ONIAZID TA B C 04/03 0 4/17 DF | |
1227 | Give: 300M G PO QD | |
1228 | 11 PO TASSIUM CH LORIDE 10M EQ C 06/12 0 6/12 DA | |
1229 | in 5% DEXTRO SE 1000 ML Q8H | |
1230 | 12 PO TASSIUM CH LORIDE 40 MEQ C 06/12 0 6/12 DD | |
1231 | in 5% DEXTRO SE 250 ML 120 ml/hr | |
1232 | 13 PR OPRANOLOL TAB C 06/15 0 6/20 DP | |
1233 | Give: 40MG PO Q6H | |
1234 | 14 TH IAMINE TAB C 04/03 0 4/17 E | |
1235 | Give: 100M G PO BID | |
1236 | Ent er ?? for more actio ns | |
1237 | PI Patien t Informat ion SO Select Order | |
1238 | PU Patien t Record U pdate NO New Or der Entry | |
1239 | The nurse can enter a Patient Action XE "Patient A ction" at the “Sele ct Action XE "Select Action" : Quit//” p rompt in t he Action Area XE "A ction Area " of the screen or choose a s pecific or der or ord ers. | |
1240 | When the n urse holds the PSJ R NURSE key XE "PSJ RN URSE Key" , it will be possibl e to take any availa ble action s on selec ted Unit D ose or IV orders and verify no n-verified orders. | |
1241 | The follow ing keys m ay be assi gned if th e user alr eady holds the PSJ R NURSE key: | |
1242 | PSJ RNFIN ISH key XE "PSJ RNFI NISH Key" will allo w the nurs e to finis h Unit Dos e orders. | |
1243 | PSJI RNFI NISH key X E "PSJI RN FINISH Key " will al low the nu rse to fin ish IV ord ers. | |
1244 | Display of Discontin ued or Edi ted IV Ord ers | |
1245 | The Non-Ve rified/Pen ding Order s XE "Non- Verified/P ending Ord ers" [PSJ U VBW] op tion allow s discont inued or e dited IV o rders from CPRS to display to the user prior to t aking acti on to fini sh or edit the pendi ng order. | |
1246 | This allow s the user to pull I Vs that ar e disconti nued and p revent the m from bei ng sent to the patie nt ward an d potentia lly be giv en in erro r. It also allows th e user to perform a drug-drug interactio n check, s ince recen tly discon tinued med ications c an still c ause a dru g interact ion. | |
1247 | The discon tinued and edited re cords whic h are view ed are tem porary and are store d in the I V MEDICATI ON ORDERS DC'D (#52. 75) file. These reco rds are on ly intende d to help identify d iscontinue d IV order s for a pa rticular w ard or a w ard group and will n ot include any clini cs or clin ic groups. The recor ds act as alerts, an d taking a ction on t hese recor ds does no t impact t he actual order. | |
1248 | The user c an delete the discon tinued IV orders fro m the IV M EDICATION ORDERS DC' D (#52.75) file when appropria te. | |
1249 | The follow ing action s are avai lable for records be ing viewed in this o ption: (P) rint, (R)e fresh, (D) elete, or (I)gnore: | |
1250 | The (Print ) action a llows the viewed ord ers to be printed to a device. Optionall y, those r ecords can be delete d, once pr inted. Any report qu eued to a device wil l only con tain disco ntinued or ders that were logge d at the t ime of que uing. | |
1251 | The (Refre sh) action re-displa ys the rec ords. | |
1252 | The (Delet e) action removes th e currentl y viewed r ecords fro m the file so they w ill no lon ger be dis played. | |
1253 | The (Ignor e) action continues with the u sual next prompt and take no a ction on t he records . | |
1254 | In additio n to helpi ng prevent medicatio n errors, this modif ication al so allows labels to be pulled for IVs th at are not yet prepa red. This saves reso urces, inc luding the drug (esp ecially he lpful when drug shor tages occu r), and ti me spent m anaging ph armacy ord ers. For I Vs that ar e already prepared, the user m ay reuse t he prepare d bag on a nother pat ient while it is sti ll within the expira tion date. | |
1255 | Example: N on-Verifie d/Pending Orders | |
1256 | Select O PTION NAME : PSJU VBW Non -Verified/ Pending Or ders | |
1257 | Select I V ROOM NAM E: CHEY ENNE RM#27 2 | |
1258 | Display an Order S ummary? NO // <enter> | |
1259 | 1) Non-V erified Or ders | |
1260 | 2) Pendi ng Orders | |
1261 | Select O rder Type( s) (1-2): 1-2 | |
1262 | 1) Unit Dose Order s | |
1263 | 2) IV Or ders | |
1264 | Select P ackage(s) (1-2): 1-2 | |
1265 | Select b y GROUP (G ), WARD (W ), CLINIC (C), PATIE NT (P) or PRIORITY ( PR): GROUP | |
1266 | Select b y WARD GRO UP (W) or CLINIC GRO UP (C): WA RD | |
1267 | Select W ARD GROUP: C WARD EA ST WINGS | |
1268 | Example: O utput | |
1269 | IV OR DER D/Cs a nd EDITS T hru CPRS S ince 6/1/2 016@14:21 (past 840 hrs) | |
1270 | IV ROOM: CHEYENNE RM#272 GROUP: C WARD EAS T WINGS | |
1271 | WARD - ROOM/BED DRUG PATIENT P ID DT/TM | |
1272 | --------- ---------- ---------- ---------- ---------- ---------- ---------- ---- | |
1273 | C MEDICIN 9999 ABCIXIMAB AAADTSXY ,QLYJH 45 07 06/06/2 016 | |
1274 | Edited Give: IV 30 ml/hr @1:15 pm | |
1275 | C MEDICIN 9999 ABCIXIMAB AAADTSXY ,QLYJH 45 07 06/07/2 016 | |
1276 | Edited Give: IV 30 ml/hr @1:56 pm | |
1277 | (P)rint, (R)efresh , (D)elete , or (I)gn ore?: (P/ R/D/I): I/ / gnore | |
1278 | Inpatient Order Entr y XE "Inpa tient Orde r Entry" | |
1279 | [PSJ OE] | |
1280 | The Inpati ent Order Entry XE " Inpatient Order Entr y" [PSJ O E]option, if assigne d, allows the nurse to create, edit, ren ew, hold X E "Hold" , and disco ntinue Uni t Dose and IV orders , as well as put exi sting IV o rders on c all for an y patient, while rem aining in the Unit D ose Medica tions modu le. | |
1281 | The Inpati ent Order Entry [PSJ OE] optio n also all ows for pr ocessing o f clinic o rders. New clinic or ders canno t be creat ed. Clinic orders ar e displaye d separate ly from no n-clinic o rders. | |
1282 | When the u ser access es the Inp atient Ord er Entry X E "Inpatie nt Order E ntry" opt ion from t he Unit Do se Medicat ions modul e for the first time within a session, a prompt is displayed to select the IV ro om XE "IV Room" in which to e nter order s. When on ly one act ive IV roo m exists, the system will auto matically select tha t IV room. The user is then gi ven the la bel and re port devic es defined for the I V room cho sen. If no devices h ave been d efined, th e user wil l be given the oppor tunity to choose the m. If this option is exited an d then re- entered wi thin the s ame sessio n, the cur rent label and repor t devices are shown. The follo wing examp le shows t he option re-entered during th e same ses sion. | |
1283 | Example: I npatient O rder Entry XE "Inpat ient Order Entry Exa mple" | |
1284 | Select Uni t Dose Med ications O ption: IOE Inpatien t Order En try | |
1285 | You are si gned on un der the BI RMINGHAM I SC IV ROOM | |
1286 | Current IV LABEL dev ice is: NT TELNET TE RMINAL | |
1287 | Current IV REPORT de vice is: N T TELNET T ERMINAL | |
1288 | Select PAT IENT: PSJP ATIENT1 | |
1289 | At the “Se lect PATIE NT:” promp t, the use r can ente r the pati ent’s name or enter the first letter of the patien t’s last n ame and th e last fou r digits o f the pati ent’s soci al securit y number ( e.g., P000 1). | |
1290 | Before the Patient I nformation screen di splays, if the patie nt selecte d has no a llergy ass essment on file, the following prompt di splays to the pharma cist/user: | |
1291 | "NO ALLERG Y ASSESSME NT exists for this p atient! Wo uld you li ke to ente r one now? " | |
1292 | If the pha rmacist/us er enters 'YES,' he/ she is pro mpted to e nter the a llergy inf ormation. | |
1293 | If the pha rmacist/us er enters 'NO,' a ph armacist i nterventio n is creat ed, with a type of ' NO ALLERGY ASSESSMEN T.' The ph armacist/u ser is the n prompted for Provi der and Re commendati on informa tion. | |
1294 | Note: If t he selecte d patient is Sensiti ve, Discha rged, both Sensitive and Disch arged, or Deceased, there are variations in the Or der Entry process an d in the p rompts tha t display to the pha rmacist/us er. | |
1295 | Example: P harmacist Answers ‘Y es’ and En ters Aller gy Informa tion | |
1296 | Select PAT IENT: PSJP ATIENT1, O NE | |
1297 | NO ALLERGY ASSESSMEN T exists f or this pa tient! | |
1298 | Would you like to en ter one no w? No// Y ES (Yes) | |
1299 | Does this patient ha ve any kno wn allergi es or adve rse reacti ons? : Yes | |
1300 | This patie nt has no allergy/ad verse reac tion data. | |
1301 | Enter Caus ative Agen t: LATEX | |
1302 | Checking e xisting PA TIENT ALLE RGIES (#12 0.8) file for matche s... | |
1303 | Now checki ng GMR ALL ERGIES (#1 20.82) fil e for matc hes... | |
1304 | Now checki ng the Nat ional Drug File - Ge neric Name s (#50.6) | |
1305 | Now checki ng the Nat ional Drug File - Tr ade Names (#50.67) | |
1306 | Now checki ng the ING REDIENTS ( #50.416) f ile for ma tches... | |
1307 | . ..OK? Yes/ / Y (Yes) | |
1308 | LATEX OK? Yes// (Yes) | |
1309 | Example: P harmacist Answers ‘N o’ and Int ervention is Created | |
1310 | Select PAT IENT: PSJP ATIENT1, O NE | |
1311 | NO ALLERGY ASSESSMEN T exists f or this pa tient! | |
1312 | Would you like to en ter one no w? No// N (No) | |
1313 | Now creati ng Pharmac y Interven tion | |
1314 | PROVIDER: | |
1315 | Selec t one of t he followi ng: | |
1316 | 1 UNABLE TO ASSESS | |
1317 | 2 OTHER | |
1318 | RECOMMENDA TION: ^ | |
1319 | See 'Pharm acy Interv ention Men u' if you want to de lete this | |
1320 | interventi on or for more optio ns. | |
1321 | Press Retu rn to cont inue... | |
1322 | The Patien t Informat ion XE "Pa tient Info rmation" Screen is displayed: | |
1323 | Example: P atient Inf ormation X E "Patient Informati on Screen Example" Screen | |
1324 | Patient In formation Sep 12, 20 00 10:36:3 8 Page: 1 of 1 | |
1325 | PSJPATIENT 1,ONE Ward: 1 EAST | |
1326 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
1327 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
1328 | Sex: MA LE A dmitted: 0 5/03/00 | |
1329 | Dx: TE STING Last tran sferred: * ******* | |
1330 | Allergies /Reactions : No Aller gy Assessm ent | |
1331 | Remote: | |
1332 | Adverse Re actions: | |
1333 | Inpatient Narrative : INP NARR ... | |
1334 | Outpatien t Narrativ e: | |
1335 | Enter ?? f or more ac tions | |
1336 | PU Patient Record Up date NO New Ord er Entry | |
1337 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
1338 | VP View Pr ofile | |
1339 | Select Act ion: View Profile// | |
1340 | The nurse can now en ter a Pati ent Action XE "Patie nt Action" at the “ Select Act ion XE "Se lect Actio n" : View Profile XE "View Pro file" //” prompt in the Action Area XE " Action Are a" of the screen. | |
1341 | The DURATI ON OF ADMI NISTRATION prompt in the Inpat ient Order Entry [PS J OE] opti on calcula tes the ap propriate removal ti mes for me dications requiring removal an d displays them for verificati on by the Pharmacist . | |
1342 | Example: E xplanation of Durati on of Admi nistration Prompt | |
1343 | The Durati on of Admi nistration is the pe riod of ti me the med ication re mains on t he patient before re moval. If this medic ation orde r requires a drug-fr ee period prior to t he next ad ministrati on, enter a Duration of Admini stration h ere. | |
1344 | If this me dication o rder does not requir e a drug-f ree period prior to the next a dministrat ion, this field shou ld be left blank. | |
1345 | Enter the number of hours the medication will rema in on the patient in the Durat ion of Adm inistratio n field. T he BCMA us er will be prompted to remove the medica tion after the Durat ion of Adm inistratio n period. | |
1346 | The Durati on of Admi nistration cannot ma tch or exc eed the or der freque ncy (the p eriod of t ime betwee n two Admi n Times), except for BID, TID and QID sc hedules. | |
1347 | PADE Main Menu Optio n | |
1348 | A new menu option, t he Pharmac y Automate d Dispensi ng Equipme nt (PADE) Main Menu, has been added to U nit Dose M edications . The PADE menu opti on allows the user t o transmit inpatient medicatio n orders t o PADE so that the u ser has th e most cur rent infor mation nec essary to manage and dispense medication s. | |
1349 | This menu has the fo llowing fo ur options : | |
1350 | SA PADE Send Area Setup | |
1351 | SS PADE Syste m Setup | |
1352 | IN PADE Inbou nd Invento ry Setup | |
1353 | SC PADE Send Surgery Ca ses | |
1354 | Patient Ac tions XE " Patient Ac tions" | |
1355 | The Patien t Actions XE "Patien t Action" are the a ctions ava ilable in the Action Area XE " Action Are a" of the List Mana ger XE "Li st Manager " Screen. These act ions perta in to the patient in formation and includ e editing, viewing, and new or der entry. | |
1356 | Patient Re cord Updat e XE "Pati ent Record Update" | |
1357 | The Patien t Record U pdate XE " Patient Re cord Updat e" action allows ed iting of t he Inpatie nt Narrati ve XE "Inp atient Nar rative" a nd the Pat ient’s Def ault Stop Date and T ime for Un it Dose Or der entry. | |
1358 | Example: P atient Rec ord Update XE "Patie nt Record Update Exa mple" | |
1359 | Patient In formation Sep 12, 20 00 14:39:0 7 Page: 1 of 1 | |
1360 | PSJPATIENT 1,ONE Ward: 1 EAST | |
1361 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
1362 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
1363 | Sex: MA LE A dmitted: 0 5/03/00 | |
1364 | Dx: TE STING Last tran sferred: * ******* | |
1365 | Allergies /Reactions : No Aller gy Assessm ent | |
1366 | Remote: | |
1367 | Adverse R eactions: | |
1368 | Inpatient Narrative : INP NARR … | |
1369 | Outpatien t Narrativ e: | |
1370 | Enter ?? f or more ac tions | |
1371 | PU Patient Record Up date NO New Ord er Entry | |
1372 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
1373 | VP View Pr ofile | |
1374 | Select Act ion: View Profile// PU | |
1375 | INPATIENT NARRATIVE: INP NARR. ..// Narra tive for P atient PSJ PATIENT1 | |
1376 | UD DEFAULT STOP DATE /TIME: SEP 21,2000@2 4:00// | |
1377 | The “INPAT IENT NARRA TIVE: INP NARR...//” prompt al lows the n urse to en ter inform ation in a free text format, u p to 250 c haracters. | |
1378 | The “UD DE FAULT STOP DATE/TIME :” prompt is the dat e and time entry to be used as the defau lt value f or the STO P DATE/TIM E of the U nit Dose o rders duri ng order e ntry and r enewal pro cesses. Th is value i s used onl y if the c orrespondi ng ward pa rameter is enabled. The order entry and renewal pr ocesses wi ll sometim es change this date and time. | |
1379 | Note: If t he Unit Do se order, being fini shed by th e nurse, i s received from CPRS and has a duration assigned, the UD DEF AULT STOP DATE/TIME is display ed as the Calc Stop Date/Time. XE "Non-V erified/Pe nding Orde rs" | |
1380 | When the S AME STOP D ATE ON ALL ORDERS pa rameter is set to Ye s, the mod ule will a ssign the same defau lt stop da te XE "Def ault Stop Date" for each pati ent. This date is in itially se t when the first ord er is ente red for th e patient, and can c hange when an order for the pa tient is r enewed. Th is date is shown as the defaul t value fo r the stop date of e ach of the orders en tered for the patien t. | |
1381 | Note: If t his parame ter is not enabled, the user c an still e dit a pati ent’s defa ult stop d ate XE "De fault Stop Date" . U nless the parameter is enabled , the defa ult stop d ate XE "De fault Stop Date" wi ll not be seen or us ed by the module. | |
1382 | Examples o f Valid Da tes and Ti mes: | |
1383 | JAN 20 195 7 or 20 JA N 57 or 1/ 20/57 or 0 12057 | |
1384 | T (for TOD AY), T+1 (for TOMOR ROW), T+2 , T+7, e tc. | |
1385 | T-1 (for Y ESTERDAY), T-3W (fo r 3 WEEKS AGO), etc. | |
1386 | If the yea r is omitt ed, the co mputer use s CURRENT YEAR. Two- digit year assumes n o more tha n 20 years in the fu ture, or 8 0 years in the past. | |
1387 | If only th e time is entered, t he current date is a ssumed. | |
1388 | Follow the date with a time, s uch as JAN 20@10, T@ 10AM, 10:3 0, etc. | |
1389 | The nurse may enter a time, su ch as NOON , MIDNIGHT , or NOW. | |
1390 | The nurse may enter NOW+3' (fo r current date and t ime plus 3 minutes-- the apostr ophe follo wing the n umber indi cates minu tes). | |
1391 | Time is RE QUIRED in this respo nse. | |
1392 | New Order Entry | |
1393 | Unit Dose XE "New Or der Entry" | |
1394 | The New Or der Entry action all ows the nu rse to ent er new Uni t Dose and IV orders for the p atient dep ending upo n the orde r option s elected (O rder Entry XE "Order Entry" , Non-Verifi ed Pending Orders XE "Non-Veri fied/Pendi ng Orders" , or Inpa tient Orde r Entry XE "Inpatien t Order En try" ). On ly one use r is able to enter n ew orders on a selec ted patien t due to t he patient lock XE " Patient Lo ck" withi n the Vist A XE "Vist A" applic ations. Th is minimiz es the cha nce of dup licate ord ers. | |
1395 | For Unit D ose order entry, a r esponse mu st be ente red at the “Select D RUG:” prom pt. The nu rse can se lect a par ticular dr ug or ente r a pre-de fined orde r set XE " Order Set" . | |
1396 | Depending on the ent ry in the “Order Ent ry XE "Ord er Entry" Process:” prompt in the Inpat ient User Parameters Edit opti on, the nu rse will e nter a reg ular or ab breviated order entr y XE "Abbr eviated Or der Entry" process. The abbre viated ord er entry p rocess req uires entr y into few er fields than regul ar order e ntry XE "R egular Ord er Entry" . Beside e ach of the prompts l isted belo w, in pare ntheses, w ill be the word regu lar, for r egular ord er entry a nd/or abbr eviated, f or abbrevi ated order entry. | |
1397 | “Select DR UG:” (Regu lar and Ab breviated) XE "Drug Prompt" | |
1398 | Nurses sel ect Unit D ose medica tions dire ctly from the DRUG f ile XE "Dr ug File" . The Order able Item XE "Ordera ble Item" for the s elected dr ug will au tomaticall y be added to the or der, and a ll Dispens e Drugs en tered for the order must be li nked to th at Orderab le Item. I f the Orde rable Item is edited , data in the DOSAGE ORDERED X E "Dosage Ordered" field and the DISPEN SE DRUG XE "Dispense Drug" fi eld will b e deleted. If multip le Dispens e Drugs ar e needed i n an order , they may be entere d by selec ting the D ISPENSE DR UG field f rom the ed it list be fore accep ting the n ew order. After each Dispense Drug XE "D ispense Dr ug" is se lected, it will be c hecked aga inst the p atient’s c urrent med ications f or duplica te therapy XE "Order Check:Dup licate Cla ss" , drug -drug XE " Order Chec k:Drug-Dru g Interact ions" /dru g-allergy interactio ns, danger ous meds f or patient >64, Amin oglycoside ordered, and Glucop hage lab r esults ord er checks XE "Order Check:Drug -Allergy I nteraction s" . (See Section 4. 9 Order Ch ecks XE "O rder Check " for mor e informat ion.) | |
1399 | ||
1400 | Note: No s pecial ord er checks are perfor med for sp ecific dru gs (e.g., Clozapine) . Orders f or Clozapi ne or simi lar specia l meds ent ered throu gh Inpatie nt Medicat ions will not yield the same r esults tha t currentl y occur wh en the sam e order is entered t hrough Out patient Ph armacy (in cluding el igibility checks and national rollup to the Nation al Clozapi ne Coordin ating Cent er (NCCC). Any patie nts requir ing specia l monitori ng should also have an order e ntered thr ough Outpa tient Phar macy at th is time. | |
1401 | The nurse can enter an order s et XE "Ord er Set" a t this pro mpt. An or der set is a group o f pre-writ ten orders . The maxi mum number of orders is unlimi ted. Order sets are created an d edited u sing the O rder Set E nter/Edit option fou nd under t he Supervi sor’s Menu . | |
1402 | Order sets are used to expedit e order en try for dr ugs that a re dispens ed to all patients i n certain medical pr actices or for certa in procedu res. Order sets are designed t o be used when a rec ognized pa ttern for the admini stration o f drugs ca n be ident ified. For example: | |
1403 | A pre-oper ative seri es of drug s administ ered to al l patients undergoin g a certai n surgical procedure . | |
1404 | A certain series of drugs to b e dispense d to all p atients pr ior to und ergoing a particular radiograp hic proced ure. | |
1405 | A certain group of d rugs, pres cribed by a provider for all p atients, t hat is use d for trea tment on a certain m edical ail ment or em ergency. | |
1406 | Order sets allow rap id enterin g of this repetitive informati on, expedi ting the w hole order entry pro cess. Expe rienced us ers might want to se t up most of their c ommon orde rs as orde r sets. | |
1407 | Order set entry begi ns like ot her types of order e ntry. At t he “Select DRUG:” pr ompt, S.NA ME should be entered . The NAME represent s the name of a pred efined ord er set XE "Order Set " . The ch aracters S . tell the software that this will not b e a single new order entry for a single drug, but a set of o rders for multiple d rugs. The S. is a re quired pre fix to the name of t he order s et. When t he user ty pes the ch aracters S .?, a list of the na mes of the order set s that are currently available will be d isplayed. If S. (<Sp acebar> an d <Enter>) is typed, the previ ous order set is ent ered. | |
1408 | After the entry of t he order s et XE "Ord er Set" , the softwa re will pr ompt for t he Provide r’s XE "Pr ovider" n ame and Na ture of Or der XE "Na ture of Or der" . Aft er entry o f this inf ormation, the first order of t he set wil l automati cally be e ntered. Th e options available are differ ent depend ing on the type of o rder entry process t hat is ena bled–regul ar, abbrev iated, or ward. If r egular or abbreviate d order en try XE "Ab breviated Order Entr y" is ena bled, the user will be shown o ne order a t a time, all fields for each order of t he order s et and the n the “Sel ect Item(s ): Next Sc reen //” p rompt. The user can then choos e to take an action on the ord er. Once a n action i s taken or bypassed, the next order of t he order s et XE "Ord er Set" w ill be ent ered autom atically. After entr y of all t he orders in the ord er set, th e software will prom pt for mor e orders f or the pat ient. At t his point the user c an proceed exactly a s in new o rder entry , and resp ond accord ingly. | |
1409 | When a dru g is chose n, if an a ctive drug text entr y for the Dispense D rug XE "Di spense Dru g" and/or Orderable Item XE " Orderable Item" lin ked to thi s drug exi sts, then the prompt , “Restric tion/Guide line(s) ex ist. Displ ay?:” will be displa yed along with the c orrespondi ng default s. The dru g text ind icator XE "Drug Text Indicator " will be <DIN> and will be d isplayed o n the righ t hand cor ner on the same line as the Or derable It em. This i ndicator w ill be hig hlighted. | |
1410 | If the Dis pense Drug XE "Dispe nse Drug" or Ordera ble Item X E "Orderab le Item" has a non- formulary status XE "Non-Formu lary Statu s" , this status wil l be displ ayed on th e screen a s “*N/F*” beside the Dispense Drug or Or derable It em. | |
1411 | Overrides/ Interventi ons (OCI): XE "Orde r Checks/I nterventio ns (OCI) i ndicator" | |
1412 | When the O CI display s on the O rder Detai l screen, it indicat es there a re associa ted CPRS P rovider Ov errides an d/or Pharm acist Inte rventions for this o rder. The Overrides/ Interventi ons <OCI> will displ ay on the same line as the Ord erable Ite m field, t o the left of the dr ug text in dicator <D IN> (if it exists). | |
1413 | *(1)Ordera ble Item: METRONIDAZ OLE TAB < OCI><DIN> | |
1414 | Inst ructions: 250MG | |
1415 | *(2)Dosage Ordered: 250MG | |
1416 | Duration: (3)Sta rt: 07/11/ 11 15:33 | |
1417 | *(4) M ed Route: ORAL REQ UESTED STA RT: 07/11/ 11 16:00 | |
1418 | (5) St op: 07/25/ 11 15:33 | |
1419 | (6) Sched ule Type: CONTINUOUS | |
1420 | *(8) Schedule: Q36H | |
1421 | (9) Adm in Times: | |
1422 | *(10) Provider: PSJPROVIDE R,ONE[es] | |
1423 | (11) Spec ial Instru ctions: | |
1424 | (12) Disp ense Drug U/D Inacti ve Date | |
1425 | METR ONIDAZOLE 250MG TAB 1 | |
1426 | + Enter ?? f or more ac tions | |
1427 | + Enter ?? f or more ac tions | |
1428 | ED Edit AC ACCEPT | |
1429 | Select Ite m(s): Next Screen// AC ACCEP T | |
1430 | If the OCI displays on the Ord er Detail screen, th e user can type “OCI ” to displ ay the CPR S Provider Overrides XE "CPRS Provider O verrides" and/or Ph armacist I nterventio ns associa ted with t he order, as well as any histo rical over rides and interventi ons, if ap plicable. | |
1431 | “DOSAGE OR DERED XE " Dosage Ord ered" :” ( Regular an d Abbrevia ted) | |
1432 | To allow p harmacy gr eater cont rol over t he order d isplay sho wn for Uni t Dose ord ers on pro files, lab els, MARs, etc., the DOSAGE OR DERED XE " Dosage Ord ered" fie ld is not required i f only one Dispense Drug XE "D ispense Dr ug" exist s in the o rder. If m ore than o ne Dispens e Drug exi sts for th e order, t hen this f ield is re quired. | |
1433 | When a Dis pense Drug XE "Dispe nse Drug" is select ed, the se lection li st/default will be d isplayed b ased on th e Possible Dosages X E "Possibl e Dosages" and Loca l Possible Dosages X E "Local P ossible Do sages" . | |
1434 | Example: D ispense Dr ug with Po ssible Dos ages XE " Possible D osages Exa mple" | |
1435 | Select DRU G: BACLOFE N | |
1436 | Lookup: GENERIC NA ME | |
1437 | BACLOFEN 1 0 MG TAB | |
1438 | MS200 | |
1439 | . ..OK? Yes/ / (Yes) | |
1440 | Now doing allergy ch ecks.Pleas e wait... | |
1441 | Now proces sing Clini cal Remind er Order C hecks.Plea se wait .. . | |
1442 | Now Proces sing Enhan ced Order Checks!Ple ase wait.. . | |
1443 | Press Retu rn to cont inue...... | |
1444 | Available Dosage(s) | |
1445 | ||
1446 | 1. | |
1447 | 5MG | |
1448 | ||
1449 | 2. | |
1450 | 10MG | |
1451 | ||
1452 | 3. | |
1453 | 15MG | |
1454 | ||
1455 | 4. | |
1456 | 20MG | |
1457 | ||
1458 | 5. | |
1459 | 30MG | |
1460 | ||
1461 | 6. | |
1462 | 40MG | |
1463 | Select fro m list of Available Dosages or Enter Fre e Text Dos e: | |
1464 | All Local Possible D osages XE "Local Pos sible Dosa ges" will be displa yed within the selec tion list/ default. | |
1465 | Example: D ispense Dr ug with Lo cal Possib le Dosages | |
1466 | Select DRU G: | |
1467 | GENTAMICIN SULFATE 0 .1% CREAM | |
1468 | ||
1469 | DE101 | |
1470 | ||
1471 | DERM CLINI C ONLY | |
1472 | ||
1473 | ...OK? Yes // (Yes) | |
1474 | Now doing allergy ch ecks. Ple ase wait.. . | |
1475 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
1476 | Now Proces sing Enhan ced Order Checks! Please wai t... | |
1477 | Press Retu rn to cont inue...... | |
1478 | Available Dosage(s) | |
1479 | ||
1480 | 1. | |
1481 | ||
1482 | 2. | |
1483 | SMALL AMOU NT | |
1484 | ||
1485 | 3. | |
1486 | THIN FILM | |
1487 | ||
1488 | 4. | |
1489 | MODERATE A MOUNT | |
1490 | ||
1491 | 5. | |
1492 | LIBERAL AM OUNT | |
1493 | Select fro m list of Available Dosages or Enter Fre e Text Dos e: XE "Lo cal Possib le Dosages Example" | |
1494 | Note: If a n order co ntains mul tiple Disp ense Drugs , Dosage O rdered XE "Dosage Or dered" sh ould conta in the tot al dosage of the med ication to be admini stered. | |
1495 | The user h as the fle xibility o f how to d isplay the order vie w on the s creen. Whe n the user has chose n the drug and when no Dosage Ordered XE "Dosage O rdered" i s defined for an ord er, the or der will b e displaye d as: | |
1496 | Example: O rder View Informatio n when Dos age Ordere d is not D efined | |
1497 | DISPENSE D RUG NAME | |
1498 | Give: UNIT S PER DOSE MEDICATI ON ROUTE SCHEDULE | |
1499 | When the u ser has ch osen the d rug and Do sage Order ed XE "Dos age Ordere d" is def ined for t he order, it will be displayed as: | |
1500 | Example: O rder View Informatio n when Dos age Ordere d is Defin ed | |
1501 | ORDERABLE ITEM NAME DOSE FORM | |
1502 | Give: DOSA GE ORDERED MEDICATI ON ROUTE SCHEDULE | |
1503 | The DOSAGE ORDERED X E "Dosage Ordered" and the UN ITS PER DO SE XE "Uni ts Per Dos e" fields are modif ied to per form the f ollowing f unctionali ty: | |
1504 | Entering a new backd oor order: | |
1505 | If the Dos age Ordere d entered is selecte d from the Possible Dosages or the Local Possible Dosages, t he user wi ll not be prompted f or the Uni ts Per Dos e. Either the BCMA U nits Per D ose or the Dispense Units Per Dose, defi ned under the Dispen se Drug, w ill be use d as the d efault for the Units Per Dose. | |
1506 | If a free text dose is entered for the D osage Orde r, the use r will be prompted f or the Uni ts Per Dos e. A warni ng message will disp lay when t he entered Units Per Dose does not seem to be comp atible wit h the Dosa ge Ordered . The user will cont inue with the next p rompt | |
1507 | Finishing pending or ders: | |
1508 | If the Dos age Ordere d entered is selecte d from the Possible Dosages or the Local Possible Dosages, t he user wi ll not be prompted f or the Uni ts Per Dos e. Either the BCMA U nits Per D ose or the Dispense Units Per Dose, defi ned under the Dispen se Drug, w ill be use d as the d efault for the Units Per Dose. | |
1509 | If a free text dose was entere d for the pending or der, the U NITS PER D OSE field will defau lt to 1. A warning m essage wil l display when the U nits Per D ose does n ot seem to be compat ible with the Dosage Ordered w hen the us er is fini shing/veri fying the order. | |
1510 | Editing or der: | |
1511 | Any time t he DOSAGE ORDERED or the UNITS PER DOSE field is e dited, a c heck will be perform ed and a w arning mes sage will display wh en the Uni ts Per Dos e does not seem to b e compatib le with th e Dosage O rdered. Ne ither fiel d will be automatica lly update d. | |
1512 | Note: Ther e will be no Dosage Ordered ch eck agains t the Unit s Per Dose if a Loca l Possible Dosage is selected. | |
1513 | “UNITS PER DOSE:” (R egular) | |
1514 | This is th e number o f units (t ablets, ca psules, et c.) of the selected Dispense D rug to be given when the order is admini stered. | |
1515 | When a sel ection is made from the dosage list prov ided at th e “DOSAGE ORDERED:” prompt, th en this “U NITS PER D OSE:” prom pt will no t be displ ayed unles s the sele ction list /default c ontains Lo cal Possib le Dosages . If a num eric dosag e is enter ed at the “DOSAGE OR DERED:” pr ompt, but not from t he selecti on list, t hen the de fault for “UNITS PER DOSE:” wi ll be calc ulated as follows: D OSAGE ORDE RED/STRENG TH = UNITS PER DOSE and will n ot be disp layed. | |
1516 | If free te xt or no v alue is en tered at t he “DOSAGE ORDERED:” prompt, t he “UNITS PER DOSE:” prompt wi ll be disp layed. Whe n the user presses < Enter> pas t the “UNI TS PER DOS E:” prompt , without entering a value, a “1” will b e stored. A warning message wi ll be gene rated when free text is entere d at the “ DOSAGE ORD ERED:” pro mpt and no value or an incorre ct value i s entered at the “UN ITS PER DO SE:” promp t. | |
1517 | “MED ROUTE :” (Regula r and Abbr eviated) | |
1518 | Inpatient Medication s uses the medicatio n route pr ovided by CPRS as th e default when finis hing an IV order, an d transmit s any upda tes to an order’s me dication r oute to CP RS. | |
1519 | Inpatient Medication s determin es the def ault medic ation rout e for a ne w order en tered thro ugh Inpati ent Medica tions, and sends the full Medi cation Rou te name fo r display on the BCM A VDL. | |
1520 | This is th e administ ration rou te to be u sed for th e order. I f a Medica tion Route is identi fied for t he selecte d Orderabl e Item, it will be u sed as the default f or the ord er. Inpati ent Medica tions appl ies the Me dication R oute provi ded by CPR S as the d efault whe n finishin g an IV or der. | |
1521 | If no medi cation rou te is spec ified, Inp atient Med ications w ill use th e Medicati on Route p rovided by CPRS as t he default when fini shing an I V order. | |
1522 | If updates are made to the med ication ro ute, Inpat ient Medic ations wil l transmit any updat es to an o rder’s Med ication Ro ute to CPR S. | |
1523 | Inpatient Medication s determin es the def ault Medic ation Rout e for a ne w order. | |
1524 | Inpatient Medication s sends th e full Med ication Ro ute name f or display on the BC MA VDL. | |
1525 | Sequence o f Schedule Type and Schedule P rompts: | |
1526 | Prior to P SJ*5*113, the order of the pro mpts in In patient Me dications order entr y was Sche dule Type followed b y Schedule . The sequ ence of th e prompts was change d so that the Schedu le prompt falls befo re the Sch edule Type prompt. | |
1527 | Schedule V alidation Requiremen t One | |
1528 | When a sch edule is s elected at the Sched ule Field, the syste m shall de fault the Schedule T ype for th e schedule entered f rom the Ad ministrati on Schedul e File int o the orde r. | |
1529 | Schedule V alidation Requiremen t Two | |
1530 | If the use r changes the schedu le, a warn ing messag e will be generated stating th at the adm inistratio n times an d the sche dule type for the or der will b e changed to reflect the defau lts for th e new sche dule selec ted. The w arning mes sage: “Thi s change i n schedule also chan ges the AD MIN TIMES and SCHEDU LE TYPE of this orde r” shall a ppear. | |
1531 | Schedule V alidation Check Thre e | |
1532 | If the sch edule type is change d from Con tinuous to PRN durin g an edit, the syste m shall au tomaticall y remove a ny adminis tration ti mes that w ere associ ated with the schedu le so that the order will not include ad ministrati on times. | |
1533 | “SCHEDULE: ” (Regular and Abbre viated) | |
1534 | This defin es the fre quency the order is to be admi nistered. Schedules must be se lected fro m the ADMI NISTRATION SCHEDULE file, with the follo wing excep tions: | |
1535 | Schedule c ontaining PRN: (Ex. TID PC PRN ). If the schedule c ontains PR N, the bas e schedule must be i n the ADMI NISTRATION SCHEDULE file. | |
1536 | Day of wee k schedule s (Ex. MO- FR or MO-F R@0900) | |
1537 | Admin time only sche dules (Ex. 09-13) | |
1538 | While ente ring a new order, if a Schedul e is defin ed for the selected Orderable Item, that Schedule is display ed as the default fo r the orde r. | |
1539 | “SCHEDULE TYPE:” (Re gular) | |
1540 | This defin es the typ e of sched ule to be used when administer ing the or der. If th e Schedule Type ente red is one -time, the ward para meter, DAY S UNTIL ST OP FOR ONE -TIME, is accessed t o determin e the stop date. Whe n the ward parameter is not av ailable, t he system parameter, DAYS UNTI L STOP FOR ONE-TIME, will be u sed to det ermine the stop date . When nei ther param eter has b een set, o ne-time or ders will use the wa rd paramet er, DAYS U NTIL STOP DATE/TIME, to determ ine the st op date in stead of t he start a nd stop da te being e qual. | |
1541 | When a new order is entered or an order entered th rough CPRS is finish ed by phar macy, the default Sc hedule Typ e is deter mined as d escribed b elow: | |
1542 | If no Sche dule Type has been f ound and a Schedule Type is de fined for the select ed Orderab le Item, t hat Schedu le Type is used for the order. | |
1543 | If no Sche dule Type has been f ound and t he schedul e contains PRN, the Schedule T ype is PRN . | |
1544 | If no Sche dule Type has been f ound and t he schedul e is “ON C ALL”, “ON- CALL” or “ ONCALL”, t he Schedul e Type is ON CALL. | |
1545 | Schedules meant to c ause order s to displ ay as ON C ALL in BCM A must be defined in the ADMIN ISTRATION SCHEDULE ( #51.1) fil e with a s chedule ty pe equal t o “ON CALL .” | |
1546 | For all ot hers, the Schedule T ype is CON TINUOUS. | |
1547 | Note: Duri ng backdoo r order en try, the S chedule Ty pe entered is used u nless the schedule i s consider ed a ONE-T IME schedu le. In tha t case, th e Schedule Type is c hanged to ONE TIME. | |
1548 | ADMINISTRA TION TIME: ” (Regular ) | |
1549 | This defin es the tim e(s) of da y the orde r is to be given. Ad ministrati on times m ust be ent ered in a two or fou r digit fo rmat. If y ou need to enter mul tiple admi nistration times, th ey must be separated by a dash (e.g., 09 -13 or 090 0-1300). I f the sche dule for t he order c ontains “P RN”, all A dministrat ion Times for the or der will b e ignored. In new or der entry, the defau lt Adminis tration Ti mes are de termined a s describe d below: | |
1550 | If Adminis tration Ti mes are de fined for the select ed Orderab le Item, t hey will b e shown as the defau lt for the order. | |
1551 | If Adminis tration Ti mes are de fined in t he INPATIE NT WARD PA RAMETERS f ile for th e patient’ s ward and the order ’s schedul e, they wi ll be show n as the d efault for the order . | |
1552 | If Adminis tration Ti mes are de fined for the Schedu le, they w ill be sho wn as the default fo r the orde r. | |
1553 | Order Vali dation Che cks: | |
1554 | The follow ing order validation checks wi ll apply t o Unit Dos e orders a nd to inte rmittent I V orders. | |
1555 | Note: IV o rders do n ot have Sc hedule Typ e. | |
1556 | Order Vali dation Che ck One | |
1557 | For interm ittent IV orders, re ferences t o an order ’s Schedul e Type wil l refer to either th e TYPE OF SCHEDULE f rom the Ad ministrati on Schedul e file (#5 1.1), or P RN for sch edule name s in PRN f ormat, or CONTINUOUS for sched ule names in Day of Week forma t. | |
1558 | Order Vali dation Che ck Two | |
1559 | The system shall use the sched ule type o f the sche dule from the Admini stration S chedule fi le indepen dent of th e schedule name when processin g an order to determ ine if adm inistratio n times ar e required for a par ticular or der. | |
1560 | Order Vali dation Che ck Three | |
1561 | If an orde r has the Schedule T ype of Con tinuous, t he Schedul e entered is NOT in Day of Wee k (Ex. MO- FR) or PRN (Ex. TID PC PRN) fo rmat, and the freque ncy associ ated with the schedu le is one day (1440 minutes) o r less, th e system w ill not al low the nu mber of ad ministrati on times a ssociated with the o rder to be greater t han the nu mber of ad ministrati on times c alculated for that f requency. The system will allo w for the number | |
1562 | of adminis tration ti mes to be LESS than the calcul ated admin istration times for that frequ ency but n ot less th an one adm inistratio n time. (F or example , an order with a sc hedule of BID is ass ociated wi th a frequ ency of 72 0 minutes. The frequ ency is di vided into 1440 minu tes (24 ho urs) and t he resulti ng calcula ted admini stration t ime is two . For this order, th e number o f administ ration tim es allowed may be no greater t han two, b ut no less than one. Similarly , a schedu le frequen cy of 360 minutes mu st have at least one administr ation time but canno t exceed f our admini stration t imes.) | |
1563 | If an orde r has the Schedule T ype of Con tinuous, t he Schedul e entered is NOT in Day of Wee k (Ex. MO- FR) or PRN (Ex. TID PC PRN) fo rmat, and the freque ncy associ ated with the schedu le is grea ter than o ne day (14 40 minutes ) and even ly divisib le by 1440 , only one administr ation time is permit ted. (For example, a n order wi th a sched ule freque ncy of 288 0 minutes must have ONLY one a dministrat ion time. If the fre quency is greater th an 1440 mi nutes and not evenly divisible by 1440, no adminis tration ti mes will b e permitte d.) | |
1564 | The system shall pre sent warni ng/error m essages to the user if the num ber of adm inistratio n times is less than or greate r than the maximum a dmin times calculate d for the schedule o r if no ad ministrati on times a re entered . If the n umber of a dministrat ion times entered is less than the maxim um admin t imes calcu lated for the schedu le, the wa rning mess age: “The number of admin time s entered is fewer t han indica ted by the schedule. ” shall ap pear. In t his case, the user w ill be all owed to co ntinue aft er the war ning. If t he number of adminis tration ti mes entere d is great er than th e maximum admin time s calculat ed for the schedule, the error message: “The numbe r of admin times ent ered is gr eater than indicated by the sc hedule.” s hall appea r. In this case, the user will not be al lowed to c ontinue af ter the wa rning. If no admin t imes are e ntered, th e error me ssage: “Th is order r equires at least one administr ation time .” shall a ppear. The user will not be al lowed to a ccept the order unti l at least one admin time is e ntered. | |
1565 | Order Vali dation Che ck Four | |
1566 | If an orde r has a Sc hedule Typ e of Conti nuous and is an Odd Schedule { a schedule whose fre quency is not evenly divisible by or int o 1440 min utes (1 da y)}, the s ystem shal l prevent the entry of adminis tration ti mes. For e xample, Q5 H, Q17H – these are not evenly divisible by 1440. In these c ases, the system sha ll prevent access to the admin istration times fiel d. No warn ing messag e is prese nted. | |
1567 | Order Vali dation Che ck Five | |
1568 | If an orde r has a Sc hedule Typ e of Conti nuous with a non-odd frequency of greate r than one day, (144 0 minutes) the syste m shall pr event more than one administra tion time, for examp le, schedu les of Q72 H, Q3Day, and Q5Day. | |
1569 | If the num ber of adm inistratio n times en tered exce eds one, t he error m essage: “T his order requires o ne admin t ime” shall appear. I f no admin istration times are entered, t he error m essage: “T his order requires a t least on e administ ration tim e.” shall appear. Th e user wil l not be a llowed to accept the order unt il at leas t one admi n time is entered. | |
1570 | Order Vali dation Che ck Six | |
1571 | If an orde r has a Sc hedule Typ e of One T ime, or if an order is entered with a sc hedule tha t is defin ed in the schedule f ile as One Time, the system sh all preven t the user from ente ring more than one a dministrat ion time. | |
1572 | If more th an one adm inistratio n time is entered, t he error m essage: “T his is a O ne Time Or der - only one admin istration time is pe rmitted.” shall appe ar. No adm inistratio n times ar e required . | |
1573 | Order Vali dation Che ck Seven | |
1574 | For an ord er with a Schedule T ype of Con tinuous wh ere no dos es/adminis tration ti mes are sc heduled be tween the order’s St art Date/T ime and th e Stop Dat e/Time, th e system s hall prese nt a warni ng message to the us er and not allow the order to be accepte d or verif ied until the Start/ Stop Date Times, sch edule, and /or admini stration t imes are a djusted so that at l east one d ose is sch eduled to be given. | |
1575 | If the sto p time wil l result i n no admin istration time betwe en the sta rt time an d stop tim e, the err or message : “There m ust be an admin time that fall s between the Start Date/Time and Stop D ate/Time.” shall app ear. | |
1576 | “SPECIAL I NSTRUCTION S:” (Regul ar and Abb reviated) | |
1577 | These are the Specia l Instruct ions (usin g abbrevia tions when ever possi ble) neede d for the administra tion of th is order. This field allows un limited ch aracters F or new ord er entry, when Speci al Instruc tions are added, the nurse is prompted w hether to flag this field for display in a BCMA me ssage box. When fini shing orde rs placed through CP RS, where the Provid er Comment s are not too long t o be place d in this field, the nurse is given the option to copy the c omments in to this fi eld. Shoul d the nurs e choose t o copy and flag thes e comments for displ ay in a BC MA message box on th e Virtual Due List ( VDL), an e xclamation mark “!” will appea r in the o rder next to this fi eld. | |
1578 | The follow ing menu c hoices reg arding cop ying of pr ovider com ments are available: | |
1579 | Y | |
1580 | Yes (copy) – This wi ll copy Pr ovider Com ments into the Speci al Instruc tions fiel d | |
1581 | N | |
1582 | No (don’t copy) – Th is will by pass copyi ng Provide r Comments | |
1583 | ! | |
1584 | Copy and f lag for di splay in a BCMA Mess age Box – This will copy Provi der Commen ts into th e Special Instructio ns field a nd flag fo r display in a BCMA Message Bo x | |
1585 | E | |
1586 | Copy and E dit – This will copy Provider Comments i nto the Sp ecial Inst ructions f ield and o pen in a w ord proces sing windo w for edit ing | |
1587 | Example: S pecial Ins tructions | |
1588 | PROVIDER C OMMENTS: | |
1589 | This text is Provide r Comments . | |
1590 | Selec t one of t he followi ng: | |
1591 | Y Yes (copy) | |
1592 | N No (don't copy) | |
1593 | ! Copy and f lag for di splay in a BCMA Mess age Box | |
1594 | E Copy and E dit | |
1595 | Copy the P rovider Co mments int o Special Instructio ns (Yes/No /!/E): e C opy and Ed it | |
1596 | SPECIAL IN STRUCTIONS : | |
1597 | This text is Provide r Comments . | |
1598 | EDIT? NO // y YES | |
1599 | ==[ WRAP ] ==[ INSERT ]======== < SPECIAL INSTRUCTIO NS >====== =[ <PF1>H= Help ]==== | |
1600 | For Low Ma gnesium*** Magnesium <2.4 give 11gm; Mag <2.2 give 2 gm: mag < 2 | |
1601 | give 3 gm; Mag < 1.8 give 2 x 2gm** Then Recheck M agnesium | |
1602 | =======T== =====T==== ===T====== =T=======T =======T== =====T==== ===T====== =T>====== | |
1603 | Would you like to fl ag the Spe cial Instr uctions fi eld for di splay in a BCMA | |
1604 | Message bo x? | |
1605 | Selec t one of t he followi ng: | |
1606 | Y Yes | |
1607 | N No | |
1608 | Flag the S pecial Ins tructions (Yes/No): | |
1609 | Note: For “DONE” Ord ers (CPRS Med Order) only, the Provider Comments a re automat ically pla ced in the SPECIAL I NSTRUCTION S field. I f the Prov ider Comme nts are gr eater than 180 chara cters, Spe cial Instr uctions wi ll display “REFERENC E PROVIDER COMMENTS IN CPRS FO R INSTRUCT IONS.” | |
1610 | Note: The up arrow c haracter “ ^” is not allowed in Special I nstruction s. If dete cted, the following prompts ap pear: | |
1611 | Example: P rompts whe n “^” is d etected in Special I nstruction s | |
1612 | SPECIAL IN STRUCTIONS : | |
1613 | No exist ing text | |
1614 | Edit? NO // Yes YE S | |
1615 | ==[ WRAP ] ==[ INSERT ]======== < SPECIAL INSTRUCTIO NS >====== =[ <PF1>H= Help ]==== | |
1616 | for low ma gnesium ** * <2.4 giv e 1 gm; Ma g <2.2gm; Mag <2 giv e 3gm; Mag | |
1617 | <1.8 give 2 x 2gm**. Then rech eck magnes ium^ Y Yes (c opy) | |
1618 | <=======T= ======T=== ====T===== ==T======= T=======T= ======T=== ====T===== ==T>====== | |
1619 | SPECIAL IN STRUCTIONS must not contain em bedded upa rrow "^". | |
1620 | Press Retu rn to cont inue editi ng SPECIAL INSTRUCTI ONS... | |
1621 | “START DAT E/TIME:” ( Regular an d Abbrevia ted) | |
1622 | This is th e date and time the order is t o begin. F or Inpatie nt Medicat ions order s, the Sta rt Date/Ti me is init ially assi gned to th e CLOSEST ADMINISTRA TION TIME, NEXT ADMI NISTRATION TIME or N OW (which is the log in date/ti me of the order), de pending on the value of the DE FAULT STAR T DATE CAL CULATION f ield in th e INPATIEN T WARD PAR AMETERS fi le. Start Date/Time may not be entered p rior to 7 days from the order’ s Login Da te. | |
1623 | “EXPECTED FIRST DOSE :” (Regula r and Abbr eviated) | |
1624 | Inpatient Medication s no longe r displays an expect ed first d ose for or ders conta ining a sc hedule wit h a schedu le type of One-time. The syste m also no longer dis plays an e xpected fi rst dose f or orders containing a schedul e with a s chedule ty pe of On-c all. The I npatient M edications applicati on perform s the foll owing acti ons. | |
1625 | Modifies o rder entry to allow entry of a Day-of-We ek schedul e in the f ollowing f ormat: day s@schedule name. For example, MO-WE-FR@B ID or TU@Q 6H. | |
1626 | Translates the sched ule into t he appropr iate admin istration times. For example, MO-WE-FR@B ID is tran slated to MO-WE-FR@1 0-22. | |
1627 | Modifies t he expecte d first do se calcula tion to ac cept the n ew format of schedul es. For ex ample, MO- WE-FR@BID or MO@Q6H. | |
1628 | Accepts th e new form atted sche dules from CPRS. For example, MO-WE-FR@B ID or TU@Q 6H. | |
1629 | Translates a schedul e received in the ne w format f rom CPRS i nto the ap propriate schedule a nd adminis tration ti mes. | |
1630 | “STOP DATE /TIME:” (R egular) XE "Stop Dat e/Time" | |
1631 | This is th e date and time the order will automatic ally expir e. The sys tem calcul ates the d efault Sto p Date/Tim e for orde r administ ration bas ed on the STOP TIME FOR ORDER site param eter. The default da te shown i s the leas t of (1) t he <IV TYP E> GOOD FO R HOW MANY DAYS site parameter (where <I V TYPE> is LVPs, PBs , etc.), ( 2) the NUM BER OF DAY S FOR IV O RDER field (found in the IV Ad ditives fi le) for al l additive s in this order, (3) the DAY ( nD) or DOS E (nL) LIM IT field ( found in t he PHARMAC Y ORDERABL E ITEM fil e) for the orderable item asso ciated wit h this ord er or (4) the durati on receive d from CPR S (if appl icable). T he Site Ma nager or A pplication Coordinat or can cha nge any fi elds. This package i nitially c alculates a default Stop Date/ Time XE "S top Date/T ime" , dep ending on the INPATI ENT WARD P ARAMETERS XE "Inpati ent Ward P arameters" file exc ept for on e-time ord ers and In patient or ders for O utpatients . | |
1632 | For a one- time order , the ward parameter , DAYS UNT IL STOP FO R ONE-TIME , is acces sed. When this param eter is no t availabl e, the sys tem parame ter, DAYS UNTIL STOP FOR ONE-T IME, will be used to determine the stop date. When neither p arameter h as been se t, the war d paramete r, DAYS UN TIL STOP D ATE/TIME, will be us ed instead of the st art and st op date be ing equal. | |
1633 | “PROVIDER: ” (Regular and Abbre viated) XE "Provider " | |
1634 | This ident ifies the provider w ho authori zed the or der. Only users iden tified as active Pro viders, wh o are auth orized to write medi cation ord ers, may b e selected . | |
1635 | “SELF MED: ” (Regular and Abbre viated) XE "Self Med " | |
1636 | Identifies the order as one wh ose medica tion is to be given for admini stration b y the pati ent. This prompt is only shown if the ‘S ELF MED’ I N ORDER EN TRY field of the INP ATIENT WAR D PARAMETE RS XE "Inp atient War d Paramete rs" file is set to On. | |
1637 | “NATURE OF ORDER XE "Nature of Order" :” (Regular and Abbrev iated) | |
1638 | This is th e method t he provide r used to communicat e the orde r to the u ser who en tered or t ook action on the or der. Natur e of Order is define d in CPRS XE "CPRS" . Written will be th e default for new or ders enter ed. When a new order is create d due to a n edit, th e default will be Se rvice Corr ection. Th e followin g table sh ows some N ature of O rder examp les. | |
1639 | Nature of OrderDescr iptionProm pted for S ignature i n CPRSChar t Copy Pri nted?Writt enThe sour ce of the order is a written d octor’s or derNoNoVer balA docto r verbally requested the order YesYesTele phonedA do ctor telep honed the service to request t he orderYe sYesServic e Correcti onThe serv ice is dis continuing or adding new order s to carry out the i ntent of a n order al ready rece ivedNoNoDu plicateThi s applies to orders that are d iscontinue d because they are a duplicate of anothe r orderNoY esPolicyTh ese are or ders that are create d as a mat ter of hos pital poli cyNoYesThe Nature of Order abb reviation will displ ay on the order next to the Pr ovider’s N ame. The a bbreviatio ns will be in lowerc ase and en closed in brackets. Written wi ll display as [w], t elephoned as [p], ve rbal as [v ], policy as [i], el ectronical ly entered as [e], a nd service correctio n as [s]. If the ord er is elec tronically signed th rough the CPRS packa ge AND the CPRS patc h OR*3*141 is instal led on the user’s sy stem, then [es] will appear ne xt to the Provider’s Name inst ead of the Nature of Order abb reviation. | |
1640 | Example: N ew Order E ntry XE "N ew Order E ntry:New U nit Dose O rder Entry Example" | |
1641 | Patient In formation Apr 26, 20 12@12:34:5 7 Page: 1 of 1 | |
1642 | PSJPATIENT 1,ONE Ward: GENERAL A | |
1643 | PID: 00 0-00-0202 Room-Bed: GENMED-2 Ht(cm) : ______ ( ________) | |
1644 | DOB: 05 /16/70 (41 ) Wt(kg) : ______ ( ________) | |
1645 | Sex: FE MALE A dmitted: 1 0/12/10 | |
1646 | Dx: LU NG CANCER Last tran sferred: * ******* | |
1647 | Allergies - Verified : LATEX | |
1648 | No n-Verified : | |
1649 | Adverse Reactions : | |
1650 | Inpatient Narrative : | |
1651 | Outpatient Narrative : | |
1652 | Enter ?? f or more ac tions | |
1653 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
1654 | VP View Pr ofile | |
1655 | Select Act ion: View Profile// View Pr ofile | |
1656 | SHORT, LON G, or NO P rofile? S HORT// NO PROFILE | |
1657 | Inpatient Order Entr y Apr 26, 20 12@12:35:2 1 Page: 1 of 2 | |
1658 | PSJPATIENT 1,ONE Ward: GENERAL A | |
1659 | PID: 00 0-00-0202 Room-Bed: GENMED-2 Ht(cm) : ______ ( ________) | |
1660 | DOB: 05 /16/70 (41 ) Wt(kg) : ______ ( ________) | |
1661 | Sex: FE MALE A dmitted: 1 0/12/10 | |
1662 | Dx: LU NG CANCER Last tran sferred: * ******* | |
1663 | CrCL: <N ot Found> B SA (m2): _ _________ | |
1664 | Select fro m list of Available Dosages or Enter Fre e Text Dos e: 2 SLID ING SCALE | |
1665 | You entere d SLIDING SCALE is t his correc t? Yes// Y ES | |
1666 | MED ROUTE: SUBCUTANE OUS// SQ | |
1667 | 1 S UBCUTANEOU S S Q | |
1668 | 2 S UBCUTANEOU S S C | |
1669 | 3 S UBCUTANEOU S ABDOMEN SUB CUT ABD | |
1670 | CHOOSE 1-3 : 1 SUBCU TANEOUS SQ | |
1671 | SCHEDULE: TID | |
1672 | 1 T ID 09-1 3-17 | |
1673 | 2 T ID 01-0 2-03-04 | |
1674 | CHOOSE 1-2 : 1 0 9-13-17 | |
1675 | SCHEDULE T YPE: CONTI NUOUS// CONTINUOUS | |
1676 | ADMIN TIME S: 09-13-1 7// | |
1677 | SPECIAL IN STRUCTIONS : | |
1678 | No exist ing text | |
1679 | Edit? NO // YES | |
1680 | ==[ WRAP ] ==[ INSERT ]======== < SPECIAL INSTRUCTIO NS >====== =[ <PF1>H= Help ]==== | |
1681 | BELOW. | |
1682 | VERY INSUL IN SENSITI VE: | |
1683 | FOR BG= 15 9-199 [GIV E 1 UNIT] | |
1684 | FOR BG= 20 0-249 [GIV E 2 UNITS] | |
1685 | FOR BG= 25 0-299 [GIV E 3 UNITS] | |
1686 | FOR BG= 30 0-349 [GIV E 4 UNITS] | |
1687 | FOR BG= >3 49 [GIV E 5 UNITS] AND CONTA CT HO | |
1688 | NORMAL INS ULIN SENSI TIVE: | |
1689 | FOR BG= 15 9-199 [GIV E 1 UNIT] | |
1690 | FOR BG= 20 0-249 [GIV E 3 UNITS] | |
1691 | FOR BG= 25 0-299 [GIV E 4 UNITS] | |
1692 | FOR BG= 30 0-349 [GIV E 7 UNITS] | |
1693 | FOR BG= >3 49 [GIV E 8 UNITS] AND CONTA CT HO | |
1694 | VERY INSUL IN RESISTA NT: | |
1695 | FOR BG= 15 9-199 [GIV E 2 UNITS] | |
1696 | FOR BG= 20 0-249 [GIV E 4 UNITS] | |
1697 | <=======T= ======T=== ====T===== ==T======= T=======T= ======T=== ====T===== ==T>====== | |
1698 | Apr 26, 20 12@12:50:4 8 | |
1699 | Would you like to fl ag the Spe cial Instr uctions fi eld for di splay in a BCMA | |
1700 | Message bo x? | |
1701 | Selec t one of t he followi ng: | |
1702 | Y Yes | |
1703 | N No | |
1704 | Flag the S pecial Ins tructions (Yes/No): YES Yes | |
1705 | START DATE /TIME: APR 26,2012@1 2:51// A PR 26,2012 @12:51 | |
1706 | STOP DATE/ TIME: MAY 10,2012@12 :51// M AY 10,2012 @12:51 | |
1707 | Expected F irst Dose: APR 26,20 12@13:00 | |
1708 | PROVIDER: McCOY, BON ES// | |
1709 | NON-VERIFI ED UNIT DO SE Apr 26, 20 12@12:50:4 8 Page: 1 of 3 | |
1710 | PSJPATIENT 1,ONE Ward: GENERAL A | |
1711 | PID: 00 0-00-0202 Room-Bed: GENMED-2 Ht(cm) : ______ ( ________) | |
1712 | DOB: 05 /16/70 (41 ) Wt(kg) : ______ ( ________) | |
1713 | (1)Ordera ble Item: INSULIN,AS PART,HUMAN 100UNT/ML INJ | |
1714 | Inst ructions: | |
1715 | (2)Dosage Ordered: SLIDING SC ALE | |
1716 | Duration: (3)Sta rt: 04/26/ 12 12:51 | |
1717 | (4) M ed Route: SUBCUTANEO US | |
1718 | (5) St op: 05/10/ 12 12:51 | |
1719 | (6) Sched ule Type: CONTINUOUS | |
1720 | (8) S chedule: T ID | |
1721 | (9) Adm in Times: 09-13-17 | |
1722 | (10) Provider: McCOY, BON ES | |
1723 | (11) Spec ial Instru ctions!: (see below ) | |
1724 | CHEC K INSULIN SENSITIVIT Y DESIGNAT ED BY PROV IDER AND A DMINISTER SCALE AS | |
1725 | BELO W. | |
1726 | VERY INSULIN S ENSITIVE: | |
1727 | FOR BG= 159-19 9 [GIVE 1 UNIT] | |
1728 | + Enter ?? f or more ac tions | |
1729 | ED Edit AC ACCEPT | |
1730 | Select Ite m(s): Next Screen// AC ACCEP T | |
1731 | NATURE OF ORDER: WRI TTEN// W | |
1732 | ...transcr ibing this non-verif ied order. ... | |
1733 | NON-VERIFI ED UNIT DO SE Apr 26, 20 12@12:50:5 4 Page: 1 of 4 | |
1734 | PSJPATIENT 1,ONE Ward: GENERAL A | |
1735 | PID: 00 0-00-0202 Room-Bed: GENMED-2 Ht(cm) : ______ ( ________) | |
1736 | DOB: 05 /16/70 (41 ) Wt(kg) : ______ ( ________) | |
1737 | *(1)Ordera ble Item: INSULIN,AS PART,HUMAN 100UNT/ML INJ | |
1738 | Inst ructions: | |
1739 | *(2)Dosage Ordered: SLIDING SC ALE | |
1740 | Duration: (3)Sta rt: 04/26/ 12 12:51 | |
1741 | *(4) M ed Route: SUBCUTANEO US | |
1742 | (5) St op: 05/10/ 12 12:51 | |
1743 | (6) Sched ule Type: CONTINUOUS | |
1744 | *(8) Schedule: TID | |
1745 | (9) Adm in Times: 09-13-17 | |
1746 | *(10) Provider: McCOY, BON ES [w] | |
1747 | (11) Spec ial Instru ctions: ( see below) | |
1748 | CHEC K INSULIN SENSITIVIT Y DESIGNAT ED BY PROV IDER AND A DMINISTER SCALE AS | |
1749 | BELO W. | |
1750 | VERY INSULIN S ENSITIVE: | |
1751 | + Enter ?? f or more ac tions | |
1752 | DC Discon tinue ED Edit AL Acti vity Logs | |
1753 | HD (Hold) RN (Renew) | |
1754 | FL Flag VF Verify | |
1755 | Select Ite m(s): Next Screen// VF Verif y | |
1756 | ...a few m oments, pl ease..... | |
1757 | Pre-Exchan ge DOSES: | |
1758 | ORDER VERI FIED. | |
1759 | Enter RETU RN to cont inue or '^ ' to exit: | |
1760 | IV | |
1761 | For IV ord er entry, the nurse must bypas s the “Sel ect DRUG:” prompt (b y pressing <Enter>) and then c hoosing th e IV Type XE "IV Typ e" at the “Select I V TYPE XE "IV Type" :” prompt. The follo wing are t he prompts that the nurse can expect to encounter while ente ring a new IV order for the pa tient. | |
1762 | This opt ion is onl y availabl e to those nurses wh o have Inp atient Ord er Entry X E "Inpatie nt Order E ntry" acc ess. | |
1763 | “Select IV TYPE XE " IV Type" : ” | |
1764 | IV types a re admixtu re XE "Adm ixture" , piggyback XE "Piggyb ack" , hyp eral XE "H yperal" , syringe XE "Syringe" , and che motherapy XE "Chemot herapy" . An admixtu re XE "Adm ixture" i s a Large Volume Par enteral (L VP) XE "La rge Volume Parentera l (LVP)" solution X E "Solutio n" intend ed for con tinuous pa renteral X E "Parente ral" infu sion. A pi ggyback XE "Piggybac k" is a s mall volum e XE "Volu me" paren teral XE " Parenteral " solutio n XE "Solu tion" use d for inte rmittent i nfusion. H yperalimen tation (hy peral XE " Hyperal" ) is long-t erm feedin g of a pro tein-carbo hydrate so lution XE "Solution" . A syrin ge XE "Syr inge" IV type order uses a sy ringe XE " Syringe" rather tha n a bottle or a bag. Chemother apy is the treatment and preve ntion of c ancer with chemical agents. | |
1765 | When an or der is rec eived from CPRS, Inp atient Med ications w ill accept and send updates to IV Types from CPRS. When an I V type of Continuous is receiv ed, Inpati ent Medica tions defa ults to an IV type o f Admixtur e. However , when an IV type of Intermitt ent is rec eived, Inp atient Med ications d efaults to an IV typ e of piggy back. | |
1766 | “Select AD DITIVE XE "Additive" :” | |
1767 | There can be any num ber of add itives for an order, including zero. An additive X E "Additiv e" or add itive syno nym can be entered. If the Inf ormation R esources M anagement Service (I RMS XE "IR MS" ) Chie f/Site Man ager or Ap plication Coordinato r has defi ned it in the IV Add itives XE "Additive" file, th e nurse ma y enter a quick code XE "Quick Code" fo r an addit ive XE "Ad ditive" . The quick code XE "Q uick Code" allows t he user to pre-defin e certain fields, th us speedin g up the o rder entry process. The entire quick cod e XE "Quic k Code" n ame must b e entered to receive all pre-d efined fie lds in the order. | |
1768 | Note: Drug inquiry i s allowed during ord er entry b y entering two quest ion marks (??) at th e strength prompt fo r informat ion on an additive X E "Additiv e" or sol ution XE " Solution" . | |
1769 | When an ad ditive XE "Additive" is chose n, if an a ctive drug text entr y for the Dispense D rug XE "Di spense Dru g" and/or Orderable Item XE " Orderable Item" lin ked to thi s additive XE "Addit ive" exis ts, then t he prompt, “Restrict ion/Guidel ine(s) exi st. Displa y?:” will be display ed along w ith the co rrespondin g defaults . The drug text indi cator XE " Drug Text Indicator" will be <DIN> and will be di splayed on the right side of t he IV Type XE "IV Ty pe" on th e same lin e. This in dicator wi ll be high lighted. | |
1770 | If the Dis pense Drug XE "Dispe nse Drug" tied to t he Additiv e XE "Addi tive" or the Ordera ble Item X E "Orderab le Item" has a non- formulary status XE "Non-Formu lary Statu s" , this status wil l be displ ayed on th e screen a s “*N/F*” beside the Additive or Orderab le Item. | |
1771 | “BOTTLE:” | |
1772 | The bottle number is used to s pecify in which the additive w ill be inc luded for the IV ord er. If th is field i s blank, i t means th at the add itive will be includ ed in all bottles. | |
1773 | A pending order from CPRS can have an ad ditive bot tle value such as “1 ” (1 Bag/D ay), blank (All bags ), or “See Comments” (which bo ttle numbe r(s) to pl ace the ad ditive in, is entere d in the P rovider Co mments). D uring the finishing process, t he user ca n enter/ed it a speci fic value for the bo ttle numbe r(s). If t he bottle number for an additi ve contain s “See Com ments”, th e user mus t replace it with ei ther the s pecific bo ttle numbe r(s) or en ter an “@” to remove the “See Comments” to indicat e that the additive will be in cluded in all bottle s. | |
1774 | “Select S OLUTION: X E "Infusio n Rate" ” | |
1775 | There can be any num ber of sol utions XE "Solution" in an or der, depen ding on th e type. It is even p ossible to require z ero soluti ons XE "So lution" w hen an add itive XE " Additive" is pre-mi xed with a solution XE "Soluti on" . If n o solution s XE "Solu tion" are chosen, t he system will displ ay a warni ng message , in case it is an o versight, and gives the opport unity to a dd one. Th e nurse ma y enter an IV soluti on XE "IV Solution" or IV sol ution syno nym. | |
1776 | When a sol ution XE " Solution" is chosen , if an ac tive drug text entry for the D ispense Dr ug XE "Dis pense Drug " and/or Orderable Item XE "O rderable I tem" link ed to this solution XE "Soluti on" exist s, then th e prompt, “Restricti on/Guideli ne(s) exis t. Display ?:” will b e displaye d along wi th the cor responding defaults. The drug text indic ator XE "D rug Text I ndicator" will be < DIN> and w ill be dis played on the right side of th e IV Type XE "IV Typ e" on the same line . This ind icator wil l be highl ighted. | |
1777 | If the Dis pense Drug XE "Dispe nse Drug" tied to t he Solutio n or the O rderable I tem XE "Or derable It em" has a non-formu lary statu s XE "Non- Formulary Status" , this statu s will be displayed on the scr een as “*N /F*” besid e the Solu tion or Or derable It em. | |
1778 | “INFUSION RATE XE "I nfusion Ra te" :” | |
1779 | The infusi on rate XE "Infusion Rate" is the rate at which t he IV is t o be admin istered. T his value, in conjun ction with the total volume of the hyper al XE "Hyp eral" or the admixt ure XE "Ad mixture" type, is u sed to det ermine the time cove red by one bag; henc e, the sys tem can pr edict the bags neede d during a specified time of c overage. T his field is free te xt for pig gybacks XE "Piggybac k" . For a dmixtures XE "Admixt ure" , a n umber that will repr esent the infusion r ate XE "In fusion Rat e" must b e entered. The nurse can also specify th e # of bag s per day that will be needed. This will automatic ally popul ate the NU MBER OF LA BELS PER D AY (NLPD) field. | |
1780 | Example: 1 25 = 125 m l/hr (IV s ystem will calculate bags need ed per day ), 125@2 = 125 ml/hr with 2 la bels per d ay, Titrat e@1 = Titr ate with 1 label per day. The format of this field is either a number only or fr ee text on ly, or [FR EE TEXT@NU MBER OF LA BELS PER D AY.] | |
1781 | Intermitte nt IV Orde rs | |
1782 | The schedu le and adm inistratio n times fo r intermit tent order s are used to determ ine the nu mber of da ily schedu led labels . The use of the @ s ymbol for intermitte nt IV orde rs is not allowed. | |
1783 | Continuous IV Orders | |
1784 | A 2-digit numeric fi eld is add ed to the NON-VERIFI ED ORDERS file (#53. 1) and to the IV (#1 00) multip le of the PHARMACY P ATIENT fil e (#55). | |
1785 | Printed IV labels do not displ ay the NLP D field re gardless o f value. | |
1786 | The NLPD f ield, if p opulated, determines the numbe r of label s that wil l print wh en the Sch eduled Lab els (IV) [ PSJI LBLS] option is run for c ontinuous IV orders. | |
1787 | The NLPD f ield is no t sent to BCMA. | |
1788 | When an In fusion Rat e is recei ved from C PRS in the format Ra te@Labels, the “@” s ymbol is u sed to sep arate the Infusion R ate into i ts respect ive INFUSI ON RATE an d NLPD com ponent fie lds. | |
1789 | The number of labels per day i s always s hown next to the inf usion rate , when the infusion rate is fr ee text or the numbe r of label s has been entered b y the user , or when the number of labels has been received f rom CPRS. The INFUSI ON RATE fi eld must b e selected when edit ing. There is no fie ld number reference for NLPD. | |
1790 | Edits to t he NLPD fi eld never create a n ew order. | |
1791 | The NLPD f ield is no t populate d when the number of labels is system ca lculated b ased on a numeric in fusion rat e. | |
1792 | The follow ing rules apply to t he use of the “@” sy mbol in th e Infusion Rate: The number en tered afte r the “@” symbol pop ulates the NLPD fiel d. Anythin g entered before the “@” symbo l displays in the IN FUSION RAT E field. T he “@” sym bol will n ot be visi ble in the display o f the Infu sion Rate. | |
1793 | Example: | |
1794 | INFUSION R ATE: 50 ml /hr// Titr ate@0 | |
1795 | NUMBER OF LABELS PER DAY: 0// | |
1796 | When the i nfusion ra te is ente red as fre e text, a minimum of two chara cters is r equired fo r the orde r level va lidation f or Infusio n rate for Inpatient Medicatio ns or CPRS orders. | |
1797 | Example: XE "Patien t Informat ion" | |
1798 | INFUSION R ATE: 50 ml /hr// INFU SE SLOWLY | |
1799 | When the i nfusion ra te is nume ric, the N LPD is opt ional. Whe n entering free text in THE IN FUSION RAT E field, t he NLPD is required with no de fault. Num eric entry of 0-99 i s allowed; all other entries a re invalid . | |
1800 | A new orde r is not c reated whe n a change is made t o the NLPD field. | |
1801 | When the I NFUSION RA TE field i s selected , an NLPD prompt dis plays. | |
1802 | Example: | |
1803 | NUMBER OF LABELS PER DAY: // | |
1804 | An abbrevi ation ente red in the INFUSION RATE field is replac ed with ex panded tex t, if the abbreviat ion has be en defined in the IN FUSION INS TRUCTIONS file (#53. 47.) | |
1805 | Example: | |
1806 | INFUSION R ATE: 50 ml /hr// T … N ow Expandi ng Text | |
1807 | Input expa nded to Ti trate | |
1808 | Press Retu rn to Cont inue | |
1809 | A minimum of 2 chara cters and a maximum of 30 char acters may be entere d into the INFUSION RATE field . The spec ial charac ter “^” is not allow ed. A warn ing messag e displays if the fr ee text en try contai ns less th an the min imum requi rement of 2 characte rs or more than the maximum re quirement of 30 char acters. | |
1810 | Example: W arning Mes sage | |
1811 | INFUSION R ATE: 50 ml /hr// P | |
1812 | Free text entries mu st contain a minimum of 2 char acters and a maximum of 30 cha racters. | |
1813 | INFUSION R ATE: 50 ml /hr// | |
1814 | The INFUSI ON INSTRUC TIONS file (#53.47) allows the user to a dd to or e dit the ab breviation s or expan ded text b y storing the infusi on rate ab breviation s, up to 9 character s, and the associate d expanded text, a m inimum of 2 characte rs and a m aximum of 30 charact ers. | |
1815 | Help Text is provide d for the infusion r ate when ? or ?? is entered. | |
1816 | When an or der is rec eived from CPRS, Inp atient Med ications a ccepts inf usion rate s in both ml/hr and as “infuse over time .” In the Order View screen, f or orders with an IV Type cons idered Int ermittent, the infus ion rate w ill displa y as “infu se over” f ollowed by the time. For examp le, infuse over 30 m inutes. | |
1817 | Note: If a n administ ration tim e(s) is de fined, the number of labels wi ll reflect the admin istration time(s) fo r the inte rmittent I VPB type o rders. XE "Infusion Rate" | |
1818 | “MED ROUTE :” (Regula r and Abbr eviated) X E "Medicat ion Routes " | |
1819 | Inpatient Medication s uses the medicatio n route pr ovided by CPRS as th e default when finis hing an IV order, an d transmit s any upda tes to an order’s me dication r oute to CP RS. | |
1820 | Inpatient Medication s determin es the def ault medic ation rout e for a ne w order en tered thro ugh Inpati ent Medica tions, and sends the full Medi cation Rou te name fo r display on the BCM A VDL. | |
1821 | This is th e administ ration rou te to be u sed for th e order. I f a Medica tion Route is identi fied for t he selecte d Orderabl e Item XE "Orderable Item" , i t will be used as th e default for the or der. Inpat ient Medic ations app lies the M edication Route prov ided by CP RS as the default wh en finishi ng an IV o rder. | |
1822 | If no medi cation rou te is spec ified, Inp atient Med ications w ill use th e Medicati on Route p rovided by CPRS as t he default when fini shing an I V order. | |
1823 | If updates are made to the med ication ro ute, Inpat ient Medic ations wil l transmit any updat es to an o rder’s Med ication Ro ute to CPR S. | |
1824 | Inpatient Medication s determin es the def ault Medic ation Rout e for a ne w order. | |
1825 | When the p harmacist uses a Qui ck Code to finish an IV order, the medic ation rout e entered by the pro vider is d isplayed i f availabl e. If the provider d id not ent er a medic ation rout e, then th e Quick Co de medicat ion route is display ed. | |
1826 | Inpatient Medication s sends th e full Med ication Ro ute name f or display on the BC MA VDL. | |
1827 | “SCHEDULE XE "Schedu le" :” | |
1828 | This promp t occurs o n piggybac k XE "Pigg yback" an d intermit tent syrin ge XE "Int ermittent Syringe" orders. Sc hedules mu st be sele cted from the ADMINI STRATION S CHEDULE XE "Administ ration Sch edule" fi le, with t he followi ng excepti ons: | |
1829 | Schedule c ontaining PRN: (Ex. TID PC PRN ). If the schedule c ontains PR N, the bas e schedule must be i n the ADMI NISTRATION SCHEDULE file. | |
1830 | Day of wee k schedule s (Ex. MO- FR or MO-F R@0900) | |
1831 | Admin time only sche dules (Ex. 09-13) | |
1832 | “ADMINISTR ATION TIME XE "Admin istration Times" :” | |
1833 | This is fr ee text. T he pharmac ist might want to en ter the ti mes of dos e administ ration usi ng militar y time suc h as 03-09 -15-21. Ad ministrati on times m ust be ent ered in a two or fou r digit fo rmat. If m ultiple ad ministrati on times a re needed, they must be separa ted by a d ash (e.g., 09-13 or 0900-1300) . This fie ld must be left blan k for odd schedules, (e.g., Q1 6H). | |
1834 | “OTHER PRI NT INFO XE "Other Pr int Info" :” | |
1835 | The system allows a word proce ssing entr y of unlim ited free text. For new order entry, whe n Other Pr int Info i s added, t he nurse i s prompted whether t o flag thi s field fo r display in a BCMA XE "BCMA" message b ox. When f inishing o rders plac ed through CPRS XE " CPRS" , wh ere the Pr ovider Com ments are not too lo ng to be p laced in t his field, the nurse is given the option to copy t he comment s into thi s field. S hould the nurse choo se to copy and flag these comm ents for d isplay in a BCMA mes sage box o n the VDL XE "VDL" , an exclam ation mark “!” will appear in the order next to th is field. | |
1836 | The follow ing menu c hoices reg arding cop ying of pr ovider com ments are available: | |
1837 | Y | |
1838 | Yes (copy) – This wi ll copy Pr ovider Com ments into the Other Print Inf o field. | |
1839 | N | |
1840 | No (don’t copy) – Th is will by pass copyi ng Provide r Comments . | |
1841 | ! | |
1842 | Copy and f lag for di splay in a BCMA Mess age Box – This will copy Provi der Commen ts into th e Other Pr int Info f ield and f lag for di splay in a BCMA Mess age Box. | |
1843 | E | |
1844 | Copy and E dit – This will copy Provider Comments i nto the Ot her Print Info field and open in a word processing window fo r editing. | |
1845 | Note: When Other Pri nt Info te xt exists for an IV Quick Code , Provider Comments are append ed to that text. | |
1846 | The system enables t he nurse t o review t he provide r comments received from CPRS during the finishing of an IV order. A m aximum of 60 charact ers of tex t is print ed on the IV label f rom Other Print Info . When Oth er Print I nfo exceed s 60 chara cters, the message: “Instructi ons too lo ng. See Or der View o r BCMA for full text .” appears on the IV label. | |
1847 | Before the nurse ent ers Other Print Info informati on, the me ssage: “WA RNING, IF OTHER PRIN T INFO exc eeds one l ine of 60 characters , ‘Instruc tions too long. See Order View or BCMA f or full te xt.’ print s on the I V label in stead of t he full te xt.” | |
1848 | After the nurse ente rs Other P rint Info informatio n, if the entry exce eds one li ne of 60 c haracters, the messa ge: “WARNI NG OTHER P RINT INFO exceeds on e line of 60 charact ers, ‘Inst ructions t oo long. S ee Order V iew or BCM A for full text.’ pr ints on th e IV label instead o f the full text.” | |
1849 | Example: O ther Print Info | |
1850 | OTHER PRIN T INFO | |
1851 | This text is Other P rint Info | |
1852 | Would you like to fl ag the Oth er Print I nfo field for displa y in a BCM A | |
1853 | Message bo x? | |
1854 | Selec t one of t he followi ng: | |
1855 | Y Yes | |
1856 | N No | |
1857 | Flag the O ther Print Info (Yes /No): y Y es | |
1858 | Note: For “DONE XE " DONE Order " ” Orders XE "CPRS Med Order" (CPRS Me d Order) o nly, the P rovider Co mments XE "Provider Comments" are autom atically p laced in t he OTHER P RINT INFO field XE " Other Prin t Info" . If the Pro vider Comm ents are g reater tha n 60 chara cters, Oth er Print I nfo will d isplay “RE FERENCE PR OVIDER COM MENTS IN C PRS FOR IN STRUCTIONS .” | |
1859 | “START DA TE / TIME XE "Start Date/Time" :” | |
1860 | The system calculate s the defa ult Start Date/Time XE "Start Date/Time" for orde r administ ration bas ed on the DEFAULT ST ART DATE C ALCULATION field in the INPATI ENT WARD P ARAMETERS XE "Inpati ent Ward P arameters" file. Th is field a llows the site to us e the NEXT or CLOSES T administ ration or delivery t ime, or NO W, which i s the orde r’s login date/time as the def ault Start Date. Whe n NOW is s elected fo r this par ameter, it will alwa ys be the default St art Date/T ime XE "St art Date/T ime" for IVs. This may be ove rridden by entering the desire d date/tim e at the p rompt. | |
1861 | When NEXT or CLOSEST is used i n this par ameter and the IV is a continu ous-type I V order, t he default answer fo r this pro mpt is bas ed on the delivery t imes for t he IV room XE "IV Ro om" speci fied for t hat order entry sess ion. For i ntermitten t type IV orders, if the order has admin istration times, the start dat e/time XE "Start Dat e/Time" w ill be the NEXT or C LOSEST adm inistratio n time dep ending on the parame ter. If th e intermit tent type IV order d oes not ha ve adminis tration ti mes, the s tart date/ time XE "S tart Date/ Time" wil l round up or down t o the clos est hour. The Site M anager or Applicatio n Coordina tor can ch ange this field. | |
1862 | “EXPECTED FIRST DOSE :” (Regula r and Abbr eviated) X E "Start D ate/Time" | |
1863 | Inpatient Medication s no longe r displays an expect ed first d ose for or ders conta ining a sc hedule wit h a schedu le type of One-time. The syste m also no longer dis play an ex pected fir st dose fo r orders c ontaining a schedule with a sc hedule typ e of On-ca ll. The In patient Me dications applicatio n performs the follo wing actio ns. | |
1864 | Modifies o rder entry to allow entry of a Day-of-We ek schedul e in the f ollowing f ormat: day s@schedule name. For example, MO-WE-FR@B ID or TU@Q 6H. | |
1865 | Translates the sched ule into t he appropr iate admin istration times. For example, MO-WE-FR@B ID is tran slated to MO-WE-FR@1 0-22. | |
1866 | Modifies t he expecte d first do se calcula tion to ac cept the n ew format of schedul es. For ex ample, MO- WE-FR@BID or MO@Q6H. | |
1867 | Accepts th e new form atted sche dules from CPRS. For example, MO-WE-FR@B ID or TU@Q 6H. | |
1868 | Translates a schedul e received in the ne w format f rom CPRS i nto the ap propriate schedule a nd adminis tration ti mes. | |
1869 | “STOP DATE / TIME XE "Stop Dat e/Time" :” | |
1870 | The system calculate s the defa ult Stop D ate XE "De fault Stop Date" /Ti me XE "Def ault Stop Date/Time" for orde r administ ration bas ed on the STOP TIME FOR ORDER site param eter XE "I npatient M edication Orders for Outpatien ts" . The default da te shown i s the leas t of (1) t he <IV TYP E XE "IV T ype" > GOO D FOR HOW MANY DAYS site param eter (wher e <IV TYPE XE "IV Ty pe" > is L VPs, PBs, etc.), (2) the NUMBE R OF DAYS FOR IV ORD ER field ( found in t he IV Addi tives XE " IV Additiv es" file) for all a dditives i n this ord er, or (3) the DAY ( nD) or DOS E (nL) LIM IT field ( found in t he PHARMAC Y ORDERABL E ITEM fil e) for the orderable item asso ciated wit h this ord er. The Si te Manager or Applic ation Coor dinator ca n change t hese field s. | |
1871 | “NATURE OF ORDER XE "Nature of Order" :” | |
1872 | This is th e method t he provide r used to communicat e the orde r to the u ser who en tered or t ook action on the or der. Natur e of Order XE "Natur e of Order " is defi ned in CPR S XE "CPRS " . “Writt en” will b e the defa ult for ne w orders e ntered. Wh en a new o rder is cr eated due to an edit , the defa ult will b e Service Correction . The foll owing tabl e shows so me Nature of Order e xamples. | |
1873 | Nature of OrderDescr iptionProm pted for S ignature i n CPRS?Cha rt Copy Pr inted?Writ tenThe sou rce of the order is a written doctor’s o rderNoNoVe rbalA doct or verball y requeste d the orde rYesYesTel ephonedA d octor tele phoned the service t o request the orderY esYesServi ce Correct ionThe ser vice is di scontinuin g or addin g new orde rs to carr y out the intent of an order a lready rec eivedNoNoD uplicateTh is applies to orders that are discontinu ed because they are a duplicat e of anoth er orderNo YesPolicyT hese are o rders that are creat ed as a ma tter of ho spital pol icyNoYesTh e Nature o f Order ab breviation will disp lay on the order nex t to the P rovider’s Name. The abbreviati ons will b e in lower case and e nclosed in brackets. Written w ill displa y as [w], telephoned as [p], v erbal as [ v], policy as [i], e lectronica lly entere d as [e], and servic e correcti on as [s]. If the or der is ele ctronicall y signed t hrough the CPRS pack age AND th e CPRS pat ch OR*3*14 1 is insta lled on th e user’s s ystem, the n [es] wil l appear n ext to the Provider’ s Name ins tead of th e Nature o f Order ab breviation . | |
1874 | “Select CL INIC LOCAT ION XE "Cl inic Locat ion" :” | |
1875 | This promp t is only displayed for Outpat ient IV or ders enter ed through the Inpat ient Medic ations pac kage. The user will enter the hospital l ocation na me when pr ompted. | |
1876 | Note: Whil e entering an order, the nurse can quick ly delete the order by typing a caret (^ ) at any o ne of the prompts li sted above except at the “Stop Date/Time XE "Stop Date/Time" :” prompt . Once the user has passed thi s prompt, if the ord er still n eeds to be deleted, a caret (^ ) can be e ntered at the “Is th is O.K.:” prompt. | |
1877 | Example: N ew Order E ntry XE " New Order Entry:New IV Order E ntry Examp le" | |
1878 | Select ADD ITIVE: MUL T | |
1879 | 1 | |
1880 | MULTIVITAM IN INJ | |
1881 | 2 | |
1882 | MULTIVITAM INS | |
1883 | CHOOSE 1-2 : 2 MULTI VITAMINS | |
1884 | (The units of streng th for thi s additive are in ML ) | |
1885 | Strength: 2 | |
1886 | 2 ML | |
1887 | Select ADD ITIVE: | |
1888 | Select SOL UTION: 0.9 | |
1889 | 1 | |
1890 | 0.9% SODIU M CHLORIDE | |
1891 | ||
1892 | 100 ML | |
1893 | BCMA | |
1894 | 2 | |
1895 | 0.9% SODIU M CHLORIDE | |
1896 | ||
1897 | 50 ML | |
1898 | BCMA | |
1899 | CHOOSE 1-2 : 1 | |
1900 | 0.9% SODIU M CHLORIDE | |
1901 | ||
1902 | 100 ML | |
1903 | BCMA | |
1904 | Now doing allergy c hecks.Plea se wait... | |
1905 | Now proces sing Clini cal Remind er Order C hecks.Plea se wait .. . | |
1906 | Now Proces sing Enhan ced Order Checks!Ple ase wait.. . | |
1907 | ========== ========== ========== ========== ========== ========== ========== ========== ====== | |
1908 | This patie nt is rece iving the following orders(s) that have a SIGNIFIC ANT Drug | |
1909 | Interactio n with MUL TIVITAMINS 2 ML: | |
1910 | WARFARIN I NJ | |
1911 | ||
1912 | ||
1913 | ||
1914 | C 02/22 03/01 N | |
1915 | Give: 5MG/ 1VIAL PO 3 ID | |
1916 | *** REFER TO MONOGRA PH FOR SIG NIFICANT I NTERACTION CLINICAL EFFECTS. | |
1917 | ========== ========== ========== ========== ========== ========== ========== ========== ====== | |
1918 | Display Pr ofessional Interacti on Monogra ph(s)? NO/ / YES | |
1919 | DEVICE: HO ME// | |
1920 | COMPUTER R OOM | |
1921 | Profession al Monogra ph | |
1922 | Drug Inter action wit h WARFARIN and MULTI VITAMINS | |
1923 | This infor mation is generalize d and not intended a s specific medical | |
1924 | advice. C onsult you r healthca re profess ional befo re taking or | |
1925 | discontinu ing any dr ug or comm encing any course of treatment . | |
1926 | MONOGRAPH TITLE: Se lected Ant icoagulant s/Alpha To copheryl | |
1927 | SEVERITY L EVEL: 2-S evere Inte raction: A ction is r equired to reduce th e | |
1928 | risk of se vere adver se interac tion. | |
1929 | MECHANISM OF ACTION: Unknown. | |
1930 | CLINICAL E FFECTS: V itamin E m ay increas e the phar macologic effects of | |
1931 | anticoagul ants. | |
1932 | PREDISPOSI NG FACTORS : None de termined. | |
1933 | PATIENT MA NAGEMENT: Coadminis tration of vitamin E and antic oagulants | |
1934 | Press Retu rn to cont inue... | |
1935 | should be avoided. If both dr ugs are ad ministered , monitor | |
1936 | hypoprothr ombinemic response t o warfarin and adjus t the dose of the | |
1937 | anticoagul ants as in dicated. T he time of highest r isk for a coumarin-t ype | |
1938 | drug inter action is when the p recipitant drug is i nitiated o r | |
1939 | discontinu ed. Conta ct the pre scriber be fore initi ating, alt ering the | |
1940 | dose or di scontinuin g either d rug. | |
1941 | DISCUSSION : Vitamin E doses o f 800 Inte rnational Units/day and more | |
1942 | have been reported t o increase the hypop rothrombin emic effec t of | |
1943 | warfarin: while dose s of 42 In ternationa l units/da y of vitam in E for 3 0 | |
1944 | days have increased the hypopr othrombine mic effect of dicuma rol. | |
1945 | Agenerase brand of a mprenavir capsules a nd oral so lution con tain a | |
1946 | significan t amount o f vitamin E. Each 1 50 mg caps ule contai ns 109 | |
1947 | Internatio nal Units vitamin E, with a to tal of 174 4 Internat ional Unit s | |
1948 | of vitamin E in the recommende d daily ad ult dose. Each mL o f oral | |
1949 | solution c ontains 46 Internati onal Units of vitami n E. | |
1950 | REFERENCES : | |
1951 | 1.Corrigan JJ Jr, Ma rcus FI. Coagulopat hy associa ted with v itamin E | |
1952 | ingestion. JAMA 197 4 Dec 2:23 0(9):1300- 1. | |
1953 | Press Retu rn to cont inue... | |
1954 | 2.Schrogie JJ. Lette r: Coagulo pathy and fat-solubl e vitamins . JAMA 19 76 | |
1955 | Apr 7:232( 1):19. | |
1956 | 3.Corrigan JJ Jr, Ul fers LL. Effect of vitamin E on prothro mbin level s | |
1957 | in warfari n-induced vitamin K deficiency . Am J Cl in Nutr 19 81 Sep: | |
1958 | 34(9):1701 -5. | |
1959 | 4.Anonymou s. Vitamin K, vitami n E and th e coumarin drugs. N utr Rev 19 82 | |
1960 | Jun: 40(6) :180-2. | |
1961 | 5.Ageneras e (amprena vir) Capsu les US pre scribing i nformation . | |
1962 | GlaxoSmith Kline Febr uary, 2004 . | |
1963 | Copyright 2010 First DataBank, Inc. | |
1964 | Do you wan t to Inter vene with MULTIVITAM INS 2 ML? NO// | |
1965 | INFUSION R ATE: 125 INFUSE OF 125 MINUT ES | |
1966 | MED ROUTE: IV// | |
1967 | SCHEDULE: QID | |
1968 | ADMINISTRA TION TIMES : 09-13-17 -21// | |
1969 | REMARKS: | |
1970 | OTHER PRIN T INFO: | |
1971 | START DATE /TIME: FEB 26,2010@1 8:51// ( FEB 26, 20 10@18:51) | |
1972 | STOP DATE/ TIME: MAR 27,2010@23 :59 | |
1973 | PROVIDER: PROVIDER,O NE | |
1974 | 1 P ROVIDER,ON E | |
1975 | ||
1976 | NEW YORK | |
1977 | OP | |
1978 | 10BA1/ADP Scholar Extra | |
1979 | ordinaire | |
1980 | 2 P ROVIDER,ON EHUNDRED | |
1981 | ||
1982 | TZB | |
1983 | 10BA1 /ADP Sch olar Extra ord | |
1984 | ordinaire | |
1985 | 3 P ROVIDER,ON EHUNDREDFI VE | |
1986 | ||
1987 | 10BA 1/ADP Sc holar Extr aor | |
1988 | dordinaire | |
1989 | 4 P ROVIDER,ON EHUNDREDNI NETYONE | |
1990 | ||
1991 | B M 10BA 1/ADP Sc hol | |
1992 | ar Extraor dinaire | |
1993 | 5 P ROVIDER,ON EHUNDREDSI XTYSEVEN | |
1994 | ||
1995 | 10BA1/ADP Schola r E | |
1996 | xtraordina ire | |
1997 | Press <RET URN> to se e more, '^ ' to exit this list, OR | |
1998 | CHOOSE 1-5 : 1 PROV IDER,ONE | |
1999 | ||
2000 | NEW YORK | |
2001 | OP 10BA1/ ADP Scho lar E | |
2002 | xtraordina ire | |
2003 | Orderable Item: MUL TIVITAMINS INJ | |
2004 | Give: IV QID | |
2005 | 100716 | |
2006 | [1]0808 7 A GEN MED 02/25/10 | |
2007 | EIGHT,INPA TIENT 726 -B | |
2008 | MULTIVITAM INS 2 ML | |
2009 | 0.9% SODIU M CHLORIDE 100 ML | |
2010 | INFUSE OVE R 125 MINU TES | |
2011 | QID | |
2012 | 09-13-17-2 1 | |
2013 | 1[1] | |
2014 | Start date ; FEB 25,2 010 18:51 Stop dat e: MAR 27, 2010 23:59 | |
2015 | Expected F irst Dose: FEB 25,2 010@21:00 | |
2016 | Is this O. K.: YES// | |
2017 | YES | |
2018 | NATURE OF ORDER: WRI TTEN// | |
2019 | W | |
2020 | ...transcr ibing this non-verif ied order. ... | |
2021 | NON-VERIFI ED IV Feb 25, 20 10@18:54:0 8 Page: 1 of 2 | |
2022 | EIGHT,INPA TIENT Ward: 7A GEN | |
2023 | PID: 66 6-00-0808 Room-Bed: 726-B Ht(cm) : ______ ( ________) | |
2024 | DOB: 01 /01/50 (61 ) Wt(kg) : ______ ( ________) | |
2025 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
2026 | *(1) Addi tives: | |
2027 | ||
2028 | ||
2029 | ||
2030 | ||
2031 | Type: PIGG YBACK | |
2032 | MUL TIVITAMINS 2 ML | |
2033 | (2) Solu tions: | |
2034 | 0.9 % SODIUM C HLORIDE 10 0 ML | |
2035 | Duration: (4) Start : 02/26/10 18:51 | |
2036 | (3) Infu sion Rate: INFUSE OV ER 125 MIN UTES | |
2037 | *(5) Med Route: IV (6) Stop : 03/27/10 23:59 | |
2038 | *(7) Schedule: QID Last Fill : ******** | |
2039 | (8) Ad min Times: 09-13-17- 21 Quantify : 0 | |
2040 | *(9) Provider: PROVIDER, ONE [w] Cum. Doses : | |
2041 | *(10)Order able item: MULTIVITA MINS INJ | |
2042 | Ins tructions: | |
2043 | (11) Ot her Print: | |
2044 | +--------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
2045 | DC Disco ntinue RN (Renew) VF Veri fy | |
2046 | HD (Hold ) OC (On Call) FL Flag | |
2047 | ED Edit | |
2048 | ||
2049 | AL Act ivity Logs | |
2050 | Select Ite m(s): Next Screen// | |
2051 | After ente ring the d ata for th e order, t he system will promp t the nurs e to confi rm that th e order is correct. The IV mod ule contai ns an inte grity chec ker to ens ure the ne cessary fi elds are a nswered fo r each typ e of order . The nurs e must edi t the orde r to make correction s if all o f these fi elds are n ot answere d correctl y. If the order cont ains no er rors, but has a warn ing, the u ser will b e allowed to proceed . | |
2052 | PADE Stock and Ward Stock Item s | |
2053 | The VistA Pharmacy I npatient O rder Entry Patient P rofile scr een contai ns informa tion on wh ether or n ot a drug is a PADE stock item . | |
2054 | New displa y function s include the follow ing: | |
2055 | PD = PADE stock item (Medicati on in the PADE inven tory file) | |
2056 | WP = Ward Stock and PADE stock item | |
2057 | Example: P atient Pro file Inpat ient Order Entry scr een displa y | |
2058 | Inpatient Order Entr y Mar 03, 20 15@13:38:0 2 Page: 1 of 1 | |
2059 | BCMAPATIEN T,FOUR Ward: 7A GEN A | |
2060 | PID: 00 0-00-0001 | |
2061 | Room-Bed : Ht(cm): ______ (__ ______) | |
2062 | DOB: 12 /25/66 (48 ) Wt(kg) : ______ ( ________) | |
2063 | Sex: FE MALE A dmitted: 0 1/12/09 | |
2064 | Dx: CO UGH Last tran sferred: * ******* | |
2065 | CrCL: <N ot Found> B SA (m2): _ _________ | |
2066 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
2067 | 1 AL PRAZOLAM T AB C 03/02 0 3/09 A PD | |
2068 | Give: 0.25 MG PO BID | |
2069 | 2 AM PICILLIN C AP,ORAL C 03/03 0 3/09 A WP | |
2070 | Give: 250M G BY MOUTH TID | |
2071 | - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - - - - - | |
2072 | 3 CA PTOPRIL TA B ? ***** * **** P | |
2073 | Give: 75MG PO TID | |
2074 | 4 LE VOTHYROXIN E TAB ? ***** * **** P WS | |
2075 | Give: 0.02 5MG BY MOU TH *Q8H | |
2076 | E nter ?? fo r more act ions | |
2077 | PI Patien t Informat ion SO Select Order | |
2078 | PU Patien t Record U pdate NO New Or der Entry | |
2079 | Select Act ion: Quit/ / | |
2080 | Detailed A llergy/ADR List XE " Detailed A llergy/ADR List" | |
2081 | The Detail ed Allergy /ADR List action dis plays a de tailed lis ting of th e selected item from the patie nt’s Aller gy/ADR Lis t. Entry t o the Edit Allergy/A DR Data op tion is pr ovided wit h this lis t also. | |
2082 | Enter/Edit Allergy/A DR Data XE "Enter/Ed it Allergy /ADR Data" | |
2083 | Provides a ccess to t he Adverse Reaction Tracking ( ART) packa ge XE "Adv erse React ion Tracki ng (ART) P ackage" t o allow en try and/or edit of a llergy adv erse react ion data f or the pat ient. See the Allerg y package documentat ion for mo re informa tion on Al lergy/ADR processing . | |
2084 | Select All ergy XE "S elect Alle rgy" | |
2085 | Allows the user to v iew a spec ific aller gy. Interv ention Men u XE "Inte rvention M enu" | |
2086 | This opt ion is onl y availabl e to those users who hold XE " Hold" the PSJ RPHAR M key XE " PSJ RPHARM Key" . | |
2087 | The Interv ention Men u XE "Inte rvention M enu" acti on allows entry of n ew interve ntions and existing interventi ons to be edited, de leted, vie wed, or pr inted XE " Interventi on" . Each kind of i nterventio n XE "Inte rvention" will be d iscussed a nd an exam ple will f ollow. | |
2088 | Note: Inte rventions can also b e dynamica lly create d in respo nse to Ord er Checks for critic al drug-dr ug interac tions XE " critical drug-drug interactio ns " and allergy/AD Rs. Refer to Section 4.9 Order Checks. | |
2089 | If a chang e is made to an inte rvention a ssociated to an inpa tient orde r made in response t o critical drug-drug and/or al lergy/ADR, the chang es are ref lected and displayed whenever interventi ons displa y. | |
2090 | New interv entions en tered via the Interv ention Men u are at t he patient level and are not a ssociated with a par ticular or der. Conse quently, n ew entries made thro ugh this m enu are no t reflecte d in the O CI listing , the BCMA Display O rder detai l report, and do not cause hig hlighting in BCMA. | |
2091 | New: This option is used to ad d an entry into the APSP INTER VENTION fi le. | |
2092 | Example: N ew Interve ntion XE "Intervent ion Menu:N ew Interve ntion Exam ple" | |
2093 | Patient In formation Feb 11, 20 11@11:17:4 4 Page: 1 of 1 | |
2094 | BCMAPATIEN T,FIVE Ward: 3 NORTH | |
2095 | PID: 00 0-00-5555 Room-Bed: 1-2 Ht(cm) : ______ ( ________) | |
2096 | DOB: 09 /16/45 (65 ) Wt(kg) : ______ ( ________) | |
2097 | Sex: MA LE A dmitted: 1 2/05/08 | |
2098 | Dx: FL UID IN LUN GS Last tran sferred: * ******* | |
2099 | Allergies /Reactions : NKA | |
2100 | Inpatient Narrative : | |
2101 | Outpatient Narrative : | |
2102 | Enter ?? f or more ac tions | |
2103 | PU Patient Record Up date NO New Ord er Entry | |
2104 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
2105 | VP View Pr ofile | |
2106 | Select Act ion: View Profile// IN Inter vention Me nu | |
2107 | -- - Interven tion Menu --- | |
2108 | DI Delet e Pharmacy Intervent ion PO Print Pharmacy Interventi on | |
2109 | ED Edit Pharmacy I nterventio n VP View Pharmacy I nterventio n | |
2110 | NE Enter Pharmacy Interventi on | |
2111 | Select Ite m(s): NE Enter Pha rmacy Inte rvention | |
2112 | Select APS P INTERVEN TION INTER VENTION DA TE: T FE B 11, 2011 | |
2113 | Are you adding 'FE B 11, 2011 ' as a new APSP INTE RVENTION ( the 526TH) ? No// Y | |
2114 | (Yes) | |
2115 | APSP IN TERVENTION PATIENT: PRETST, PATTHREE 8-1- 61 0000 09677 | |
2116 | NO NSC VETERAN | |
2117 | Combat Vet Status : ELIGIBLE End Date: 02/ 12/2015 | |
2118 | APSP IN TERVENTION DRUG: CIMETIDINE 200MG TAB G A301 | |
2119 | PROVIDER: PHARMACIST ,LINDA J LP | |
2120 | INSTITUTED BY: PHARM ACY// PH ARMACY | |
2121 | INTERVENTI ON: ? | |
2122 | Answer wi th APSP IN TERVENTION TYPE, or NUMBER | |
2123 | Do you wa nt the ent ire 22-Ent ry APSP IN TERVENTION TYPE List ? N (No) | |
2124 | INTERVENTI ON: ALLERG Y | |
2125 | RECOMMENDA TION: NO C HANGE | |
2126 | WAS PROVID ER CONTACT ED: NO NO | |
2127 | RECOMMENDA TION ACCEP TED: Y YE S | |
2128 | FINANCIAL COST: | |
2129 | REASON FOR INTERVENT ION: | |
2130 | No exist ing text | |
2131 | Edit? NO // | |
2132 | ACTION TAK EN: | |
2133 | No exist ing text | |
2134 | Edit? NO // | |
2135 | CLINICAL I MPACT: | |
2136 | No existin g text | |
2137 | Edit? NO // | |
2138 | FINANCIAL IMPACT: | |
2139 | No exist ing text | |
2140 | Edit? NO // | |
2141 | Select APS P INTERVEN TION INTER VENTION DA TE: | |
2142 | Edit: This option is used to e dit an exi sting entr y in the A PSP INTERV ENTION fil e. | |
2143 | Example: E dit an Int ervention XE "Inter vention Me nu:Edit an Intervent ion Exampl e" | |
2144 | Patient In formation Feb 11, 20 11@11:52:0 2 Page: 1 of 1 | |
2145 | PRETST,PAT THREE Ward: | |
2146 | PID: 00 0-00-9677 Room-Bed: Ht(cm) : ______ ( ________) | |
2147 | DOB: 08 /01/61 (49 ) Wt(kg) : ______ ( ________) | |
2148 | Sex: MA LE A dmitted: | |
2149 | Dx: Last tran sferred: * ******* | |
2150 | Allergies /Reactions : NKA | |
2151 | Inpatient Narrative : | |
2152 | Outpatient Narrative : | |
2153 | Enter ?? f or more ac tions | |
2154 | PU Patient Record Up date NO New Ord er Entry | |
2155 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
2156 | VP View Pr ofile | |
2157 | Select Act ion: View Profile// IN Inter vention Me nu | |
2158 | --- Intervent ion Menu - -- | |
2159 | DI Delet e Pharmacy Intervent ion PO Print Pharmacy Interventi on | |
2160 | ED Edit Pharmacy I nterventio n VP View Pharmacy I nterventio n | |
2161 | NE Enter Pharmacy Interventi on | |
2162 | Select Ite m(s): ED Edit Phar macy Inter vention | |
2163 | Select INT ERVENTION: T SEP 22 , 2000 PRETST, PATTHREE WARFARIN 10MG | |
2164 | INTERVENTI ON DATE: S EP 22,2000 // <Enter> | |
2165 | PATIENT: P RETST,PATT HREE// <En ter> | |
2166 | PROVIDER: PSJPROVIDE R,ONE // < Enter> | |
2167 | PHARMACIST : PSJNURSE ,ONE // <E nter> | |
2168 | DRUG: WARF ARIN 10MG/ / <Enter> | |
2169 | INSTITUTED BY: PHARM ACY// <Ent er> | |
2170 | INTERVENTI ON: ALLERG Y// <Enter > | |
2171 | OTHER FOR INTERVENTI ON: | |
2172 | 1> | |
2173 | RECOMMENDA TION: NO C HANGE// <E nter> | |
2174 | OTHER FOR RECOMMENDA TION: | |
2175 | 1> | |
2176 | WAS PROVID ER CONTACT ED: NO// < Enter> | |
2177 | PROVIDER C ONTACTED: | |
2178 | RECOMMENDA TION ACCEP TED: YES// <Enter> | |
2179 | AGREE WITH PROVIDER: <Enter> | |
2180 | FINANCIAL COST: | |
2181 | REASON FOR INTERVENT ION: | |
2182 | No exist ing text | |
2183 | Edit? NO// | |
2184 | ACTION TAK EN: | |
2185 | No exist ing text | |
2186 | Edit? NO// | |
2187 | CLINICAL I MPACT: | |
2188 | No exist ing text | |
2189 | Edit? NO// | |
2190 | FINANCIAL IMPACT: | |
2191 | No exist ing text | |
2192 | Edit? NO// | |
2193 | Delete: Th is option is used to delete an entry fro m the APSP INTERVENT ION file. The nurse may only d elete an e ntry that was entere d on the s ame day. | |
2194 | Example: D elete an I nterventio n XE "Int ervention Menu:Delet e an Inter vention Ex ample" | |
2195 | Patient In formation Feb 11, 20 11@11:52:0 2 Page: 1 of 1 | |
2196 | PRETST,PAT THREE Ward: | |
2197 | PID: 00 0-00-9677 Room-Bed: Ht(cm) : ______ ( ________) | |
2198 | DOB: 08 /01/61 (49 ) Wt(kg) : ______ ( ________) | |
2199 | Sex: MA LE A dmitted: | |
2200 | Dx: Last tran sferred: * ******* | |
2201 | Allergies /Reactions : NKA | |
2202 | Inpatient Narrative : | |
2203 | Outpatient Narrative : | |
2204 | Enter ?? f or more ac tions | |
2205 | PU Patient Record Up date NO New Ord er Entry | |
2206 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
2207 | VP View Pr ofile | |
2208 | Select Act ion: View Profile// IN Inter vention Me nu | |
2209 | -- - Interven tion Menu --- | |
2210 | DI Delet e Pharmacy Intervent ion PO Print Pharmacy Interventi on | |
2211 | ED Edit Pharmacy I nterventio n VP View Pharmacy I nterventio n | |
2212 | NE Enter Pharmacy Interventi on | |
2213 | Select Ite m(s): de Delete Ph armacy Int ervention | |
2214 | You may on ly delete entries en tered on t he current day. | |
2215 | Select APS P INTERVEN TION INTER VENTION DA TE: t FE B 11, 2011 | |
2216 | 1 2 -11-2011 PRETS T,PATTHREE CIMET IDINE 200M G TAB | |
2217 | 2 2 -11-2011 PRETS T,PATTHREE CIMET IDINE 200M G TAB | |
2218 | CHOOSE 1-2 : 1 2-11- 2011 P RETST,PATT HREE C IMETIDINE 200MG TAB | |
2219 | SURE YOU W ANT TO DEL ETE THE EN TIRE ENTRY ? y YES | |
2220 | Select APS P INTERVEN TION INTER VENTION DA TE: | |
2221 | View: This option is used to d isplay Pha rmacy Inte rventions in a capti oned forma t. | |
2222 | Example: V iew an Int ervention XE "Inter vention Me nu:View an Intervent ion Exampl e" | |
2223 | Patient In formation Feb 11, 20 11@11:52:0 2 Page: 1 of 1 | |
2224 | PRETST,PAT THREE Ward: | |
2225 | PID: 00 0-00-9677 Room-Bed: Ht(cm) : ______ ( ________) | |
2226 | DOB: 08 /01/61 (49 ) Wt(kg) : ______ ( ________) | |
2227 | Sex: MA LE A dmitted: | |
2228 | Dx: Last tran sferred: * ******* | |
2229 | Allergies /Reactions : NKA | |
2230 | Inpatient Narrative : | |
2231 | Outpatient Narrative : | |
2232 | Enter ?? f or more ac tions | |
2233 | PU Patient Record Up date NO New Ord er Entry | |
2234 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
2235 | VP View Pr ofile | |
2236 | Select Act ion: View Profile// IN Inter vention Me nu | |
2237 | -- - Interven tion Menu --- | |
2238 | DI Delet e Pharmacy Intervent ion PO Print Pharmacy Interventi on | |
2239 | ED Edit Pharmacy I nterventio n VP View Pharmacy I nterventio n | |
2240 | NE Enter Pharmacy Interventi on | |
2241 | Select Ite m(s): VP View Phar macy Inter vention | |
2242 | Select APS P INTERVEN TION INTER VENTION DA TE: T FE B 11, 2011 PRE TST,PATTHR | |
2243 | EE CIM ETIDINE 20 0MG TAB | |
2244 | ANOTHER ON E: | |
2245 | INTERVENTI ON DATE: F EB 11, 201 1 PATIENT: P RETST,PATT HREE | |
2246 | PROVIDER : PROVIDER ,LINDA J PHARMACIST : PHARMACI ST,CHRIS | |
2247 | DRUG: CI METIDINE 2 00MG TAB INSTITUTED BY: PHARM ACY | |
2248 | INTERVEN TION: ALLE RGY RECOMMENDA TION: NO C HANGE | |
2249 | WAS PROV IDER CONTA CTED: NO RECOMMENDA TION ACCEP TED: YES | |
2250 | Select APS P INTERVEN TION INTER VENTION DA TE: | |
2251 | Print: Thi s option i s used to obtain a c aptioned p rintout of Pharmacy Interventi ons for a certain da te range. It will pr int out on normal wi dth paper and can be queued to print at a later ti me. | |
2252 | Example: P rint an In tervention XE "Inte rvention M enu:Print an Interve ntion Exam ple" | |
2253 | Select Uni t Dose Med ications O ption: In patient Or der Entry | |
2254 | Select PAT IENT: B CMA,EIGHTE EN-PATIENT 666-33-0 018 04/07 /35 7A GEN MED | |
2255 | Patient In formation Mar 16, 20 11@12:37:2 0 Page: 1 of 1 | |
2256 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
2257 | PID: 66 6-33-0018 Room-Bed: Ht(cm) : 175.26 ( 12/15/08) | |
2258 | DOB: 04 /07/35 (75 ) Wt(kg) : 100.00 ( 12/15/08) | |
2259 | Sex: FE MALE A dmitted: 0 1/31/02 | |
2260 | Dx: UP SET Last tran sferred: 0 6/04/10 | |
2261 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
2262 | Allergies - Verified : AMPICILL IN, PENICI LLIN, STRA WBERRIES | |
2263 | No n-Verified : | |
2264 | Adverse Reactions : | |
2265 | Inpatient Narrative : | |
2266 | Outpatient Narrative : | |
2267 | ---------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
2268 | PU Patient Record Up date NO New Ord er Entry | |
2269 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
2270 | VP View Pr ofile | |
2271 | Select Act ion: View Profile// IN Inter vention Me nu | |
2272 | -- - Interven tion Menu --- | |
2273 | DI Delet e Pharmacy Intervent ion PO Print Pharmacy Interventi on | |
2274 | ED Edit Pharmacy I nterventio n VP View Pharmacy I nterventio n | |
2275 | NE Enter Pharmacy Interventi on | |
2276 | Select Ite m(s): PO Print Pha rmacy Inte rvention | |
2277 | * Previo us selecti on: INTERV ENTION DAT E from Jun 1,2010 | |
2278 | START WI TH INTERVE NTION DATE : Jun 1,20 10// T-1 (MAR 15, 2 011) | |
2279 | GO TO IN TERVENTION DATE: LAS T// T (MA R 16, 2011 ) | |
2280 | DEVICE: ho me;80;9999 COMPUTER ROOM | |
2281 | PHARMACY I NTERVENTIO N LISTING MAR 16,2011 12:37 P AGE 1 | |
2282 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
2283 | INTERVENTI ON: CRITIC AL DRUG IN TERACTION | |
2284 | INTERVENTI ON DATE: M AR 16,2011 P ATIENT: B CMA,EIGHTE EN-PATIENT | |
2285 | PROVIDER: PROVIDER,O NE P HARMACIST: PHARMACI ST,TWO | |
2286 | DRUG: INDI NAVIR SULF ATE 400MG CAP I NSTITUTED BY: PHARM ACY | |
2287 | RECOMMENDA TION: NO C HANGE | |
2288 | WAS PROVID ER CONTACT ED: R ECOMMENDAT ION ACCEPT ED: | |
2289 | PROVIDER C ONTACTED: | |
2290 | INTERVENTI ON DATE: M AR 16,2011 P ATIENT: B CMA,EIGHTE EN-PATIENT | |
2291 | PROVIDER: PROVIDER,O NE P HARMACIST: PHARMACI ST,TWO | |
2292 | DRUG: SIMV ASTATIN 20 MG TAB I NSTITUTED BY: PHARM ACY | |
2293 | RECOMMENDA TION: NO C HANGE | |
2294 | WAS PROVID ER CONTACT ED: R ECOMMENDAT ION ACCEPT ED: | |
2295 | PROVIDER C ONTACTED: | |
2296 | - ---------- ---------- ------- | |
2297 | SUBTOTAL 0 | |
2298 | SUBCOUNT 2 | |
2299 | - ---------- ---------- ------- | |
2300 | TOTAL 0 | |
2301 | COUNT 2 | |
2302 | Patient In formation Mar 16, 20 11@12:37:5 7 Page: 1 of 1 | |
2303 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
2304 | PID: 66 6-33-0018 Room-Bed: Ht(cm) : 175.26 ( 12/15/08) | |
2305 | DOB: 04 /07/35 (75 ) Wt(kg) : 100.00 ( 12/15/08) | |
2306 | Sex: FE MALE A dmitted: 0 1/31/02 | |
2307 | Dx: UP SET Last tran sferred: 0 6/04/10 | |
2308 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
2309 | Allergies - Verified : AMPICILL IN, PENICI LLIN, STRA WBERRIES | |
2310 | No n-Verified : | |
2311 | Adverse Reactions : | |
2312 | Inpatient Narrative : | |
2313 | Outpatient Narrative : | |
2314 | ---------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
2315 | PU Patient Record Up date NO New Ord er Entry | |
2316 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
2317 | VP View Pr ofile | |
2318 | Select Act ion: View Profile// | |
2319 | View Profi le XE "Vi ew Profile " | |
2320 | The View P rofile XE "View Prof ile" acti on allows selection of a Long, Short, or NO profil e for the patient. T he profile displayed in the In patient Or der Entry XE "Inpati ent Order Entry" an d Non-Veri fied/Pendi ng Orders XE "Non-Ve rified/Pen ding Order s" option s will inc lude IV an d Unit Dos e orders. The long p rofile sho ws all ord ers, inclu ding disco ntinued an d expired orders. Th e short pr ofile disp lays recen tly discon tinued or expired or ders based on parame ter values found in the System parameter and inpat ient ward parameter files. | |
2321 | Example: P rofile Vie w XE "View Profile E xample" | |
2322 | Inpatient Order Entr y Oct 19, 20 10@16:41:3 5 Page: 1 of 3 | |
2323 | PSJPATIENT ,ELEVEN Ward: 7AS | |
2324 | PID: 66 6-00-2921 Room-Bed: Ht(cm) : ______ ( ________) | |
2325 | DOB: 08 /09/54 (56 ) Wt(kg) : ______ ( ________) | |
2326 | Sex: MA LE A dmitted: 0 6/09/10 | |
2327 | Dx: RE SPIRATORY DISTRESS Last tran sferred: * ******* | |
2328 | CrCL: <N ot Found> B SA (m2): _ __________ | |
2329 | ||
2330 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
2331 | 1 ->AM IODARONE T AB C 10/19 1 1/18 A | |
2332 | Give: 400M G PO TID | |
2333 | 2 CI METIDINE T AB C 10/19 1 1/18 R | |
2334 | Give: 300M G PO QHS | |
2335 | - - - - - - - - - - - - - - N O N - V E R I F I E D - - - - - - - - - - - - - - | |
2336 | 3 LO VASTATIN T AB C 10/19 1 1/18 N NF | |
2337 | Give: 20MG PO QPM | |
2338 | - - - - - - - - - - N O N - V E R I F I E D C O M P L E X - - - - - - - - - - | |
2339 | 4 HA LOPERIDOL TAB C 10/19 1 1/18 N | |
2340 | Give: 10MG PO BID | |
2341 | HA LOPERIDOL TAB C 10/19 1 1/18 N | |
2342 | G ive: 15MG PO QHS | |
2343 | - - - - - - - - - - - - P E N D I N G R E N E W A L S - - - - - - - - - - - - | |
2344 | 5 CI METIDINE T AB ? ***** * **** P 10/19 | |
2345 | Give: 300M G PO QHS | |
2346 | - - - - - - - - - - - - - P E N D I N G C O M P L E X - - - - - - - - - - - - | |
2347 | 6 PR EDNISONE T AB ? ***** * **** P | |
2348 | Give: 20MG PO QAM | |
2349 | PR EDNISONE T AB ? ***** * **** P | |
2350 | Give: 10MG PO QOD | |
2351 | PR EDNISONE T AB ? ***** * **** P | |
2352 | Give: 5MG PO QD | |
2353 | - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - - - - - | |
2354 | 7 ACETA MINOPHEN T AB ? * **** **** * P | |
2355 | Give: 650M G PO Q4H P RN | |
2356 | - - - - - - - - RE CENTLY DIS CONTINUED/ EXPIRED (L AST 120 HO URS) - - - - - - - - | |
2357 | 8 AS PIRIN TAB, EC C 10/19 1 0/19 D | |
2358 | Give: 325M G PO QHS | |
2359 | 9 ->NA PROXEN TAB C 10/19 1 0/19 D | |
2360 | Give: 250M G PO BID | |
2361 | + Enter ?? f or more ac tions | |
2362 | PI Patien t Informat ion SO Select Order | |
2363 | PU Patien t Record U pdate NO New Or der Entry | |
2364 | Select Act ion: Next Screen// | |
2365 | The orders on the pr ofile are sorted fir st by stat us (ACTIVE , NON-VERI FIED, NON- VERIFIED C OMPLEX, PE NDING RENE WALS, PEND ING COMPLE X, PENDING , RECENTLY DISCONTIN UED/EXPIRE D), then a lphabetica lly by SCH EDULE TYPE . Pending orders wit h a priori ty XE "Pri ority" of STAT are listed fir st and are displayed in a bold and blink ing text f or easy id entificati on. After SCHEDULE T YPE, order s are sort ed alphabe tically by DRUG (the drug name listed on the profi le), and t hen in des cending or der by STA RT DATE. | |
2366 | Example: S hort Profi le | |
2367 | Inpatient Order Entr y Jun 12, 20 06@23:12:5 4 Page: 1 of 1 | |
2368 | PSJPATIENT 11, ONE Ward: 2AS M | |
2369 | PID: 00 0-55-3421 Room-Bed: 102-1 Ht(cm) : ______ ( ________) | |
2370 | DOB: 12 /02/23 (82 ) Wt(kg) : 100.00 ( 06/24/03) | |
2371 | Sex: MA LE A dmitted: 1 2/11/01 | |
2372 | Dx: HE IS A PAIN . Last tran sferred: 1 2/11/01 | |
2373 | CrCL: <N ot Found> B SA (m2): _ __________ | |
2374 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
2375 | 1 CE FAZOLIN 1 GM C 06/12 0 6/22 H | |
2376 | in 5% DEXTRO SE 50 ML Q 8H | |
2377 | 2 CI METIDINE T AB C 06/12 0 7/12 A | |
2378 | Give: 300M G PO BID | |
2379 | 3 FU ROSEMIDE T AB C 06/01 0 6/15 HP | |
2380 | Give: 40MG PO QAM | |
2381 | - - - - - - - - - - - - - - N O N - V E R I F I E D - - - - - - - - - - - - - - | |
2382 | 4 CA PTOPRIL TA B C 06/14 0 6/28 N | |
2383 | Give: 25MG PO BID | |
2384 | - - - - - - - - - - - - P E N D I N G R E N E W A L S - - - - - - - - - - - - | |
2385 | 5 HA LOPERIDOL TAB ? ***** * **** P 06/14 | |
2386 | Give: 5MG PO BID | |
2387 | - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - - - - - | |
2388 | 6 HE PARIN/DEXT ROSE INJ,S OLN ? ***** * **** P | |
2389 | Give: IV | |
2390 | 7 LA CTULOSE SY RUP ? ***** * **** P NF | |
2391 | Give: 10GM /15ML PO B ID PRN | |
2392 | - - - - - - - - - - - RECENTLY DISCONTIN UED/EXPIRE D (LAST X HOURS) - - - - - - - - - - | |
2393 | 8 FO LIC ACID T AB | |
2394 | ||
2395 | ||
2396 | ||
2397 | C 06/14 06/16 D | |
2398 | Give: 1MG PO QAM | |
2399 | 9 GE NTAMICIN 8 0 MG C 06/12 0 6/12 D | |
2400 | in 5% DEXTRO SE 100 ML Q8H | |
2401 | 10 IS ONIAZID TA B C 04/03 0 4/17 DF | |
2402 | Give: 300M G PO QD | |
2403 | 11 PO TASSIUM CH LORIDE 10M EQ C 06/12 0 6/12 DA | |
2404 | in 5% DEXTRO SE 1000 ML Q8H | |
2405 | 12 PO TASSIUM CH LORIDE 40 MEQ C 06/12 0 6/12 DD | |
2406 | in 5% DEXTRO SE 250 ML 120 ml/hr | |
2407 | 13 PR OPRANOLOL TAB C 06/15 0 6/20 DP | |
2408 | Give: 40MG PO Q6H | |
2409 | 14 TH IAMINE TAB C 04/03 0 4/17 E | |
2410 | Give: 100M G PO BID | |
2411 | X – Repres ents the v alue set i n either t he ward or system pa rameter | |
2412 | Ent er ?? for more actio ns | |
2413 | PI Patien t Informat ion SO Select Order | |
2414 | PU Patien t Record U pdate NO New Or der Entry | |
2415 | Sets of Co mplex Orde rs with a status of “Pending” or “Non-Ve rified” wi ll be grou ped togeth er in the Profile Vi ew. They a ppear as o ne numbere d list ite m, as show n in the f ollowing e xamples. O nce these orders are made acti ve, they w ill appear individua lly in the Profile V iew, with a status o f “Active” . | |
2416 | If an orde r has been verified by pharmac y but has not been v erified by nursing, it will be listed un der the AC TIVE headi ng with an arrow (-> ) to the r ight of it s number. A CPRS Med Order wil l have a “ DONE” prio rity and w ill displa y a “d” to the right of the nu mber on th e long pro files. The se orders will displ ay under t he Non-Act ive header . | |
2417 | Orders may be select ed by choo sing the S elect Orde r XE "Sele ct Order" action, o r directly from the profile us ing the nu mber displ ayed to th e left of the order. Multiple orders may be chosen by enteri ng the num bers of ea ch order t o be inclu ded separa ted by com mas (e.g., 1,2,3), o r a range of numbers using the dash (e.g ., 1-3). | |
2418 | The HOURS OF RECENTL Y DC/EXPIR ED field ( #7) has be en created in the IN PATIENT WA RD PARAMET ERS file ( #59.6). Th e Inpatien t Medicati ons profil es will di splay the recently d iscontinue d/expired orders tha t fall wit hin the nu mber of ho urs specif ied in thi s field. T he value d efined in this field will take precedenc e over the Inpatient System pa rameter. T he inpatie nt ward pa rameter al lows for a minimum v alue of on e (1) hour and a max imum value of one hu ndred twen ty (120) h ours. The Inpatient Ward Param eters Edit [PSJ IWP EDIT] opti on allows the user t o edit thi s new ward parameter . If this parameter is not set the softw are will u se the val ue in the HOURS OF R ECENTLY DC /EXPIRED f ield (#26. 8) in the PHARMACY S YSTEM file (#59.7). If neither parameter is set th e software will defa ult to twe nty-four ( 24) hours. | |
2419 | The HOURS OF RECENTL Y DC/EXPIR ED field ( #26.8) has been crea ted in the PHARMACY SYSTEM fil e (#59.7). The Inpat ient Medic ations pro files will display t he recentl y disconti nued/expir ed orders that fall within the number of hours spe cified in this field . This par ameter all ows for a minimum va lue of one (1) hour and a maxi mum value of one hun dred twent y (120) ho urs. The S ystems Par ameters Ed it [PSJ SY S EDIT] op tion inclu des the ab ility for a user to edit this inpatient site param eter. If n either par ameter is set the so ftware wil l default to twenty- four (24) hours. | |
2420 | On the med ication pr ofile in t he status column the codes and the actio n they rep resent are as follow s. | |
2421 | Order Stat us: The cu rrent stat us of the order. The se statuse s include: | |
2422 | A | |
2423 | Active | |
2424 | N | |
2425 | Non-Verifi ed | |
2426 | O | |
2427 | On Call (I V orders o nly) | |
2428 | I | |
2429 | Incomplete | |
2430 | HP | |
2431 | Placed on hold by pr ovider thr ough CPRS | |
2432 | H | |
2433 | Placed on hold via b ackdoor Ph armacy | |
2434 | E | |
2435 | Expired | |
2436 | DP | |
2437 | Discontinu ed by prov ider throu gh CPRS | |
2438 | DE | |
2439 | Discontinu ed due to edit via b ackdoor Ph armacy (Un it Dose or ders only) | |
2440 | D | |
2441 | Discontinu ed via bac kdoor Phar macy (IV & UD); disc ontinued d ue to edit via backd oor Pharma cy (IV) | |
2442 | The Status column wi ll also di splay some additiona l disconti nue type a ctions per formed on the order. The codes and the a ction they represent are as fo llows: | |
2443 | DF | |
2444 | Discontinu ed due to edit by a provider t hrough CPR S | |
2445 | DD | |
2446 | Auto disco ntinued du e to death | |
2447 | DA | |
2448 | Auto disco ntinued du e to patie nt movemen ts | |
2449 | Note: The START DATE and DRUG sort may b e reversed using the INPATIENT PROFILE O RDER SORT prompt in the Edit I npatient U ser Parame ters XE "E dit Inpati ent User P arameters" option X E "Inpatie nt User Pa rameters F ile" . | |
2450 | Example: P ending Com plex Order in Profil e View XE "Complex Orders:Pen ding Compl ex Order" | |
2451 | Inpatient Order Entr y Mar 07, 20 04@13:03:5 5 Page: 1 of 1 | |
2452 | PSJPATIENT 1,ONE Ward: 1 EAST | |
2453 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
2454 | DOB: 08 /18/20 (81 ) Wt(kg): _ _____ (___ _____) | |
2455 | Sex: MA LE A dmitted: 0 3/03/04 | |
2456 | Dx: TE STING Last tran sferred: * ******* | |
2457 | CrCL: 78 .1(est.) ( CREAT:1.0m g/dL 4/19/ 12) B SA (m2): _ ________ | |
2458 | - - - - - - - - - - - - - P E N D I N G C O M P L E X - - - - - - - - - - - - - - - - | |
2459 | 1 CA PTOPRIL TA B ? ***** * **** P | |
2460 | Give: 25MG PO QDAILY | |
2461 | CA PTOPRIL TA B ? ***** * **** P | |
2462 | Give: 50MG PO BID | |
2463 | CA PTOPRIL TA B ? ***** * **** P | |
2464 | Give: 100M G PO TID | |
2465 | ||
2466 | ||
2467 | ||
2468 | Enter ?? f or more ac tions | |
2469 | PI Patien t Informat ion SO Select Order | |
2470 | PU Patien t Record U pdate NO New Or der Entry | |
2471 | Select Act ion: Next Screen// | |
2472 | Example: N on-Verifie d Complex Order in P rofile Vie w XE "Comp lex Orders :Non-Verif ied Comple x Order" | |
2473 | Inpatient Order Entr y Mar 07, 20 04@13:03:5 5 Page: 1 of 1 | |
2474 | PSJPATIENT 1,ONE Ward: 1 EAST | |
2475 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
2476 | DOB: 08 /18/20 (81 ) Wt(kg): _ _____ (___ _____) | |
2477 | Sex: MA LE A dmitted: 0 3/03/04 | |
2478 | Dx: TE STING Last tran sferred: * ******* | |
2479 | CrCL: 78 .1(est.) ( CREAT:1.0m g/dL 4/19/ 12) B SA (m2): _ ________ | |
2480 | - - - - - - - - - - - - N O N - V E R I F I E D C O M P L E X - - - - - - - - - - - - | |
2481 | 1 CA PTOPRIL TA B C 03/26 0 3/27 N | |
2482 | Give: 25MG PO QDAILY | |
2483 | CA PTOPRIL TA B C 03/28 0 3/29 N | |
2484 | Give: 50MG PO BID | |
2485 | CA PTOPRIL TA B C 03/30 0 3/31 N | |
2486 | Give: 100M G PO TID | |
2487 | ||
2488 | ||
2489 | ||
2490 | Enter ?? f or more ac tions | |
2491 | PI Patien t Informat ion SO Select Order | |
2492 | PU Patien t Record U pdate NO New Or der Entry | |
2493 | Select Act ion: Next Screen// | |
2494 | Example: A ctive Comp lex Order in Profile View XE " Complex Or ders:Activ e Complex Order" | |
2495 | Inpatient Order Entr y Mar 07, 20 04@15:00:0 5 Page: 1 of 1 | |
2496 | PSJPATIENT 1,ONE Ward: 1 EAST | |
2497 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
2498 | DOB: 08 /18/20 (81 ) Wt(kg): _ _____ (___ _____) | |
2499 | Sex: MA LE A dmitted: 0 3/03/04 | |
2500 | Dx: TE STING Last tran sferred: * ******* | |
2501 | CrCL: 78 .1(est.) ( CREAT:1.0m g/dL 4/19/ 12) B SA (m2): _ _________ | |
2502 | - - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - - - | |
2503 | 1 CA PTOPRIL TA B C 03/26 0 3/27 A | |
2504 | Give: 25MG PO QDAILY | |
2505 | 2 CA PTOPRIL TA B C 03/28 0 3/29 A | |
2506 | Give: 50MG PO BID | |
2507 | 3 CA PTOPRIL TA B C 03/30 0 3/31 A | |
2508 | Give: 100M G PO TID | |
2509 | ||
2510 | ||
2511 | Enter ?? f or more ac tions | |
2512 | PI Patien t Informat ion SO Select Order | |
2513 | PU Patien t Record U pdate NO New Or der Entry | |
2514 | Select Act ion: Next Screen// | |
2515 | Orders tha t are disp ensed via Pharmacy A utomated D ispensing Equipment (PADE) wil l display a ‘PD’ fla g to the r ight of th e order st atus. If a n order is dispensed via PADE and is als o a Ward S tock item, the ‘WP’f lag will d isplay. | |
2516 | Example: P D and WP F lags for P ADE / Ward Stock Ite ms | |
2517 | Inpatient Order Entr y Dec 16, 20 15@16:51:4 1 Page: 1 of 10 | |
2518 | MONPATNM,M ARILYN Ward: GENERAL CAD | |
2519 | PID: 66 6-00-0195 Room-Bed: GENSUR-2 Ht(cm) : ______ ( ________) | |
2520 | DOB: 07 /07/67 (48 ) Wt(kg) : ______ ( ________) | |
2521 | Sex: FE MALE A dmitted: 0 8/29/11 | |
2522 | ||
2523 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
2524 | 1 AC ETAMINOPHE N 160MG/5M L LIQUID,O RAL C 12/02 1 2/16 A | |
2525 | Give: 650M G=20.3ML(1 UD CUP) P O Q12H | |
2526 | 2 FA MCICLOVIR TAB C 12/03 1 2/17 A PD | |
2527 | Give: 250M G PO Q12H | |
2528 | 3 HA LOPERIDOL TAB C 10/28 1 2/21 A WP | |
2529 | Give: 20.2 5MG PO Q24 H | |
2530 | PI Patien t Informat ion SO Select Order | |
2531 | PU Patien t Record U pdate NO New Or der Entry | |
2532 | Select Act ion: Next Screen// | |
2533 | Patient In formation XE "Patien t Informat ion" | |
2534 | The Patien t Informat ion XE "Pa tient Info rmation" screen is displayed for the se lected pat ient. The header con tains the patient’s demographi c data, wh ile the li st area co ntains All ergy/Adver se Reactio n data, in cluding re mote data and Pharma cy Narrati ves. If an outpatien t is selec ted, all f uture appo intments i n clinics that allow Inpatient Medicatio ns orders will displ ay in the list area, too. | |
2535 | Example: P atient Inf ormation X E "Patient Informati on Example " | |
2536 | Patient In formation Sep 13, 20 00 15:04:3 1 Page: 1 of 1 | |
2537 | PSJPATIENT 1,ONE Ward: 1 EAST | |
2538 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
2539 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
2540 | Sex: MA LE A dmitted: 0 5/03/00 | |
2541 | Dx: TE STING Last tran sferred: * ******* | |
2542 | Allergies /Reactions : No Aller gy Assessm ent | |
2543 | Remote: | |
2544 | Adverse R eactions: | |
2545 | Inpatient Narrative : Narrativ e for Pati ent PSJPAT IENT1 | |
2546 | Outpatien t Narrativ e: | |
2547 | Enter ?? f or more ac tions | |
2548 | PU Patient Record Up date NO New Ord er Entry | |
2549 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
2550 | VP View Pr ofile | |
2551 | Select Act ion: View Profile// | |
2552 | Example: P atient Inf ormation X E "Patient Informati on Example " Screen for Outpat ient Recei ving Inpat ient Medic ations | |
2553 | Patient In formation May 12, 20 03 14:27:1 3 Page: 1 of 1 | |
2554 | PSJPATIENT 3,THREE La st Ward: 1 West | |
2555 | PID: 00 0-00-0003 Last R oom-Bed: Ht(cm): _ _____ (___ _____) | |
2556 | DOB: 02 /01/55 (48 ) Wt(kg): _ _____ (___ _____) | |
2557 | Sex: FE MALE Last A dmitted: 0 1/13/98 | |
2558 | ||
2559 | Dx: TE STING Dis charged: 0 1/13/98 | |
2560 | ||
2561 | Allergies /Reactions : No Aller gy Assessm ent | |
2562 | Remote: | |
2563 | Adverse R eactions: | |
2564 | Inpatient Narrative : | |
2565 | Outpatien t Narrativ e: | |
2566 | ||
2567 | Clinic: Date/ Time of Ap pointment: | |
2568 | Clinic A May 2 3, 2003/9: 00 am | |
2569 | Flu Time C linic June 6, 2003/10 :00 am | |
2570 | Enter ?? f or more ac tions | |
2571 | PU Patient Record Up date NO New Ord er Entry | |
2572 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
2573 | VP View Pr ofile | |
2574 | Select Act ion: View Profile// | |
2575 | Select Ord er XE "Sel ect Order" | |
2576 | The Select Order XE "Select Or der" acti on is used to take a ction on a previousl y entered order by s electing i t from the profile, after the patient is selected and length of profil e is chose n (i.e., s hort or lo ng). | |
2577 | Example: S electing a n Order XE "Select O rder Examp le" | |
2578 | Inpatient Order Entr y Mar 07, 20 02@13:01:5 6 Page: 1 of 1 | |
2579 | PSJPATIENT 1,ONE Ward: 1 EAST | |
2580 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
2581 | DOB: 08 /18/20 (81 ) Wt(kg): _ _____ (___ _____) | |
2582 | Sex: MA LE A dmitted: 0 5/03/00 | |
2583 | Dx: TE STING Last tran sferred: * ******* | |
2584 | CrCL: <N ot Found> B SA (m2): _ ________ | |
2585 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
2586 | 1 in 0.9% SODI UM CHLORID E 1000 ML 125 ml/hrC 03/07 0 3/07 E | |
2587 | 2 in 5% DEXTRO SE 50 ML 1 25 ml/hr C 03/06 0 3/06 E | |
2588 | 3 CE PHAPIRIN 1 GM C 03/04 0 3/09 A | |
2589 | in DEXTROSE 5% IN N. S ALINE 100 ML QID | |
2590 | 4 AS PIRIN CAP, ORAL O 03/07 0 3/07 E | |
2591 | Give: 650M G PO NOW | |
2592 | - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - - - - - | |
2593 | 5 in DEXTROSE 10% 1000 M L 125 ml/h r ? ***** * **** P | |
2594 | ||
2595 | ||
2596 | ||
2597 | Enter ?? f or more ac tions | |
2598 | PI Patien t Informat ion SO Select Order | |
2599 | PU Patien t Record U pdate NO New Or der Entry | |
2600 | Select Act ion: Quit/ / 1 | |
2601 | ACTIVE UNI T DOSE Mar 07, 20 02@13:10:4 6 Page: 1 of 2 | |
2602 | PSJPATIENT 1,ONE Ward: 1 EAST | |
2603 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
2604 | DOB: 08 /18/20 (81 ) Wt(kg): _ _____ (___ _____) | |
2605 | *(1)Ordera ble Item: ASPIRIN CA P,ORAL <DIN> | |
2606 | Inst ructions: | |
2607 | *(2)Dosage Ordered: 325MG | |
2608 | Duration: *(3)Sta rt: 03/07/ 02 13:10 | |
2609 | *(4) M ed Route: ORAL | |
2610 | BCMA ORDER LAST ACTI ON: 03/07/ 02 13:09 G iven* *(5) St op: 03/08/ 02 24:00 | |
2611 | (6) Sched ule Type: CONTINUOUS | |
2612 | *(8) Schedule: QID | |
2613 | (9) Adm in Times: 09-13-17-2 1 | |
2614 | *(10) Provider: PSJPROVIDE R,ONE [es] | |
2615 | (11) Spec ial Instru ctions: | |
2616 | ||
2617 | ||
2618 | (12) Disp ense Drug U/D Inacti ve Date | |
2619 | ASPI RIN BUFFER ED 325MG T AB 1 | |
2620 | + Enter ?? f or more ac tions | |
2621 | DC Discon tinue ED Edit AL Acti vity Logs | |
2622 | HD Hold RN Renew | |
2623 | FL (Flag) VF (Verify) | |
2624 | Select Ite m(s): Next Screen// | |
2625 | The list a rea displa ys detaile d order in formation and allows actions t o be taken on the se lected ord er. A numb er display ed to the left of th e field na me identif ies fields that may be edited. If a fiel d, marked with an as terisk XE "Asterisk" (*) next to its nu mber, is e dited, it will cause this orde r to be di scontinued and a new one creat ed. If a p ending ord er is sele cted, the system wil l determin e any defa ult values for field s not ente red throug h CPRS XE "CPRS" an d display them along with the data enter ed by the provider. | |
2626 | The BCMA X E "BCMA" ORDER LAST ACTION fi eld will o nly displa y when an action has been perf ormed thro ugh BCMA o n this ord er. This i nformation includes the date a nd time of the actio n and the BCMA actio n status. If an aste risk (*) a ppears aft er the BCM A status, this indic ates an ac tion was t aken on th e prior or der that i s linked t o this ord er. | |
2627 | Actions, d isplayed i n the Acti on Area XE "Action A rea" , enc losed in p arenthesis are not a vailable t o the user . In the e xample abo ve, the ac tion Verif y is not a vailable t o the user since it was previo usly verif ied. | |
2628 | In the ord er display for an ou tpatient w ith inpati ent orders , the clin ic locatio n and the appointmen t date and time will display i n the scre en header area in th e same loc ation that the ward and room-b ed informa tion displ ays for an admitted patient. | |
2629 | Only users wit h the appr opriate ke ys will be allowed t o take any available actions o n the Unit Dose or I V order. | |
2630 | Example: O rder View For An Out patient Wi th Inpatie nt Orders | |
2631 | ACTIVE UNI T DOSE Nov 28, 20 03@10:55:4 7 Page: 1 of 2 | |
2632 | PSJPATIENT 3,THREE Clinic: CL INIC (PAT) | |
2633 | PID: 00 0-00-0003 Clini c Date: 10 /31/03 08: 00 Ht(cm) : ______ ( ________) | |
2634 | DOB: 02 /01/55 (48 ) Wt(kg) : ______ ( ________) | |
2635 | *(1)Ordera ble Item: CAPTOPRIL TAB <DIN> | |
2636 | Inst ructions: | |
2637 | *(2)Dosage Ordered: 25MG | |
2638 | *(3)Sta rt: 10/31/ 03 08:00 | |
2639 | *(4) M ed Route: ORAL (BY M OUTH) | |
2640 | *(5) St op: 11/29/ 03 12:56 | |
2641 | (6) Sched ule Type: CONTINUOUS | |
2642 | *(8) Schedule: BID | |
2643 | (9) Adm in Times: 08-20 | |
2644 | *(10) Provider: PSJPROVIDE R,ONE [s] DURATIO N: | |
2645 | (11) Spec ial Instru ctions: | |
2646 | (12) Disp ense Drug U/D Inacti ve Date | |
2647 | CAPT OPRIL 25MG TABS 1 | |
2648 | + Enter ?? f or more ac tions | |
2649 | DC Discon tinue ED Edit AL Acti vity Logs | |
2650 | HD Hold RN Renew | |
2651 | FL Flag VF (Verify) | |
2652 | Select Ite m(s): Next Screen// | |
2653 | Order Acti ons XE "Or der Action s" | |
2654 | The Order Actions XE "Order Ac tions" ar e the acti ons availa ble in the Action Ar ea XE "Act ion Area" of the Li st Manager XE "List Manager" Screen. Th ese action s pertain to the pat ient’s ord ers and in clude edit ing, disco ntinuing, verifying, etc. | |
2655 | Discontinu e XE "Disc ontinue an Order" | |
2656 | When an or der is dis continued, the order ’s Stop Da te/Time XE "Stop Dat e/Time" i s changed to the dat e/time the action is taken. An entry is placed in the order’ s Activity Log XE "A ctivity Lo g" record ing who di scontinued the order and when the action was taken . Pending and Non-ve rified ord ers are de leted when discontin ued and wi ll no long er appear on the pat ient’s pro file. | |
2657 | Note: Any orders pla ced throug h the Med Order Butt on cannot be discont inued. | |
2658 | XE "Start Date/Time " Example: Discontin ue an Orde r XE "Disc ontinue an Order Exa mple" | |
2659 | ACTIVE IV Mar 20, 20 01@16:37:4 9 Page: 1 of 1 | |
2660 | PSJPATIENT 1,ONE Ward: 1 EAST | |
2661 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
2662 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
2663 | *(1) Addit ives: O rder numbe r: 65 Type : ADMIXTUR E <DIN> | |
2664 | POT ASSIUM CHL ORIDE 40 M EQ | |
2665 | *(2) Solut ions: | |
2666 | 0.9 % SODIUM C HLORIDE 10 00 ML | |
2667 | Duration: | |
2668 | *(4) Start: 03/ 19/01 11: 30 | |
2669 | *(3) Infu sion Rate: 100 ml/hr | |
2670 | *(5) Med Route: IV *(6) Stop : 03/26/01 24:00 | |
2671 | *(7) Schedule: Last Fill : 03/19/01 14:57 | |
2672 | (8) Ad min Times: Quantity : 2 | |
2673 | *(9) Provider: PSJPROVID ER,ONE [w] Cum. Doses : 43 | |
2674 | (10) Ot her Print: | |
2675 | (11) Rem arks : | |
2676 | Ent ry By: PSJ PROVIDER,O NE Entry Date : 03/19/01 11:30 | |
2677 | Enter ?? f or more ac tions | |
2678 | DC Disco ntinue RN Renew FL Fla g | |
2679 | ED Edit | |
2680 | ||
2681 | ||
2682 | ||
2683 | ||
2684 | OC On Call | |
2685 | HD Hold AL | |
2686 | Activity Logs | |
2687 | Select Ite m(s): Quit // DC Di scontinue | |
2688 | NATURE OF ORDER: WRI TTEN// <E nter> W | |
2689 | Requesting PROVIDER: PSJPROVID ER,ONE // <Enter> PROV | |
2690 | REASON FOR ACTIVITY: TESTING | |
2691 | DISCONTINU ED IV Mar 20, 20 01@16:38:2 8 Page: 1 of 1 | |
2692 | PSJPATIENT 1,ONE Ward: 1 EAST | |
2693 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
2694 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
2695 | *(1) Addit ives: O rder numbe r: 65 Type : ADMIXTUR E <DIN> | |
2696 | POT ASSIUM CHL ORIDE 40 M EQ | |
2697 | *(2) Solut ions: | |
2698 | 0.9 % SODIUM C HLORIDE 10 00 ML | |
2699 | Duration: | |
2700 | *(4) Start: 03/ 19/01 11: 30 | |
2701 | *(3) Infu sion Rate: 100 ml/hr | |
2702 | *(5) Med Route: IV *(6) Stop : 03/20/01 16:38 | |
2703 | *(7) Schedule: Last Fill : 03/19/01 14:57 | |
2704 | (8) Ad min Times: Quantity : 2 | |
2705 | *(9) Provider: PSJPROVID ER,ONE [w] Cum. Doses : 43 | |
2706 | (10) Ot her Print: | |
2707 | (11) Rem arks : | |
2708 | Ent ry By: PSJ PROVIDER,O NE Entry Date : 03/19/01 11:30 | |
2709 | Enter ?? f or more ac tions | |
2710 | DC (Disc ontinue) RN (Renew) FL Flag | |
2711 | ED (Edit ) | |
2712 | ||
2713 | ||
2714 | ||
2715 | ||
2716 | OC ( On Call) | |
2717 | HD (Hold ) AL | |
2718 | Activity Logs | |
2719 | Select Ite m(s): Quit // <Enter> QUIT | |
2720 | When an ac tion of DC (Disconti nue) is ta ken on one child ord er that is part of a Complex O rder, a me ssage will display i nforming t he user th at the ord er is part of a Comp lex Order, and the u ser is pro mpted to c onfirm tha t the acti on will be taken on all of the associate d child or ders. | |
2721 | Example: D iscontinue a Complex Order | |
2722 | ACTIVE UNI T DOSE Feb 25, 20 04@21:25:5 0 Page: 1 of 2 | |
2723 | PSJPATIENT 1,ONE Ward: 1 EAST | |
2724 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
2725 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
2726 | *(1)Ordera ble Item: ASPIRIN TA B <DIN> | |
2727 | Ins tructions: | |
2728 | *(2)Dosag e Ordered: 650MG | |
2729 | Duration: *(3)Sta rt: 03/26/ 01 14:40 | |
2730 | *(4) Med Route: ORAL | |
2731 | *(5) St op: 03/28/ 01 24:00 | |
2732 | (6) Sche dule Type: CONTINUOU S | |
2733 | *(8) Schedule: QDAILY | |
2734 | (9) Ad min Times: 1440 | |
2735 | *(10) Provider: PSJPROVID ER,ONE [e s] | |
2736 | (11) Spec ial Instru ctions: | |
2737 | (12) Disp ense Drug U/D Inacti ve Date | |
2738 | ASPI RIN BUFFER ED 325MG T AB 2 | |
2739 | + Enter ?? f or more ac tions | |
2740 | DC Discon tinue ED (Edit) AL Ac tivity Log s | |
2741 | HD Hold RN Renew | |
2742 | FL Flag VF (Verify) | |
2743 | Select Ite m(s): Next Screen// <Enter> | |
2744 | Select Ite m(s): Next Screen// DC Disco ntinue | |
2745 | This order is part o f a comple x order. I f you disc ontinue th is order t he | |
2746 | following orders wil l be disco ntinued to o (unless the stop d ate has al ready | |
2747 | been reach ed). | |
2748 | Press Retu rn to cont inue... <E nter> | |
2749 | CA PTOPRIL TA B C 03/26 0 3/27 N | |
2750 | Gi ve: 25MG P O QDAILY | |
2751 | CA PTOPRIL TA B C 03/26 0 3/29 N | |
2752 | Gi ve: 100MG PO TID | |
2753 | Press Retu rn to cont inue... <E nter> | |
2754 | Do you wan t to disco ntinue thi s series o f complex orders? Ye s// | |
2755 | Edit XE "E dit an Ord er" | |
2756 | This actio n allows m odificatio n of any f ield shown on the or der view t hat is pre ceded by a number in parenthes is (#). | |
2757 | Example: E dit an Ord er XE "Edi t an Order Example" | |
2758 | ACTIVE UNI T DOSE Sep 13, 20 00 15:20:4 2 Page: 1 of 2 | |
2759 | PSJPATIENT 1,ONE Ward: 1 EAST | |
2760 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
2761 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
2762 | *(1)Order able Item: AMPICILLI N CAP | |
2763 | Ins tructions: | |
2764 | *(2)Dosag e Ordered: 500MG | |
2765 | Duration: | |
2766 | *(3)Star t: 09/07/0 0 15:00 | |
2767 | ||
2768 | *(4) Med Route: ORAL | |
2769 | *(5) St op: 09/21/ 00 24:00 | |
2770 | (6) Sche dule Type: CONTINUOU S | |
2771 | *(8) Schedule: QID | |
2772 | (9) Ad min Times: 01-09-15- 20 | |
2773 | *(10) Provider: PSJPROVID ER,ONE [es ] | |
2774 | (11) Spec ial Instru ctions: | |
2775 | (12) Disp ense Drug U/D Inacti ve Date | |
2776 | AMPI CILLIN 500 MG CAP 1 | |
2777 | + Enter ?? f or more ac tions | |
2778 | DC Discon tinue ED Edit AL Acti vity Logs | |
2779 | HD Hold RN Renew | |
2780 | FL (Flag) VF Verify | |
2781 | Select Ite m(s): Next Screen// | |
2782 | If a field marked wi th an aste risk XE "A sterisk" (*) to the left of t he number is changed , the orig inal order will be d iscontinue d, and a n ew order c ontaining the edited data will be create d. The Sto p Date/Tim e XE "Stop Date/Time " of the original o rder will be changed to the da te/time th e new edit order is accepted. The old an d new orde rs are lin ked and ma y be viewe d using th e History Log XE "Hi story Log" function . When the screen is refreshed , the fiel d(s) that was change d will now be shown in blinkin g reverse video and “This chan ge will ca use a new order to b e created” will be d isplayed i n the mess age window XE "Messa ge Window" . | |
2783 | If the Dis pense Drug XE "Dispe nse Drug" or Ordera ble Item X E "Orderab le Item" has a non- formulary status XE "Non-Formu lary Statu s" , this status wil l be displ ayed on th e screen a s “*N/F*” beside the Dispense Drug or Or derable It em. | |
2784 | Note: The first time a field m arked with an asteri sk (*) is selected f or editing , if CPRS Provider O verrides a nd/or Phar macist Int erventions exist for the order , entering Y (Yes) a t the prom pt: “Order Check Ove rrides/Int erventions exist for this orde r. Display ? (Y/N)? Y //” displa ys the fol lowing: | |
2785 | Heading in formation first, fol lowed by a summary o f the Curr ent CPRS O rder Check s overridd en by the Provider, as well as the Overr iding Prov ider, plus title, Ov erride Ent ered By, p lus title, Date/Time Entered, and the Ov erride Rea son. | |
2786 | Example: E dit an Ord er with Pr ovider Ove rrides/Int erventions | |
2787 | ========== ========== ========== ========== ========== ========== ========== ====== | |
2788 | ** Current Pr ovider Ove rrides for this orde r ** | |
2789 | ========== ========== ========== ========== ========== ========== ========== ====== | |
2790 | Overriding Provider: PSJPROVID ER,ONE (PR OVIDER) | |
2791 | Override E ntered By: PSJPROVID ER,ONE (PR OVIDER) | |
2792 | Date/Tim e Entered: 07/11/11 09:45 | |
2793 | Overri de Reason: testing f unctionali ty of PO & PI | |
2794 | CRITICAL drug-drug interacti on: TAMOXI FEN CITRAT E 10MG TAB and WARFA RIN NA | |
2795 | (GOLDEN STATE) 1MG TAB [ACTI VE] - The concurrent use of ta moxifen or | |
2796 | toremife ne may inc rease the effects of anticoagu lants. - M onograph A vailable | |
2797 | SIGNIFIC ANT drug-d rug intera ction: TAM OXIFEN CIT RATE 10MG TAB and | |
2798 | THIORIDA ZINE HCL 1 0MG TAB [U NRELEASED] - Concurr ent use of inhibitor s of CYP | |
2799 | P-450-2D 6 may decr ease the e ffectivene ss of tamo xifen in p reventing breast | |
2800 | cancer r ecurrence. Concurre nt use of amiodarone or thiori dazine may increase | |
2801 | the risk of potent ially life -threateni ng cardiac arrhythmi as, includ ing | |
2802 | torsades de pointe s. - Monog raph Avail able | |
2803 | Press RETU RN to Cont inue or '^ ' to Exit : | |
2804 | ========== ========== ========== ========== ========== ========== ========== ====== | |
2805 | ** Current P harmacist Interventi ons for th is order * * | |
2806 | ========== ========== ========== ========== ========== ========== ========== ====== | |
2807 | Interventi on Date/Ti me: 07/11/ 11 09:50 | |
2808 | Pharmacis t: PSJPHAR MACIST,ONE Drug : TAMOXIFE N CITRATE 10MG TAB | |
2809 | Institute d By: PHAR MACY | |
2810 | Intervent ion: CRITI CAL DRUG I NTERACTION | |
2811 | Originati ng Package : INPATIEN T | |
2812 | Once a Com plex Order is made a ctive, the following fields ma y not be e dited: | |
2813 | ADMINISTRA TION TIME XE "Admini stration T imes" | |
2814 | Any field where an e dit would cause a ne w order to be create d. These f ields are denoted wi th an aste risk in th e Detailed View of a Complex O rder. | |
2815 | If a chang e to one o f these fi elds is ne cessary, t he Complex Order mus t be disco ntinued an d a new Co mplex Orde r must be created. | |
2816 | Example: E dit an Ord er (contin ued) XE "E dit an Ord er Example " | |
2817 | NON-VERIFI ED UNIT DO SE Sep 13, 20 00 15:26:4 6 Page: 1 of 2 | |
2818 | PSJPATIENT 1,ONE Ward: 1 EAST | |
2819 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
2820 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
2821 | *(1)Order able Item: AMPICILLI N CAP | |
2822 | Ins tructions: | |
2823 | *(2)Dosag e Ordered: 500MG | |
2824 | Duration: | |
2825 | ||
2826 | *(3)Star t: 09/13/0 0 20: | |
2827 | *(4) Med Route: ORAL | |
2828 | *(5) Sto p: 09/27/0 0 24:00 | |
2829 | (6) Sche dule Type: CONTINUOU S | |
2830 | *(8) Schedule: QID | |
2831 | (9) Ad min Times: 01-09-15- 20 | |
2832 | *(10) Provider: PSJPROVID ER,ONE | |
2833 | (11) Spec ial Instru ctions: | |
2834 | (12) Disp ense Drug U/D Inacti ve Date | |
2835 | AMPI CILLIN 500 MG CAP 1 | |
2836 | + This chang e will cau se a new o rder to be created. | |
2837 | ED Edit AC ACCEPT | |
2838 | Select Ite m(s): Next Screen// | |
2839 | If the ORD ERABLE ITE M XE "Orde rable Item " or DOSA GE ORDERED XE "Dosag e Ordered" fields a re edited, the Dispe nse Drug X E "Dispens e Drug" d ata will n ot be tran sferred to the new o rder. If t he Orderab le Item XE "Orderabl e Item" i s changed, data in t he DOSAGE ORDERED fi eld will n ot be tran sferred. N ew Start D ate/Time X E "Start D ate/Time" , Stop Dat e/Time XE "Stop Date /Time" , L ogin Date/ Time, and Entry Code will be d etermined for the ne w order. C hanges to other fiel ds (those without th e asterisk XE "Aster isk" ) wil l be recor ded in the order’s a ctivity lo g XE "Acti vity Log" . | |
2840 | If the DIS PENSE DRUG is edited , an entry in the or der’s acti vity log i s made to record the change. | |
2841 | If an Orde rable Item or Dispen se Drug ar e edited, Enhanced O rder Check s are perf ormed. | |
2842 | Inpatient Order Entr y Sep 11, 20 12@07:23 Pa ge: 1 o f 2 | |
2843 | FROPATNM,M ISTER Ward: GEN MED | |
2844 | PID: 66 6-00-0728 Room-Bed: A-5 Ht(cm) : ______ ( ________) | |
2845 | DOB: 12 /11/48 (63 ) Wt(kg) : ______ ( ________) | |
2846 | Sex: MA LE A dmitted: 1 2/21/98 | |
2847 | Dx: AD M TO TEST DIETETICS EXTRACT Last tran sferred: * ******* | |
2848 | CrCL: <N ot Found> B SA (m2): _ _________ | |
2849 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
2850 | 1 HA LOPERIDOL TAB C 09/11 0 9/13 A | |
2851 | Give: 1MG PO NOW | |
2852 | 2 MA XIDE 50/75 TAB C 09/11 0 9/13 A | |
2853 | Give: 50MG PO BID-NO ON | |
2854 | 3 WA RFARIN TAB C 09/11 0 9/13 A | |
2855 | Give: 2MG PO BID | |
2856 | 4 AM IKACIN INJ ,SOLN P 09/11 0 9/13 A | |
2857 | Give: 500M G/2ML PO B ID2 PRN | |
2858 | - - - - - - - - RE CENTLY DIS CONTINUED/ EXPIRED (L AST 120 HO URS) - - - - - - - - | |
2859 | 5 AM IKACIN INJ ,SOLN P 09/11 0 9/11 DE | |
2860 | + Enter ?? f or more ac tions | |
2861 | PU Patien t Record U pdate NO New Or der Entry | |
2862 | Select Act ion:Next S creen// SO Select Order | |
2863 | Select ORD ERS (1-5): 1 | |
2864 | ACTIVE UNI T DOSE Sep 11, 20 12@07:23:0 7 Page: 1 of 2 | |
2865 | FROPATNM,M ISTER Ward: GEN MED | |
2866 | PID: 66 6-00-0728 Room-Bed: A-5 Ht(cm) : ______ ( ________) | |
2867 | DOB: 12 /11/48 (63 ) Wt(kg) : ______ ( ________) | |
2868 | *(2)Dosage Ordered: 1MG | |
2869 | Duration: *(3)Sta rt: 09/11/ 12 07:20 | |
2870 | *(4) M ed Route: ORAL (BY M OUTH) | |
2871 | *(5) St op: 09/13/ 12 24:00 | |
2872 | (6) Sched ule Type: CONTINUOUS | |
2873 | *(8) Schedule: NOW | |
2874 | (9) Adm in Times: | |
2875 | *(10) Provider: VARGAS,ALB ERTO [w] | |
2876 | (11) Spec ial Instru ctions: | |
2877 | (12) Disp ense Drug U/D Inacti ve Date | |
2878 | HALO PERIDOL 1M G S.T. Sep 11, 20 12@07:23:1 8 1 | |
2879 | + Enter ?? f or more ac tions | |
2880 | DC Discon tinue ED Edit AL Acti vity Logs | |
2881 | HD Hold RN Renew | |
2882 | FL Flag VF (Verify) | |
2883 | Select Ite m(s): Next Screen// ED Edit | |
2884 | Select FIE LDS TO EDI T: 2 | |
2885 | Available Dosage(s) | |
2886 | 1. 1MG | |
2887 | 2. 2MG | |
2888 | Select fro m list of Available Dosages or Enter Fre e Text Dos e: 1MG// 2 2MG | |
2889 | You entere d 2MG is t his correc t? Yes// YES | |
2890 | NON-VERIFI ED UNIT DO SE Sep 11, 20 12@07:23:1 8 Page: 1 of 2 | |
2891 | FROPATNM,M ISTER Ward: GEN MED | |
2892 | PID: 66 6-00-0728 Room-Bed: A-5 Ht(cm) : ______ ( ________) | |
2893 | DOB: 12 /11/48 (63 ) Wt(kg) : ______ ( ________) | |
2894 | Sex: MA LE A dmitted: 1 2/21/98 | |
2895 | Dx: AD M TO TEST DIETETICS EXTRACT Last tran sferred: * ******* | |
2896 | CrCL: <N ot Found> B SA (m2): _ _________ | |
2897 | *(1)Ordera ble Item: HALOPERIDO L TAB | |
2898 | Inst ructions: | |
2899 | *(2)Dosage Ordered: 2MG | |
2900 | Duration: *(3)Sta rt: 09/11/ 12 07:23 | |
2901 | *(4) M ed Route: ORAL (BY M OUTH) | |
2902 | *(5) St op: 09/13/ 12 24:00 | |
2903 | (6) Sched ule Type: CONTINUOUS | |
2904 | *(8) Schedule: NOW | |
2905 | (9) Adm in Times: | |
2906 | *(10) Provider: VARGAS,ALB ERTO | |
2907 | (11) Spec ial Instru ctions: | |
2908 | + This chang e will cau se a new o rder to be created. | |
2909 | ED Edit AC ACCEPT | |
2910 | Select Ite m(s): Next Screen// AC ACCEP T | |
2911 | Now doing allergy ch ecks. Ple ase wait.. . | |
2912 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
2913 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
2914 | Press Retu rn to cont inue... | |
2915 | NATURE OF ORDER: SER VICE CORRE CTION// S | |
2916 | ...discont inuing ori ginal orde r... | |
2917 | ...creati ng new ord er...(you will now w ork on thi s new orde r). | |
2918 | IV Bag/Lab el Paramet ers | |
2919 | This secti on describ es IV Para meters in Bar Code M edication Administra tion (BCMA ). | |
2920 | The BCMA I V bag/labe l paramete rs determi ne the sta tus of an order’s IV labels af ter an IV order is e dited. The BCMA IV p arameters are used t o determin e if an or der’s prev iously pri nted IV la bels are v alid (or i nvalid) af ter an edi t occurs. | |
2921 | BCMA IV pa rameters a re defined primarily by divisi on, and ma y also be defined by ward loca tion. If n o paramete rs have be en defined for a giv en ward, o rders asso ciated wit h that war d will use the IV pa rameters f or the div ision asso ciated wit h the ward . | |
2922 | The follow ing fields are avail able in th e BCMA IV parameters on the IV Order Ent ry screen: | |
2923 | Additive | |
2924 | Strength | |
2925 | Bottle | |
2926 | Solution | |
2927 | Volume | |
2928 | Infusion R ate | |
2929 | Med Route | |
2930 | Schedule | |
2931 | Admin Time | |
2932 | Remarks | |
2933 | Other Prin t Info | |
2934 | Provider | |
2935 | Start Date /Time | |
2936 | Stop Date/ Time | |
2937 | Provider C omments. | |
2938 | Each field offers a selection of Warning , Non-Veri fy, and In valid Bag. | |
2939 | If a field is set to Warning, and an ord er is chan ged, the I V bags fro m the old order are carried to the new o rder and a re availab le on the BCMA VDL. When a nur se scans t he bar cod e on an IV bag, a Wa rning mess age alerts them abou t fields t hat have c hanged. | |
2940 | If a field is set to Non-Verif y, and an order is c hanged, th e IV bags from the o ld order a re carried to the ne w order an d are avai lable on t he BCMA VD L. When a nurse scan s the bar code on an IV bag, N O warning message di splays. | |
2941 | If a field is set to Invalid B ag, and an order is changed, t he IV bags from the old order do not car ry to the new order or display on the BC MA VDL. | |
2942 | Editing Or ders when an Invalid IV Bag Ev ent Occurs | |
2943 | The pharma cist is pr ovided a l ist of inv alidated I V bags whe n an Inval id Bag eve nt has occ urred. | |
2944 | An Invalid Bag event occurs wh en both of the follo wing condi tions are met: | |
2945 | A change is made to any IV or der field that match es a BCMA IV Bag sit e paramete r field th at is set to “Invali d Bag.” | |
2946 | IV labels were avail able for t he order p rior to th e change. | |
2947 | Note: Orde r changes may origin ate in Inp atient Med ications o r CPRS. | |
2948 | If an Inva lid Bag ev ent occurs , the foll owing is d isplayed a fter the e dited orde r’s status is change d to ACTIV E: | |
2949 | The edited field tha t triggere d the IV b ags to be invalidate d | |
2950 | The Date a nd time of each inva lidated IV label | |
2951 | The label ID of each invalidat ed IV bag | |
2952 | The status of each i nvalidated IV bag | |
2953 | The Count status of each inval idated IV bag. | |
2954 | The BCMA A ction – Da te/Time of each inva lidated IV bag | |
2955 | Example: I nvalid Lab els Cannot be Reprin ted or Sca nned | |
2956 | Is this O. K.: Y// y YES | |
2957 | NATURE OF ORDER: SER VICE CORRE CTION// sE RVICE CORR ECTION S | |
2958 | ** Edit to PROVID ER has cau sed the fo llowing IV labels to be invali dated ** | |
2959 | (Invalid IV labels cannot be reprinted or marked as Infusi ng in BCMA ) | |
2960 | Label Date /Time Uni que ID S tatus Count BCM A Action-D ate/Time | |
2961 | ---------- ----- --- ----- - -------- ----- --- ---------- ---------- | |
2962 | 09/14/12 1 6:06 91V 149 YES | |
2963 | 09/14/12 1 6:06 91V 150 YES | |
2964 | 09/14/12 1 6:06 91V 151 YES | |
2965 | A pause oc curs befor e the disp lay scroll s to the t op of the screen. | |
2966 | After the user enter s “YES,” a prompt to print a l ist of Inv alidated I V labels t o a device or RETURN to contin ue display s. | |
2967 | Example: P rompt to Print | |
2968 | Enter 'P' to print l ist of Inv alidated L abels or R ETURN to c ontinue: p PRINT | |
2969 | DEVICE: HO ME// | |
2970 | When P is entered at the “Ente r P” promp t, the fol lowing is displayed in the rep ort: | |
2971 | Location ( current Wa rd or Clin ic) | |
2972 | Patient Na me | |
2973 | Medication (IV Addit ive, IV So lution, or Orderable Item) | |
2974 | Date/time | |
2975 | V# of the IV bag | |
2976 | Status | |
2977 | Count | |
2978 | BCMA Actio n-Date/tim e | |
2979 | Example: L ist of Inv alidated L abels Repo rt | |
2980 | Enter 'P' to print l ist of Inv alidated L abels or R ETURN to c ontinue: p | |
2981 | PRINT DEVI CE | |
2982 | DEVICE: HO ME// SSH VIRTUAL T ERMINAL Right Mar gin: 80// | |
2983 | * Inval idated IV Labels * | |
2984 | Patie nt: BANPAT NM,JAMES E Location: BECKY'S CL INIC | |
2985 | Additive( s): CEFAMA NDOLE 20 G M | |
2986 | Solution( s): DEXTRO SE 10% 100 0 ML | |
2987 | Label Date /Time Uni que ID S tatus Count BCM A Action-D ate/Time | |
2988 | ---------- ----- --- ----- - -------- ----- --- ---------- ---- | |
2989 | 09/14/12 1 6:06 91V 149 YES | |
2990 | 09/14/12 1 6:06 91V 150 YES | |
2991 | 09/14/12 1 6:06 91V 151 YES | |
2992 | When the s creen is f ull, a pau se for the report ou tput occur s, if the user selec ts the dev ice option to print to the scr een. | |
2993 | When an in valid bag event occu rs, all IV labels as sociated w ith the ed ited order that have not alrea dy been in validated are invali dated. IV labels tha t were pre viously in validated as a resul t of prior edits are not displ ayed. | |
2994 | Following the “REASO N FOR ACTI VITY:” pro mpt, the “ Print new replacemen t labels? NO// Y” pr ompt displ ays to all ow the pha rmacist to print rep lacement l abels when the follo wing condi tions occu r: | |
2995 | A non-star red field is changed . | |
2996 | The IV par ameter is set to Inv alid Bag f or an edit ed field. | |
2997 | Example: P rint New R eplacement IV Labels | |
2998 | REASON FOR ACTIVITY: test | |
2999 | Print new replacemen t labels? NO// YES | |
3000 | 8 Labels n eeded for doses due at ... | |
3001 | IV labels printed pr ior to an order edit are displ ayed as av ailable wh en edits a re made to fields se t to Warni ng or Non- Verify in the BCMA I V Paramete rs. | |
3002 | Example: I V Labels A vailable a nd Print N ew Replace ment Label s | |
3003 | The follow ing IV lab els are av ailable: | |
3004 | ||
3005 | Label Date /Time Un ique ID Status | |
3006 | 08/02/12 0 9:57 81 57V178 | |
3007 | 08/02/12 0 9:57 81 57V179 | |
3008 | 08/02/12 0 9:57 81 57V180 | |
3009 | 08/02/12 0 9:57 81 57V181 | |
3010 | 08/02/12 0 9:57 81 57V182 | |
3011 | Print new replacemen t labels? N// Y | |
3012 | The BCMA a vailabilit y of IV ba gs may be viewed usi ng the Lab el Log act ion. All I V labels t hat have b een invali dated are displayed in the lab el log fil e with “NO ” in the “ Available in BCMA” c olumn. | |
3013 | The label log file d isplays th e status o f the IV l abel as ei ther avail able or no t availabl e in BCMA. | |
3014 | Example: L abel Log D isplay | |
3015 | (A)ctivity (L)abel ( H)istory ( I)nstructi ons Histor y: Label L og | |
3016 | LABEL LOG: | |
3017 | # DATE/TI ME AC TION USER #LA BELS TRACK COUNT | |
3018 | ========== ========== ========== ========== ========== ========== ========== ========== | |
3019 | 1 FEB 26, 2013@16:69 :53 | |
3020 | DI SPENSED HARRIS,J AMES 3 ORDER ACTI ON YES | |
3021 | Enter RETU RN to cont inue or '^ ' to exit: | |
3022 | Unique IDs for this order: | |
3023 | Availab le | |
3024 | Label Date /Time Uniq ue ID in BCM A Status Count BCM A Action-D ate/Time | |
3025 | 02/25/13 1 5:36 197V 6411 NO YES | |
3026 | 02/25/13 1 5:36 197V 6410 NO YES | |
3027 | 02/25/13 1 5:36 197V 6409 NO YES | |
3028 | (A)ctivity (L)abel ( H)istory ( I)nstructi ons Histor y: | |
3029 | Labels wil l not be a vailable i n BCMA und er the fol lowing con ditions: | |
3030 | When the s tatus is R eprint, Re cycled, De stroyed or Cancelled . | |
3031 | When the a ction is G iven, Infu sing, Stop ped or Com pleted. | |
3032 | When an In valid Bag Event has occurred. | |
3033 | After the above info rmation is displayed in the la bel log, t he below p rompt disp lays for a ssociated linked ord ers, if th ey exist. The defaul t is “Y//. ” | |
3034 | Example: A ssociated Linked Ord ers Prompt | |
3035 | Do you wis h to see l abels from linked (e dited) ord ers? Y// | |
3036 | The clinic location’ s abbrevia tion, or t he full cl inic name if no abbr eviation e xists, pri nts on the IV label when the C LINIC fiel d (#126) i s populate d. The war d location name is p rinted whe n the CLIN IC field i s null. Th e name “OP T. IV.” is printed i f neither the clinic location name nor t he ward lo cation nam e is popul ated. | |
3037 | Verify XE "Verify an Order" | |
3038 | Orders mus t be accep ted and ve rified bef ore they c an become active and are inclu ded on the pick list XE "Pick List" , BC MA VDL XE "VDL" , XE "BCMA Vir tual Due L ist (VDL)" etc. If AUTO-VERIF Y XE "Auto -Verify" is enabled for the n urse, new orders imm ediately b ecome acti ve after e ntry or fi nish (pend ing orders entered t hrough CPR S XE "CPRS " ). Order s verified by nursin g prior to pharmacy verificati on are dis played on the profil e under th e active h eader mark ed with an arrow (-> ) to the r ight of th e order nu mber. When verify is selected and when t he order h as not bee n verified by the ph armacist, the nurse must enter any missi ng data an d correct any invali d data bef ore the ve rification is accept ed. | |
3039 | When an ac tion of VF (Verify) is taken o n one chil d order th at is part of a Comp lex Order, a message will disp lay inform ing the us er that th e order is part of a Complex O rder, and the user i s prompted to confir m that the action wi ll be take n on all o f the asso ciated chi ld orders. | |
3040 | Note: Orde rs that ha ve been ac cepted by the pharma cist will appear on the BCMA V DL if veri fied by a nurse. | |
3041 | Note: The ALLOW AUTO -VERIFY FO R USER fie ld in the INPATIENT USER PARAM ETERS file XE "Inpat ient User Parameters File" co ntrols AUT O-VERIFY. | |
3042 | Note: The user will not be all owed to fi nish an or der that c ontains a schedule t hat is con sidered to be non-st andard. Sc hedules mu st be sele cted from the ADMINI STRATION S CHEDULE XE "Administ ration Sch edule" fi le, with t he followi ng excepti ons: | |
3043 | Schedule c ontaining PRN: (Ex. TID PC PRN ). If the schedule c ontains PR N, the bas e schedule must be i n the ADMI NISTRATION SCHEDULE file. | |
3044 | Day of wee k schedule s (Ex. MO- FR or MO-F R@0900) | |
3045 | Admin time only sche dules (Ex. 09-13) | |
3046 | If the Dis pense Drug XE "Dispe nse Drug" or Ordera ble Item X E "Orderab le Item" has a non- formulary status XE "Non-Formu lary Statu s" , this status wil l be displ ayed on th e screen a s “*N/F*” beside the Dispense Drug or Or derable It em. | |
3047 | Example: V erify an O rder XE "V erify an O rder Examp le" | |
3048 | NON-VERIFI ED UNIT DO SE Sep 07, 20 00 13:57:0 3 Page: 1 of 2 | |
3049 | PSJPATIENT 1,ONE Ward: 1 EAST | |
3050 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
3051 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
3052 | *(1)Order able Item: PROPRANOL OL TAB | |
3053 | Ins tructions: | |
3054 | *(2)Dosag e Ordered: | |
3055 | Duration: | |
3056 | ||
3057 | (3)Star t: 09/07/0 0 17:00 | |
3058 | *(4) Med Route: ORAL | |
3059 | (5) St op: 09/21/ 00 24:00 | |
3060 | (6) Sche dule Type: CONTINUOU S | |
3061 | *(8) Schedule: QD | |
3062 | (9) Ad min Times: 17 | |
3063 | *(10) Provider: PSJPROVIDE R,ONE [es] | |
3064 | (11) Spec ial Instru ctions: | |
3065 | (12) Disp ense Drug U/D Inacti ve Date | |
3066 | PROP RANOLOL 10 MG U/D 1 | |
3067 | + Enter ?? f or more ac tions | |
3068 | DC Discon tinue ED Edit AL Acti vity Logs | |
3069 | HD (Hold) RN (Renew) | |
3070 | FL (Flag) VF Verify | |
3071 | Select Ite m(s): Next Screen// VF | |
3072 | ...a few m oments, pl ease..... | |
3073 | Pre-Exchan ge DOSES: | |
3074 | ORDER VERI FIED. | |
3075 | Enter RETU RN to cont inue or '^ ' to exit: | |
3076 | Hold XE "H old:Hold a n Order" | |
3077 | Only activ e orders m ay be plac ed on hold XE "Hold" . Orders placed on hold XE "H old" will continue to show un der the AC TIVE headi ng on the profiles u ntil remov ed from ho ld XE "Hol d" . Any o rders plac ed on hold XE "Hold" through the pharma cy options cannot be released from hold XE "Hold" using any of the CP RS XE "CPR S" option s. An entr y is place d in the o rder’s Act ivity Log XE "Activi ty Log" r ecording t he user wh o placed/r emoved the order fro m hold XE "Hold" an d when the action wa s taken. | |
3078 | If the Dis pense Drug XE "Dispe nse Drug" or Ordera ble Item X E "Orderab le Item" has a non- formulary status XE "Non-Formu lary Statu s" , this status wil l be displ ayed on th e screen a s “*N/F*” beside the Dispense Drug or Or derable It em. | |
3079 | Example: P lace an Or der on Hol d XE "Hold :Hold an O rder Examp le" | |
3080 | ACTIVE UNI T DOSE Feb 25, 20 01@21:25:5 0 Page: 1 of 2 | |
3081 | PSJPATIENT 1,ONE Ward: 1 EAST | |
3082 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
3083 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
3084 | *(1)Ordera ble Item: ASPIRIN TA B <DIN> | |
3085 | Ins tructions: | |
3086 | *(2)Dosag e Ordered: 650MG | |
3087 | Duration: *(3)Sta rt: 02/26/ 01 14: | |
3088 | *(4) Med Route: ORAL | |
3089 | *(5) St op: 02/28/ 01 24:00 | |
3090 | (6) Sche dule Type: CONTINUOU S | |
3091 | *(8) Schedule: QDAILY | |
3092 | (9) Ad min Times: 1440 | |
3093 | *(10) Provider: PSJPROVID ER,ONE [es ] | |
3094 | (11) Spec ial Instru ctions: | |
3095 | (12) Disp ense Drug U/D Inacti ve Date | |
3096 | ASPI RIN BUFFER ED 325MG T AB 2 | |
3097 | + Enter ?? f or more ac tions | |
3098 | DC Discon tinue ED Edit AL Acti vity Logs | |
3099 | HD Hold RN Renew | |
3100 | FL Flag | |
3101 | ||
3102 | ||
3103 | ||
3104 | ||
3105 | ||
3106 | VF (Ver ify) | |
3107 | Select Ite m(s): Next Screen// HD Hold | |
3108 | Do you wis h to place this orde r 'ON HOLD '? Yes// <Enter> (Y es) | |
3109 | NATURE OF ORDER: WRI TTEN// <E nter> W... | |
3110 | COMMENTS: | |
3111 | 1>TESTIN G | |
3112 | 2> | |
3113 | EDIT Optio n: . <Ent er> | |
3114 | Enter RETU RN to cont inue or '^ ' to exit: <Enter> | |
3115 | ---------- ---------- ---------- ---------- -report co ntinues--- ---------- ---------- --------- | |
3116 | Notice tha t the orde r shows a status of “H” for ho ld XE "Hol d" in the right sid e of the A spirin Tab let order below. | |
3117 | Example: P lace an Or der on Hol d (continu ed) | |
3118 | HOLD UNIT DOSE Feb 25, 20 01@21:27:5 7 Page: 1 of 2 | |
3119 | PSJPATIENT 1,ONE Ward: 1 EAST | |
3120 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
3121 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
3122 | *(1)Order able Item: ASPIRIN T AB <DIN> | |
3123 | Ins tructions: | |
3124 | *(2)Dosag e Ordered: 650MG | |
3125 | Duration: *(3)Sta rt: 02/26/ 01 14:40 | |
3126 | *(4) Med Route: ORAL | |
3127 | *(5) St op: 02/28/ 01 24:00 | |
3128 | (6) Sche dule Type: CONTINUOU S | |
3129 | *(8) Schedule: QDAILY | |
3130 | (9) Ad min Times: 1440 | |
3131 | *(10) Provider: PSJPROVID ER,ONE [es ] | |
3132 | (11) Spec ial Instru ctions: | |
3133 | (12) Disp ense Drug U/D Inacti ve Date | |
3134 | ASPI RIN BUFFER ED 325MG T AB 2 | |
3135 | + Enter ?? f or more ac tions | |
3136 | DC Discon tinue ED (Edit) AL Acti vity Logs | |
3137 | HD Hold RN (Renew) | |
3138 | FL Flag | |
3139 | ||
3140 | ||
3141 | ||
3142 | ||
3143 | ||
3144 | VF (Ver ify) | |
3145 | Select Ite m(s): Next Screen// <Enter> | |
3146 | HOLD UNIT DOSE Feb 25, 20 01@21:28:2 0 Page: 2 of 2 | |
3147 | PSJPATIENT 1,ONE Ward: 1 EAST | |
3148 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
3149 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
3150 | + | |
3151 | (7)Self Me d: NO | |
3152 | Entry By: PSJPROVIDE R,ONE Ent ry Date: 0 2/25/01 2 1:25 | |
3153 | (13) Comme nts: | |
3154 | TESTING | |
3155 | Enter ?? f or more ac tions | |
3156 | DC Discon tinue ED (Edit) AL Acti vity Logs | |
3157 | HD Hold RN (Renew) | |
3158 | FL Flag | |
3159 | ||
3160 | ||
3161 | ||
3162 | ||
3163 | ||
3164 | VF (Ver ify) | |
3165 | Select Ite m(s): Quit // <Enter > | |
3166 | Unit Dose Order Entr y Feb 25, 20 01@21:30:1 5 Page: 1 of 1 | |
3167 | PSJPATIENT 1,ONE Ward: 1 EAST | |
3168 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
3169 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
3170 | Sex: MA LE A dmitted: 0 5/03/00 | |
3171 | Dx: TE STING Last tran sferred: * ******* | |
3172 | CrCL: <N ot Found> B SA (m2): _ _________ | |
3173 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
3174 | 1 AS PIRIN TAB C 02/26 0 2/28 H | |
3175 | Give: 650M G ORAL QDA ILY | |
3176 | Enter ?? f or more ac tions | |
3177 | PI Patien t Informat ion SO Select Order | |
3178 | PU Patien t Record U pdate NO New Or der Entry | |
3179 | Select Act ion: Quit/ / | |
3180 | Renew XE " Renew an O rder" | |
3181 | Medication orders (r eferred to in this s ection as orders) th at may be renewed in clude the following: | |
3182 | All non-co mplex acti ve Unit Do se and IV orders. | |
3183 | Orders tha t have bee n disconti nued due t o ward tra nsfer or t reating sp ecialty ch ange. | |
3184 | Expired or ders conta ining an a dministrat ion schedu le (Unit D ose and sc heduled IV orders) t hat have n ot had a s cheduled a dministrat ion time s ince the l ast BCMA a ction was taken. | |
3185 | Expired or ders not c ontaining an adminis tration sc hedule (co ntinuous I V orders) that have had an exp ired statu s less tha n the time limit def ined in th e EXPIRED IV TIME LI MIT field in the PHA RMACY SYST EM file. | |
3186 | Note: Com plex Order s may only be renewe d if all a ssociated child orde rs are ren ewable.xe "Renew an Order" | |
3187 | Renewing O rders with CPRS Over rides/Phar macist Int erventions XE "Renew ing Orders : with CPR S Override s/Pharmaci st Interve ntions " | |
3188 | When renew ing an ord er, if CPR S Provider Overrides and/or Ph armacy Int erventions exist for the order , entering Y (Yes) a t the prom pt: “Order Check Ove rrides/Int erventions exist for this orde r. Display ? (Y/N)? Y //” displa ys the hea ding infor mation fir st, follow ed by a su mmary of t he Current CPRS Orde r Checks o verridden by the Pro vider. | |
3189 | If current Pharmacis t Interven tions exis t, they wi ll display with the following fields (if populated ), Heading , Interven tion Date/ Time, Prov ider, Phar macist, Dr ug, Instit uted By, I nterventio n, Recomme ndation, a nd Origina ting Packa ge. | |
3190 | Example: R enew an Or der with P rovider Ov errides/In tervention s | |
3191 | ========== ========== ========== ========== ========== ========== ========== ====== | |
3192 | ** Current P rovider Ov errides fo r this ord er ** | |
3193 | ========== ========== ========== ========== ========== ========== ========== ====== | |
3194 | Overriding Provider: PSJPROVID ER,ONE (PR OVIDER) | |
3195 | Override E ntered By: PSJPROVID ER,ONE (PR OVIDER) | |
3196 | Date/Tim e Entered: 07/11/11 09:45 | |
3197 | Overri de Reason: testing f unctionali ty of PO & PI | |
3198 | CRITICAL drug-drug interacti on: TAMOXI FEN CITRAT E 10MG TAB and WARFA RIN NA | |
3199 | (GOLDEN STATE) 1MG TAB [ACTI VE] - The concurrent use of ta moxifen or | |
3200 | toremife ne may inc rease the effects of anticoagu lants. - M onograph A vailable | |
3201 | SIGNIFIC ANT drug-d rug intera ction: TAM OXIFEN CIT RATE 10MG TAB and | |
3202 | THIORIDA ZINE HCL 1 0MG TAB [U NRELEASED] - Concurr ent use of inhibitor s of CYP | |
3203 | P-450-2D 6 may decr ease the e ffectivene ss of tamo xifen in p reventing breast | |
3204 | cancer r ecurrence. Concurre nt use of amiodarone or thiori dazine may increase | |
3205 | the risk of potent ially life -threateni ng cardiac arrhythmi as, includ ing | |
3206 | torsades de pointe s. - Monog raph Avail able | |
3207 | Press RETU RN to Cont inue or '^ ' to Exit : | |
3208 | ========== ========== ========== ========== ========== ========== ========== ====== | |
3209 | ** Current P harmacist Interventi ons for th is order * * | |
3210 | ========== ========== ========== ========== ========== ========== ========== ====== | |
3211 | Interventi on Date/Ti me: 07/11/ 11 09:50 | |
3212 | Pharmacis t: PSJPHAR MACIST,ONE Drug : TAMOXIFE N CITRATE 10MG TAB | |
3213 | Institute d By: PHAR MACY | |
3214 | Intervent ion: CRITI CAL DRUG I NTERACTION | |
3215 | Originati ng Package : INPATIEN T | |
3216 | Note: When Renewing an Order i n Inpatien t Medicati ons, if Cu rrent CPRS Provider Overrides do not exi st and Pha rmacist In tervention s do exist for the o rder, the following displays: | |
3217 | ========== ========== ========== ========== ========== ========== ========== ====== | |
3218 | ** Current P rovider Ov errides fo r this ord er ** | |
3219 | ========== ========== ========== ========== ========== ========== ========== ====== | |
3220 | No Provide r Override s to displ ay | |
3221 | ========== ========== ========== ========== ========== ========== ========== ====== | |
3222 | ** Current P harmacist Interventi ons for th is order * * | |
3223 | ========== ========== ========== ========== ========== ========== ========== ====== | |
3224 | Interventi on Date: 0 7/11/11 14 :55 | |
3225 | Provider: PSJPROVID ER,ONE Pharmaci st: PSJPHA RMACIST,ON E | |
3226 | Drug: WAR FARIN NA ( GOLDEN STA TE) 1MG TA B | |
3227 | Institute d By: PHAR MACY | |
3228 | Intervent ion: CRITI CAL DRUG I NTERACTION | |
3229 | Recommend ation: OTH ER Origin ating Pack age: INPAT IENT | |
3230 | Other For Recommend ation: | |
3231 | TEST INT ERVENTION FOR CRITIC AL DRUG-DR UG | |
3232 | Renewing A ctive Orde rs XE "Ren ew an Orde r:Active O rders" | |
3233 | The follow ing applie s when the RN (Renew ) action i s taken on any order with a st atus of “A ctive”: | |
3234 | A new Defa ult Stop D ate/Time i s calculat ed for the order usi ng the sam e calculat ion applie d to new o rders. The starting point of t he Default Stop Date /Time calc ulation is the date and time t hat the or der was si gned in CP RS or the date and t ime that t he RN (Ren ew) action was taken in Inpati ent Medica tions. | |
3235 | The RN (Re new) actio n does not create a new order. | |
3236 | The Start Date/Time is not ava ilable for editing w hen an ord er is rene wed. | |
3237 | Note: Orde rs having a schedule type of O ne-Time or On Call m ust have a status of “Active” in order t o be renew ed. | |
3238 | Renewing D iscontinue d Orders X E "Renew a n Order:Di scontinued Orders" | |
3239 | IV and Uni t Dose ord ers that h ave been d iscontinue d, either through th e (DC) Dis continue a ction or d iscontinue d due to e dit, canno t be renew ed. | |
3240 | IV and Uni t Dose med ication or ders that have been discontinu ed due to ward trans fer or tre ating spec ialty chan ge will al low the (R N) Renew a ction. | |
3241 | Renewing E xpired Uni t Dose Ord ers XE "Re new an Ord er:Expired Unit Dose Orders" | |
3242 | The follow ing applie s to expir ed Unit Do se orders having a s chedule ty pe of Cont inuous or PRN. | |
3243 | The RN (Re new) actio n will not be availa ble on an order with a status of “Expire d” if eith er of the following two condit ions exist : | |
3244 | If the dif ference be tween the current sy stem date and time a nd the las t schedule d administ ration tim e is great er than th e frequenc y of the s chedule. T his logic will be us ed for sch edules wit h standard intervals (for exam ple, Q7H). | |
3245 | If the cur rent syste m date and time is g reater tha n the time that the next dose is due. Th is logic i s used for schedules with non- standard i ntervals ( for exampl e, Q6H – 0 600-1200-1 800-2400). | |
3246 | A new Defa ult Stop D ate/Time i s calculat ed for the order usi ng the sam e calculat ion applie d to new o rders. The starting point of t he Default Stop Date /Time calc ulation is the date and time t hat the or der was si gned in CP RS or the date and t ime that t he RN (Ren ew) action was taken in Inpati ent Medica tions. | |
3247 | The (RN) R enew actio n does not create a new order. | |
3248 | The Start Date/Time is not ava ilable for editing w hen an ord er is rene wed. | |
3249 | The renewe d order ha s a status of “Activ e.” | |
3250 | Renewing E xpired Sch eduled IV Orders XE "Renew an Order:Expi red Schedu led IV Ord ers" | |
3251 | The follow ing applie s to only IV orders that have a schedule d administ ration tim e. | |
3252 | The RN (Re new) actio n is not a vailable o n a schedu led IV ord er with a status of “Expired” if either of the fol lowing two condition s exist: | |
3253 | If the dif ference be tween the current sy stem date and time a nd the las t schedule d administ ration tim e is great er than th e frequenc y of the s chedule. T his logic is used fo r schedule s with sta ndard inte rvals (for example, Q7H). | |
3254 | If the cur rent syste m date and time is g reater tha n the time that the next dose is due. Th is logic i s used for schedules with non- standard i ntervals ( for exampl e, Q6H – 0 600-1200-1 800). | |
3255 | A new Defa ult Stop D ate/Time i s calculat ed for the order usi ng the sam e calculat ion applie d to new o rders. The starting point of t he Default Stop Date /Time calc ulation is the date and time t hat the or der was si gned in CP RS or the date and t ime that t he RN (Ren ew) action was taken in Inpati ent Medica tions. | |
3256 | The RN (Re new) actio n does not create a new order. | |
3257 | The Start Date/Time is not ava ilable for editing w hen an ord er is rene wed. | |
3258 | The renewe d order ha s a status of “Activ e.” | |
3259 | Renewing E xpired Con tinuous IV Orders XE "Renew an Order:Exp ired Conti nuous IV O rders" | |
3260 | The follow ing applie s to IV or ders that do not hav e a schedu led admini stration t ime. | |
3261 | For Contin uous IV or ders havin g a status of “Expir ed,” the “ Expired IV Time Limi t” system parameter controls w hether or not the RN (Renew) a ction is a vailable. If the num ber of hou rs between the expir ation date /time and the curren t system d ate and ti me is less than this parameter , the RN ( Renew) act ion is all owed. This parameter has a ran ge of 0 to 24 hours, and may b e changed using the PARameters Edit Menu option. | |
3262 | If the RN (Renew) ac tion is ta ken on a r enewable c ontinuous IV order, a new Defa ult Stop D ate/Time i s calculat ed using e xisting De fault Stop Date/Time calculati ons. The s tarting po int of the Default S top Date/T ime calcul ation is t he date an d time tha t the orde r was sign ed in CPRS or the da te and tim e that the RN (Renew ) action w as taken i n Inpatien t Medicati ons. | |
3263 | The RN (Re new) actio n does not create a new order. | |
3264 | The Start Date/Time is not ava ilable for editing w hen an ord er is rene wed. | |
3265 | The renewe d order ha s a status of “Activ e.” | |
3266 | Renewing C omplex Ord ers XE "Re new an Ord er:Complex Orders" | |
3267 | ||
3268 | XE "Compl ex Orders" | |
3269 | When an ac tion of RN (Renew) i s taken on one child order tha t is part of a Compl ex Order, a message will displ ay informi ng the use r that the order is part of a Complex Or der, and t he user is prompted to confirm that the action wil l be taken on all of the assoc iated chil d orders. | |
3270 | Notes: | |
3271 | Only Compl ex Orders created wi th the con junction A ND will be available for renew al. | |
3272 | Orders cre ated by ch ecking the “Give add itional do se now” bo x in CPRS, when orde red in con junction w ith a Comp lex Order, will not be availab le for ren ewal. | |
3273 | Example: R enew a Com plex Order | |
3274 | ACTIVE UNI T DOSE Feb 25, 20 04@21:25:5 0 Page: 1 of 2 | |
3275 | PSJPATIENT 1,ONE Ward: 1 EAST | |
3276 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
3277 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
3278 | *(1)Ordera ble Item: ASPIRIN TA B <DIN> | |
3279 | Ins tructions: | |
3280 | *(2)Dosag e Ordered: 650MG | |
3281 | Duration: *(3)Sta rt: 03/26/ 01 14:40 | |
3282 | *(4) Med Route: ORAL | |
3283 | *(5) St op: 03/28/ 01 24:00 | |
3284 | (6) Sche dule Type: CONTINUOU S | |
3285 | *(8) Schedule: QDAILY | |
3286 | (9) Ad min Times: 1440 | |
3287 | *(10) Provider: PSJPROVID ER,ONE [es ] | |
3288 | (11) Spec ial Instru ctions: | |
3289 | (12) Disp ense Drug U/D Inacti ve Date | |
3290 | ASPI RIN BUFFER ED 325MG T AB 2 | |
3291 | + Enter ?? f or more ac tions | |
3292 | DC Discon tinue ED (Edit) AL Ac tivity Log s | |
3293 | HD Hold RN Renew | |
3294 | FL Flag | |
3295 | ||
3296 | VF (V erify) | |
3297 | Select Ite m(s): Next Screen// RN Renew | |
3298 | This order is part o f a comple x order. I f you RENE W this ord er the | |
3299 | following orders wil l be RENEW ED too. | |
3300 | Press Retu rn to cont inue... < Enter> | |
3301 | DI GOXIN TAB C 03/26 03/29 A | |
3302 | Gi ve: 200MG PO BID | |
3303 | DI GOXIN TAB C 03/26 03/28 A | |
3304 | Gi ve: 100MG PO TID | |
3305 | Press Retu rn to cont inue... < Enter> | |
3306 | RENEW THIS COMPLEX O RDER SERIE S? YES// | |
3307 | Viewing Re newed Orde rs XE "Ren ew an Orde r:Viewing Renewed Or ders" | |
3308 | The follow ing outlin es what th e user may expect fo llowing th e renewal process: | |
3309 | The patien t profile will conta in the mos t recent r enewal dat e in the R enewed fie ld. | |
3310 | The patien t detail w ill contai n the most recent re newal date and time in the Ren ewed field . | |
3311 | The Activi ty Log wil l display the follow ing: | |
3312 | ORDER EDIT ED activit y, includi ng the pre vious Stop Date/Time and the p revious Pr ovider (if a new Pro vider is e ntered at the time t he order i s renewed) . | |
3313 | ORDER RENE WED BY PHA RMACIST ac tivity, in cluding th e pharmaci st that re newed the order and the date a nd time th at the RN (Renew) ac tion was t aken. | |
3314 | Example: R enewed Ord er in Prof ile View | |
3315 | Inpatient Order Entr y Feb 25, 20 04@21:25:5 0 Page: 1 of 1 | |
3316 | PSJPATIENT 1,ONE Ward: 1 EAST | |
3317 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
3318 | DOB: 08 /18/20 (83 ) Wt(kg): _ _____ (___ _____) | |
3319 | Sex: MA LE A dmitted: 0 5/03/00 | |
3320 | Dx: TE STING Last tran sferred: * ******* | |
3321 | CrCL: <N ot Found> B SA (m2): _ _________ | |
3322 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
3323 | 1 AS PIRIN TAB 650 C 03/26 0 3/28 A 03/27 | |
3324 | Give: 650M G PO QDAIL Y | |
3325 | ||
3326 | Enter ?? f or more ac tions | |
3327 | PI Patien t Informat ion SO Select Order | |
3328 | PU Patien t Record U pdate NO New Or der Entry | |
3329 | Select Act ion: Quit/ / 1 | |
3330 | Example: R enewed Ord er in Deta iled Order View | |
3331 | ACTIVE UNI T DOSE Feb 25, 20 04@21:25:5 0 Page: 1 of 2 | |
3332 | PSJPATIENT 1,ONE Ward: 1 EAST | |
3333 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
3334 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
3335 | *(1)Ordera ble Item: ASPIRIN TA B <DIN> | |
3336 | Ins tructions: | |
3337 | *(2)Dosag e Ordered: 650MG | |
3338 | Duration: *(3)Sta rt: 03/26/ 04 14:40 | |
3339 | *(4) Med Route: ORAL Renew ed: 03/27/ 04 11:00 | |
3340 | *(5) St op: 03/28/ 04 24:00 | |
3341 | (6) Sche dule Type: CONTINUOU S | |
3342 | *(8) Schedule: QDAILY | |
3343 | (9) Ad min Times: 1440 | |
3344 | *(10) Provider: PSJPROVID ER,ONE [es ] | |
3345 | (11) Spec ial Instru ctions: | |
3346 | (12) Disp ense Drug U/D Inacti ve Date | |
3347 | ASPI RIN BUFFER ED 325MG T AB 2 | |
3348 | + Enter ?? f or more ac tions | |
3349 | DC Discon tinue ED (Edit) AL Ac tivity Log s | |
3350 | HD Hold RN Renew | |
3351 | FL Flag VF (Verify) | |
3352 | Select Ite m(s): Next Screen// | |
3353 | ACTIVE UNI T DOSE Feb 25, 2004@21:28 :20 Page: 2 of 2 | |
3354 | PSJPATIENT 1,ONE Ward: 1 EAST | |
3355 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
3356 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
3357 | + | |
3358 | (7)Self Me d: NO | |
3359 | Entry By: PSJPROVIDE R,ONE Entry Date : 03/25/04 21:25 | |
3360 | Renewed By : PSJPROVI DER,ONE | |
3361 | (13) Comme nts: | |
3362 | TESTING | |
3363 | Enter ?? f or more ac tions | |
3364 | DC Discon tinue ED (Edit) AL Ac tivity Log s | |
3365 | HD Hold RN (Renew) | |
3366 | FL (Flag) VF (Verify) | |
3367 | Select Ite m(s): Quit // <Enter > | |
3368 | Discontinu ing a Pend ing Renewa l XE " Dis continuing a Pending Renewal " | |
3369 | When a pha rmacist at tempts to discontinu e a pendin g renewal, the follo wing messa ge display s. | |
3370 | This order is in a p ending sta tus. If th is pending order is discontinu ed, the or iginal ord er will st ill be act ive. | |
3371 | If this oc curs, a ph armacist m ay discont inue a pen ding order , both ord ers, or ex it the dis continue f unction. W hen a pend ing renewa l is disco ntinued, t he order w ill return to its pr evious sta tus. | |
3372 | Orders Tha t Change S tatus Duri ng Process of Renew | |
3373 | Orders tha t are acti ve during the renewa l process but become expired d uring the pharmacy f inishing p rocess fol low the lo gic descri bed in Ren ewing Expi red Unit D ose Orders , Renewing Expired S cheduled I V Orders, and Renewi ng Expired Continuou s IV Order s. | |
3374 | Activity L og XE "Act ivity Log" | |
3375 | This actio n allows v iewing of a long or short acti vity log X E "Activit y Log" , d ispense lo g XE "Disp ense Log" , history log, or in structions history X E "History Log" of the order. A short a ctivity lo g XE "Acti vity Log" only show s actions taken on o rders and does not i nclude fie ld changes . The long activity log XE "Ac tivity Log " shows a ctions tak en on orde rs and doe s include the reques ted Start and Stop D ate/Time X E "Stop Da te/Time" values. If a history log XE "H istory Log " is sele cted, it w ill find t he first o rder, link ed to the order wher e the hist ory log XE "History Log" was invoked. T hen the lo g will dis play an or der view o f each ord er associa ted with i t, in the order that they were created. If an inst ructions h istory log is select ed, it wil l find the first ord er linked to the ord er where t he history log was i nvoked fro m, then sh ow each in cremental change to the instru ctions in the order they were created. W hen a disp ense log X E "Dispens e Log" is selected, it shows the dispen sing infor mation for the order . | |
3376 | Example: A ctivity Lo g XE "Acti vity Log E xample" | |
3377 | ACTIVE UNI T DOSE Sep 21, 20 00 12:44:2 5 Page: 1 of 2 | |
3378 | PSJPATIENT 1,ONE Ward: 1 EAST | |
3379 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
3380 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
3381 | *(1)Ordera ble Item: AMPICILLIN CAP | |
3382 | Ins tructions: | |
3383 | *(2)Dosag e Ordered: 500MG | |
3384 | Duration: *(3)Sta rt: 09/07/ 00 15:00 | |
3385 | *(4) Med Route: ORAL | |
3386 | *(5) St op: 09/21/ 00 24:00 | |
3387 | (6) Sche dule Type: CONTINUOU S | |
3388 | *(8) Schedule: QID | |
3389 | (9) Ad min Times: 01-09-15- 20 | |
3390 | *(10) Provider: PSJPROVID ER,ONE [es ] | |
3391 | (11) Spec ial Instru ctions: | |
3392 | (12) Disp ense Drug U/D Inacti ve Date | |
3393 | AMPI CILLIN 500 MG CAP 1 | |
3394 | + Enter ?? f or more ac tions | |
3395 | DC Discon tinue ED Edit AL Acti vity Logs | |
3396 | HD Hold RN Renew | |
3397 | FL Flag | |
3398 | ||
3399 | ||
3400 | ||
3401 | ||
3402 | ||
3403 | VF Veri fy | |
3404 | Select Ite m(s): Next Screen// AL Activ ity Logs | |
3405 | 1 - Sho rt Activit y Log | |
3406 | 2 - Lon g Activity Log | |
3407 | 3 - Dis pense Log | |
3408 | 4 - His tory Log | |
3409 | 5 – Ins tructions History | |
3410 | Select LOG to displa y: 2 Long Activity Log | |
3411 | Date: 09/07/00 14:07 User: PSJP HARMACIST, ONE | |
3412 | Activity: ORDER VERI FIED BY PH ARMACIST | |
3413 | Date: 09/07/00 14:07 User: PSJP HARMACIST, ONE | |
3414 | Activity: ORDER VERI FIED | |
3415 | Field: Requested Start Date | |
3416 | Old Data: 09/07/00 09:00 | |
3417 | Date: 09/07/00 14:07 User: PSJP HARMACIST, ONE | |
3418 | Activity: ORDER VERI FIED | |
3419 | Field: Requested Stop Date | |
3420 | Old Data: 09/07/00 24:00 | |
3421 | Enter RETU RN to cont inue or '^ ' to exit: | |
3422 | Finish XE "Finish an Order" | |
3423 | Nurses w ho hold th e PSJ RNFI NISH key X E "PSJ RNF INISH Key" will hav e the abil ity to fin ish and ve rify Unit Dose order s placed t hrough CPR S XE "CPRS " . | |
3424 | Nurses w ho hold th e PSJI RNF INISH key XE "PSJI R NFINISH Ke y" will h ave the ab ility to f inish and verify IV orders pla ced throug h CPRS XE "CPRS" . | |
3425 | When an or der is pla ced or ren ewed by a provider t hrough CPR S XE "CPRS " , the nu rse or pha rmacist ne eds to fin ish and/or verify th is order. The same p rocedures are follow ed to fini sh the ren ewed order as to fin ish a new order with the follo wing excep tions: | |
3426 | The PENDIN G RENEWAL orders may be speed finished f rom within the Unit Dose Order Entry opt ion XE "Sp eed Finish " . The us er may ent er an SF, for speed finish, at the “Sele ct ACTION: ” prompt a nd then se lect the p ending ren ewals to b e finished . A prompt is issued for the S top Date/T ime XE "St op Date/Ti me" . This value is used as th e Stop Dat e/Time for the pendi ng renewal s selected . All othe r fields w ill retain the value s from the renewed o rder. | |
3427 | Note: Orde r Checks h appen duri ng the fin ish proces s. | |
3428 | Note: Orde rs for cer tain IV dr ugs cannot be finish ed if the dosage is outside th e upper an d lower bo unds defin ed for the drug in t he IV ADDI TIVE file (#52.6). | |
3429 | When an ac tion of FN (Finish) is taken o n one chil d order th at is part of a Comp lex Order, a message will disp lay inform ing the us er that th e order is part of a Complex O rder, and the user i s prompted to confir m that the action wi ll be take n on all o f the asso ciated chi ld orders. | |
3430 | Note: Comp lex orders cannot be speed fin ished beca use it may not be ap propriate to assign the same s top date t o all comp onents of a complex order. | |
3431 | Example: C omplex Uni t Dose Ord ers with O verlapping Administr ation Time s | |
3432 | When finis hing (FN) a complex unit dose drug order with over lapping ad min times, after you select th e order, a warning m essage is displayed with the w arning and the overl apping adm in times. | |
3433 | **WARNING* * | |
3434 | The highli ghted admi n times fo r these po rtions of this compl ex order o verlap. | |
3435 | Part 1 has a schedul e of BID a nd admin t ime(s) of 10-22. | |
3436 | AND | |
3437 | Part 2 has a schedul e of QDAY and admin time(s) of 10. | |
3438 | Please ens ure the sc hedules an d administ ration tim es are app ropriate. | |
3439 | Press Retu rn to cont inue... | |
3440 | Enter ?? f or more ac tions | |
3441 | PI Patien t Informat ion SO Select Order | |
3442 | PU Patien t Record U pdate NO New Or der Entry | |
3443 | Select Act ion: Next Screen// | |
3444 | To finish the order, you must correct th e order so that ther e are no o verlapping admin tim es. | |
3445 | Note: When finishing an order, if CPRS O rder Check s/Provider Overrides and Pharm acist Inte rventions exist, the y will dis play durin g the fini sh process . Heading informatio n displays first, fo llowed by a summary of the Cur rent CPRS Order Chec ks overrid den by the Provider, as well a s the Over riding Pro vider, plu s title, O verride En tered By, plus title , Date/Tim e Entered, and the O verride Re ason. | |
3446 | Example: F inish an O rder with Provider O verrides/I nterventio ns | |
3447 | ========== ========== ========== ========== ========== ========== ========== ====== | |
3448 | ** Current P rovider Ov errides fo r this ord er ** | |
3449 | ========== ========== ========== ========== ========== ========== ========== ====== | |
3450 | Overriding Provider: PSJPROVID ER,ONE (PR OVIDER) | |
3451 | Override E ntered By: PSJPROVID ER,ONE (PR OVIDER) | |
3452 | Date/Tim e Entered: 07/11/11 17:40 | |
3453 | Overri de Reason: Provider gave permi ssion to a dminister | |
3454 | CRITICAL drug-drug interacti on: METRON IDAZOLE 25 0MG TAB an d WARFARIN NA | |
3455 | (GOLDEN STATE) 1MG TAB [ACTI VE] - Conc urrent use of antico agulants w ith | |
3456 | metronid azole or t inidazole may result in reduce d prothrom bin activi ty and/or | |
3457 | increase d risk of bleeding. - Monograp h Availabl e | |
3458 | Note: If n o Current CPRS Provi der Overri des were e ntered at the time t he order w as created in CPRS, they will NOT displa y during f inishing, and no hea ding or me ssages wil l display when finis hing the P ending ord er in Inpa tient Medi cations. | |
3459 | Example: F inish an O rder Witho ut a Durat ion XE "Fi nish an Or der Withou t a Durati on Example " | |
3460 | PENDING IV (ROUTINE) Sep 07, 20 00 16:11:4 2 Page: 1 of 2 | |
3461 | PSJPATIENT 1,ONE Ward: 1 EAST | |
3462 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
3463 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
3464 | (1) Addi tives: Type : | |
3465 | (2) Solu tions: | |
3466 | Duration: | |
3467 | (4) Start: *** ***** | |
3468 | (3) Infu sion Rate: | |
3469 | REQUE STED START : 09/07/00 09:00 | |
3470 | *(5) Med Route: IVPB (6) Stop : ******** | |
3471 | *(7) Schedule: QID Last Fill : ******** | |
3472 | (8) Ad min Times: 01-09-15- 20 Quantity : 0 | |
3473 | *(9) Provider: PSJPROVID ER,ONE [es ] Cum. Doses : | |
3474 | *(10)Order able Item: AMPICILLI N INJ | |
3475 | Ins tructions: | |
3476 | (11) Ot her Print: | |
3477 | Provider Comments: THIS IS A N INPATIEN T IV EXAMP LE. | |
3478 | + Enter ?? f or more ac tions | |
3479 | DC Disco ntinue FL (Flag) | |
3480 | ED Edit FN Finish | |
3481 | Select Ite m(s): Next Screen// FN Finis h | |
3482 | COMPLETE T HIS ORDER AS IV OR U NIT DOSE? IV// IV | |
3483 | Copy the P rovider Co mments int o Other Pr int Info? Yes// YE S | |
3484 | IV TYPE: P B | |
3485 | CHOOSE FRO M: | |
3486 | A A DMIXTURE | |
3487 | C C HEMOTHERAP Y | |
3488 | H H YPERAL | |
3489 | P P IGGYBACK | |
3490 | S S YRINGE | |
3491 | Enter a co de from th e list abo ve. | |
3492 | Selec t one of t he followi ng: | |
3493 | A ADMIXTURE | |
3494 | C CHEMOTHERA PY | |
3495 | H HYPERAL | |
3496 | P PIGGYBACK | |
3497 | S SYRINGEIV TYPE: PIGG YBACK | |
3498 | **AUT O STOP 7D* * | |
3499 | This patie nt is alre ady receiv ing an ord er for the following drug in t he same | |
3500 | class as A MPICILLIN INJ 2GM: | |
3501 | AM PICILLIN C AP C 09/07 09 /21 A | |
3502 | Gi ve: 500MG PO QID | |
3503 | Do you wis h to conti nue enteri ng this or der? NO// Y | |
3504 | Select ADD ITIVE: AMP ICILLIN// <Enter> | |
3505 | ADDITIVE: AMPICILLIN // <Enter > | |
3506 | Restrictio n/Guidelin e(s) exist . Display ? : (N/D) : No// D | |
3507 | Dispense D rug Text: | |
3508 | Refer to PBM/MA P PUD trea tment guid elines | |
3509 | RESTR ICTED TO N EUROLOGY | |
3510 | (The units of streng th for thi s additive are in GM ) | |
3511 | Strength: 1 GM | |
3512 | Select ADD ITIVE: <En ter> | |
3513 | Select SOL UTION: 0.9 | |
3514 | 1 0 .9% NACL 500 ML | |
3515 | 2 0 .9% NACL 100 ML | |
3516 | 3 0 .9% NACL 50 ML | |
3517 | 4 0 .9% NaCl 250 ML | |
3518 | BT | |
3519 | CHOOSE 1-4 : 2 0.9% NACL 100 ML | |
3520 | INFUSION R ATE: <Ent er> | |
3521 | ---------- ---------- ---------- ---------- -report co ntinues--- ---------- ---------- -------- | |
3522 | Note: When the CPRS patch, OR* 3*141, is installed on the use r’s system AND the o rder is el ectronical ly signed through th e CPRS pac kage, the electronic ally signe d abbrevia tion, [es] , will app ear next t o the Prov ider’s Nam e on the o rder. | |
3523 | Example: F inish an O rder Witho ut a Durat ion (conti nued) | |
3524 | PENDING IV (ROUTINE) Sep 07, 20 00 16:23:4 6 Page: 1 of 2 | |
3525 | PSJPATIENT 1,ONE Ward: 1 EAST | |
3526 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
3527 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
3528 | (1) Addi tives: Type : PIGGYBAC K <DIN> | |
3529 | AMP ICILLIN 1 GM | |
3530 | (2) Solu tions: | |
3531 | 0.9 % NACL 100 ML | |
3532 | Duration: | |
3533 | (4) Start: 09/07/00 15:00 | |
3534 | (3) Infu sion Rate: | |
3535 | REQUE STED START : 09/07/00 09:00 | |
3536 | *(5) Med Route: IVPB (6) Stop : 09/14/00 16:54 | |
3537 | *(7) Schedule: QID Last Fill : ******** | |
3538 | (8) Ad min Times: 01-09-15- 20 Quantity : 0 | |
3539 | *(9) Provider: PSJPROVID ER,ONE [es ] Cum. Doses : | |
3540 | *(10)Order able Item: AMPICILLI N INJ | |
3541 | Ins tructions: | |
3542 | (11) Ot her Print: THIS IS A N INPATIEN T IV EXAMP LE. | |
3543 | + Enter ?? f or more ac tions | |
3544 | AC Accep t ED Edit | |
3545 | Select Ite m(s): Next Screen// AC | |
3546 | Orderable Item: AMPI CILLIN INJ | |
3547 | Give: IVPB QID | |
3548 | 0001 1 EA ST 09/07/ 00 | |
3549 | PSJPATIENT 1,ONE B-1 2 | |
3550 | AMPICILLIN 1 GM | |
3551 | 0.9% NACL 100 ML | |
3552 | Dose due a t: _______ _ | |
3553 | THIS IS AN INPATIENT IV EXAMPL E | |
3554 | QID | |
3555 | 01-09-15-2 0 | |
3556 | M2*** | |
3557 | Fld by: __ __ Chkd b y: ____ | |
3558 | 1[1] | |
3559 | Start date : SEP 7,20 00 15:00 Stop date : SEP 14,2 000 16:54 | |
3560 | Is this O. K.? YES// <Enter> | |
3561 | The Reques ted Start XE "Reques ted Start Date/Time" date/tim e XE "Requ ested Stop Date/Time " value i s added to the order view to i ndicate th e date/tim e requeste d by the p rovider to start the order. Th is date/ti me is the CPRS expec ted first dose when no duratio n is recei ved from C PRS. | |
3562 | Example: F inish an O rder With a Duration XE "Finis h an Order With a Du ration Exa mple" | |
3563 | PENDING IV (ROUTINE) Sep 07, 20 00 16:11:4 2 Page: 1 of 2 | |
3564 | PSJPATIENT 1,ONE Ward: 1 EAST | |
3565 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
3566 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
3567 | (1) Addi tives: Type : | |
3568 | (2) Solu tions: | |
3569 | Duration: 10 DAYS | |
3570 | (4) Start: *** ***** | |
3571 | (3) Infu sion Rate: | |
3572 | *(5) Med Route: IVPB (6) Stop : ******** | |
3573 | *(7) Schedule: QID Last Fill : ******** | |
3574 | (8) Ad min Times: 01-09-15- 20 Quantity : 0 | |
3575 | *(9) Provider: PSJPROVID ER,ONE [es ] Cum. Doses : | |
3576 | *(10)Order able Item: AMPICILLI N INJ | |
3577 | Ins tructions: | |
3578 | (11) Ot her Print: | |
3579 | Provider Comments: THIS IS A N INPATIEN T IV EXAMP LE. | |
3580 | + Enter ?? f or more ac tions | |
3581 | DC Disco ntinue FL (Flag) | |
3582 | ED Edit FN Finish | |
3583 | Select Ite m(s): Next Screen// FN Finis h | |
3584 | COMPLETE T HIS ORDER AS IV OR U NIT DOSE? IV// IV | |
3585 | Copy the P rovider Co mments int o Other Pr int Info? Yes// YE S | |
3586 | IV TYPE: P B | |
3587 | CHOOSE FRO M: | |
3588 | A A DMIXTURE | |
3589 | C C HEMOTHERAP Y | |
3590 | H H YPERAL | |
3591 | P P IGGYBACK | |
3592 | S S YRINGE | |
3593 | Enter a co de from th e list abo ve. | |
3594 | Selec t one of t he followi ng: | |
3595 | A ADMIXTURE | |
3596 | C CHEMOTHERA PY | |
3597 | H HYPERAL | |
3598 | P PIGGYBACK | |
3599 | S SYRINGE | |
3600 | IV TYPE: P IGGYBACK | |
3601 | **AUT O STOP 7D* * | |
3602 | This patie nt is alre ady receiv ing an ord er for the following drug in t he same | |
3603 | class as A MPICILLIN INJ 2GM: | |
3604 | AM PICILLIN C AP C 09/07 09/ 21 A | |
3605 | Gi ve: 500MG PO QID | |
3606 | Do you wis h to conti nue enteri ng this or der? NO// Y | |
3607 | Select ADD ITIVE: AMP ICILLIN// <Enter> | |
3608 | ADDITIVE: AMPICILLIN // <Enter > | |
3609 | Restrictio n/Guidelin e(s) exist . Display? : (N/D): No// D | |
3610 | Dispense D rug Text: | |
3611 | Refer to PBM/MA P PUD trea tment guid elines | |
3612 | RESTR ICTED TO N EUROLOGY | |
3613 | (The units of streng th for thi s additive are in GM ) | |
3614 | Strength: 1 GM | |
3615 | Select ADD ITIVE: <En ter> | |
3616 | Select SOL UTION: 0.9 | |
3617 | 1 0 .9% NACL 500 ML | |
3618 | 2 0 .9% NACL 100 ML | |
3619 | 3 0 .9% NACL 50 ML | |
3620 | 4 0 .9% NaCl 250 ML | |
3621 | BT | |
3622 | CHOOSE 1-4 : 2 0.9% NACL 100 ML | |
3623 | INFUSION R ATE: <Ent er> | |
3624 | PENDING IV (ROUTINE) Sep 07, 20 00 16:23:4 6 Page: 1 of 2 | |
3625 | PSJPATIENT 1,ONE Ward: 1 EAST | |
3626 | PID: 00 0-00-0001 R oom-Bed: B -12 Ht(cm): _ _____ (___ _____) | |
3627 | DOB: 08 /18/20 (80 ) Wt(kg): _ _____ (___ _____) | |
3628 | (1) Addi tives: Type : PIGGYBAC K <DIN> | |
3629 | AMP ICILLIN 1 GM | |
3630 | (2) Solu tions: | |
3631 | 0.9 % NACL 100 ML | |
3632 | Duration: 10 DAYS | |
3633 | (4) S tart: 09/0 7/00 09:0 0 | |
3634 | (3) Infu sion Rate: Calc Start : 09/07/00 08:13 | |
3635 | *(5) Med Route: IVPB (6) Stop : 09/17/00 09:00 | |
3636 | Calc Stop : 09/22/00 24:00 | |
3637 | *(7) Schedule: QID Last Fill : ******** | |
3638 | (8) Ad min Times: 01-09-15- 20 Quantity : 0 | |
3639 | *(9) Provider: PSJPROVID ER,ONE [es ] Cum. Doses : | |
3640 | *(10)Order able Item: AMPICILLI N INJ | |
3641 | Ins tructions: | |
3642 | (11) Ot her Print: THIS IS A N INPATIEN T IV EXAMP LE. | |
3643 | + Enter ?? f or more ac tions | |
3644 | AC Accep t ED Edit | |
3645 | Select Ite m(s): Next Screen// AC | |
3646 | ---------- ---------- ---------- ---------- -report co ntinues--- ---------- ---------- --------- | |
3647 | Note: When the CPRS patch, OR* 3*141, is installed on the use r’s system AND the o rder is el ectronical ly signed through th e CPRS pac kage, the electronic ally signe d abbrevia tion, [es] , will app ear next t o the Prov ider’s Nam e on the o rder. XE "Administr ation Time " | |
3648 | Example: F inish an O rder With a Duration (continue d) | |
3649 | Orderable Item: AMPI CILLIN INJ | |
3650 | Give: IVPB QID | |
3651 | 0001 1 EA ST 09/07/ 00 | |
3652 | PSJPATIENT 1,ONE B-1 2 | |
3653 | AMPICILLIN 1 GM | |
3654 | 0.9% NACL 100 ML | |
3655 | Dose due a t: _______ _ | |
3656 | THIS IS AN INPATIENT IV EXAMPL E | |
3657 | QID | |
3658 | 01-09-15-2 0 | |
3659 | M2*** | |
3660 | Fld by: __ __ Chkd b y: ____ | |
3661 | 1[1] | |
3662 | Start date : SEP 7,20 00 09:00 Stop date : SEP 17,2 000 09:00 | |
3663 | Is this O. K.? YES// <Enter> | |
3664 | The calcul ated Start Date/Time (Calc Sta rt) and th e Stop Dat e/Time (Ca lc Stop) w ill displa y accordin g to how t he followi ng Inpatie nt Ward Pa rameters s ettings ar e configur ed: | |
3665 | DAYS UNTIL STOP DATE /TIME: | |
3666 | DAYS UNTIL STOP FOR ONE-TIME: | |
3667 | SAME STOP DATE ON AL L ORDERS: | |
3668 | TIME OF DA Y THAT ORD ERS STOP: | |
3669 | DEFAULT ST ART DATE C ALCULATION : | |
3670 | The CPRS E xpected Fi rst Dose w ill displa y as the d efault Sta rt Date/Ti me when a duration i s received from CPRS . | |
3671 | The defaul t Stop Dat e/Time is derived fr om the CPR S Expected First Dos e and the duration, when the d uration is available from CPRS . | |
3672 | Note: When an order is placed through CP RS XE "CPR S" prior to the nex t administ ration tim e XE "Admi nistration Times" f or today, the Expect ed First D ose XE "Ex pected Fir st Dose" will be to day at the next admi nistration time. How ever, if t he order i s placed a fter the l ast admini stration t ime XE "Ad ministrati on Times" of the sc hedule for today, th e Expected First Dos e XE "Expe cted First Dose" wi ll be at t he next ad ministrati on time XE "Administ ration Tim es" . The Expected F irst Dose XE "Expect ed First D ose" disp layed in C PRS XE "CP RS" displ ays as Req uested Sta rt XE "Req uested Sta rt Date/Ti me" Date/ Time on th e order vi ew if no d uration is received from CPRS. The Expec ted First Dose displ ays as the default S tart Date/ Time on th e order vi ew when a duration i s received . Expected First Dos e does not display f or On-call or One-ti me orders. | |
3673 | If the Dis pense Drug XE "Dispe nse Drug" or Ordera ble Item X E "Orderab le Item" has a non- formulary status XE "Non-Formu lary Statu s" , this status wil l be displ ayed on th e screen a s “*N/F*” beside the Dispense Drug or Or derable It em. | |
3674 | The user, when finis hing an or der that c ontains an IV Additi ve and the re is more than one dispense d rug matche d to the s elected Or derable It em, they m ust select the corre ct item fo r the orde r from the displayed list. If there are multiple additives contained on the sin gle order, the Pharm acist must select ea ch of the correct ad ditives fo r the orde r. (See ex ample belo w) The lis ts of addi tive will be display ed as foll ows: | |
3675 | Print Name | |
3676 | ||
3677 | ||
3678 | ||
3679 | Additive S trength: S trength | |
3680 | ||
3681 | ||
3682 | When there are Multi ple IV Add itive Orde rable Item s, each IV additive must be se lected fro m the disp layed list . | |
3683 | Example: Multiple i tems for a n Orderabl e Item | |
3684 | DC | |
3685 | ||
3686 | Discont inue | |
3687 | ||
3688 | ||
3689 | ||
3690 | ||
3691 | ||
3692 | FL | |
3693 | ||
3694 | (Flag) | |
3695 | ED | |
3696 | ||
3697 | Edit | |
3698 | ||
3699 | ||
3700 | ||
3701 | ||
3702 | ||
3703 | ||
3704 | ||
3705 | FN | |
3706 | ||
3707 | Finish | |
3708 | Select Ite m(s): | |
3709 | Next Scree n// | |
3710 | FN | |
3711 | ||
3712 | Finish | |
3713 | IV TYPE: | |
3714 | ||
3715 | PIGGYBACK/ / | |
3716 | More than one dispen se IV Addi tives are available for: | |
3717 | Orderab le Item: P IPERACILLI N/TAZOBACT AM INJ | |
3718 | Ordere d Dose: 5 GM | |
3719 | Please sel ect the co rrect disp ense IV Ad ditive bel ow for thi s order: | |
3720 | 1 P IPERACILLI N/TAZOBACT AM Ad ditive Str ength: 3.3 75 GM | |
3721 | 2 P IPERACILLI N/TAZOBACT AM Ad ditive Str ength: 2.2 5 GM | |
3722 | 3 P IPERACILLI N/TAZOBACT AM Ad ditive Str ength: 4.5 GM | |
3723 | Select (1 - 3): 3 | |
3724 | ||
3725 | PIPERACILL IN/TAZOBAC TAM Additive Strength: 4.5 GM | |
3726 | Example: M ultiple IV Additives for same order with multiple items atta ched to th e Orderabl e Item | |
3727 | More than one dispen se IV Addi tives are available for: | |
3728 | Orderable Item: PIPE RACILLIN/T AZOBACTAM | |
3729 | Ordered Do se: 5 GM | |
3730 | Please sel ect the co rrect disp ense IV Ad ditive bel ow for thi s order: | |
3731 | 1 PIPERAC ILLIN/TAZO BACTAM Additive Strength: 3.375 | |
3732 | 2 PIPERAC ILLIN/TAZO BACTAM Additive Strength: 2.25 | |
3733 | 3 PIPERAC ILLIN/TAZO BACTAM Additive Strength: 4.5 | |
3734 | S elect (1 - 3): 2 | |
3735 | More than one dispen se IV Addi tives are available for: | |
3736 | O rderable I tem: CIPRO FLOXACIN | |
3737 | O rdered Dos e: 2 MG | |
3738 | P lease sele ct the cor rect dispe nse IV Add itive belo w for this order: | |
3739 | 1 CIPROFLO XACIN 200M G Additive Strength: N/A | |
3740 | 2 CIPROFLO XACIN 400M G Additive Strength: N/A | |
3741 | S elect (1 - 2): 2 | |
3742 | More than one dispen se IV Addi tives are available for: | |
3743 | O rderable I tem: CEFAZ OLIN | |
3744 | O rdered Dos e: 2 GM | |
3745 | Please sel ect the co rrect disp ense IV Ad ditive bel ow for thi s order: | |
3746 | 1 CEFAZOLIN Addit ive Streng th: N/A | |
3747 | 2 CEFAZ2 Additive S trength: N /A | |
3748 | 3 CEFAZ3 Additive S trength: N /A | |
3749 | Select (1 - 3): 1 | |
3750 | A prompt i s added to the finis hing proce ss, “COMPL ETE THIS O RDER AS IV OR UNIT D OSE?” to d etermine i f the user should co mplete the order as either an IV or Unit Dose orde r. The pro mpt will b e displaye d only if the user s elected th e Inpatien t Order En try XE "In patient Or der Entry" option t o finish t he order a nd the ord er was pla ced in CPR S using th e Inpatien t Meds dia log. Also, the promp t will app ear only i f the corr ect combin ation of t he entry i n the IV F LAG XE "IV Flag" in the MEDIC ATION ROUT ES XE "Med ication Ro utes" fil e and the entry in t he APPLICA TION PACKA GES’ USE f ield in th e DRUG fil e XE "Drug File" fo r the orde r’s Dispen se Drug XE "Dispense Drug" ar e found. | |
3751 | The follow ing table will help explain th e differen t scenario s for orde rs placed in CPRS us ing the In patient Me ds dialog: | |
3752 | IV FLAG in the MEDIC ATION ROUT ES fileDis pense Drug ’s Applica tion UseWh ich Order View scree n will be displayed to the use rSpecial P rocessingI VIVIVNoneI VUnit Dose Unit DoseP rompt user to finish order as IV or Unit DoseIVIV and | |
3753 | Unit DoseI VPrompt us er to fini sh order a s IV or Un it DoseNon -IVIVIVPro mpt user t o finish o rder as IV or Unit D oseNon-IVU nit DoseUn it DoseNon eNon-IVIV and | |
3754 | Unit DoseU nit DosePr ompt user to finish order as I V or Unit DoseFinish ing Orders using Qui ck Codes | |
3755 | When finis hing a pro vider-edit ed order u sing a Qui ck Code, t he dosage strength i n the “Add itives:” p rompt and the infusi on rate in the “Infu sion Rate: ” prompt a re automat ically pop ulated wit h Quick Co de informa tion. | |
3756 | Dosage Rem inder for Dispense D rug Select ion | |
3757 | If the pro vider has not specif ied a disp ense drug for automa tic select ion, then VistA will display t he medicat ion dosage above the dispense drug selec tion when you finish an order. | |
3758 | Entering I nstruction al Text fo r IV Label s | |
3759 | During IV order fini shing, Vis tA will pr ompt you t o enter op tional fre e-text ins tructions for medica tion label s. This is done so t hat pharma cy staff c an view th e printed instructio ns in the sterile ro om during IV compoun ding. The instructio ns, along with patie nt identif ication in formation, print on a separate label tha t is gener ated immed iately aft er the sta ndard IV l abel. The instructio nal label is not aff ixed to th e IV bag, and is not counted a s part of the daily usage of I V labels. | |
3760 | Flag XE "F lag an Ord er" | |
3761 | This opt ion is onl y availabl e to those users who hold the PSJ RPHARM key. XE " PSJ RNFINI SH Key" | |
3762 | The flag a ction is a vailable t o alert th e users th at the ord er is inco mplete or needs clar ification. Flagging is applied to any or ders that need more informatio n or corre ctions fro m the clin ician. Whe n the user flags the order, an alert is sent to th e specifie d user def ining the informatio n that is needed to process th e medicati on order. The specif ied user c an send a return ale rt with th e needed i nformation . The Acti vity Log w ill record the flagg ing activi ties inclu ding ackno wledgement that the alert was viewed. Th e flag act ion can be performed in either CPRS XE " CPRS" or in Inpatie nt Medicat ions. | |
3763 | When a fla gged order appears o n the orde r view, th e order nu mber on th e right ha nd side wi ll be high lighted us ing revers e video. T he nurse, or any use r without the PSJ RP HARM key, does not h ave the ab ility to f lag or un- flag order s; however , they can view the flagged or un-flagge d comments via the A ctivity Lo g XE "Acti vity Log" . | |
3764 | Example: F lagged Ord er XE "Fla g an Order Example" | |
3765 | Inpatient Order Entr y Feb 11, 20 11@13:05:4 9 Page: 1 of 1 | |
3766 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
3767 | ZZZRETFIVE EIGHTYSIX, PATIENT Ward: ALB-PRR A | |
3768 | PID: 00 0-00-1234 Room-Bed: Ht(cm) : 187.96 ( 05/03/10) | |
3769 | DOB: 04 /07/70 (40 ) Wt(kg) : 74.00 (0 5/03/10) | |
3770 | Sex: MA LE A dmitted: 0 7/02/97 | |
3771 | Dx: SI CK Last tran sferred: * ******* | |
3772 | CrCL: <N ot Found> B SA (m2): 1 .97 | |
3773 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
3774 | - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - - - - - | |
3775 | 1 AC ETAZOLAMID E INJ ? ***** * **** P | |
3776 | Give: 500M G/1VIAL IV NOW | |
3777 | 2 AC ETAZOLAMID E INJ ? ***** * **** P | |
3778 | Give: 500M G/1VIAL IV Q12H | |
3779 | 3 VI NCRISTINE INJ ? ***** * **** P | |
3780 | Give: 3MG/ 3ML IVP BI D | |
3781 | ---------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
3782 | PI Patien t Informat ion SO Select Order | |
3783 | PU Patien t Record U pdate NO New Or der Entry | |
3784 | Select Act ion: Quit/ / SO Sel ect Order | |
3785 | Speed Acti ons XE "Sp eed Action s" | |
3786 | From the l ist of ord ers in the patient’s profile, the nurse can select one or mo re of the orders on which to t ake action . The nurs e can quic kly discon tinue this patient’s orders by selecting Speed Dis continue X E "Speed D iscontinue " , or qui ckly renew ing an ord er by sele cting Spee d Renew XE "Speed Re new" . Oth er “quick” selection s include Speed Fini sh XE "Spe ed Finish" and Spee d Verify X E "Speed V erify" . | |
3787 | Note: Any orders pla ced throug h the Med Order Butt on cannot be Speed D iscontinue d. | |
3788 | Note: Comp lex orders cannot be speed fin ished beca use it may not be ap propriate to assign the same s top date t o all comp onents of a complex order. | |
3789 | Discontinu e All of a Patient’s Orders XE "Disconti nue All of a Patient ’s Orders" | |
3790 | [PSJU CA] | |
3791 | The Discon tinue All of a Patie nt’s Order s option a llows a nu rse to dis continue a ll of a pa tient’s or ders. Also , it allow s a ward c lerk to ma rk all of a patient’ s orders f or discont inuation. If the ALL OW USER TO D/C ORDER S paramete r is turne d on to ta ke action on active orders, th en the war d clerk wi ll also be able to d iscontinue orders. T his ALLOW USER TO D/ C ORDERS p arameter i s set usin g the Inpa tient User Parameter ’s Edit op tion under the PARam eter’s Edi t Menu opt ion, which is under the Superv isor’s Men u option. | |
3792 | This optio n is then used to di scontinue the select ed orders. If a non- verified o r pending order is d iscontinue d, it is d eleted com pletely fr om the sys tem. | |
3793 | Hold All o f a Patien t’s Orders | |
3794 | [PSJU HOLD ALL] XE " Hold:Hold All of a P atient’s O rders" | |
3795 | The Hold A ll of a Pa tient’s Or ders optio n allows a nurse to place all of a patie nt’s activ e orders o n hold XE "Hold" in order to temporaril y stop the medicatio n from bei ng dispens ed, or tak e all of t he patient ’s orders off of hol d XE "Hold " to rest art the di spensing o f the medi cation. | |
3796 | The option will take no action on indivi dual order s that it finds alre ady on hol d XE "Hold " . When t his option is used t o put all orders on hold XE "H old" , the system wi ll print l abels for each medic ation orde r newly pu t on hold XE "Hold" , indicati ng on the label that the medic ation is o n hold XE "Hold" . A lso, the p rofile wil l notify t he user th at the pat ient’s ord ers have b een placed on hold X E "Hold" ; the lette r H will b e placed i n the Stat us/Info co lumn on th e profile for each f ormerly ac tive order . | |
3797 | When the o ption is u sed to tak e all orde rs off of hold XE "H old" , the system wi ll reprint labels fo r the medi cation ord ers that w ere taken off hold X E "Hold" and indica te on the label that the medic ation is o ff hold XE "Hold" . Again, thi s option w ill take n o action o n individu al orders that it fi nds were n ot on hold XE "Hold" . The pro file will display to the user that the p atient’s o rders have been take n off hold XE "Hold" . | |
3798 | Example 1: Hold All of a Patie nt’s Order s XE "Hold :Hold All of a Patie nt’s Order s Example" | |
3799 | Select Uni t Dose Med ications O ption: Hol d All of a Patient's Orders | |
3800 | Select PAT IENT: PSJP ATIENT2,TW O 000- 00-0002 02/22/42 A-6 | |
3801 | DO YOU WAN T TO PLACE THIS PATI ENT'S ORDE RS ON HOLD ? Yes// < Enter> (Ye s) | |
3802 | HOLD REASO N: SURGERY SCHEDULED FOR 9:00A M | |
3803 | ...a few m oments, pl ease...... .......... ....DONE! | |
3804 | To take th e orders o ff of hold XE "Hold" , choose this same option and the follo wing will be display ed: | |
3805 | Example 2: Take All of a Patie nt’s Order s Off of H old XE "Ho ld:Take Al l of a Pat ient’s Ord ers Off of Hold Exam ple" | |
3806 | Select Uni t Dose Med ications O ption: HOl d All of a Patient's Orders | |
3807 | Select PAT IENT: P SJPATIENT2 ,TWO 0 00-00-0002 02/22/4 2 A-6 | |
3808 | THIS PATIE NT'S ORDER S ARE ON H OLD. | |
3809 | DO YOU WAN T TO TAKE THIS PATIE NT'S ORDER S OFF OF H OLD? Yes// <Enter> (Yes)..... ....... | |
3810 | .....DONE! | |
3811 | .....DONE! | |
3812 | Note: Indi vidual ord ers can be placed on hold XE " Hold" or taken off of hold XE "Hold" t hrough the Order Ent ry XE "Ord er Entry" and Non–V erified/Pe nding Orde rs options . | |
3813 | Inpatient Profile XE "Inpatien t Profile" | |
3814 | [PSJ PR] | |
3815 | The Inpati ent Profil e XE "Inpa tient Prof ile" opti on allows the user t o view the Unit Dose and IV or ders of a patient si multaneous ly. The us er can con duct the I npatient P rofile sea rch by war d group XE "Ward Gro up" , ward XE "Ward" , or pati ent. If th e selectio n to sort is by ward , the admi nistration teams may be specif ied. The d efault for the admin istration team is AL L and mult iple teams may be en tered. If selecting by ward or ward grou p XE "Ward Group" , the profil e may be s orted by p atient nam e or room- bed. To pr int Outpat ients, the user shou ld select the ward g roup ^OTHE R or print by Patien t. | |
3816 | When the u ser access es this op tion from the Unit D ose Medica tions modu le for the first tim e within a session, a prompt i s displaye d to selec t the IV r oom XE "IV Room" . W hen only o ne active IV room ex ists, it w ill be sel ected auto matically. The user is then gi ven the la bel and re port devic es defined for the I V room cho sen. If no devices h ave been d efined, th e user wil l be given the oppor tunity to choose the m. If this option is exited an d then re- entered wi thin the s ame sessio n, the cur rent label and repor t devices are shown. | |
3817 | In the fol lowing des cription, viewing a profile by patient i s discusse d; however , ward and ward grou p XE "Ward Group" a re handled similarly . | |
3818 | After the user selec ts the pat ient for w hom a prof ile view i s needed, the length of profil e is chose n. The use r can choo se to view a long or short pro file or, i f the user decides n ot to view a profile for the c hosen pati ent, “NO P rofile” ca n be selec ted. When NO Profile is chosen , the syst em will re turn to th e “Select PATIENT:” prompt and the user may choose a new pat ient. | |
3819 | Once the l ength of p rofile is chosen, th e user can print the patient p rofile (by accepting the defau lt or typi ng P at th e “Show PR OFILE only , EXPANDED VIEWS onl y, or BOTH : Profile/ /” prompt) , an expan ded view o f the pati ent profil e (by typi ng E), or both (by t yping B). The expand ed view li sts the de tails of e ach order for the pa tient. The activity logs of th e orders c an also be printed w hen the ex panded vie w or both, the expan ded view a nd profile , are chos en. | |
3820 | The advant age of thi s option i s that by viewing th e combined Unit Dose /IV profil e of a pat ient, the user can q uickly det ermine if any correc tions or m odificatio ns need to be made f or existin g or futur e orders b ased on Un it Dose or IV medica tions alre ady being received b y the pati ent. Somet imes the n urse must revise a p rospective order for a patient based on the Unit D ose or IV medication s already prescribed for the p atient. | |
3821 | Note: For Unit Dose orders, th e long act ivity log XE "Activi ty Log" s hows all a ctivities of an orde r, while t he short a ctivity lo g XE "Acti vity Log" excludes the field changes, a nd shows o nly the ma jor activi ties. For IV orders, the short and long activity l ogs give t he user th e same res ults. | |
3822 | Example: I npatient P rofile XE "Inpatient Profile E xample" | |
3823 | Select Uni t Dose Med ications O ption: IPF Inpatien t Profile | |
3824 | Select by WARD GROUP (G), WARD (W), or P ATIENT (P) : Patient <Enter> | |
3825 | Select PAT IENT: PSJP ATIENT11,O NE 000-55-342 1 08/18/ 20 1 EAS T | |
3826 | Select ano ther PATIE NT: <Enter > | |
3827 | SHORT, LON G, or NO P rofile? S HORT// <En ter> SHOR T | |
3828 | Show PROFI LE only, E XPANDED VI EWS only, or BOTH: P ROFILE// B OTH | |
3829 | Show SHORT , LONG, or NO activi ty log? N O// SHORT | |
3830 | Select PRI NT DEVICE: 0;80 NT/ Cache virt ual TELNET terminal | |
3831 | Inpatient Order Entr y Jun 12, 20 06@23:12:5 4 Page: 1 of 1 | |
3832 | PSJPATIENT 11, ONE Ward: 2AS M | |
3833 | PID: 00 0-55-3421 Room-Bed: 102-1 Ht(cm) : ______ ( ________) | |
3834 | DOB: 12 /02/23 (82 ) Wt(kg) : 100.00 ( 06/24/03) | |
3835 | Sex: MA LE A dmitted: 1 2/11/01 | |
3836 | Dx: Br eathing Di fficulty Last tran sferred: 1 2/11/01 | |
3837 | CrCL: <N ot Found> B SA (m2): _ _________ | |
3838 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
3839 | 1 CE FAZOLIN 1 GM C 06/12 0 6/22 H | |
3840 | in 5% DEXTRO SE 50 ML Q 8H | |
3841 | 2 CI METIDINE T AB C 06/12 0 7/12 A | |
3842 | Give: 300M G PO BID | |
3843 | 3 FU ROSEMIDE T AB C 06/01 0 6/15 HP | |
3844 | Give: 40MG PO QAM | |
3845 | - - - - - - - - - - - - - - N O N - V E R I F I E D - - - - - - - - - - - - - - | |
3846 | 4 CA PTOPRIL TA B C 06/14 0 6/28 N | |
3847 | Give: 25MG PO BID | |
3848 | - - - - - - - - - - - - P E N D I N G R E N E W A L S - - - - - - - - - - - - | |
3849 | 5 HA LOPERIDOL TAB ? ***** * **** P 06/14 | |
3850 | Give: 5MG PO BID | |
3851 | - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - - - - - | |
3852 | 6 HE PARIN/DEXT ROSE INJ,S OLN ? ***** * **** P | |
3853 | Give: IV | |
3854 | 7 LA CTULOSE SY RUP ? ***** * **** P NF | |
3855 | Give: 10GM /15ML PO B ID PRN | |
3856 | - - - - - - - - - - - RECENTLY DISCONTIN UED/EXPIRE D (LAST 24 HOURS) - - - - - - - - - - | |
3857 | 8 FO LIC ACID T AB | |
3858 | ||
3859 | ||
3860 | ||
3861 | C 06/14 06/16 D | |
3862 | Give: 1MG PO QAM | |
3863 | 9 GE NTAMICIN 8 0 MG C 06/12 0 6/12 D | |
3864 | in 5% DEXTRO SE 100 ML Q8H | |
3865 | 10 IS ONIAZID TA B C 04/03 0 4/17 DF | |
3866 | Give: 300M G PO QD | |
3867 | 11 PO TASSIUM CH LORIDE 10M EQ C 06/12 0 6/12 DA | |
3868 | in 5% DEXTRO SE 1000 ML Q8H | |
3869 | 12 PO TASSIUM CH LORIDE 40 MEQ C 06/12 0 6/12 DD | |
3870 | in 5% DEXTRO SE 250 ML 120 ml/hr | |
3871 | 13 PR OPRANOLOL TAB C 06/15 0 6/20 DP | |
3872 | Give: 40MG PO Q6H | |
3873 | 14 TH IAMINE TAB C 04/03 0 4/17 E | |
3874 | Give: 100M G PO BID | |
3875 | Ent er ?? for more actio ns | |
3876 | PI Patien t Informat ion SO Select Order | |
3877 | PU Patien t Record U pdate NO New Or der Entry | |
3878 | ||
3879 | ||
3880 | ||
3881 | ||
3882 | ||
3883 | Entry Dat e: 09/19/0 0 09:55 | |
3884 | Order Chec ks XE "Ord er Check" | |
3885 | Order chec ks (allerg y/adverse drug react ions XE "O rder Check :Drug-Alle rgy Intera ctions" , drug-drug interactio ns XE "Ord er Check:D rug-Drug I nteraction s" , dupli cate thera py, danger ous medica tions for patient ov er 64 year s of age, Glucophage lab resul ts, and Am inoglycosi des ordere d XE "Orde r Check:Du plicate Cl ass" ) are performed when a ne w medicati on order i s placed t hrough Inp atient Med ications o r when var ious actio ns are tak en on medi cation ord ers throug h the Inpa tient Medi cations ap plication. This func tionality will ensur e the user is alerte d to possi ble advers e drug rea ctions and will redu ce the pos sibility o f a medica tion error due to th e omission of an ord er check X E "Order C heck" whe n a non-ac tive medic ation orde r is acted upon. | |
3886 | Note: The check for remote dat a availabi lity is pe rformed wh en enterin g a patien t’s chart, rather th an on each order. | |
3887 | The follow ing action s will ini tiate an o rder check XE "Order Check" : | |
3888 | Action tak en through Inpatient Medicatio ns to ente r a medica tion order will init iate order checks (a llergy XE "Order Che ck:Drug-Al lergy Inte ractions" , drug-dru g interact ion XE "Or der Check: Drug-Drug Interactio ns" | |
3889 | ||
3890 | XE "Order Check:Dup licate Dru g" , and d uplicate t herapy XE "Order Che ck:Duplica te Class" ) against existing m edication orders. | |
3891 | Action tak en through Inpatient Medicatio ns to fini sh a medic ation orde r placed t hrough CPR S XE "CPRS " will in itiate ord er checks (allergy X E "Order C heck:Drug- Allergy In teractions " , drug-d rug intera ction XE " Order Chec k:Drug-Dru g Interact ions" , X E "Order C heck:Dupli cate Drug" and dupli cate thera py XE "Ord er Check:D uplicate C lass" ) ag ainst exis ting medic ation orde rs. | |
3892 | Action tak en through IV Menu t o finish a medicatio n order pl aced throu gh CPRS XE "CPRS" w ill initia te order c hecks (all ergy XE "O rder Check :Drug-Alle rgy Intera ctions" , drug-drug interactio n XE "Orde r Check:Dr ug-Drug In teractions " , XE "Or der Check: Duplicate Drug" and duplicate therapy X E "Order C heck:Dupli cate Class " ) agains t existing medicatio n orders. | |
3893 | Action tak en through Inpatient Medicatio ns to rene w a medica tion order will init iate order checks (a llergy XE "Order Che ck:Drug-Al lergy Inte ractions" , drug-dru g interact ion XE "Or der Check: Drug-Drug Interactio ns" | |
3894 | ||
3895 | XE "Order Check:Dup licate Dru g" , and d uplicate t herapy XE "Order Che ck:Duplica te Class" ) against existing m edication orders. | |
3896 | Action tak en through IV Menu t o renew a medication order wil l initiate order che cks (aller gy XE "Ord er Check:D rug-Allerg y Interact ions" , dr ug-drug in teraction XE "Order Check:Drug -Drug Inte ractions" | |
3897 | ||
3898 | XE "Order Check:Dup licate Dru g" , and d uplicate t herapy XE "Order Che ck:Duplica te Class" ) against existing m edication orders. | |
3899 | Action tak en through IV Menu t o copy a m edication order, the reby creat ing a new order. | |
3900 | The follow ing are th e differen t items us ed for the order che cks: | |
3901 | Checks eac h Dispense Drug XE " Dispense D rug" with in the Uni t Dose ord er for all ergy/adver se drug re actions XE "Order Ch eck:Drug-A llergy Int eractions" . | |
3902 | Checks eac h Dispense Drug XE " Dispense D rug" with in the Uni t Dose ord er against existing orders for drug-drug interacti on XE "Ord er Check:D rug-Drug I nteraction s" , XE "O rder Check :Duplicate Drug" an d duplicat e therapy XE "Order Check:Dupl icate Clas s" . | |
3903 | Checks eac h additive XE "Addit ive" with in an IV o rder for d rug-drug i nteraction XE "Order Check:Dru g-Drug Int eractions" , XE "Ord er Check:D uplicate D rug" and duplicate therapy XE "Order Ch eck:Duplic ate Class" against solutions XE "Soluti on" or ot her additi ves within the order . | |
3904 | Checks eac h IV order solution for allerg y/adverse reactions XE "Order Check:Drug -Allergy I nteraction s" . | |
3905 | Checks eac h IV order solution for drug-d rug intera ction agai nst other solutions or additiv es within the order if they ar e defined as a PreMi x XE "Orde r Check:Du plicate Dr ug" . | |
3906 | Checks eac h IV order additive XE "Additi ve" for a llergy/adv erse react ion XE "Or der Check: Drug-Aller gy Interac tions" . | |
3907 | Checks eac h IV order additive XE "Additi ve" for d rug-drug i nteraction XE "Order Check:Dru g-Drug Int eractions" | |
3908 | ||
3909 | XE "Order Check:Dup licate Dru g" , and d uplicate t herapy XE "Order Che ck:Duplica te Class" against e xisting or ders for t he patient . | |
3910 | Checks eac h IV order solution XE "Soluti on" for d rug-drug i nteraction XE "Order Check:Dru g-Drug Int eractions" against existing o rders for the patien t. | |
3911 | Override c apabilitie s are prov ided based on the se verity of the order check XE " Order Chec k" , if ap propriate. | |
3912 | Order Chec ks will be displayed /processed in the fo llowing or der: | |
3913 | System Err ors | |
3914 | Allergy/AD R (local & remote) | |
3915 | CPRS check s generate d backdoor (3 new ch ecks) | |
3916 | Drug Level Errors | |
3917 | Inpatient Critical D rug Intera ction | |
3918 | Local & Re mote Outpa tient Crit ical Drug Interactio ns | |
3919 | Inpatient Significan t Drug Int eractions | |
3920 | Local & Re mote Outpa tient Sign ificant Dr ug Interac tions | |
3921 | Order Leve l Error Me ssages – D rug Intera ctions | |
3922 | Duplicate Therapy –I npatient, Local & Re mote Outpa tient | |
3923 | Order Leve l Error Me ssages – D uplicate T herapy XE "Order Che ck:Drug-Al lergy Inte ractions" | |
3924 | These chec ks will be performed at the Di spense Dru g level. O rder check s for IV o rders will use Dispe nse Drugs linked to each addit ive/soluti on in the IV order. All pendin g, non-ver ified, act ive and re newed Inpa tient orde rs, active Outpatien t orders, and active Non-Veter ans Affair s (VA) Med s document ed in CPRS will be i ncluded in the check . In addit ion, with the releas e of OR*3* 238, order checks wi ll be avai lable usin g data fro m the Heal th Data Re pository H istorical (HDR-Hx) a nd the Hea lth Data R epository Interim Me ssaging So lution (HD R-IMS). Th is will co ntain both Outpatien t orders f rom other VAMCs as w ell as fro m Departme nt of Defe nse (DoD) facilities , if avail able. Any remote Out patient or der that h as been ex pired for 30 days or less will be includ ed in the list of me dications to be chec ked. | |
3925 | There is a slight di fference i n the disp lay of loc al Outpati ent orders compared with remot e Outpatie nt orders. Below are examples of the two displays: | |
3926 | Example: L ocal Outpa tient Orde r Display | |
3927 | Duplicate Drug in Lo cal Rx: | |
3928 | Rx #: 2608 | |
3929 | Dr ug: ASPIRI N 81MG EC TAB | |
3930 | S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG | |
3931 | Q TY: 30 Refills re maining: 1 1 | |
3932 | Provid er: PSOPRO VIDER,TEN Issued: 0 3/24/08 | |
3933 | Stat us: Active Last fi lled on: 0 3/24/08 | |
3934 | Proce ssing Stat us: Releas ed locally on 3/24/0 8@08:55:32 (Window) | |
3935 | Days Supply: 3 0 | |
3936 | Example: R emote Outp atient Ord er Display | |
3937 | Duplicate Drug in Re mote Rx: | |
3938 | L OCATION NA ME: <NAME OF FACILIT Y> | |
3939 | Rx #: 2608 | |
3940 | Dr ug: ASPIRI N 81MG EC TAB | |
3941 | S IG: TAKE O NE TABLET BY MOUTH E VERY MORNI NG | |
3942 | Q TY: 30 | |
3943 | Provid er: PSOPRO VIDER,TEN Issued: 0 3/24/08 | |
3944 | Stat us: Active Last fi lled on: 0 3/24/08 | |
3945 | Days Supply: 3 0 | |
3946 | In the Rem ote Outpat ient Order Display e xample abo ve, notice the name of the rem ote locati on has bee n added. I n addition , the numb er of refi lls is not available . | |
3947 | If the ord er is ente red by the Orderable Item only , these ch ecks will be perform ed at the time the D ispense Dr ug(s) is s pecified. The checks performed include: | |
3948 | Duplicate Therapy - Each First Databank duplicate therapy cl ass is ass igned a du plication allowance value. The duplicati on allowan ce value i ndicates h ow many du plications are consi dered appr opriate be fore a war ning is ge nerated. I f the numb er of dupl icate ther apy matche s (number of drug pa irs) excee ds the dup lication a llowance v alue, a wa rning will be displa yed. | |
3949 | In the exa mple below , the pati ent is alr eady recei ving order s containi ng a Dispe nse Drug i n the same therapy c lass as on e of the D ispense Dr ugs in the new order . The dupl ication al lowance fo r the Anti hyperlipid emics HMGC o-A Reduct ase Inhibi tors (Stat ins) thera py class i s zero. Th e new orde r for Simv astatin 20 mg tab and the exist ing outpat ient pharm acy order for Simvas tatin 10mg tab are b oth in the same ther apy class resulting in one dup lication m atch. Sinc e one dupl ication ma tch is gre ater than zero, a du plicate th erapy warn ing is dis played. | |
3950 | Inpatient duplicate orders of this kind are displa yed in a n umbered li st. The us er is firs t asked wh ether or n ot to cont inue the c urrent ord er. If the user sele cts to con tinue the order then the user is prompte d with whi ch, if any , numbered Inpatient duplicate orders to discontin ue. The us er may ent er a range of number s from the numbered list of du plicate or ders or by pass the p rompt by s electing < Enter> and continue with the o rder. Entr y of order s with dup licate dru gs of the same class will be a llowed. | |
3951 | Inpatient Order Entr y Mar 16, 20 11@12:10:4 2 Page: 1 of 2 | |
3952 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
3953 | PID: 66 6-33-0018 Room-Bed: Ht(cm) : 175.26 ( 12/15/08) | |
3954 | DOB: 04 /07/35 (75 ) Wt(kg) : 100.00 ( 12/15/08) | |
3955 | Sex: FE MALE A dmitted: 0 1/31/02 | |
3956 | Dx: UP SET Last tran sferred: 0 6/04/10 | |
3957 | CrCL: 78 .1(est.) ( CREAT:1.0m g/dL 4/19/ 12) B SA (m2): 2 .21 | |
3958 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
3959 | - - - - - - - - - - N O N - V E R I F I E D C O M P L E X - - - - - - - - - - | |
3960 | 1 LI THIUM TAB, SA C 10/13 1 0/15 N | |
3961 | Give: 450M G PO QID | |
3962 | LI THIUM TAB, SA C 10/13 1 0/15 N | |
3963 | Give: 1000 0MG PO Q4H | |
3964 | 2 RI LUZOLE TAB C 10/13 1 0/15 N | |
3965 | Give: 50MG PO BID | |
3966 | +--------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
3967 | PI Patien t Informat ion SO Select Order | |
3968 | PU Patien t Record U pdate NO New Or der Entry | |
3969 | Select Act ion: Next Screen// n o New Or der Entry | |
3970 | Select DRU G: simv | |
3971 | Lookup : DRUG GE NERIC NAME | |
3972 | 1 S IMVASTATIN 10MG TAB CV350 | |
3973 | 2 S IMVASTATIN 20MG TAB CV350 | |
3974 | 3 S IMVASTATIN 40MG TAB CV350 | |
3975 | 4 S IMVASTATIN 80MG TAB CV350 | |
3976 | CHOOSE 1-4 : 2 SIMVA STATIN 20M G TAB CV350 N/F | |
3977 | Restrictio n/Guidelin e(s) exist . Display ? : (N/O) : No// N O | |
3978 | Enter RETU RN to cont inue or '^ ' to exit: | |
3979 | Now doing allergy ch ecks. Ple ase wait.. . | |
3980 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
3981 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
3982 | ========== ========== ========== ========== ========== ========== ========== ========== | |
3983 | This patie nt is alre ady receiv ing the fo llowing IN PATIENT an d/or OUTPA TIENT | |
3984 | order(s) f or a drug in the sam e therapeu tic class( es) as SIM VASTATIN 2 0MG | |
3985 | TAB: | |
3986 | Local Rx # 501820A (A CTIVE) for SIMVASTAT IN 10MG TA B | |
3987 | SIG: TAKE ONE TABLET BY MOUTH EVERY EVEN ING | |
3988 | Processing Status: N ot release d locally (Window) | |
3989 | Class(es) Involved i n Therapeu tic Duplic ation(s): Antihyperl ipidemics | |
3990 | HMGCo-A Reductase Inhibitor s (Statins ) ======== ========== ========== ========== ========== ========== ========== ========== == | |
3991 | Press Retu rn to cont inue... | |
3992 | Available Dosage(s) | |
3993 | 1. 20MG | |
3994 | 2. 40MG | |
3995 | 3. 60MG | |
3996 | Select fro m list of Available Dosages or Enter Fre e Text Dos e: 2 40MG | |
3997 | You entere d 40MG is this corre ct? Yes// YES | |
3998 | MED ROUTE: ORAL (BY MOUTH)// PO | |
3999 | SCHEDULE: QPM// 2100 | |
4000 | SCHEDULE T YPE: CONTI NUOUS// CONTINUOUS | |
4001 | ADMIN TIME S: 2100// | |
4002 | SPECIAL IN STRUCTIONS : | |
4003 | START DATE /TIME: MAR 16,2011@1 2:10// M AR 16,2011 @12:10 | |
4004 | STOP DATE/ TIME: MAR 18,2011@24 :00// M AR 18,2011 @24:00 | |
4005 | Expected F irst Dose: MAR 16,20 11@21:00 | |
4006 | PROVIDER: PHARMACIST ,SEVENTEEN // | |
4007 | NON-VERIFI ED UNIT DO SE Mar 16, 20 11@12:10:1 5 Page: 1 of 2 | |
4008 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4009 | PID: 66 6-33-0018 Room-Bed: Ht(cm) : 175.26 ( 12/15/08) | |
4010 | DOB: 04 /07/35 (75 ) Wt(kg) : 100.00 ( 12/15/08) | |
4011 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
4012 | (1)Ordera ble Item: SIMVASTATI N TAB | |
4013 | Inst ructions: | |
4014 | (2)Dosage Ordered: 40MG | |
4015 | Duration: (3)Sta rt: 03/16/ 11 12:10 | |
4016 | (4) M ed Route: ORAL (BY M OUTH) | |
4017 | (5) St op: 03/18/ 11 24:00 | |
4018 | (6) Sched ule Type: CONTINUOUS | |
4019 | (8) Schedule: QPM | |
4020 | (9) Adm in Times: 2100 | |
4021 | (10) Provider: PHARMACIST ,SEVENTEEN | |
4022 | (11) Spec ial Instru ctions: | |
4023 | (12) Disp ense Drug U/D Inacti ve Date | |
4024 | SIMV ASTATIN 20 MG TAB 2 | |
4025 | +--------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
4026 | ED Edit AC ACCEPT | |
4027 | Select Ite m(s): Next Screen// ac ACCEP T | |
4028 | NATURE OF ORDER: WRI TTEN// W | |
4029 | ...transcr ibing this non-verif ied order. ... | |
4030 | NON-VERIFI ED UNIT DO SE Mar 16, 20 11@12:10:2 4 Page: 1 of 2 | |
4031 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4032 | PID: 66 6-33-0018 Room-Bed: Ht(cm) : 175.26 ( 12/15/08) | |
4033 | DOB: 04 /07/35 (75 ) Wt(kg) : 100.00 ( 12/15/08) | |
4034 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
4035 | *(1)Ordera ble Item: SIMVASTATI N TAB | |
4036 | Inst ructions: | |
4037 | *(2)Dosage Ordered: 40MG | |
4038 | Duration: (3)Sta rt: 03/16/ 11 12:10 | |
4039 | *(4) M ed Route: ORAL (BY M OUTH) | |
4040 | (5) St op: 03/18/ 11 24:00 | |
4041 | (6) Sched ule Type: CONTINUOUS | |
4042 | *(8) Schedule: QPM | |
4043 | (9) Adm in Times: 2100 | |
4044 | SIMV ASTATIN 20 MG TAB 2 | |
4045 | +--------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
4046 | DC Discon tinue ED Edit AL Acti vity Logs | |
4047 | HD (Hold) RN (Renew) | |
4048 | FL Flag VF Verify | |
4049 | Select Ite m(s): Next Screen// vf Verif y | |
4050 | ...a few m oments, pl ease..... | |
4051 | Pre-Exchan ge DOSES: | |
4052 | ORDER VERI FIED. | |
4053 | Enter RETU RN to cont inue or '^ ' to exit: | |
4054 | Drug-Drug Interactio ns - Drug- drug inter actions wa rnings wil l be displ ayed for c ritical or significa nt drug-dr ug interac tions.If t he Dispens e Drug sel ected is i dentified as having an interac tion of th is level w ith one of the drugs the patie nt is alre ady receiv ing, detai ls of the order the new drug i nteracts w ith will b e displaye d. | |
4055 | Note: For a Signific ant Intera ction, the entry of an interve ntion is o ptional. F or a Criti cal Intera ction, the user must enter an interventi on before continuing . | |
4056 | Note: If t he user, i s prompted for an in tervention and enter s 9, which is OTHER, “Other Fo r Recommen dation” di splays. Th is allows the user t o enter un limited fr ee text as a respons e to the o rder check (s). | |
4057 | Example: D rug-Drug I nteraction s Display | |
4058 | Inpatient Order Entr y Mar 16, 20 11@12:04:3 3 Page: 1 of 2 | |
4059 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4060 | PID: 66 6-33-0018 Room-Bed: Ht(cm) : 175.26 ( 12/15/08) | |
4061 | DOB: 04 /07/35 (75 ) Wt(kg) : 100.00 ( 12/15/08) | |
4062 | Sex: FE MALE A dmitted: 0 1/31/02 | |
4063 | Dx: UP SET Last tran sferred: 0 6/04/10 | |
4064 | CrCL: 78 .1(est.) ( CREAT:1.0m g/dL 4/19/ 12) B SA (m2): 2 .21 | |
4065 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
4066 | - - - - - - - - - - N O N - V E R I F I E D C O M P L E X - - - - - - - - - - | |
4067 | 1 LI THIUM TAB, SA C 10/13 1 0/15 N | |
4068 | Give: 450M G PO QID | |
4069 | LI THIUM TAB, SA C 10/13 1 0/15 N | |
4070 | Give: 1000 0MG PO Q4H | |
4071 | 2 RI LUZOLE TAB C 10/13 1 0/15 N | |
4072 | Give: 50MG PO BID | |
4073 | RI LUZOLE TAB C 10/15 1 0/16 N | |
4074 | Give: 1000 0MG PO Q4H | |
4075 | - - - - - - - - - - - - - P E N D I N G C O M P L E X - - - - - - - - - - - - | |
4076 | 3 HA LOPERIDOL TAB ? ***** * **** P | |
4077 | Give: 40MG PO BID | |
4078 | ---------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
4079 | PI Patien t Informat ion SO Select Order | |
4080 | PU Patien t Record U pdate NO New Or der Entry | |
4081 | Select Act ion: Quit/ / no New Order Ent ry | |
4082 | Select DRU G: indinav i | |
4083 | Lookup : DRUG GE NERIC NAME | |
4084 | INDINAVIR SULFATE 40 0MG CAP AM 800 | |
4085 | . ..OK? Yes/ / (Yes) | |
4086 | Now doing allergy ch ecks. Ple ase wait.. . | |
4087 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
4088 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
4089 | Press Retu rn to cont inue... | |
4090 | ========== ========== ========== ========== ========== ========== ========== ========== | |
4091 | This patie nt is rece iving the following order(s) t hat have a CRITICAL Drug | |
4092 | Interactio n with IND INAVIR SUL FATE 400MG CAP: | |
4093 | Local Rx # 501820A (A CTIVE) for SIMVASTAT IN 10MG TA B | |
4094 | SIG: TAKE ONE TABLET BY MOUTH EVERY EVEN ING | |
4095 | Processing Status: N ot release d locally (Window) | |
4096 | Concurrent administr ation may result in elevated H MG levels, which may | |
4097 | increase t he risk of myopathy, including rhabdomyo lysis. (1- 16) | |
4098 | ========== ========== ========== ========== ========== ========== ========== ========== | |
4099 | Display Pr ofessional Interacti on Monogra ph(s)? NO/ / | |
4100 | Do you wan t to Conti nue with I NDINAVIR S ULFATE 400 MG CAP? NO // y YES | |
4101 | Now creati ng Pharmac y Interven tion | |
4102 | For INDINA VIR SULFAT E 400MG CA P | |
4103 | PROVIDER: PSJPROVIDE R,ONE T P | |
4104 | RECOMMENDA TION: ? | |
4105 | Answer with APSP INTERVENT ION RECOMM ENDATION, or NUMBER | |
4106 | Choose from: | |
4107 | 1 CHAN GE DRUG | |
4108 | 2 CHAN GE FORM OR ROUTE OF ADMINISTRA TION | |
4109 | 3 ORDE R LAB TEST | |
4110 | 4 ORDE R SERUM DR UG LEVEL | |
4111 | 5 CHAN GE DOSE | |
4112 | 6 STAR T OR DISCO NTINUE A D RUG | |
4113 | 7 CHAN GE DOSING INTERVAL | |
4114 | 8 NO C HANGE | |
4115 | 9 OTHE R | |
4116 | RECOMMENDA TION: 9 O THER | |
4117 | OTHER FOR RECOMMENDA TION: | |
4118 | No exist ing text | |
4119 | Edit? NO // | |
4120 | See 'Pharm acy Interv ention Men u' if you want to de lete this | |
4121 | interventi on or for more optio ns. | |
4122 | Would you like to ed it this in tervention ? N// O | |
4123 | Available Dosage(s) | |
4124 | 1. 400MG | |
4125 | 2. 800MG | |
4126 | Select fro m list of Available Dosages or Enter Fre e Text Dos e: 1 400M G | |
4127 | You entere d 400MG is this corr ect? Yes// YES | |
4128 | MED ROUTE: ORAL (BY MOUTH)// PO | |
4129 | SCHEDULE: QDAY// | |
4130 | 1 Q DAY 090 0 | |
4131 | 2 Q DAY-DIG 1300 | |
4132 | 3 Q DAY-WARF 1300 | |
4133 | CHOOSE 1-3 : 1 0 900 | |
4134 | SCHEDULE T YPE: CONTI NUOUS// CONTINUOUS | |
4135 | ADMIN TIME S: 0900// | |
4136 | SPECIAL IN STRUCTIONS : | |
4137 | START DATE /TIME: MAR 16,2011@1 2:08// M AR 16,2011 @12:08 | |
4138 | STOP DATE/ TIME: MAR 17,2011@24 :00// M AR 17,2011 @24:00 | |
4139 | Expected F irst Dose: MAR 17,20 11@09:00 | |
4140 | PROVIDER: PHARMACIST ,SEVENTEEN // 145 | |
4141 | NON-VERIFI ED UNIT DO SE Mar 16, 20 11@12:07:4 6 Page: 1 of 2 | |
4142 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4143 | PID: 66 6-33-0018 Room-Bed: Ht(cm) : 175.26 ( 12/15/08) | |
4144 | DOB: 04 /07/35 (75 ) Wt(kg) : 100.00 ( 12/15/08) | |
4145 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
4146 | (1)Ordera ble Item: INDINAVIR CAP,ORAL | |
4147 | Inst ructions: | |
4148 | (2)Dosage Ordered: 400MG | |
4149 | Duration: (3)Sta rt: 03/16/ 11 12:08 | |
4150 | (4) M ed Route: ORAL (BY M OUTH) | |
4151 | (5) St op: 03/17/ 11 24:00 | |
4152 | (6) Sched ule Type: CONTINUOUS | |
4153 | (8) Schedule: QDAY | |
4154 | (9) Adm in Times: 0900 | |
4155 | (10) Provider: PHARMACIST ,SEVENTEEN | |
4156 | (11) Spec ial Instru ctions: | |
4157 | (12) Disp ense Drug U/D Inacti ve Date | |
4158 | INDI NAVIR SULF ATE 400MG CAP 1 | |
4159 | +--------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
4160 | ED Edit AC ACCEPT | |
4161 | Select Ite m(s): Next Screen// ac ACCEP T | |
4162 | Press Retu rn to cont inue... | |
4163 | NATURE OF ORDER: WRI TTEN// W | |
4164 | ...transcr ibing this non-verif ied order. ... | |
4165 | NON-VERIFI ED UNIT DO SE Mar 16, 20 11@12:08:0 4 Page: 1 of 2 | |
4166 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4167 | PID: 66 6-33-0018 Room-Bed: Ht(cm) : 175.26 ( 12/15/08) | |
4168 | DOB: 04 /07/35 (75 ) Wt(kg) : 100.00 ( 12/15/08) | |
4169 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
4170 | *(1)Ordera ble Item: INDINAVIR CAP,ORAL | |
4171 | Inst ructions: | |
4172 | *(2)Dosage Ordered: 400MG | |
4173 | Duration: (3)Sta rt: 03/16/ 11 12:08 | |
4174 | *(4) M ed Route: ORAL (BY M OUTH) | |
4175 | (5) St op: 03/17/ 11 24:00 | |
4176 | (6) Sched ule Type: CONTINUOUS | |
4177 | *(8) Schedule: QDAY | |
4178 | (9) Adm in Times: 0900 | |
4179 | *(10) Provider: PHARMACIST ,SEVENTEEN [w] | |
4180 | (11) Spec ial Instru ctions: | |
4181 | (12) Disp ense Drug U/D Inacti ve Date | |
4182 | INDI NAVIR SULF ATE 400MG CAP 1 | |
4183 | +--------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
4184 | DC Discon tinue ED Edit AL Acti vity Logs | |
4185 | HD (Hold) RN (Renew) | |
4186 | FL Flag VF Verify | |
4187 | Select Ite m(s): Next Screen// NEXT SC REEN | |
4188 | Allergy Or der Checks – This se ction desc ribes the Allergy Or der Checks functiona lity. Alle rgy Order Checks app ear prior to Clinica l Reminder Order Che cks. | |
4189 | Note: Seve rity for a n allergy can ONLY b e entered for (O)bse rved and N OT (H)isto rical Alle rgy/Advers e Reaction s and the user MUST HOLD the G MRA-ALLERG Y VERIFY k ey to ente r MECHANIS M and SEVE RITY for O bserved ty pes of All ergy/Adver se Reactio ns. | |
4190 | Inpatient Order Entr y Mar 16, 20 11@12:04:3 3 Page: 1 of 2 | |
4191 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4192 | PID: 666-3 3-0018 Roo m-Bed: Ht(cm): 1 75.26 (12/ 15/08) | |
4193 | DOB: 04/07 /35 (75) Wt(kg): 1 00.00 (12/ 15/08) | |
4194 | Sex: FEMAL E Admi tted: 01/3 1/02 | |
4195 | Dx: UPSET Las t transfer red: 06/04 /10 | |
4196 | CrCL: 78.1 (est.) (CR EAT:1.0mg/ dL 4/19/12 ) BSA (m2): 2.2 1 | |
4197 | Allergies - Verified : ACETAMIN OPHEN, COD EINE, PROP OFOL | |
4198 | Non-Verifi ed: AMLODI PINE/BENAZ EPRIL, LEV OTHYROXINE , SULFA DR UGS | |
4199 | Remote: AC ETAMINOPHE N, CODEINE , DIPRIVAN , GUAIFENE SIN, PROPO FOL | |
4200 | Adverse Re actions: | |
4201 | Inpatient Narrative: | |
4202 | Outpatient Narrative : | |
4203 | Enter ?? f or more ac tions | |
4204 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
4205 | VP View Pr ofile | |
4206 | Select Act ion: View Profile// View Pr ofile | |
4207 | SHORT, LON G, or NO P rofile? S HORT// S HORT | |
4208 | Inpatient Order Entr y Mar 16, 20 11@12:04:3 3 Page: 1 of 2 | |
4209 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4210 | PID: 666-3 3-0018 Roo m-Bed: Ht(cm): 1 75.26 (12/ 15/08) | |
4211 | DOB: 04/07 /35 (75) Wt(kg): 1 00.00 (12/ 15/08) | |
4212 | Sex: FEMAL E Admi tted: 01/3 1/02 | |
4213 | Dx: UPSET Las t transfer red: 06/04 /10 | |
4214 | CrCL: 78.1 (est.) (CR EAT:1.0mg/ dL 4/19/12 ) BSA (m2): 2.2 1 | |
4215 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
4216 | 1 ACETA MINOPHEN T AB C 0 5/22 06/1 9 A | |
4217 | Give: 325M G PO Q6H | |
4218 | 2 AMLOD IPINE/BENA ZEPRIL CAP ,ORAL C 0 5/06 06/0 3 A | |
4219 | Give: 5mg PO AM | |
4220 | 3 LEVOT HYROXINE S ODIUM TAB C 0 5/08 06/0 5 A | |
4221 | Give: 0.02 5MG PO QAM | |
4222 | - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - - - - - | |
4223 | 4 SULFA DIAZINE TA B ? * **** **** * P | |
4224 | Give: 500M G PO AM & AFTERNOON | |
4225 | Enter ?? f or more ac tions | |
4226 | PU Patien t Record U pdate NO New Or der Entry | |
4227 | Select Act ion: Quit/ / SO Sel ect Order | |
4228 | Select ORD ERS (1-4): 1 | |
4229 | Inpatient Order Entr y Mar 16, 20 11@12:04:3 3 Page: 2 of 2 | |
4230 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4231 | PID: 666-3 3-0018 Roo m-Bed: Ht(cm): 1 75.26 (12/ 15/08) | |
4232 | DOB: 04/07 /35 (75) Wt(kg): 1 00.00 (12/ 15/08) | |
4233 | Sex: FEMAL E Admi tted: 01/3 1/02 | |
4234 | Dx: UPSET Las t transfer red: 06/04 /10 | |
4235 | CrCL: 78.1 (est.) (CR EAT:1.0mg/ dL 4/19/12 ) BSA (m2): 2.2 1 | |
4236 | *(1)Ordera ble Item: ACETAMINOP HEN TAB | |
4237 | Instructio ns: | |
4238 | *(2)Dosage Ordered: 325MG | |
4239 | Duration: *(3)Sta rt: 05/22/ 14 12:03 | |
4240 | *(4) M ed Route: ORAL | |
4241 | *(5) Stop: 06/19/14 24:00 | |
4242 | (6) Schedu le Type: C ONTINUOUS | |
4243 | *(8) Schedule: Q6H | |
4244 | (9) Admi n Times: 0 600-1200-1 800-2359 | |
4245 | *(10) Provider: CLERKPEARS ON,HOLLY [ w] | |
4246 | (11) Speci al Instruc tions: | |
4247 | (12) Dispe nse Drug U/D Inactiv e Date | |
4248 | ACETAMINOP HEN 325MG TAB UNIT D OSE 1 | |
4249 | + Enter ?? f or more ac tions | |
4250 | DC Discon tinue ED Edit AL Acti vity Logs | |
4251 | HD Hold RN Renew | |
4252 | FL Flag VF (Verify) | |
4253 | Select Ite m(s): Next Screen// CO CO | |
4254 | NON-VERIFI ED UNIT DO SE May 27, 20 14@18:10:1 6 Page: 1 of 2 | |
4255 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4256 | PID: 666-3 3-0018 Roo m-Bed: Ht(cm): 1 75.26 (12/ 15/08) | |
4257 | DOB: 04/07 /35 (75) Wt(kg): 1 00.00 (12/ 15/08) | |
4258 | (1)Orderab le Item: A CETAMINOPH EN TAB | |
4259 | Instructio ns: | |
4260 | (2)Dosage Ordered: 3 25MG | |
4261 | Duration: (3)Sta rt: 05/27/ 14 18:10 | |
4262 | (4) Me d Route: O RAL | |
4263 | (5) Stop: 06/24/14 24:00 | |
4264 | (6) Schedu le Type: C ONTINUOUS | |
4265 | (8) S chedule: Q 6H | |
4266 | (9) Admi n Times: 0 600-1200-1 800-2359 | |
4267 | (10) P rovider: C LERKPEARSO N,HOLLY [w ] | |
4268 | (11) Speci al Instruc tions: | |
4269 | (12) Dispe nse Drug U/D Inactiv e Date | |
4270 | ACETAMINOP HEN 325MG TAB UNIT D OSE 1 | |
4271 | + Enter ?? f or more ac tions | |
4272 | ED Edit AC ACCEPT | |
4273 | Select Ite m(s): Next Screen// AC ACCEP T | |
4274 | A Drug-All ergy React ion exists for this medication and/or cl ass! | |
4275 | Prospectiv e Drug: AC ETAMINOPHE N 325MG TA B UNIT DOS E | |
4276 | Causative Agent: ACE TAMINOPHEN (CLE13 TE ST LAB - 0 5/07/14) | |
4277 | Historical /Observed: OBSERVED | |
4278 | Severity: SEVERE | |
4279 | Ingredient s: ACETAMI NOPHEN | |
4280 | Signs/Symp toms: NAUS EA AND VOM ITING | |
4281 | Provider O verride Re ason: N/A - Order En tered Thro ugh VistA | |
4282 | Press Retu rn to cont inue: | |
4283 | A Drug-All ergy React ion exists for this medication and/or cl ass! | |
4284 | Prospectiv e Drug: AC ETAMINOPHE N 325MG TA B UNIT DOS E | |
4285 | Causative Agent: ACE TAMINOPHEN (MARTINSB URG VAMC - 05/13/14) | |
4286 | Historical /Observed: HISTORICA L | |
4287 | Severity: Not Entere d | |
4288 | Ingredient s: ACETAMI NOPHEN | |
4289 | Signs/Symp toms: DIAR RHEA | |
4290 | Provider O verride Re ason: N/A - Order En tered Thro ugh VistA | |
4291 | Do you wan t to Inter vene? YES/ / Y | |
4292 | Enter your Current S ignature C ode: SI GNATURE VE RIFIED | |
4293 | Now creati ng Pharmac y Interven tion | |
4294 | for ACETA MINOPHEN 3 25MG TAB U NIT DOSE | |
4295 | PROVIDER: DOCTOR, TE ST D T 19 2 4567 891 BA Y PINES TE ST LAB | |
4296 | RECOMMENDA TION: 9 O THER | |
4297 | See 'Pharm acy Interv ention Men u' if you want to de lete this | |
4298 | interventi on or for more optio ns. | |
4299 | Would you like to ed it this in tervention ? N// O | |
4300 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
4301 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
4302 | Press Retu rn to cont inue... | |
4303 | NATURE OF ORDER: WRI TTEN// W | |
4304 | ...transcr ibing this non-verif ied order. ... | |
4305 | NON-VERIFI ED UNIT DO SE May 27, 20 14@18:14:4 5 Page: 1 of 2 | |
4306 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4307 | PID: 666-3 3-0018 Roo m-Bed: Ht(cm): 1 75.26 (12/ 15/08) | |
4308 | DOB: 04/07 /35 (75) Wt(kg): 1 00.00 (12/ 15/08) | |
4309 | *(1)Ordera ble Item: ACETAMINOP HEN TAB | |
4310 | Instructio ns: | |
4311 | *(2)Dosage Ordered: 325MG | |
4312 | Duration: (3)Sta rt: 05/27/ 14 18:14 | |
4313 | *(4) M ed Route: ORAL | |
4314 | (5) Stop: 06/24/14 24:00 | |
4315 | (6) Schedu le Type: C ONTINUOUS | |
4316 | *(8) Schedule: Q6H | |
4317 | (9) Admi n Times: 0 600-1200-1 800-2359 | |
4318 | *(10) Provider: CLERKPEARS ON,HOLLY [ w] | |
4319 | (11) Speci al Instruc tions: | |
4320 | (12) Dispe nse Drug U/D Inactiv e Date | |
4321 | ACETAMINOP HEN 325MG TAB UNIT D OSE 1 | |
4322 | + Enter ?? f or more ac tions | |
4323 | DC Discon tinue ED Edit AL Acti vity Logs | |
4324 | HD (Hold) RN (Renew) | |
4325 | FL Flag VF Verify | |
4326 | Select Ite m(s): Next Screen// VF Verif y | |
4327 | ...a few m oments, pl ease..... | |
4328 | Pre-Exchan ge DOSES: 2 | |
4329 | ...updatin g dispense drug(s).. . | |
4330 | ...ACETAMI NOPHEN 325 MG TAB UNI T DOSE U/D: 1... | |
4331 | ORDER VERI FIED. | |
4332 | Enter RETU RN to cont inue or '^ ' to exit: | |
4333 | You are fi nished wit h the new order. | |
4334 | The follow ing ACTION prompt is for the o riginal or der. | |
4335 | Enter RETU RN to cont inue or '^ ' to exit: | |
4336 | ACTIVE UNI T DOSE May 27, 20 14@18:16:0 9 Page: 2 of 2 | |
4337 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4338 | PID: 666-3 3-0018 Roo m-Bed: Ht(cm): 1 75.26 (12/ 15/08) | |
4339 | DOB: 04/07 /35 (75) Wt(kg): 1 00.00 (12/ 15/08) | |
4340 | (7)Self Me d: NO | |
4341 | Entry By: PEARSON,HO LLY Entry Date : 05/22/14 12:04 | |
4342 | (13) Comme nts: | |
4343 | Enter ?? f or more ac tions | |
4344 | DC Discon tinue ED Edit AL Acti vity Logs | |
4345 | HD Hold RN Renew | |
4346 | FL Flag VF (Verify) | |
4347 | Select Ite m(s): Quit // QUIT | |
4348 | Inpatient Order Entr y May 27, 20 14@18:16:1 0 Page: 1 of 2 | |
4349 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4350 | PID: 666-3 3-0018 Roo m-Bed: Ht(cm): 1 75.26 (12/ 15/08) | |
4351 | DOB: 04/07 /35 (75) Wt(kg): 1 00.00 (12/ 15/08) | |
4352 | Sex: FEMAL E Admi tted: 01/3 1/02 | |
4353 | Dx: UPSET Las t transfer red: 06/04 /10 | |
4354 | CrCL: 78.1 (est.) (CR EAT:1.0mg/ dL 4/19/12 ) BSA (m2): 2.2 1 | |
4355 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
4356 | 1 ACETA MINOPHEN T AB C 0 5/22 06/1 9 A | |
4357 | Give: 325M G PO Q6H | |
4358 | 2 ACETA MINOPHEN T AB C 0 5/27 06/2 4 A | |
4359 | Give: 325M G PO Q6H | |
4360 | 3 AMLOD IPINE/BENA ZEPRIL CAP ,ORAL C 0 5/06 06/0 3 A | |
4361 | Give: 5mg PO AM | |
4362 | 4 LEVOT HYROXINE S ODIUM TAB C 0 5/08 06/0 5 A | |
4363 | Give: 0.02 5MG PO QAM | |
4364 | - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - - - - - | |
4365 | 5 SULFA DIAZINE TA B ? * **** **** * P | |
4366 | + Enter ?? f or more ac tions | |
4367 | PI Patien t Informat ion SO Select Order | |
4368 | PU Patien t Record U pdate NO New Or der Entry | |
4369 | Select Act ion: Next Screen// | |
4370 | The follow ing change s have bee n made to the existi ng allergy order che cks: | |
4371 | In Backdoo r Pharmacy , the syst em will re quire the pharmacist to comple te an Inte rvention i f the seve rity value equals ‘S evere’ bef ore allowi ng the pha rmacist to continue with the o rder. | |
4372 | Note: The interventi on functio nality wil l be simil ar to the Critical D rug-Drug I nteraction s in backd oor pharma cy today. | |
4373 | For Allerg ies/Advers e Reaction s with Sev erity of M ild, Moder ate, or No t Entered, the syste m will con tinue the same as it does toda y with the option th at allows the pharma cist to en ter an int ervention at their d iscretion. | |
4374 | All allerg ies are ca ptured and stored wi th the ord er, regard less of wh ether or n ot an inte rvention w as entered . | |
4375 | Remote/HDR allergy S igns/Sympt oms are no w displaye d when doi ng Allergy /ADR Order Checks. | |
4376 | Modified A llergy/ADR Order Che ck to disp lay actual Station N ame in lie u of Local or Remote terminolo gy. | |
4377 | For a Seve re Allergy the user is require d to enter their ele ctronic si gnature an d interven tion. | |
4378 | Note: In o rder to en ter the Se verity for an allerg y in the A llergy Pac kage it mu st be ente red as (O) bserved a nd not (H) istorical Allery/Adv erse React ion. | |
4379 | Mild: | |
4380 | Now doing allergy ch ecks. Ple ase wait.. . | |
4381 | A Drug-All ergy React ion exists for this medication and/or cl ass! | |
4382 | Prospe ctive Drug : ASPIRIN 81MG EC TA B | |
4383 | Causa tive Agent : ASPIRIN (ALBANY - 07/09/15) | |
4384 | Historica l/Observed : OBSERVED | |
4385 | Severity : MILD | |
4386 | I ngredients : ASPIRIN | |
4387 | Sign s/Symptoms : ANXIETY, HIVES | |
4388 | Drug Class : CN103 NO N-OPIOID A NALGESICS | |
4389 | Provide r Override Reason: N /A - Order Check Not Evaluated by Provid er | |
4390 | Do you wan t to Inter vene? YES/ / NO | |
4391 | Moderate: | |
4392 | Now doing allergy ch ecks. Ple ase wait.. . | |
4393 | A Drug-All ergy React ion exists for this medication and/or cl ass! | |
4394 | Prospe ctive Drug : MINOXIDI L 2.5MG S. T. | |
4395 | Causa tive Agent : MINOXIDI L (ALBANY - 07/29/15 ) | |
4396 | Historica l/Observed : OBSERVED | |
4397 | Severity : MODERATE | |
4398 | I ngredients : MINOXIDI L | |
4399 | Sign s/Symptoms : ANXIETY, ITCHING,W ATERING EY ES | |
4400 | Drug Class : CV490 AN TIHYPERTEN SIVES,OTHE R | |
4401 | Provide r Override Reason: N /A - Order Check Not Evaluated by Provid er | |
4402 | Do you wan t to Inter vene? YES/ / NO | |
4403 | Not Entere d: | |
4404 | Now doing allergy ch ecks. Ple ase wait.. . | |
4405 | A Drug-All ergy React ion exists for this medication and/or cl ass! | |
4406 | Prospe ctive Drug : AMIODARO NE | |
4407 | Causa tive Agent : AMIODARO NE (ALBANY - 07/29/1 5) | |
4408 | Historica l/Observed : OBSERVED | |
4409 | Severity : Not Ente red | |
4410 | I ngredients : AMIODARO NE, IODINE | |
4411 | Sign s/Symptoms : ANXIETY | |
4412 | Drug Class : CV300 AN TIARRHYTHM ICS | |
4413 | Provide r Override Reason: N /A - Order Check Not Evaluated by Provid er | |
4414 | Do you wan t to Inter vene? YES/ / NO | |
4415 | Severe wit hout Inter vention: | |
4416 | Now doing allergy ch ecks. Ple ase wait.. . | |
4417 | A Drug-All ergy React ion exists for this medication and/or cl ass! | |
4418 | Prospe ctive Drug : PENICILL IN | |
4419 | Causa tive Agent : PENICILL IN (ALBANY - 07/29/1 5) | |
4420 | Historica l/Observed : OBSERVED | |
4421 | Severity : SEVERE | |
4422 | I ngredients : PENICILL IN | |
4423 | Sign s/Symptoms : DIARRHEA , HIVES | |
4424 | Drug Class : AM110 PE NICILLIN-G RELATED P ENICILLINS | |
4425 | Provide r Override Reason: N /A - Order Check Not Evaluated by Provid er | |
4426 | Do you wan t to Inter vene? YES/ / NO | |
4427 | With a SEV ERE reacti on, an int ervention is require d! | |
4428 | Severe wit h Interven tion: | |
4429 | Now doing allergy ch ecks. Ple ase wait.. . | |
4430 | A Drug-All ergy React ion exists for this medication and/or cl ass! | |
4431 | Prospe ctive Drug : PENICILL IN | |
4432 | Causa tive Agent : PENICILL IN (ALBANY - 07/29/1 5) | |
4433 | Historica l/Observed : OBSERVED | |
4434 | Severity : SEVERE | |
4435 | I ngredients : PENICILL IN | |
4436 | Sign s/Symptoms : DIARRHEA , HIVES | |
4437 | Drug Class : AM110 PE NICILLIN-G RELATED P ENICILLINS | |
4438 | Provide r Override Reason: N /A - Order Check Not Evaluated by Provid er | |
4439 | Do you wan t to Inter vene? YES/ / | |
4440 | Enter your Current S ignature C ode: SI GNATURE VE RIFIED | |
4441 | Now creati ng Pharmac y Interven tion | |
4442 | For PENICI LLIN VK 25 0MG TAB | |
4443 | PROVIDER: INPATIENT- MEDS,PROVI DER PROV | |
4444 | RECOMMENDA TION: 1 C HANGE DRUG | |
4445 | See 'Pharm acy Interv ention Men u' if you want to de lete this | |
4446 | interventi on or for more optio ns. | |
4447 | Note: “Wi th a sever e reaction , an inter vention is required” | |
4448 | Historical : | |
4449 | Now doing allergy ch ecks. Ple ase wait.. . | |
4450 | A Drug-All ergy React ion exists for this medication and/or cl ass! | |
4451 | Prospe ctive Drug : AMPICILL IN 250MG | |
4452 | Causa tive Agent : AMPICILL IN (ALBANY - 01/14/1 6) | |
4453 | Historica l/Observed : HISTORIC AL | |
4454 | Severity : Not Ente red | |
4455 | I ngredients : AMPICILL IN | |
4456 | Sign s/Symptoms : DRY MOUT H, HIVES | |
4457 | Drug Class : AM111 PE NICILLINS, AMINO DERI VATIVES | |
4458 | Provide r Override Reason: N /A - Order Check Not Evaluated by Provid er | |
4459 | Do you wan t to Inter vene? YES/ / NO | |
4460 | Example: CPRS Aller gy Order E ntry Proce ss | |
4461 | From the O rder tab, enter a ne w allergy using the Allergies Dialog: | |
4462 | ||
4463 | Example of Historica l Allergy: | |
4464 | ||
4465 | Example of Observed Allergy: | |
4466 | ||
4467 | Example: Inpatient Allergy Or der Entry Process | |
4468 | Example of Observed Allergy: | |
4469 | Patient In formation Jan 15, 20 16@09:50:4 2 Page: 1 of 1 | |
4470 | DEF,PATIEN T Ward: GEN MED A | |
4471 | PID: 66 6-66-6661 Room-Bed: Ht(cm) : ______ ( ________) | |
4472 | DOB: 01 /01/62 (54 ) Wt(kg) : ______ ( ________) | |
4473 | Sex: MA LE A dmitted: 0 4/15/15 | |
4474 | Dx: TE STING Last tran sferred: * ******* | |
4475 | CrCL: <N ot Found> B SA (m2): _ _________ | |
4476 | Allergies - Verified : AMIODARO NE, AMIODA RONE 200MG (PAR), HE PARIN, IND INAVIR, | |
4477 | MINOXI DIL, MORPH INE, PENIC ILLIN, VAN COMYCIN, A SPIRIN | |
4478 | No n-Verified : | |
4479 | Remote : | |
4480 | Adverse Reactions : | |
4481 | Inpatient Narrative : | |
4482 | Outpatient Narrative : | |
4483 | Enter ?? f or more ac tions | |
4484 | PU Patient Record Up date NO New Ord er Entry | |
4485 | DA Detaile d Allergy/ ADR List IN Interve ntion Menu | |
4486 | VP View Pr ofile | |
4487 | Select Act ion: View Profile// DA | |
4488 | Detailed A DR List Jan 15, 20 16@09:51:0 7 Page: 1 of 2 | |
4489 | DEF,PATIEN T Ward: GEN MED A | |
4490 | PID: 66 6-66-6661 Room-Bed: Ht(cm) : ______ ( ________) | |
4491 | DOB: 01 /01/62 (54 ) Wt(kg) : ______ ( ________) | |
4492 | Sex: MA LE A dmitted: 0 4/15/15 | |
4493 | Dx: TE STING Last tran sferred: * ******* | |
4494 | CrCL: <N ot Found> B SA (m2): _ _________ | |
4495 | Verifi ed | |
4496 | Drug: | |
4497 | 1 A MIODARONE | |
4498 | 2 A MIODARONE 200MG (PAR ) | |
4499 | 3 H EPARIN | |
4500 | 4 I NDINAVIR | |
4501 | 5 M INOXIDIL | |
4502 | 6 M ORPHINE | |
4503 | 7 P ENICILLIN | |
4504 | 8 V ANCOMYCIN | |
4505 | Drug/ Food: | |
4506 | 9 A SPIRIN | |
4507 | + Enter ?? f or more ac tions | |
4508 | EA Enter /Edit Alle rgy/ADR Da ta SA Selec t Allergy | |
4509 | Select Act ion: Next Screen// E A | |
4510 | Enter Caus ative Agen t: LIDOC | |
4511 | Checking e xisting PA TIENT ALLE RGIES (#12 0.8) file for matche s... | |
4512 | Now checki ng GMR ALL ERGIES (#1 20.82) fil e for matc hes... | |
4513 | Now checki ng the Nat ional Drug File - Ge neric Name s (#50.6) | |
4514 | 1 L IDOCAINE | |
4515 | 2 L IDOCAINE/M ENTHOL | |
4516 | 3 L IDOCAINE/M ENTHOL/MET HYL SALICY LATE | |
4517 | 4 L IDOCAINE/N EOMYCIN/PO LYMYXIN | |
4518 | 5 L IDOCAINE/P OVIDONE IO DINE | |
4519 | Press <RET URN> to se e more, '^ ' to exit this list, OR | |
4520 | CHOOSE 1-5 : 1 | |
4521 | CHOOSE 1-5 : 1 LIDOC AINE | |
4522 | LIDOCAI NE OK? Y es// (Ye s) | |
4523 | (O)bserved or (H)ist orical All ergy/Adver se Reactio n: O OBSE RVED | |
4524 | Select dat e reaction was OBSER VED (Time Optional): T (JAN 15, 2016) JAN 15, | |
4525 | 2016 (JAN 15, 2016) | |
4526 | Are you adding 'JA N 15, 2016 ' as | |
4527 | a new ADVERSE RE ACTION REP ORTING? No // Y (Yes ) | |
4528 | No signs/s ymptoms ha ve been sp ecified. Please add some now. | |
4529 | The follow ing are th e top ten most commo n signs/sy mptoms: | |
4530 | 1. ANXIET Y 7. H IVES | |
4531 | 2. ITCHIN G,WATERING EYES 8. D RY MOUTH | |
4532 | 3. ANOREX IA 9. D RY NOSE | |
4533 | 4. DROWSI NESS 10. R ASH | |
4534 | 5. NAUSEA ,VOMITING 11. O THER SIGN/ SYMPTOM | |
4535 | 6. DIARRH EA | |
4536 | Enter from the list above : 7 ,10 | |
4537 | Date(Time Optional) of appeara nce of Sig n/Symptom( s): Jan 15 , 2016// (JAN 15, 2 | |
4538 | 016) | |
4539 | The follow ing is the list of r eported si gns/sympto ms for thi s reaction : | |
4540 | Signs /Symptoms Date Ob served | |
4541 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
4542 | 1 HIVES Jan 15, 2016 | |
4543 | 2 RASH Jan 15, 2016 | |
4544 | Select Act ion (A)DD, (D)ELETE OR <RET>: | |
4545 | Choos e one of t he followi ng: | |
4546 | A - ALLERG Y | |
4547 | P - PHARMA COLOGICAL | |
4548 | U - UNKNOW N | |
4549 | MECHANISM: UNKNOWN// A ALLERG Y | |
4550 | COMMENTS: | |
4551 | No exist ing text | |
4552 | Edit? NO // | |
4553 | Complete t he observe d reaction report? Y es// (Ye s) | |
4554 | DATE/TIME OF EVENT: JAN 15,201 6// | |
4555 | OBSERVER: VO,MAI// BIRM INHGAM ALABAMA MV SYSTE MS ANALYST | |
4556 | SEVERITY: SE SEVERE | |
4557 | DATE MD NO TIFIED: Ja n 15,2016/ / (JAN 1 5, 2016) | |
4558 | Complete t he FDA dat a? Yes// N (No) | |
4559 | Currently you have v erifier ac cess. | |
4560 | Would you like to ve rify this Causative Agent now? Yes// ( Yes) | |
4561 | CAUSATIVE AGENT: LID OCAINE | |
4562 | TYPE: DRU G | |
4563 | INGRED IENTS: LID OCAINE | |
4564 | VA DRUG CL ASSES: CN2 04 - LOCAL ANESTHETI CS,INJECTI ON | |
4565 | CV3 00 - ANTIA RRHYTHMICS | |
4566 | DE7 00 - LOCAL ANESTHETI CS,TOPICAL | |
4567 | GU9 00 - GENIT O-URINARY AGENTS,OTH ER | |
4568 | NT3 00 - ANEST HETICS,MUC OSAL | |
4569 | OP7 00 - ANEST HETICS,TOP ICAL OPHTH ALMIC | |
4570 | PH0 00 - PHARM ACEUTICAL AIDS/REAGE NTS | |
4571 | OBS /HIST: OBS ERVED | |
4572 | SIGNS/SYM PTOMS: HIV ES (Jan 1 5, 2016) | |
4573 | RAS H (Jan 15 , 2016) | |
4574 | MECH ANISM: ALL ERGY | |
4575 | Would you like to ed it any of this data? N (No) | |
4576 | PAT IENT: DEF, PATIENT CAUSATIVE AGENT: LI DOCAINE | |
4577 | INGREDI ENTS: LIDO CAINE VA DRUG C LASSES: AN TIARRHYTHM ICS | |
4578 | LO CAL ANESTH ETICS,INJ | |
4579 | LO CAL ANESTH ETICS,TOP | |
4580 | AN ESTHETICS, MUCOSAL | |
4581 | Enter RETU RN to cont inue or '^ ' to exit: | |
4582 | AN ESTHETICS, TOPICAL O | |
4583 | PH ARMACEUTIC AL AIDS/R | |
4584 | GE NITO-URINA RY AGENTS | |
4585 | ORIGIN ATOR: VO,M AI ORIG INATED: Ja n 15, 2016 @09:52 | |
4586 | SIGN OFF: NO OB S/HIST: OB SERVED | |
4587 | SEVE RITY: SEVE RE O BS D/T: Ja n 15, 2016 | |
4588 | ID BAND MA RKED: CHART MARKED: | |
4589 | SIGNS/SYM PTOMS: HIV ES (Jan 1 5, 2016) | |
4590 | RAS H (Jan 15 , 2016) | |
4591 | Change sta tus of thi s allergy/ adverse re action to verified? Y | |
4592 | Opening Ad verse Reac t/Allergy record for review... | |
4593 | Browse Doc ument Jan 15, 20 16@09:54:3 3 Page: 1 of 1 | |
4594 | Ad verse Reac t/Allergy | |
4595 | DEF,P 666-6 6-6661 G EN MED Adm : 04/15/20 15 Dis: | |
4596 | DATE OF NO TE: JAN 15 , 2016@09: 54:33 ENT RY DATE: J AN 15, 201 6@09:54:33 | |
4597 | AUTH OR: VO,MAI EXP C OSIGNER: | |
4598 | URGEN CY: STATUS: U NSIGNED | |
4599 | This patie nt has had an allerg y to LIDOC AINE | |
4600 | verified o n Jan 15, 2016@09:54 :33. | |
4601 | + Next Scr een - Pre v Screen ?? More ac tions | |
4602 | Find Sign/Cosi gn Lin k ... | |
4603 | Print Copy Enc ounter Edi t | |
4604 | Edit Identify Signers Int erdiscipl' ry Note | |
4605 | Make Addendum Delete Qui t | |
4606 | Select Act ion: Quit/ / | |
4607 | Example of Historica l Allergy: | |
4608 | Detailed A DR List Jan 15, 20 16@09:51:0 7 Page: 1 of 2 | |
4609 | DEF,PATIEN T Ward: GEN MED A | |
4610 | PID: 66 6-66-6661 Room-Bed: Ht(cm) : ______ ( ________) | |
4611 | DOB: 01 /01/62 (54 ) Wt(kg) : ______ ( ________) | |
4612 | Sex: MA LE A dmitted: 0 4/15/15 | |
4613 | Dx: TE STING Last tran sferred: * ******* | |
4614 | CrCL: <N ot Found> B SA (m2): _ _________ | |
4615 | Verifi ed | |
4616 | Drug: | |
4617 | 1 A MIODARONE | |
4618 | 2 A MIODARONE 200MG (PAR ) | |
4619 | 3 H EPARIN | |
4620 | 4 I NDINAVIR | |
4621 | 5 M INOXIDIL | |
4622 | 6 M ORPHINE | |
4623 | 7 P ENICILLIN | |
4624 | 8 V ANCOMYCIN | |
4625 | Drug/ Food: | |
4626 | 9 A SPIRIN | |
4627 | + Enter ?? f or more ac tions | |
4628 | EA Enter /Edit Alle rgy/ADR Da ta SA Selec t Allergy | |
4629 | Select Act ion: Next Screen// E A | |
4630 | Enter Caus ative Agen t: LIDO | |
4631 | Checking e xisting PA TIENT ALLE RGIES (#12 0.8) file for matche s... | |
4632 | ,PATIENT DEF,PATIEN T 1 -1-62 6 66666661 YES ACTIVE DU TY INP | |
4633 | ATIENT-MED S,PROVIDER LIDO CAINE | |
4634 | LIDOCAI NE OK? Y es// N (N o) | |
4635 | Now checki ng GMR ALL ERGIES (#1 20.82) fil e for matc hes... | |
4636 | Now checki ng the Nat ional Drug File - Ge neric Name s (#50.6) | |
4637 | 1 L IDOCAINE | |
4638 | 2 L IDOCAINE/M ENTHOL | |
4639 | 3 L IDOCAINE/M ENTHOL/MET HYL SALICY LATE | |
4640 | 4 L IDOCAINE/N EOMYCIN/PO LYMYXIN | |
4641 | OB S/ | |
4642 | REACTANT VER. MECH. HI ST TYPE | |
4643 | -------- ---- - ------ -- -- ---- | |
4644 | AMIODARONE AUTO A LLERGY OB S DRUG | |
4645 | (IODINE) | |
4646 | Reacti ons: ANXIE TY | |
4647 | AMIODARONE 200MG (PA R) YES A LLERGY HI ST DRUG | |
4648 | (AMIODARO NE, IODINE ) | |
4649 | Reacti ons: ANXIE TY | |
4650 | HEPARIN AUTO A LLERGY OB S DRUG | |
4651 | Reacti ons: DRY M OUTH, DRY NOSE | |
4652 | INDINAVIR AUTO A LLERGY OB S DRUG | |
4653 | (INDINAVI R SULFATE) | |
4654 | Reacti ons: ITCHI NG,WATERIN G EYES, AN OREXIA, | |
4655 | NAUSE A,VOMITING , ANXIETY, DROWSINES S | |
4656 | LIDOCAINE YES A LLERGY OB S DRUG | |
4657 | Reacti ons: HIVES , RASH | |
4658 | 5 L IDOCAINE/P OVIDONE IO DINE | |
4659 | Press <RET URN> to se e more, '^ ' to exit this list, OR | |
4660 | CHOOSE 1-5 : 3 LIDOC AINE/MENTH OL/METHYL SALICYLATE | |
4661 | LIDOCAI NE/MENTHOL /METHYL SA LICYLATE OK? Yes// (Yes) | |
4662 | (O)bserved or (H)ist orical All ergy/Adver se Reactio n: H HIST ORICAL | |
4663 | No signs/s ymptoms ha ve been sp ecified. Please add some now. | |
4664 | The follow ing are th e top ten most commo n signs/sy mptoms: | |
4665 | 1. ANXIET Y 7. H IVES | |
4666 | 2. ITCHIN G,WATERING EYES 8. D RY MOUTH | |
4667 | 3. ANOREX IA 9. D RY NOSE | |
4668 | 4. DROWSI NESS 10. R ASH | |
4669 | 5. NAUSEA ,VOMITING 11. O THER SIGN/ SYMPTOM | |
4670 | 6. DIARRH EA | |
4671 | Enter from the list above : 7 | |
4672 | Date(Time Optional) of appeara nce of Sig n/Symptom( s): | |
4673 | The follow ing is the list of r eported si gns/sympto ms for thi s reaction : | |
4674 | Signs /Symptoms Date Ob served | |
4675 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
4676 | 1 HIVES | |
4677 | Select Act ion (A)DD, (D)ELETE OR <RET>: | |
4678 | Choos e one of t he followi ng: | |
4679 | A - ALLERG Y | |
4680 | P - PHARMA COLOGICAL | |
4681 | U - UNKNOW N | |
4682 | MECHANISM: UNKNOWN// A ALLERG Y | |
4683 | COMMENTS: | |
4684 | No exist ing text | |
4685 | Edit? NO // | |
4686 | Currently you have v erifier ac cess. | |
4687 | Would you like to ve rify this Causative Agent now? Yes// Y (Yes) | |
4688 | CAUSATIVE AGENT: LID OCAINE/MEN THOL/METHY L SALICYLA TE | |
4689 | TYPE: DRU G | |
4690 | INGRED IENTS: LID OCAINE | |
4691 | MEN THOL | |
4692 | MET HYL SALICY LATE | |
4693 | VA DRUG CL ASSES: DE9 00 - DERMA TOLOGICALS ,TOPICAL O THER | |
4694 | OBS /HIST: HIS TORICAL | |
4695 | SIGNS/SYM PTOMS: HIV ES | |
4696 | MECH ANISM: ALL ERGY | |
4697 | Would you like to ed it any of this data? N (No) | |
4698 | PAT IENT: DEF, PATIENT CAUSATIVE AGENT: LI DOCAINE/ME NTHOL/MET | |
4699 | INGREDI ENTS: LIDO CAINE VA DRUG C LASSES: DE RMATOLOGIC ALS,TOPIC | |
4700 | MENT HOL | |
4701 | METH YL SALICYL ATE | |
4702 | ORIGIN ATOR: VO,M AI ORIG INATED: Ja n 15, 2016 @09:55 | |
4703 | SIGN OFF: NO OB S/HIST: HI STORICAL | |
4704 | ID BAND MA RKED: CHART MARKED: | |
4705 | Enter RETU RN to cont inue or '^ ' to exit: | |
4706 | Jan 15, 20 16@09:56:4 6 | |
4707 | SIGNS/SYM PTOMS: HIV ES | |
4708 | Change sta tus of thi s allergy/ adverse re action to verified? Y (Yes) | |
4709 | Opening Ad verse Reac t/Allergy record for review... | |
4710 | Browse Doc ument Jan 15, 20 16@09:56:4 6 Page: 1 of 1 | |
4711 | Ad verse Reac t/Allergy | |
4712 | DEF,P 666-6 6-6661 G EN MED Adm : 04/15/20 15 Dis: | |
4713 | DATE OF NO TE: JAN 15 , 2016@09: 56:45 ENT RY DATE: J AN 15, 201 6@09:56:45 | |
4714 | AUTH OR: VO,MAI EXP C OSIGNER: | |
4715 | URGEN CY: STATUS: U NSIGNED | |
4716 | This patie nt has had an allerg y to LIDOC AINE/MENTH OL/METHYL SALICYLATE | |
4717 | verified o n Jan 15, 2016@09:56 :45. | |
4718 | + Next Scr een - Pre v Screen ?? More ac tions | |
4719 | Find Sign/Cosi gn Lin k ... | |
4720 | Print Copy Enc ounter Edi t | |
4721 | Edit Identify Signers Int erdiscipl' ry Note | |
4722 | Make Addendum Delete Qui t | |
4723 | Select Act ion: Quit/ / | |
4724 | Clinical R eminder Or der Checks XE "Clini cal Remind er Order C hecks" - This secti on describ es the Cli nical Remi nder Order Checks fu nctionalit y (PSJ*5*2 81). | |
4725 | Order Chec ks now inc ludes the ability to view Clin ical Remin ders (prio r to the d isplay of Enhanced D rug-Drug i nteraction s). Remind ers are us ed to aid physicians in perfor ming tasks to fulfil l Clinical Practice Guidelines and perio dic proced ures or ed ucation as needed fo r veteran patients | |
4726 | Example: D rug-Drug I nteraction s Display | |
4727 | Inpatient Order Entr y Mar 16, 20 11@12:04:3 3 Page: 1 of 2 | |
4728 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4729 | PID: 66 6-33-0018 Room-Bed: Ht(cm) : 175.26 ( 12/15/08) | |
4730 | DOB: 04 /07/35 (75 ) Wt(kg) : 100.00 ( 12/15/08) | |
4731 | Sex: FE MALE A dmitted: 0 1/31/02 | |
4732 | Dx: UP SET Last tran sferred: 0 6/04/10 | |
4733 | CrCL: 78 .1(est.) ( CREAT:1.0m g/dL 4/19/ 12) B SA (m2): 2 .21 | |
4734 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
4735 | - - - - - - - - - - N O N - V E R I F I E D C O M P L E X - - - - - - - - - - | |
4736 | 1 LI THIUM TAB, SA C 10/13 1 0/15 N | |
4737 | Give: 450M G PO QID | |
4738 | LI THIUM TAB, SA C 10/13 1 0/15 N | |
4739 | Give: 1000 0MG PO Q4H | |
4740 | 2 RI LUZOLE TAB C 10/13 1 0/15 N | |
4741 | Give: 50MG PO BID | |
4742 | RI LUZOLE TAB C 10/15 1 0/16 N | |
4743 | Give: 1000 0MG PO Q4H | |
4744 | - - - - - - - - - - - - - P E N D I N G C O M P L E X - - - - - - - - - - - - | |
4745 | 3 HA LOPERIDOL TAB ? ***** * **** P | |
4746 | Give: 40MG PO BID | |
4747 | ---------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
4748 | PI Patien t Informat ion SO Select Order | |
4749 | PU Patien t Record U pdate NO New Or der Entry | |
4750 | Select Act ion: Quit/ / no New Order Ent ry | |
4751 | Select DRU G: indinav i | |
4752 | Lookup : DRUG GE NERIC NAME | |
4753 | INDINAVIR SULFATE 40 0MG CAP AM 800 | |
4754 | . ..OK? Yes/ / (Yes) | |
4755 | Now doing allergy ch ecks. Ple ase wait.. . | |
4756 | Now proces sing Clini cal Remind er Order C hecks. Ple ase wait . .. | |
4757 | ========== ========== ========== ========== ========== ========== ========== ====== | |
4758 | *** Clinic al Reminde r Order Ch eck | Seve rity: HIGH *** | |
4759 | CR3286 CRO C - GENTAM ICIN OI SE VERITY HIG H (RULE DI SPLAY NAME ) | |
4760 | CR3286 CRO C - GENTAM ICIN OI SE VERITY HIG H (RULE OR DER CHECK TEXT) | |
4761 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
4762 | *** Clinic al Reminde r Order Ch eck | Seve rity: MEDI UM *** | |
4763 | Potentiall y Teratoge nic Medica tion (FDA Category D or C) | |
4764 | Concern ha s been rai sed about use of thi s medicati on during pregnancy. | |
4765 | 1) Pregnan cy status should be determined . Discuss use of thi s medicati on on the | |
4766 | context of risks to the mother and child of untrea ted diseas e. Potenti al | |
4767 | benefits m ay warrant use of th e drug in pregnant w omen despi te risks. | |
4768 | 2) The pat ient must be provide d contrace ptive coun seling on potential risk vs. | |
4769 | benefit of taking th is medicat ion if she were to b ecome preg nant. | |
4770 | ********** ********** ********** ********** ********** ********** ********** ** | |
4771 | The 'Terat ogenic Med ications' Order Chec k will dis play for f emale pati ents | |
4772 | between th e ages of 12 and 50, except th ose with a known exc lusion cri terion | |
4773 | (e.g., hys terectomy) , or those with a do cumented I UD placeme nt that is more | |
4774 | recent tha n a docume nted IUD r emoval. | |
4775 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
4776 | *** Clinic al Reminde r Order Ch eck | Seve rity: LOW *** | |
4777 | CR3286 CRO C - GENTAM ICIN DRUG SEVERITY L OW (RULE D ISPLAY NAM E) | |
4778 | CR3286 CRO C - GENTAM ICIN DRUG SEVERITY L OW (RULE O RDER CHECK TEXT 01) CR3286 | |
4779 | CROC - GEN TAMICIN DR UG SEVERIT Y LOW (RUL E ORDER CH ECK TEXT 0 2) CR3286 CROC - | |
4780 | GENTAMICIN DRUG SEVE RITY LOW ( RULE ORDER CHECK TEX T 03) CR32 86 CROC - | |
4781 | GENTAMICIN DRUG SEVE RITY LOW ( RULE ORDER CHECK TEX T 04) | |
4782 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
4783 | Do you wan t to Conti nue? Y// E S | |
4784 | Enter your Current S ignature C ode: SI GNATURE VE RIFIED | |
4785 | Now creati ng Pharmac y Interven tion | |
4786 | For GENTAM ICIN 4MG/2 ML INTRATH ECAL | |
4787 | PROVIDER: DOCTOR, TEST DT | |
4788 | RECOMMENDA TION: 9 O THER | |
4789 | OTHER FOR RECOMMENDA TION: | |
4790 | No exist ing text | |
4791 | Edit? NO // | |
4792 | See 'Pharm acy Interv ention Men u' if you want to de lete this | |
4793 | interventi on or for more optio ns. | |
4794 | Press Retu rn to cont inue... | |
4795 | Would you like to ed it this in tervention ? N// O | |
4796 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
4797 | Press Retu rn to cont inue... | |
4798 | ========== ========== ========== ========== ========== ========== ========== ========== | |
4799 | This patie nt is rece iving the following order(s) t hat have a CRITICAL Drug | |
4800 | Interactio n with IND INAVIR SUL FATE 400MG CAP: | |
4801 | Local Rx # 501820A (A CTIVE) for SIMVASTAT IN 10MG TA B | |
4802 | SIG: TAKE ONE TABLET BY MOUTH EVERY EVEN ING | |
4803 | Processing Status: N ot release d locally (Window) | |
4804 | Concurrent administr ation may result in elevated H MG levels, which may | |
4805 | increase t he risk of myopathy, including rhabdomyo lysis. (1- 16) | |
4806 | ========== ========== ========== ========== ========== ========== ========== ========== | |
4807 | Display Pr ofessional Interacti on Monogra ph(s)? NO/ / | |
4808 | Do you wan t to Conti nue with I NDINAVIR S ULFATE 400 MG CAP? NO // y YES | |
4809 | Now creati ng Pharmac y Interven tion | |
4810 | For INDINA VIR SULFAT E 400MG CA P | |
4811 | PROVIDER: PSJPROVIDE R,ONE T P | |
4812 | RECOMMENDA TION: ? | |
4813 | Answer with APSP INTERVENT ION RECOMM ENDATION, or NUMBER | |
4814 | Choose from: | |
4815 | 1 CHAN GE DRUG | |
4816 | 2 CHAN GE FORM OR ROUTE OF ADMINISTRA TION | |
4817 | 3 ORDE R LAB TEST | |
4818 | 4 ORDE R SERUM DR UG LEVEL | |
4819 | 5 CHAN GE DOSE | |
4820 | 6 STAR T OR DISCO NTINUE A D RUG | |
4821 | 7 CHAN GE DOSING INTERVAL | |
4822 | 8 NO C HANGE | |
4823 | 9 OTHE R | |
4824 | RECOMMENDA TION: 8 N O CHANGE | |
4825 | See 'Pharm acy Interv ention Men u' if you want to de lete this | |
4826 | interventi on or for more optio ns. | |
4827 | Would you like to ed it this in tervention ? N// O | |
4828 | Available Dosage(s) | |
4829 | 1. 400MG | |
4830 | 2. 800MG | |
4831 | Select fro m list of Available Dosages or Enter Fre e Text Dos e: 1 400M G | |
4832 | You entere d 400MG is this corr ect? Yes// YES | |
4833 | MED ROUTE: ORAL (BY MOUTH)// PO | |
4834 | SCHEDULE: QDAY// | |
4835 | 1 Q DAY 090 0 | |
4836 | 2 Q DAY-DIG 1300 | |
4837 | 3 Q DAY-WARF 1300 | |
4838 | CHOOSE 1-3 : 1 0 900 | |
4839 | SCHEDULE T YPE: CONTI NUOUS// CONTINUOUS | |
4840 | ADMIN TIME S: 0900// | |
4841 | SPECIAL IN STRUCTIONS : | |
4842 | START DATE /TIME: MAR 16,2011@1 2:08// M AR 16,2011 @12:08 | |
4843 | STOP DATE/ TIME: MAR 17,2011@24 :00// M AR 17,2011 @24:00 | |
4844 | Expected F irst Dose: MAR 17,20 11@09:00 | |
4845 | PROVIDER: PHARMACIST ,SEVENTEEN // 145 | |
4846 | NON-VERIFI ED UNIT DO SE Mar 16, 20 11@12:07:4 6 Page: 1 of 2 | |
4847 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4848 | PID: 66 6-33-0018 Room-Bed: Ht(cm) : 175.26 ( 12/15/08) | |
4849 | DOB: 04 /07/35 (75 ) Wt(kg) : 100.00 ( 12/15/08) | |
4850 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
4851 | (1)Ordera ble Item: INDINAVIR CAP,ORAL | |
4852 | Inst ructions: | |
4853 | (2)Dosage Ordered: 400MG | |
4854 | Duration: (3)Sta rt: 03/16/ 11 12:08 | |
4855 | (4) M ed Route: ORAL (BY M OUTH) | |
4856 | (5) St op: 03/17/ 11 24:00 | |
4857 | (6) Sched ule Type: CONTINUOUS | |
4858 | (8) Schedule: QDAY | |
4859 | (9) Adm in Times: 0900 | |
4860 | (10) Provider: PHARMACIST ,SEVENTEEN | |
4861 | (11) Spec ial Instru ctions: | |
4862 | (12) Disp ense Drug U/D Inacti ve Date | |
4863 | INDI NAVIR SULF ATE 400MG CAP 1 | |
4864 | +--------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
4865 | ED Edit AC ACCEPT | |
4866 | Select Ite m(s): Next Screen// ac ACCEP T | |
4867 | Press Retu rn to cont inue... | |
4868 | NATURE OF ORDER: WRI TTEN// W | |
4869 | ...transcr ibing this non-verif ied order. ... | |
4870 | NON-VERIFI ED UNIT DO SE Mar 16, 20 11@12:08:0 4 Page: 1 of 2 | |
4871 | BCMA,EIGHT EEN-PATIEN T Ward: 7A GEN A | |
4872 | PID: 66 6-33-0018 Room-Bed: Ht(cm) : 175.26 ( 12/15/08) | |
4873 | DOB: 04 /07/35 (75 ) Wt(kg) : 100.00 ( 12/15/08) | |
4874 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
4875 | *(1)Ordera ble Item: INDINAVIR CAP,ORAL | |
4876 | Inst ructions: | |
4877 | *(2)Dosage Ordered: 400MG | |
4878 | Duration: (3)Sta rt: 03/16/ 11 12:08 | |
4879 | *(4) M ed Route: ORAL (BY M OUTH) | |
4880 | (5) St op: 03/17/ 11 24:00 | |
4881 | (6) Sched ule Type: CONTINUOUS | |
4882 | *(8) Schedule: QDAY | |
4883 | (9) Adm in Times: 0900 | |
4884 | *(10) Provider: PHARMACIST ,SEVENTEEN [w] | |
4885 | (11) Spec ial Instru ctions: | |
4886 | (12) Disp ense Drug U/D Inacti ve Date | |
4887 | INDI NAVIR SULF ATE 400MG CAP 1 | |
4888 | +--------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
4889 | DC Discon tinue ED Edit AL Acti vity Logs | |
4890 | HD (Hold) RN (Renew) | |
4891 | FL Flag VF Verify | |
4892 | Select Ite m(s): Next Screen// NEXT SC REEN | |
4893 | Clinic Ord ers XE "Cl inic Order s" | |
4894 | Clinic ord ers are cr eated via CPRS gener ally using the Meds Inpatient tab or the IV Fluids tab. Drug orders th at have a clinic and an appoin tment date and time are consid ered clini c orders. The clinic must be d efined wit h ‘ADMINIS TER INPATI ENT MEDS?’ prompt an swered YES under the SETUP A C LINIC [SDB UILD] opti on in the Scheduling package. Defining t he clinic in this ma nner ensur es that an appointme nt date an d time are defined. Orders pla ced via ba ckdoor inp atient med ications a re not con sidered cl inic order s. | |
4895 | MOCHA v1.0 Enhanceme nts 1 adds drug inte raction an d therapeu tic duplic ation orde r checks f or clinic orders to Outpatient Pharmacy. Previousl y Inpatien t Medicati ons packag e performe d order ch ecks on ac tive, pend ing and no n-verified clinic or ders. With the MOCHA v1.0 Enha ncements 1 , Inpatien t medicati ons will p erform enh anced orde r checks f or recentl y disconti nued and e xpired in patient me dications clinic ord ers. | |
4896 | For both p ackages, t he system will displ ay clinic orders in a standard format to different iate them from Inpat ient Medic ations and Outpatien t Pharmacy order che cks. | |
4897 | Based on t he number of days de fined in t he IMO DC/ EXPIRED DA Y LIMIT fi eld (#6) i n CLINIC D EFINITION file (#53. 46), the e nhanced or der checks process w ill only i nclude dis continued and expire d drug int eractions and/or dup licate the rapy order s with a s top date t hat falls within the range def ined. The following are the sc enarios th at drive w hich dates will be d isplayed f or the cli nic order: | |
4898 | If there a re start/s top dates defined, t hey are di splayed. | |
4899 | If there a re no stop /start dat es defined , the ‘req uested sta rt/stop da tes’ will be display ed with th e word “Re quested” p rior to th e start/st op date he ader. | |
4900 | If there a re no requ ested star t/stop dat es defined , the orde r date wil l be displ ayed and t he start/s top date h eaders wil l be displ ayed with “********” for the d ate. | |
4901 | If there i s either a requested start dat e or a req uested sto p date, th e availabl e date wil l be displ ayed and “ ********” will be di splayed fo r the unde fined date . | |
4902 | Unit Dose Clinic Ord er Check e xample: | |
4903 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
4904 | This patie nt is rece iving the following order(s) t hat have a CRITICAL Drug | |
4905 | Interactio n with CIM ETIDINE 30 0 MG: | |
4906 | Clin ic Order: PHENYTOIN 100MG CAP (DISCONTIN UED) | |
4907 | Schedule: Q8H | |
4908 | Dosage: 1 00MG | |
4909 | St art Date: FEB 27, 20 12@13:00 | |
4910 | S top Date: FEB 28, 20 12@15:22:2 7 | |
4911 | Concurrent use of ci metidine o r ranitidi ne may res ult in ele vated leve ls | |
4912 | of and tox icity from the hydan toin.Neutr openia and thrombocy topenia ha ve | |
4913 | been repor ted with c oncurrent cimetidine and pheny toin. | |
4914 | IV Clinic Order Chec k example: | |
4915 | This patie nt is rece iving the following order(s) t hat have a CRITICAL Drug | |
4916 | Interactio n with WAR FARIN 2MG TAB: | |
4917 | Clin ic Order: POTASSIUM CHLORIDE 2 0 MEQ (ACT IVE) | |
4918 | Other Add itive(s): MAGNESIUM SULFATE 1 GM (1), CA LCIUM GLUC ONATE 1 GM (2), | |
4919 | HEPARIN 10 00 UNITS, CIMETIDINE 300 MG | |
4920 | Sol ution(s): DEXTROSE 2 0% 500 ML 125 ml/hr | |
4921 | AMINO ACID SOLUTION 8.5% 500 M L 125 ml/h r | |
4922 | St art Date: APR 05, 20 12@15:00 | |
4923 | S top Date: APR 27, 20 12@24:00 | |
4924 | The pharma cologic ef fects of w arfarin ma y be incre ased resul ting in se vere | |
4925 | bleeding. | |
4926 | Therapeuti c Duplicat ion - IV a nd Unit Do se clinic order ther apeutic du plications display i n the same format as drug inte ractions. | |
4927 | Unit Dose Clinic Ord er Check e xample: | |
4928 | This patie nt is alre ady receiv ing the fo llowing IN PATIENT an d/or OUTPA TIENT | |
4929 | order(s) f or a drug in the sam e therapeu tic class( es): | |
4930 | Drug(s) Or dered: | |
4931 | POTASSI UM CHLORID E 30 MEQ | |
4932 | C linic Orde r: POTASSI UM CHLORID E 10MEQ TA B (PENDIN G) | |
4933 | Schedul e: BID | |
4934 | Dosag e: 20MEQ | |
4935 | Requested Start Dat e: NOV 20, 2012@17:0 0 | |
4936 | Stop Dat e: ******* * | |
4937 | Class(es) Involved i n Therapeu tic Duplic ation(s): Potassium | |
4938 | IV Order C heck examp le: | |
4939 | This patie nt is alre ady receiv ing the fo llowing IN PATIENT an d/or OUTPA TIENT | |
4940 | order(s) f or a drug in the sam e therapeu tic class( es): | |
4941 | Drug(s) Or dered: | |
4942 | CEFAZOL IN 1 GM | |
4943 | C linic Orde r: CEFAZOL IN 2 GM (P ENDING) | |
4944 | Solution(s ): 5% DEXT ROSE 50 ML | |
4945 | Order Dat e: NOV 20, 2012@11:0 1 | |
4946 | Start Dat e: ******* * | |
4947 | Stop Dat e: ******* * | |
4948 | C linic Orde r: CEFAZOL IN SOD 1GM INJ (EXPI RED) | |
4949 | Solution(s ): 5% DEXT ROSE 50 ML | |
4950 | Start Dat e: OCT 24, 2012@16:4 4 | |
4951 | Stop Dat e: OCT 25, 2012@24:0 0 | |
4952 | Class(es) Involved i n Therapeu tic Duplic ation(s): Beta-Lacta ms, | |
4953 | Cephalo sporins, C ephalospor ins - 1st Generation | |
4954 | Drug-Aller gy Interac tions – Dr ug allergy interacti ons will b e either c ritical or significa nt. If the Dispense Drug selec ted is ide ntified as having an interacti on with on e of the p atient’s a llergies, the allerg y the drug interacts with will be displa yed. | |
4955 | CPRS Order Check: Am inoglycosi de Ordered | |
4956 | Trigger: | |
4957 | Ordering s ession com pletion. | |
4958 | Mechanism: For each medication order pla ced during this orde ring sessi on, the CP RS Expert System req uests the pharmacy p ackage to determine if the med ication be longs to t he VA Drug Class ‘Am inoglycosi des’. If so, the pa tient’s mo st recent BUN result s are used to calcul ate the cr eatinine c learance t hen OERR i s notified and the w arning mes sage is di splayed. | |
4959 | [Note: The creatinin e clearanc e value di splayed in some orde r check me ssages is an estimat e based on adjusted body weigh t if patie nt height is > 60 in ches. App roved by t he CPRS Cl inical Wor kgroup 8/1 1/04, it i s based on a modifie d Cockcrof t-Gault fo rmula and was instal led with p atch OR*3* 221. | |
4960 | For more i nformation : http://w ww.ascp.co m/public/p ubs/tcp/19 99/jan/coc kcroft.sht ml | |
4961 | CrCl (male ) = (140 - age) x (a dj body we ight* in k g) | |
4962 | ---------- ---------- ---------- -------- | |
4963 | (serum cre atinine) x 72 | |
4964 | ||
4965 | ||
4966 | * If pati ent height is not gr eater than 60 inches , actual b ody weight is used. | |
4967 | CrCl (fema le) = 0.85 x CrCl (m ale) | |
4968 | To calcula te adjuste d body wei ght, the f ollowing e quations a re used: | |
4969 | Ideal body weight (I BW) = 50 k g x (for m en) or 45 kg x (for women) + 2 .3 x (heig ht in inch es - 60) | |
4970 | Adjusted b ody weight (Adj. BW) if the ra tio of act ual BW/IBW > 1.3 = | |
4971 | (0.3 x (Ac tual BW - IBW)) + IB W | |
4972 | Adjusted b ody weight if the ra tio of act ual BW/IBW is not > 1.3 = IBW or Actual BW (whiche ver is les s)] | |
4973 | Message: | |
4974 | Aminoglyco side - est . CrCl: < value calc ulated fro m most rec ent serum creatinine >. (CREAT: <result> BUN: <res ult>). | |
4975 | Danger Lvl : This ord er check i s exported with a Hi gh clinica l danger l evel. | |
4976 | CPRS Order Check: Da ngerous Me ds for Pat ients >64 | |
4977 | DANGEROUS MEDS FOR P T > 64 – Y es | |
4978 | This is ba sed on the BEERS lis t. This o rder check only chec ks for thr ee drugs: Amitriptyl ine, Chlor propamide and Dipyri damole. Th e workgrou p felt tha t the list of drugs should be expanded. A request can be sen t to CPRS for this. | |
4979 | Trigger: A cceptance of pharmac y orderabl e items am itriptylin e, chlorpr opamide or dipyridam ole. | |
4980 | Mechanism: The CPRS Expert Sys tem determ ines if th e patient is greater than 64 y ears old. It then c hecks the orderable item of th e medicati on ordered to determ ine if it is mapped as a local term to t he nationa l term DAN GEROUS MED S FOR PTS > 64. | |
4981 | Message: | |
4982 | If the ord erable ite m text con tains AMIT RIPTYLINE this messa ge is disp layed: | |
4983 | ||
4984 | Patient is <age>. A mitriptyli ne can cau se cogniti ve impairm ent and lo ss of bala nce in old er patient s. Consid er other a ntidepress ant medica tions on f ormulary. | |
4985 | ||
4986 | If the ord erable ite m text con tains CHLO RPROPAMIDE this mess age is dis played: | |
4987 | ||
4988 | Patient is <age>. O lder patie nts may ex perience h ypoglycemi a with Chl orpropamid e due do i ts long du ration and variable renal secr etion. Th ey may als o be at in creased ri sk for Chl orpropamid e-induced SIADH. | |
4989 | ||
4990 | If the ord erable ite m text con tains DIPY RIDAMOLE t his messag e is displ ayed: | |
4991 | ||
4992 | Patient is <age>. O lder patie nts can ex perience a dverse rea ctions at high doses of Dipyri damole (e. g., headac he, dizzin ess, synco pe, GI int olerance.) There is also ques tionable e fficacy at lower dos es. | |
4993 | Danger Lvl : This ord er check i s exported with a Hi gh clinica l danger l evel. | |
4994 | CPRS Order Check: Gl ucophage L ab Results | |
4995 | Glucophage -Lab Resul ts Interac tions | |
4996 | Trigger: S election o f a Pharma cy orderab le item. | |
4997 | Mechanism: The CPRS Expert Sys tem checks the pharm acy ordera ble item’s local tex t (from th e Dispense Drug file [#50]) to determine if it con tains “glu cophage” o r “metform in”. The e xpert syst em next se arches for a serum c reatinine result wit hin the pa st x numbe r of days as determi ned by par ameter ORK GLUCOPHAG E CREATINI NE. If t he patient ’s creatin ine result was great er than 1. 5 or does not exist, OE/RR is notified a nd the war ning messa ge is disp layed. | |
4998 | Message: M etformin– no serum c reatinine within pas t <x> days . else: | |
4999 | ||
5000 | Metformin – Creatini ne results : <creatin ine greate r than 1.5 w/in past <x> days> | |
5001 | Danger Lvl : This ord er check i s exported with a Hi gh clinica l danger l evel. | |
5002 | Order Vali dation Che cks XE "Or der Valida tion Check s" | |
5003 | The follow ing order validation checks wi ll apply t o Unit Dos e orders a nd to inte rmittent I V orders. | |
5004 | Note: IV o rders do n ot have Sc hedule Typ e. | |
5005 | Order Vali dation Che ck One | |
5006 | For interm ittent IV orders, re ferences t o an order ’s Schedul e Type wil l refer to either th e TYPE OF SCHEDULE f rom the Ad ministrati on Schedul e file (#5 1.1), or P RN for sch edule name s in PRN f ormat, or CONTINUOUS for sched ule names in Day of Week forma t. | |
5007 | Order Vali dation Che ck Two | |
5008 | The system shall use the sched ule type o f the sche dule from the Admini stration S chedule fi le indepen dent of th e schedule name when processin g an order to determ ine if adm inistratio n times ar e required for a par ticular or der. | |
5009 | Order Vali dation Che ck Three | |
5010 | If an orde r has the Schedule T ype of Con tinuous, t he Schedul e entered is NOT in Day of Wee k (Ex. MO- FR) or PRN (Ex. TID PC PRN) fo rmat, and the freque ncy associ ated with the schedu le is one day (1440 minutes) o r less, th e system w ill not al low the nu mber of ad ministrati on times a ssociated with the o rder to be greater t han the nu mber of ad ministrati on times c alculated for that f requency. The system will allo w for the number of administra tion times to be LES S than the calculate d administ ration tim es for tha t frequenc y but not less than one admini stration t ime. (For example, a n order wi th a sched ule of BID is associ ated with a frequenc y of 720 m inutes. Th e frequenc y is divid ed into 14 40 minutes (24 hours ) and the resulting calculated administr ation time is two. F or this or der, the n umber of a dministrat ion times allowed ma y be no gr eater than two, but no less th an one. Si milarly, a schedule frequency of 360 min utes must have at le ast one ad ministrati on time bu t cannot e xceed four administr ation time s.) | |
5011 | If an orde r has the Schedule T ype of Con tinuous, t he Schedul e entered is NOT in Day of Wee k (Ex. MO- FR) or PRN (Ex. TID PC PRN) fo rmat, and the freque ncy associ ated with the schedu le is grea ter than o ne day (14 40 minutes ) and even ly divisib le by 1440 , only one administr ation time is permit ted. (For example, a n order wi th a sched ule freque ncy of 288 0 minutes must have ONLY one a dministrat ion time. If the fre quency is greater th an 1440 mi nutes and not evenly divisible by 1440, no adminis tration ti mes will b e permitte d.) | |
5012 | The system shall pre sent warni ng/error m essages to the user if the num ber of adm inistratio n times is less than or greate r than the maximum a dmin times calculate d for the schedule o r if no ad ministrati on times a re entered . If the n umber of a dministrat ion times entered is less than the maxim um admin t imes calcu lated for the schedu le, the wa rning mess age: “The number of admin time s entered is fewer t han indica ted by the schedule. ” shall ap pear. In t his case, the user w ill be all owed to co ntinue aft er the war ning. If t he number of adminis tration ti mes entere d is great er than th e maximum admin time s calculat ed for the schedule, the error message: “The numbe r of admin times ent ered is gr eater than indicated by the sc hedule.” s hall appea r. In this case, the user will not be al lowed to c ontinue af ter the wa rning. If no admin t imes are e ntered, th e error me ssage: “Th is order r equires at least one administr ation time .” shall a ppear. The user will not be al lowed to a ccept the order unti l at least one admin time is e ntered. | |
5013 | Order Vali dation Che ck Four | |
5014 | If an orde r has a Sc hedule Typ e of Conti nuous and is an Odd Schedule { a schedule whose fre quency is not evenly divisible by or int o 1440 min utes (1 da y)}, the s ystem shal l prevent the entry of adminis tration ti mes. For e xample, Q5 H, Q17H – these are not evenly divisible by 1440. In these c ases, the system sha ll prevent access to the admin istration times fiel d. No warn ing messag e is prese nted. | |
5015 | Order Vali dation Che ck Five | |
5016 | If an orde r has a Sc hedule Typ e of Conti nuous with a non-odd frequency of greate r than one day, (144 0 minutes) the syste m shall pr event more than one administra tion time, for examp le, schedu les of Q72 H, Q3Day, and Q5Day. | |
5017 | If the num ber of adm inistratio n times en tered exce eds one, t he error m essage: “T his order requires o ne admin t ime” shall appear. I f no admin istration times are entered, t he error m essage: “T his order requires a t least on e administ ration tim e.” shall appear. Th e user wil l not be a llowed to accept the order unt il at leas t one admi n time is entered. | |
5018 | Order Vali dation Che ck Six | |
5019 | If an orde r has a Sc hedule Typ e of One T ime, or if an order is entered with a sc hedule tha t is defin ed in the schedule f ile as One Time, the system sh all preven t the user from ente ring more than one a dministrat ion time. | |
5020 | If more th an one adm inistratio n time is entered, t he error m essage: “T his is a O ne Time Or der - only one admin istration time is pe rmitted.” shall appe ar. No adm inistratio n times ar e required . | |
5021 | Order Vali dation Che ck Seven | |
5022 | For an ord er with a Schedule T ype of Con tinuous wh ere no dos es/adminis tration ti mes are sc heduled be tween the order’s St art Date/T ime and th e Stop Dat e/Time, th e system s hall prese nt a warni ng message to the us er and not allow the order to be accepte d or verif ied until the Start/ Stop Date Times, sch edule, and /or admini stration t imes are a djusted so that at l east one d ose is sch eduled to be given. | |
5023 | If the sto p time wil l result i n no admin istration time betwe en the sta rt time an d stop tim e, the err or message : “There m ust be an admin time that fall s between the Start Date/Time and Stop D ate/Time.” shall app ear. | |
5024 | Display of Provider Overrides and Pharma cist Inter ventions | |
5025 | In Inpatie nt Medicat ions, the first time a field p receded by an asteri sk (*) is selected f or editing and when renewing a n order, i f Current Pharmacist Intervent ions exist for the o rder, ente ring Y (Ye s) at the prompt, “O rder Check Overrides /Intervent ions exist for this order. Dis play? (Y/N )? Y//,” w ill displa y the foll owing info rmation wh en the fie lds are po pulated wi th data: | |
5026 | Heading: * *Current P harmacist Interventi ons for th is order** Recommenda tion Accep tedInterve ntion Date /TimeAgree With Prov iderProvid erRx #Phar macistDivi sionDrug,F inancial C ostInstitu ted ByOthe r For Inte rventionIn tervention Reason For Intervent ionOther F or Recomme ndationAct ion TakenO riginating PackageCl inical Imp actWas Pro vider Cont actedFinan cial Impac tProvider Contacted= ========== ========== ========== ========== ========== ========== ========== ===== | |
5027 | ** Current P rovider Ov errides fo r this ord er ** | |
5028 | ========== ========== ========== ========== ========== ========== ========== ====== | |
5029 | Overriding Provider: PSJPROVID ER,ONE (P ROVIDER) | |
5030 | Override E ntered By: PSJPROVID ER,ONE (P ROVIDER) | |
5031 | Date/Tim e Entered: 7/12/11 0 9:13 | |
5032 | Overri de Reason: Testing 9 OTHER | |
5033 | CRITICAL drug-drug interacti on: METRON IDAZOLE 25 0MG TAB an d WARFARIN NA | |
5034 | (GOLDEN STATE) 2MG TAB [ACTI VE] - Conc urrent use of antico agulants w ith | |
5035 | metronid azole or t inidazole may result in reduce d prothrom bin activi ty and/or | |
5036 | increase d risk of bleeding. - Monograp h Availabl e | |
5037 | CRITICAL drug-drug interacti on: METRON IDAZOLE 25 0MG TAB an d WARFARIN (GOLDEN | |
5038 | ST) 0.5M G(1/2X1MG) TAB [UNRE LEASED] - Concurrent use of an ticoagulan ts with | |
5039 | metronid azole or t inidazole may result in reduce d prothrom bin activi ty and/or | |
5040 | increase d risk of bleeding. - Monograp h Availabl e | |
5041 | Press RETU RN to Cont inue or '^ ' to Exit : | |
5042 | ========== ========== ========== ========== ========== ========== ========== ====== | |
5043 | ** Current P harmacist Interventi ons for th is order * * | |
5044 | ========== ========== ========== ========== ========== ========== ========== ====== | |
5045 | Interventi on Date: 7 /12/11 09: 14 | |
5046 | Provider: PSJPROVID ER,ONE Pharma cist: PSJP HARMACIST, ONE | |
5047 | Drug: MET RONIDAZOLE 250MG TAB Instit uted By: P HARMACY | |
5048 | Intervent ion: CRITI CAL DRUG I NTERACTION | |
5049 | Recommend ation: OTH ER Origin ating Pack age: INPAT IENT | |
5050 | Other For Recommend ation: | |
5051 | INTERVEN TION FOR C RITICAL DR UG-DRUG | |
5052 | Press RETU RN to Cont inue or '^ ' to Exit : | |
5053 | Interventi on TIME di splays to the right of the dat e (e.g., 0 1/18/11 09 :04) | |
5054 | If Histori cal Overri des/Interv entions ex ist for an order, en tering Y ( Yes) at th e prompt: “View Hist orical Ove rrides/Int erventions for this order (Y/N )? Y//,” d isplays th e Historic al Pharmac ist Interv ention inf ormation: | |
5055 | ========== ========== ========== ========== ========== ========== ========== ====== | |
5056 | ** Historica l Pharmaci st Interve ntions for this orde r ** | |
5057 | ========== ========== ========== ========== ========== ========== ========== ====== | |
5058 | Interventi on Date: 0 7/12/11 09 :14 | |
5059 | Provider: PSJPROVID ER,ONE Pharma cist: PSJP HARMACIST, ONE | |
5060 | Drug: MET RONIDAZOLE 250MG TAB Instit uted By: P HARMACY | |
5061 | Intervent ion: CRITI CAL DRUG I NTERACTION | |
5062 | Recommend ation: OTH ER Origin ating Pack age: INPAT IENT | |
5063 | Other For Recommend ation: | |
5064 | Testing 9 OTHER | |
5065 | Press RETU RN to Cont inue or '^ ' to Exit : | |
5066 | ========== ========== ========== ========== ========== ========== ========== ====== | |
5067 | ** Historica l Provider Overrides for this order ** | |
5068 | ========== ========== ========== ========== ========== ========== ========== ====== | |
5069 | Overriding Provider: PSJPROVID ER,ONE (PR OVIDER) | |
5070 | Override E ntered By: PSJPROVID ER,ONE (PR OVIDER) | |
5071 | Date/Tim e Entered: 07/12/11 09:13 | |
5072 | Overri de Reason: Testing 9 OTHER | |
5073 | CRITICAL drug-drug interacti on: METRON IDAZOLE 25 0MG TAB an d WARFARIN NA | |
5074 | (GOLDEN STATE) 2MG TAB [ACTI VE] - Conc urrent use of antico agulants w ith | |
5075 | metronid azole or t inidazole may result in reduce d prothrom bin activi ty and/or | |
5076 | increase d risk of bleeding. - Monograp h Availabl e | |
5077 | CRITICAL drug-drug interacti on: METRON IDAZOLE 25 0MG TAB an d WARFARIN (GOLDEN | |
5078 | ST) 0.5M G(1/2X1MG) TAB [UNRE LEASED] - Concurrent use of an ticoagulan ts with | |
5079 | metronid azole or t inidazole may result in reduce d prothrom bin activi ty and/or | |
5080 | increase d risk of bleeding. - Monograp h Availabl e | |
5081 | Interventi on TIME di splays to the right of the dat e (e.g., 0 1/18/11 09 :04. Curre nt Pharmac ist Interv ention fie lds and la bels also display, w hen the fi elds are p opulated. | |
5082 | Note: In I npatient M edications , if no Cu rrent Phar macist Int erventions exist whe n editing a field pr eceded by an asteris k (*),the following displays: | |
5083 | ========== ========== ========== ========== ========== ========== ========== ====== | |
5084 | ** Current P harmacist Interventi ons for th is order * * | |
5085 | ========== ========== ========== ========== ========== ========== ========== ====== | |
5086 | No Pharmac ist Interv entions to display | |
5087 | Dosing Ord er Checks XE "Dosing Order Che cks" | |
5088 | MOCHA v2.0 implement s the firs t incremen t of dosag e checks a nd introdu ces the Ma ximum Sing le Dose Ch eck for si mple and c omplex ord ers for bo th Outpati ent Pharma cy and Inp atient Med ications a pplication s. MOCHA v 2.0 uses t he same in terface to First Dat abank (FDB ) as MOCHA v1.0. | |
5089 | ||
5090 | Please ref er to the Dosing Ord er Checks User Manua l for a de tailed des cription o f dosing o rder check s. | |
5091 | Check Drug Interacti ons XE "Ch eck Drug I nteraction s" | |
5092 | ||
5093 | [PSJ CHECK DRUG INTE RACTION] | |
5094 | The Check Drug Inter action opt ion allows a user to check for a drug in teraction and Therap eutic Dupl ications b etween two or more d rugs. This option sh all be pla ced on the Unit Dose Medicatio ns [PSJU M GR] Menu, and the IV [PSJI MGR ] Menu. | |
5095 | Example: C hecking fo r drug int eractions | |
5096 | Select IV Menu Optio n: Check Drug Inter action | |
5097 | Drug 1: CIMETIDIN E 300MG TA B GA301 | |
5098 | . ..OK? Yes/ / (Yes) | |
5099 | Drug 2: WA RFARIN 5MG TAB | |
5100 | Lookup: GENERIC NA ME | |
5101 | WARFARIN 5 MG TAB BL1 10 | |
5102 | . ..OK? Yes/ / (Yes) | |
5103 | Drug 3: | |
5104 | Now Proces sing Enhan ced Order Checks! P lease wait ... | |
5105 | *** DRUG I NTERACTION (S) *** | |
5106 | ========== ========== ========== ========== ========== ========== | |
5107 | ***Critica l*** with WARFARIN 5 MG TAB and | |
5108 | CIMET IDINE 300M G TAB | |
5109 | CLINICAL E FFECTS: T he pharmac ologic eff ects of wa rfarin may be | |
5110 | increased resulting in severe bleeding. | |
5111 | ========== ========== ========== ========== ========== ========== | |
5112 | Press Retu rn to Cont inue...: | |
5113 | Display Pr ofessional Interacti on monogra ph? N// YE S | |
5114 | DEVICE: HO ME// SSH VIRTUAL T ERMINAL Right Mar gin: 80// | |
5115 | ---------- ---------- ---------- ---------- ---------- ---------- | |
5116 | Profession al Monogra ph | |
5117 | Drug Inter action wit h WARFARIN 5MG TAB a nd CIMETID INE 300MG TAB | |
5118 | This informatio n is gener alized and not inten ded as spe cific medi cal | |
5119 | advic e. Consult your heal thcare pro fessional before tak ing or | |
5120 | disco ntinuing a ny drug or commencin g any cour se of trea tment. | |
5121 | MONOG RAPH TITLE : Anticoa gulants/Ci metidine | |
5122 | SEVER ITY LEVEL: 2-Severe Interacti on: Action is requir ed to redu ce | |
5123 | the r isk of sev ere advers e interact ion. | |
5124 | MECHA NISM OF AC TION: Inh ibition of warfarin hepatic me tabolism. The | |
5125 | effec t appears to be grea ter on the less acti ve R-warfa rin than o n the | |
5126 | S-war farin. | |
5127 | CLINI CAL EFFECT S: The ph armacologi c effects of warfari n may be | |
5128 | incre ased resul ting in se vere bleed ing. | |
5129 | Press Retu rn to Cont inue or "^ " to Exit: | |
5130 | Profession al Monogra ph | |
5131 | Drug In teraction with WARFA RIN 5MG TA B and CIME TIDINE 300 MG TAB | |
5132 | PREDI SPOSING FA CTORS: No ne determi ned. | |
5133 | PATIE NT MANAGEM ENT: Coad ministrati on of cime tidine and warfarin | |
5134 | shoul d be avoid ed. If the y are admi nistered c oncurrentl y, monitor | |
5135 | antic oagulant a ctivity an d adjust t he dose of warfarin indicated. The | |
5136 | H-2 a ntagonists famotidin e and niza tidine are unlikely to interac t | |
5137 | with warfarin.T he time of highest r isk for a coumarin-t ype drug | |
5138 | inter action is when the p recipitant drug is i nitiated o r disconti nued. | |
5139 | Conta ct the pre scriber be fore initi ating, alt ering the dose or | |
5140 | disco ntinuing e ither drug . | |
5141 | DISCU SSION: Th e majority of drug i nteraction reports i nvolving H -2 | |
5142 | antag onists and warfarin have occur red with c imetidine. Reports o f a | |
5143 | possi bly signif icant inte raction be tween rani tidine and warfarin have | |
5144 | been equivocal. Famotidin e and niza tidine do not appear to affect | |
5145 | proth rombin tim e. | |
5146 | Press Retu rn to Cont inue or "^ " to Exit: | |
5147 | Profession al Monogra ph | |
5148 | Drug In teraction with WARFA RIN 5MG TA B and CIME TIDINE 300 MG TAB | |
5149 | REFER ENCES: | |
5150 | 1.Sil ver BA, Be ll WR. Cim etidine po tentiation of the | |
5151 | hypop rothrombin emic effec t of warfa rin. Ann I ntern Med 1979 | |
5152 | Mar;9 0(3):348-9 . | |
5153 | 2.Wal lin BA, Ja cknowitz A , Raich PC . Cimetidi ne and eff ect of | |
5154 | warfa rin. Ann I ntern Med 1979 Jun;9 0(6):993. | |
5155 | 3.Ser lin MJ, Si beon RG, B reckenridg e AM. Lack of effect of raniti dine | |
5156 | on wa rfarin act ion. Br J Clin Pharm acol 1981 Dec;12(6): 791-4. | |
5157 | 4.Ker ley B, Ali M. Cimeti dine poten tiation of warfarin action. Ca n Med | |
5158 | Assoc J 1982 Ja n 15;126(2 ):116. | |
5159 | 5.Des mond PV, M ashford ML , Harman P J, Morphet t BJ, Bree n KJ, Wang YM. | |
5160 | Decre ased oral warfarin c learance a fter ranit idine and cimetidine . | |
5161 | Clin Pharmacol Ther 1984 Mar;35(3): 338-41. | |
5162 | 6.Too n S, Hopki ns KJ, Gar stang FM, Rowland M. Comparati ve effects of | |
5163 | ranit idine and cimetidine on the ph armacokine tics and p harmacodyn amics | |
5164 | of wa rfarin in man. Eur J Clin Phar macol 1987 ;32(2):165 -72. | |
5165 | Press Retu rn to Cont inue or "^ " to Exit: | |
5166 | Profession al Monogra ph | |
5167 | Drug In teraction with WARFA RIN 5MG TA B and CIME TIDINE 300 MG TAB | |
5168 | 7.Cou rnot A, Be rlin I, Sa llord JC, Singlas E. Lack of i nteraction | |
5169 | betwe en nizatid ine and wa rfarin dur ing chroni c administ ration. J Clin | |
5170 | Pharm acol 1988 Dec;28(12) :1120-2. | |
5171 | 8.Hus sey EK, Du kes GE. Do all hista mine2-anta gonists ca use a warf arin | |
5172 | drug interactio n?. DICP 1 989 Sep;23 (9):675-9. | |
5173 | 9.Hun t BA, Sax MJ, Chreti en SD, Gra y DR, Fran k WO, Lalo nde RL. | |
5174 | Stere oselective alteratio ns in the pharmacoki netics of warfarin | |
5175 | enant iomers wit h two cime tidine dos e regimens . Pharmaco therapy 19 89; | |
5176 | 9(3): 184. | |
5177 | 10.Ba ciewicz AM , Morgan P J. Ranitid ine-warfar in interac tion. Ann | |
5178 | Inter n Med 1990 Jan 1;112 (1):76-7. | |
5179 | Copyr ight 2012 First Data Bank, Inc. | |
5180 | ---------- ---------- ---------- ---------- ---------- ---------- | |
5181 | Enter RETU RN to cont inue or '^ ' to exit: | |
5182 | Display Pr ofessional Interacti on monogra ph? N// O | |
5183 | Pharmacy - Edit Clin ic Med Ord ers Start Date/Time | |
5184 | [PSJ ECO] | |
5185 | The Edit C linic Med Orders Sta rt Date/Ti me [PSJ EC O] option allows the user to c hange the selected d ate/range of all act ive or non -verified clinic ord ers (Unit Dose, IV, IVP/IVPB) to a new s ingle STAR T DATE/TIM E for a pa tient(s) w ithin a se lected cli nic. This option pro vides: | |
5186 | An action that allow s the phar macist to edit the S tart Date/ Time of a patient or der. | |
5187 | Patient se lection by medicatio n order st art date a nd by Clin ic Group, Clinic, or Patient. | |
5188 | A patient profile di splay of a ctive or n on-verifie d Clinic m edication orders for date/time range sel ected. | |
5189 | Automatic retrieval, one patie nt at a ti me, based on the typ e of patie nt selecti on, when e diting a m edication Start Date /Time for one or mul tiple pati ent Clinic medicatio n orders. Date/Time edits are confirmed for each p atient. | |
5190 | Actions t o view the patient’s full orde r entry pr ofile, det ails of sp ecific cli nic and no n-clinic o rders. | |
5191 | Various wa rnings and message p rompts to the user w hen certai n profile or order c onditions occur, all owing the user to vi ew, exit, or proceed with the edit proce ss. | |
5192 | The Edit C linic Med Orders Sta rt Date/Ti me [PSJ EC O] option has change s to refle ct the new fields re lated to m edications requiring removal. The user w ill be dir ected to g o to the I npatient O rder Entry [PSJ OE] option to modify the orders th at contain medicatio ns requiri ng removal . | |
5193 | Search Med Orders Da te Entry | |
5194 | A search m ed orders date entry prompt is the first prompt fr om the Edi t Clinic M ed Orders Start Date /Time [PSJ ECO] menu option: | |
5195 | The Begin Search Dat e defaults to “ TODA Y//” (curr ent date). | |
5196 | The End Se arch Date defaults t o the ente red Begin Search Dat e. The End Search Da te shall n ot precede the Begin Search Da te. | |
5197 | Example: P rompt that End Searc h Date Sha ll Not Pre cede Begin Search Da te | |
5198 | Begin Sear ch Date: T ODAY//06/0 1 (JUN 01 , 2012) | |
5199 | End Search Date: Jun 01, 2012/ / 05/15 ( MAY 15, 20 12) | |
5200 | Response m ust not pr ecede 6/1/ 2012. | |
5201 | End Search Date: Jun 01, 2012/ / | |
5202 | Time entry with the date is op tional. | |
5203 | The search results i nclude all active or non-verif ied clinic orders wi thin the s elected da te range, not just t hose with a start da te within the range. Current b usiness ru les apply for date/t ime valida tion entry . | |
5204 | Example: P rompt to S earch Begi n and End Dates | |
5205 | Search for Active an d Non-Veri fied CLINI C Medicati on Orders | |
5206 | that fall withi n the date range sel ected belo w: | |
5207 | Begin Sear ch Date: T ODAY// (de fault to c urrent dat e) | |
5208 | End Se arch Date: (defaul t to the e ntered Beg in Search Date:) | |
5209 | Search by Clinic, Cl inic Group or Patien t | |
5210 | The entry prompt “Se arch by CL INIC (C), CLINIC GRO UP (G), o r PATIENT (P):” allo ws the use r to searc h by clini c, clinic group or p atient, wi th no defa ult, from the Edit C linic Med Orders Sta rt Date/Ti me [PSJ EC O] menu op tion. | |
5211 | Example: P rompt to S elect Clin ic, Clinic Group or Patient XE "Pick Lis t Menu Exa mple" | |
5212 | Search by CLINIC (C) , CLINIC G ROUP (G) o r PATIENT (P): | |
5213 | The approp riate entr y prompt “ C,” “G,” o r “P” is p rovided an d allows t he user to enter a C linic, Cli nic Group or Patient name. Cur rent busin ess rules apply to t he entry o f clinic n ame, clini c group or patient n ame. | |
5214 | Table: Pro mpt Entry for Clinic , Clinic G roup or Pa tient | |
5215 | Entry Resu ltSystem P romptUser EntryC“SEL ECT CLINIC :”Clinic n ame – case inclusive (display clinics th at are mar ked allow clinic ord ers)G“SELE CT CLINIC GROUP”Clin ic group n ameP“SELEC T PATIENT: ”Patient n ameThe ent ry prompt, “SELECT C LINIC:” or “SELECT P ATIENT:” i s repeated allowing the user t o select m ultiple cl inics or m ultiple pa tients by entering i ndividual names for the search . A blank return sto ps the sea rch, and t he process continues . | |
5216 | Select Pat ient from Clinic | |
5217 | If the use r selects “Clinic,” the number ed list of active pa tients’ fu ll names d isplays in alphabeti cal order by last na me for all active or non-verif ied clinic orders (U nit Dose, IV, IVP, I VPB) from the med o rders date /time rang e entered. | |
5218 | Example: D isplay Pat ient List XE "Pick L ist Menu E xample" | |
5219 | CLINIC ORD ERS - PATI ENT CLINIC | |
5220 | No. PAT IENT | |
5221 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
5222 | 1 CP RSPATIENT, ONE (0091 ) | |
5223 | 2 CP RSPATIENT, TWO (5555 ) | |
5224 | 3 CP RSPATIENT, THREE (00 38) | |
5225 | Select 1 - 3: | |
5226 | XE "Defau lt Stop Da te" | |
5227 | If the use r selects “Clinic,” an entry p rompt of “ Select N – N:” displ ays. N – N represent s the begi n/end numb er of disp layed pati ents. The user may s elect one or multipl e patients . Current business r ules apply to number ed entry l ist select ion. | |
5228 | Example: P rompt to S elect Pati ent XE "Pi ck List Me nu Example " | |
5229 | Select 1 – 1: | |
5230 | View Patie nt Clinic Order Entr y Profile | |
5231 | A Clinic O rder Entry Patient p rofile vie w of activ e followed by non-ve rified ord ers, is pr ovided bas ed on the filter sel ection cho ices previ ously made . | |
5232 | Example: D isplay Cli nic Order Entry Pati ent Profil e | |
5233 | Clinic Ord er Entry May 06, 20 11@09:46:5 0 Page: 1 of 2 | |
5234 | CPRSPATIEN T,ONE Ward: 3 No rth | |
5235 | PID: 66 6-01-0123 Room-Bed: 123-A Ht(cm) : ______ ( ________) | |
5236 | DOB: 10 /10/58 (52 ) Wt(kg) : ______ ( ________) | |
5237 | Sex: MA LE Last A dmitted: 0 3/28/11 | |
5238 | Dx: SI CK Dis charged: 0 3/28/11 | |
5239 | CL INIC ORDER S: May 10, 2013 to M ay 12, 201 3@24:00 | |
5240 | - - - - - - - - - - - - - - - - PATIENT CLINIC - - - - - - - - - - - - - - - - | |
5241 | 1 FL UOROURACIL INJ,SOLN C 05/12 0 5/17 A | |
5242 | Give: IV ONCE | |
5243 | 2 AB ACAVIR/LAM IVUDINE TA B C 05/10 0 5/17 N | |
5244 | Give: 1 TA BLET PO BI D | |
5245 | + Enter ?? f or more ac tions | |
5246 | ES Edit Start Date VP View Prof ile | |
5247 | VD View Order Deta il CD Change Da te Range | |
5248 | Select Act ion:Quit// | |
5249 | Note: If t he user se lects “by Patient” o rders for all clinic s for that patient a re display ed rather than order s from a s ingle clin ic. This i s the alte rnate path re-entry point when selecting by patien t. | |
5250 | The follow ing user a ctions are provided in the Cli nic Order Entry Pati ent profil e: | |
5251 | ES Edit St art Date | |
5252 | VD View Or der Detail | |
5253 | VP View Pr ofile | |
5254 | CD Change Date Range | |
5255 | Quit | |
5256 | ES Edit St art Date | |
5257 | The “ES” ( Edit Start Date) act ion allows the user to select medication orders to edit. The system pr ovides an entry prom pt “Selec t Orders: (N-N):” w hen ES is entered. ( N - N) r epresents the begin/ end number from the displayed number lis t in the C linic Orde r Entry pr ofile. The system pr oceeds to entry prom pt “NEW ST ART DATE/T IME:” | |
5258 | VD View Or der Detail | |
5259 | The “VD” ( View Order Detail) a ction allo ws the use r to selec t the medi cation ord ers to vie w. The fol lowing att ributes ar e provided : | |
5260 | View Only | |
5261 | No Patient Demograph ics | |
5262 | Order Deta ils Only | |
5263 | Allowed Ac tion of QU IT | |
5264 | Example: D isplay VD View Order Detail | |
5265 | Patien t: CPRSPAT IENT, THRE E Statu s: ACTIVE | |
5266 | *(1) Addit ives: O rder numbe r: 1 Type: A DMIXTURE | |
5267 | 5-F LUOURACIL 11 MG | |
5268 | *(2) Solut ions: | |
5269 | DEX TROSE 20% DEXTROSE T EST 500 ML | |
5270 | Duration: *(4) Start : 04/12/12 09:39 | |
5271 | *(3) Infu sion Rate: 11 ml/hr | |
5272 | *(5) Med Route: IM *(6) Stop : 04/13/12 24:00 | |
5273 | *(7) Schedule: Last Fill : 04/12/12 09:44 | |
5274 | (8) Ad min Times: Quantity : 1 | |
5275 | *(9) Provider: MACOY, BO NES [es] Cum. Doses : 1 | |
5276 | (10) Ot her Print: (11) Re marks : | |
5277 | IV Room: TST ISC ROOM | |
5278 | Ent ry By: PRO VIDER, ONE Entry Dat e: 04/12/1 2 09:44 | |
5279 | Enter RETU RN to cont inue or '^ ' to exit: Select A ction: Qui t// Quit | |
5280 | VP View Pr ofile | |
5281 | The “VP” ( View Profi le) action allows th e user to view the o rder profi le for all medicatio n orders. The follow ing attrib utes are p rovided: | |
5282 | Entire Pat ient Profi le Non-Cli nic and Cl inic medic ation orde rs are dis played. | |
5283 | This is a display on ly action. | |
5284 | The Quit a ction is a llowed. | |
5285 | Medication orders di splay in t he followi ng sequenc e: | |
5286 | Non-clinic inpatient medicatio n orders d isplay in the usual manner. | |
5287 | Clinic med ication or ders displ ay by clin ic name in alphabeti cal order as follows :. | |
5288 | Pending | |
5289 | Non-verifi ed | |
5290 | Active | |
5291 | Discontinu ed/expired | |
5292 | Non-active , non-clin ic medicat ion orders display a t the bott om of the profile li st. | |
5293 | Example: D isplay VP View Profi le | |
5294 | I N P A T I E N T M E D I C A T I O N S 03/06/13 10:17 | |
5295 | VAMC: ALB ANY (500) | |
5296 | - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - | |
5297 | TESTPATNM, PATIENT Ward : IP WARD | |
5298 | PID: 6 66-00-0195 Room -Bed: * NF * Ht(cm): ______ (_ _______) | |
5299 | DOB: 0 7/07/67 ( 45) Wt(kg): ______ (________ ) | |
5300 | Sex: F EMALE Admitted: 10/31/94 | |
5301 | Dx: S ICK Last tr ansferred: 05/07/03 | |
5302 | CrCL: < Not Found> BSA (m2): _________ | |
5303 | Allergies: CEFAZOLIN , PENICILL IN, VALIUM , WARFARIN , ASPIRIN, | |
5304 | BISMUTH SUBSALICYL ATE, EGGS, LACTOSE, MILK, BACO N ( FREE T EXT ), | |
5305 | ICE CREA M, STRAWBE RRIES | |
5306 | NV Aller.: CIMETIDIN E | |
5307 | ADR : AMPICILL IN | |
5308 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
5309 | 1 B ACLOFEN TA B R 03/04 03/15 A | |
5310 | Give: 10M G PO Q4H | |
5311 | - - - - - - - - - - - - - - N O N - V E R I F I E D - - - - - - - - - - - - - - | |
5312 | 2 C EFAMANDOLE INJ C 02/13 03/17 N | |
5313 | Give: 10 GM IVP Q3D @0900 | |
5314 | 3 5 -FLUOURACI L 100 MG C 02/15 03/17 N | |
5315 | i n DEXTROSE 10% 1000 ML 200 ml /hr | |
5316 | - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - - - - - | |
5317 | 4 B ACLOFEN TA B C ***** ***** P | |
5318 | Give: 20M G PO BID | |
5319 | 5 C APTOPRIL T AB C ***** ***** P | |
5320 | Give: 25M G PO BID | |
5321 | 6 F LUOROURACI L INJ,SOLN C ***** ***** P | |
5322 | Give: 100 MG/2ML IV BID | |
5323 | - - - - - - - - - - - - - - - - - CLINIC NAME - - - - - - - - - - - - - - - - | |
5324 | 7 B ACLOFEN TA B C 02/25 03/27 A | |
5325 | Give: 10M G ORALSL Q 4H | |
5326 | Instructi ons too lo ng. See Or der View o r BCMA for full | |
5327 | text. | |
5328 | View ORDER S (1-7): | |
5329 | CD Change Date Range | |
5330 | The “CD” ( Change Dat e Range) a ction in t he Clinic Order Entr y view all ows the us er to chan ge the sea rch date r ange for t he current patient’s clinic or ders. The user may b egin a new search by entering a new Begi n Search D ate and En d Search D ate for th e current patient an d continue with the ECO proces s. The ori ginal date range ent ry remains unchanged for other patients after comp leting the CD action for the c urrent pat ient. To a ssist the user in se lecting cl inics and patients, clinics ar e displaye d alphabet ically alo ng with th e associat ed patient s, within the select ed date ra nge and cl inic group . The Clin ic Order E ntry profi le display s after th e completi on of the patient se lection fo r all the selected c linics. | |
5331 | Example: C linic and Patient Di splay | |
5332 | Search by CLINIC (C) , CLINIC G ROUP (G), or PATIENT (P) : gRO UP | |
5333 | Select CLI NIC GROUP: gROUP ONE | |
5334 | CLINIC ORD ERS - BECK Y'S CLINIC | |
5335 | No. PA TIENT | |
5336 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
5337 | 1 CP RSPATIENT, ONE (0091 ) | |
5338 | 2 CP RSPATIENT, TWO (5555 ) | |
5339 | 3 CP RSPATIENT, THREE (00 38) | |
5340 | 4 CP RSPATIENT, FOUR (023 7) | |
5341 | Select 1 - 4: 3 | |
5342 | CLINIC ORD ERS - CLIN IC (45) | |
5343 | No. PA TIENT | |
5344 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
5345 | 1 CP RSPATIENT, TWO (5555 ) | |
5346 | 2 CP RSPATIENT, THREE (00 38) | |
5347 | Select 1 - 2: 1 | |
5348 | If the use r selects by “Patien t,” and no active/no n-verified orders ex ist within the enter ed date ra nge, the b elow messa ge display s. | |
5349 | Example: N o Active/N on-Verifie d Clinic O rders by P atient Mes sage | |
5350 | No ACTIVE AND/OR NON -VERIFIED Clinic Ord ers found for this p atient | |
5351 | If the use r selects by “Clinic ,” and no active/non -verified orders exi st within the entere d date ran ge, the be low messag e displays . | |
5352 | Example: N o Active/N on-Verifie d Clinic O rders by C linic Mess age | |
5353 | NO ACTIVE AND/OR NON -VERIFIED ORDERS FOR SELECTED CLINIC | |
5354 | Quit | |
5355 | The entry prompt “Se lect Actio n: Quit//” displays on the Cli nic Order Entry Pati ent profil e after th e Inpatien t Medicati ons profil e display for the se lected pat ient(s). T he number entered fo rces the u se of the VD action with a “En ter RETURN to contin ue or ‘^’ to exit” p rompt. | |
5356 | Example: E ntering a Number Res ponse to “ Select Act ion: Quit/ /” Prompt | |
5357 | Select Act ion: Quit/ / 1 | |
5358 | < ---- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
5359 | Patient: B CMAPATIENT ,EIGHT Sta tus: ACTIV E | |
5360 | Orderable Item: ATEN OLOL TAB | |
5361 | Instruct ions: | |
5362 | Dosage Ord ered: 100M G | |
5363 | Dura tion: St art: 06/18 /12 11:00 | |
5364 | Med R oute: ORAL (PO) | |
5365 | S top: 06/22 /12 11:00 | |
5366 | Schedule T ype: CONTI NUOUS | |
5367 | Sche dule: BID | |
5368 | Admin T imes: 09-1 7 | |
5369 | Prov ider: PROV IDER, ONE [s] | |
5370 | Un its Unit s Inacti ve | |
5371 | Dispense D rugs U/D Dis p'd Ret'd Date | |
5372 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------- | |
5373 | ATENOLOL 1 00MG TAB 1 0 0 | |
5374 | Self Med: NO | |
5375 | Entry By: MCCOY, BON ES Entry Da te: 05/31/ 12 12:28> | |
5376 | Enter RETU RN to cont inue or '^ ' to exit: | |
5377 | Entering a New Start Date/Time | |
5378 | The entry prompt “NE W START DA TE/TIME:” displays a llowing th e user to enter a ne w Start Da te/Time. A fter the u ser enters a new Sta rt Date/Ti me, a prom pt display s giving t he user th e ability to change the calcul ated Stop Date/Time. | |
5379 | Example: P rompt Entr y for New Start Date /Time | |
5380 | NEW START DATE/TIME: 05/16/201 1@1100 | |
5381 | Order Entr y View wit h New Star t Date | |
5382 | The Clinic Order Ent ry view, b ased on Be gin search date and the NEW en d date, if greater t han the or iginal ent ered end d ate of the search, r e-displays after the user ente rs “YES” t o the “CHA NGE ALL ST ART DATES/ TIME TO” p rompt. | |
5383 | Example: D isplay Cli nic Order Entry with New Start Date | |
5384 | Clinic Ord er Entry Apr 13, 20 12@14:21:3 1 Page: 1 of 1 | |
5385 | BCMAPATIEN T,FIVE L ast Ward: 3 NORTH | |
5386 | PID: 00 0-00-5555 Last Room-Bed: 1-2 Ht(cm) : ______ ( ________) | |
5387 | DOB: 09 /16/60 (51 ) Wt(kg) : ______ ( ________) | |
5388 | Sex: MA LE Last A dmitted: 1 2/05/08 | |
5389 | Dx: FL UID IN LUN GS Dis charged: 0 4/10/12 | |
5390 | CLINIC ORD ERS: Apr 2 0, 2013 to Apr 21, 2 013@24:00 | |
5391 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
5392 | - - - - - - - - - - - - - - - - BECKY' S CLINIC - - - - - - - - - - - - - - - - | |
5393 | 1 DI PHENHYDRAM INE INJ,SO LN C 04/21 0 4/26 N | |
5394 | Give: 10MG IM WEEKLY | |
5395 | 2 AC ETAMINOPHE N TAB R 04/20 0 4/25 N | |
5396 | Give: 10 M G PO Q4H | |
5397 | - - - - - - - - - - - - - - - - - CLINI C (45) - - - - - - - - - - - - - - - - - | |
5398 | 3 RA NITIDINE T AB C 04/20 0 4/23 N | |
5399 | Give: 300 MG PO BID- AM | |
5400 | - - - - - - - - - - - - - - - CLINIC P ATTERN 45 - - - - - - - - - - - - - - - | |
5401 | 4 HE PARIN 11 M L (1) ? 04/20 0 4/21 N | |
5402 | in 5% DEXTRO SE 50 ML 1 00 ml/hr | |
5403 | ---------- Enter ?? f or more ac tions----- ---------- ---------- ---------- ---------- | |
5404 | ES Edit Start Date VD View Orde r Detail VP Vie w Profile | |
5405 | Select Act ion:Quit// | |
5406 | New Start Date Updat e Confirma tion | |
5407 | After the user answe rs “YES” t o the “Are you sure? ” confirma tion of th e new Star t Date/Tim e change, the prompt “NATURE O F ORDER: S ERVICE COR RECTION//” displays for an ACT IVE Clinic Order, wi th a defau lt of SERV ICE CORREC TION. | |
5408 | Example: N ature of O rder Promp t | |
5409 | NATURE OF ORDER: SER VICE CORRE CTION// | |
5410 | The select ed record( s), along with the a pplicable message fo r each ord er, is upd ated, usin g current business f unctionali ty. | |
5411 | Example: U pdate Mess age | |
5412 | Now workin g on order : | |
5413 | BACLO FEN 07/01/12 11:11 | |
5414 | G ive: 10 MG PO QID | |
5415 | NATURE OF ORDER: SER VICE CORRE CTION// S | |
5416 | ...discont inuing ori ginal orde r... | |
5417 | ...creati ng new ord er..... | |
5418 | Pre-Exchan ge DOSES: | |
5419 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
5420 | Now workin g on order : | |
5421 | CEFAM ANDOLE 05/22/12 08:00 | |
5422 | G ive: 44 GM IV | |
5423 | ...updatin g order... .... | |
5424 | ...updatin g OE/RR... | |
5425 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
5426 | Now workin g on order : | |
5427 | DAPSO NE 04/23/12 12:00 | |
5428 | G ive: 50 MG PO QAM | |
5429 | ...updatin g order... .... | |
5430 | ...updatin g OE/RR... | |
5431 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
5432 | Now workin g on order : | |
5433 | FLUOR OURACIL 05/20/12 12:00 | |
5434 | G ive: 11 MG IM | |
5435 | ...updatin g order... .... | |
5436 | ...updatin g OE/RR... | |
5437 | After the user enter s “QUIT” o r when edi ting by cl inic with multiple p atients, t he system mimics the Non-Verif ied/Pendin g Orders [ PSJU VBW] option whe n cycling through th e remainin g selected patient(s ). | |
5438 | Note: The Nature of Order prom pt does no t display for edits made to or ders that are not ac tive, e.g. , orders w ith a stat us of non- verified. | |
5439 | Conditiona l Messages Displayin g after Ne w Start Da te | |
5440 | Individual message p rompts may or may no t be prese nted after the new s tart date/ time is en tered for the patien t. These d epend on v arious val idations t hat are be ing checke d which th e user may need to r eview or a ct upon. N one, one, or more me ssages may display d epending u pon the en try. | |
5441 | New Start Date No Ea rlier than Now | |
5442 | A change t o a new st art date, earlier th an “NOW” i s not allo wed. If th e new star t date ent ered is ea rlier than “NOW” the following prompt di splays: “S tart Date/ Time earli er than NO W is not a llowed. Re -enter st art date. Enter new Start Date /Time:”. | |
5443 | New Start Date beyon d 365 Days | |
5444 | A change t o a new St art DATE b eyond 365 days is no t allowed. | |
5445 | Example: M essage Sta rt Date Be yond 365 D ays | |
5446 | Start Date cannot be more than 365 days from today . Re-enter Start Dat e. | |
5447 | Enter new Start Date /Time: | |
5448 | Note: The system cyc les back t o the ente r new star t/date pro mpt entry until the new start/ date time is less th an 365 day s. | |
5449 | Other Orde rs Exist | |
5450 | The messag e below di splays whe n orders e xist for t he date en tered at t he “new St art Date/T ime:” prom pt. The ex isting act ive orders also disp lay. | |
5451 | Example: M essage Oth er Orders Exist | |
5452 | * This pat ient has a ctive orde r(s) on Ju n 04, 2012 . * | |
5453 | PROCH LORPERAZIN E 06/01/12 11:11 | |
5454 | Gi ve: 5 MG/1 ML IV WEE KLY | |
5455 | Do you wan t to view the profil e? | |
5456 | If the use r answers “YES,” a P rofile Vie w for the selected o rders for the Start Date/Time edit for t he new dat e displays followed by the pro mpt to con tinue. | |
5457 | Example: D isplay Vie w Profile for Select ed Order | |
5458 | <begin pro file displ ay> | |
5459 | V P view | |
5460 | <end profile di splay> | |
5461 | The follow ing orders have been selected for Start Date/Time edit: | |
5462 | <selec ted orders listed> | |
5463 | The Start Date /Time for the select ed orders will be ch anged to < May 16, 20 12@11:00>. Do you wa nt to cont inue? // | |
5464 | If the use r answers “NO,” the “new Start Date/Time :” prompt to re-ente r a new St art Date/T ime displa ys. | |
5465 | New Start Date After One or Mo re Stop Da tes | |
5466 | The messag e below an d prompt d isplay, wi th no defa ult, when the new st art date i s after on e or more stop date( s). | |
5467 | Example: D isplay Sta rt Date Af ter Stop D ate | |
5468 | * The new start date is after one or mor e stop dat e(s). * | |
5469 | The stop date(s) w ill be aut omatically changed t o reflect the new st art date. | |
5470 | Do you wan t to view the profil e? | |
5471 | If the use r answers “YES,” the process c ontinues. | |
5472 | If the use r answers “NO,” the “new Start Date/Time :” prompt to re-ente r a new St art Date/T ime displa ys. | |
5473 | The select ed changed med order s display followed b y the mess age: “The Start Date /Time for the select ed orders will now b e changed to mm/dd/y y hh:mm ( user enter ed Start D ate/Time.) Are you s ure?” | |
5474 | Example: P rompt to C onfirm Cha nged Start Date | |
5475 | Selected O rders: Curre nt Start D ate/Time | |
5476 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- -------- | |
5477 | < TRIH EXYPHENIDY L 04/09/12 07:53 | |
5478 | G ive: 10MG PO SU-MO-T U-WE-TH-FR -SA | |
5479 | BACL OFEN 04/19/12 11:11 | |
5480 | G ive: 20 MG PO Q2H > | |
5481 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- -------- | |
5482 | The Start Date/Time for the se lected ord ers will | |
5483 | no w be chang ed to <6/1 /12 11:00 > | |
5484 | Are you su re ? | |
5485 | The proces s returns to the “En ter a new Start Date /Time:” pr ompt. The existing b usiness ru le for a n ew order i s used to calculate the med or der stop d ate from t he med sta rt date. | |
5486 | Conditiona l Messages Displayin g after Se lection of Orders | |
5487 | The follow ing indivi dual messa ge prompts may or ma y not be p resented a fter the E S selectio n when sel ecting th e clinic m ed order(s ). These d epend on v arious val idations t hat are be ing checke d which th e user may need to r eview or a ct upon. N one, one, or more me ssages may display d epending u pon the en try. | |
5488 | ON CALL Or ders | |
5489 | ON CALL (O C) status can only b e set for IV orders. If the us er selects a Clinic IV order w ith an ON CALL statu s, the mes sage: “Ord ers with O N CALL Sta tus cannot be edited …..” displ ays. ES ac tion chang es to orde rs with ON CALL stat us are not allowed. | |
5490 | Example: S electing O N CALL Ord ers | |
5491 | Select Act ion:Next S creen// es Edit Sta rt Date | |
5492 | Select Ord ers: (1-5 ): 2 | |
5493 | Orders wit h ON CALL Status can not be edi ted - no c hanges wil l be appli ed | |
5494 | to any o f the foll owing orde rs with ON CALL stat us: | |
5495 | ON CALL St atus order s: Curre nt Start / Stop Date s | |
5496 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
5497 | < GENT AMICIN 07/18/12 07/23/1 2 | |
5498 | i n INFUSE OVER 5 MI NUTES> | |
5499 | Press Retu rn to cont inue... | |
5500 | ON HOLD Or ders | |
5501 | If the use r selects ON HOLD or ders, the message: “ ON HOLD or ders canno t be edite d….”displa ys. ES act ion change s to order s ON HOLD are not al lowed. | |
5502 | Example: S electing O N HOLD Ord ers | |
5503 | Select Act ion:Next S creen// es Edit Sta rt Date | |
5504 | Select Ord ers: (1-3 ): 1-2 | |
5505 | ON HOLD orders can not be edi ted - no c hanges wil l be appli ed | |
5506 | to any o f the foll owing ON H OLD orders : | |
5507 | ON HOLD or ders: Curre nt Start / Stop Date s | |
5508 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
5509 | <ACET AMINOPHEN 07/21/12 07/26/1 2 | |
5510 | G ive: 10 MG PO Q4H> | |
5511 | Press Retu rn to cont inue... | |
5512 | Complex Or ders | |
5513 | If the use r selects complex or ders, the message: “ Complex Or ders canno t be edite d – no cha nges will be applied to any of the follo wing Compl ex order c omponents: …….” displ ays. ES ac tion chang es to comp lex orders are not a llowed. | |
5514 | Example: S electing C omplex Ord ers | |
5515 | Select Act ion:Next S creen// es Edit Sta rt Date | |
5516 | Select Ord ers: (1-5 ): 2 | |
5517 | Complex Or ders canno t be edite d - no cha nges will be applied | |
5518 | to any o f the foll owing Comp lex order components : | |
5519 | Complex Co mponent (C hild) Orde rs: Curre nt Start D ate/Time | |
5520 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
5521 | <LANOL IN 06/01/12 17:00 | |
5522 | Gi ve: 25 MG TOP 5XD> | |
5523 | Press Retu rn to cont inue... | |
5524 | Orders for More than One Clini c | |
5525 | If the use r selects orders for more than one clini c, the me ssage: “Yo u have sel ected orde rs from di fferent cl inics do y ou want to continue? ” displays : | |
5526 | If the use r answers “NO,” the Clinic Ord er Entry p rofile vie w of order (s) for th e selected patient(s ) re-displ ays. | |
5527 | If the use r answers “YES,” the process c ontinues. | |
5528 | Orders wit h differen t Start Da te/Times | |
5529 | If the use r selects orders for more than one Start Date/Time , the mess age: “You have selec ted orders with diff erent Star t Date/Tim e, do you want to pr oceed?” di splays: | |
5530 | If the use r answers “NO,” the Clinic Ord er Entry p rofile vie w of order (s) for th e selected patient(s ) re-displ ays. | |
5531 | If the use r answers “YES,” the process c ontinues. | |
5532 | Orders for More than one Clini c with Dif ferent Sta rt Date/Ti mes | |
5533 | If the use r selects orders for more than one clini c with dif ferent Sta rt Date/Ti mes, the m essage bel ow display s: | |
5534 | Example: O rders for More than One Clinic with Diff erent Star t Date/Tim es | |
5535 | You have s elected or ders from different clinics | |
5536 | and with d ifferent S tart Date/ Times. | |
5537 | Do you wan t to conti nue? | |
5538 | You h ave select ed orders from diffe rent clini cs | |
5539 | and with d ifferent S tart Date/ Times. | |
5540 | If the use r answers “NO,” the Clinic Ord er Entry p rofile vie w of order (s) for th e selected patient(s ) re-displ ays. | |
5541 | If the use r answers “YES,” the process c ontinues. | |
5542 | System Aut o Adjusts the Start Time to th e Current Time | |
5543 | The system will auto adjust th e start da te/time to “NOW” for pending C PRS clinic orders wi th a start /date time in the pa st. | |
5544 | For exampl e, when th e order wa s created in CPRS, t he current ‘NOW’ Sta rt Time wa s 13:02, b ut when th e pending order is s elected in Inpatient Medicatio ns, the cu rrent ‘NOW ’ Start Ti me is 13:1 2. | |
5545 | Maintenanc e Options | |
5546 | All of the se mainten ance optio ns XE "Mai ntenance O ptions" a re located on the Un it Dose Me dications XE "Unit D ose Medica tions" me nu. | |
5547 | Edit Inpat ient User Parameters XE "Edit Inpatient User Param eters" | |
5548 | [PSJ UEUP] | |
5549 | The Edit I npatient U ser Parame ters XE "E dit Inpati ent User P arameters" option a llows user s to edit various In patient Us er paramet ers. The p rompts tha t will be encountere d are as f ollows: | |
5550 | “PRINT PRO FILE IN OR DER ENTRY: ” | |
5551 | Enter YES for the op portunity to print a profile a fter enter ing Unit D ose orders for a pat ient. | |
5552 | “INPATIENT PROFILE O RDER SORT: ” | |
5553 | This is th e sort ord er in whic h the Inpa tient Prof ile will s how inpati ent orders . The opti ons will b e sorted e ither by m edication or by star t date of order. Ent ering the words “Med ication Na me” (or th e number 0 ) will sho w the orde rs within schedule t ype (conti nuous, one -time, and then PRN) and then alphabetic ally by dr ug name. E ntering th e words “S tart Date of Order” (or the nu mber 1) wi ll show th e order ch ronologica lly by sta rt date, w ith the mo st recent dates show ing first and then b y schedule type (con tinuous, o ne-time, a nd then PR N). | |
5554 | Note: The Profile fi rst shows orders by status (ac tive, non- verified, and then n on-active) . | |
5555 | “LABEL PRI NTER:” | |
5556 | Enter the device on which labe ls are to be printed . | |
5557 | “USE WARD LABEL SETT INGS:” | |
5558 | Enter YES to have th e labels p rint on th e printer designated for the w ard instea d of the p rinter des ignated fo r the phar macy. | |
5559 | Edit Patie nt’s Defau lt Stop Da te XE "Edi t Patient’ s Default Stop Date" | |
5560 | [PSJU CPDD ] | |
5561 | This opt ion is loc ked with t he PSJU PL key XE "P SJU PL Key " . | |
5562 | The “UD DE FAULT STOP DATE/TIME :” prompt accepts th e date and time entr y to be us ed as the default XE "Default Stop Date" value fo r the STOP DATE/TIME of the Un it Dose or ders durin g order en try and re newal proc esses. Thi s value is used only if the co rrespondin g ward par ameter is enabled. T he order e ntry and r enewal pro cesses wil l sometime s change t his date a nd time. | |
5563 | Note: If t he Unit Do se order, being fini shed by th e user, is received from CPRS and has a duration a ssigned, t he UD DEFA ULT STOP D ATE/TIME i s displaye d as the C alc Stop d ate/time. XE "Defaul t Stop Dat e" | |
5564 | When the S AME STOP D ATE ON ALL ORDERS pa rameter is set to ye s, the mod ule will a ssign a de fault stop date XE " Default St op Date" for each p atient. Th is date is initially set when the first order is e ntered for the patie nt, and ca n change w hen an ord er for the patient i s renewed. This date is shown as the def ault value for the s top date o f each ord er entered for the p atient. Ho wever, if a day or d ose limit exists for the selec ted Ordera ble Item X E "Orderab le Item" , and the l imit is le ss than th e default stop date XE "Defaul t Stop Dat e" , the e arlier sto p date and time will be displa yed. | |
5565 | Output Opt ions XE "O utput Opti ons" | |
5566 | Most of th e Output O ptions are located u nder the R eports Men u option o n the Unit Dose Medi cations me nu. The ot her report s are loca ted direct ly on the Unit Dose Medication s menu. | |
5567 | PAtient Pr ofile (Uni t Dose) | |
5568 | [PSJU PR] | |
5569 | The PAtien t Profile (Unit Dose ) [PSJU PR ] option a llows a us er to prin t a profil e (list) o f a patien t’s orders for the p atient’s c urrent or last (if p atient has been disc harged) ad mission, b y group (G ), ward (W ), clinic (C), or pa tient (P). When grou p is selec ted, a pro mpt to sel ect by war d group (W ) or clini c group (C ) displays . If the u ser’s term inal is se lected as the printi ng device, this opti on will al low the us er to sele ct any of the printe d orders t o be shown in comple te detail, including the activ ity logs, if any. | |
5570 | The PAtien t Profile (Unit Dose ) [PSJU PR ] option a lso allows for viewi ng a list of clinic orders. Ne w clinic o rders cann ot be crea ted. Clini c orders a re display ed separat ely from n on-clinic orders. | |
5571 | Example: P atient Pro file | |
5572 | Select Uni t Dose Med ications O ption: PAt ient Profi le (Unit D ose) | |
5573 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): P Patient <Enter> | |
5574 | Select PAT IENT: PSJP ATIENT1,ON E 000- 00-0001 08/18/20 1 EAST | |
5575 | Select ano ther PATIE NT: <Enter > | |
5576 | SHORT, LON G, or NO P rofile? S HORT// <En ter> SHOR T | |
5577 | Show PROFI LE only, E XPANDED VI EWS only, or BOTH: P ROFILE// < Enter> | |
5578 | Select PRI NT DEVICE: <Enter> NT/Cache v irtual TEL NET termin al | |
5579 | U N I T D O S E P R O F I L E 09/13/ 00 16:20 | |
5580 | SAMPLE HEALTHCAR E SYSTEM | |
5581 | - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - | |
5582 | PSJPATIENT 1,ONE Ward: 1 EA ST | |
5583 | PID: 0 00-00-0001 Room -Bed: B-12 Ht(cm): ______ (_ _______) | |
5584 | DOB: 0 8/18/20 ( 80) Wt(kg): ______ (_ _______) | |
5585 | Sex: M ALE Admitted: 05/03/00 | |
5586 | Dx: T ESTING | |
5587 | CrCL: < Not Found> BSA (m2): _________ | |
5588 | Allergies : No Aller gy Assessm ent | |
5589 | ADR : | |
5590 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
5591 | 1 -> A MPICILLIN CAP C 09/07 09/21 A NF | |
5592 | Give: 500 MG PO QID | |
5593 | 2 -> H YDROCORTIS ONE CREAM, TOP C 09/07 09/21 A NF | |
5594 | Give: 1% TOP QDAILY | |
5595 | 3 -> P ROPRANOLOL 10MG U/D C 09/07 09/21 A NF | |
5596 | Give: PO QDAILY | |
5597 | View ORDER S (1-3): 1 | |
5598 | ---------- ---------- ---------- ---------- -report co ntinues--- ---------- ---------- --------- | |
5599 | Example: P atient Pro file (cont inued) | |
5600 | ----- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
5601 | Patient: P SJPATIENT1 ,ONE Sta tus: ACTIV E | |
5602 | Orderable Item: AMPI CILLIN CAP | |
5603 | Instruct ions: | |
5604 | Dosage Ord ered: 500M G | |
5605 | Dura tion: St art: 09/07 /00 15:00 | |
5606 | Med R oute: ORAL (PO) S top: 09/21 /00 24:00 | |
5607 | Schedule Type: CONT INUOUS | |
5608 | Sche dule: QID | |
5609 | Admin T imes: 01-0 9-15-20 | |
5610 | Prov ider: PSJP ROVIDER,ON E [w] | |
5611 | Un its Unit s Inacti ve | |
5612 | Dispense Drugs U/D Di sp'd Ret' d Date | |
5613 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
5614 | AMPICILLI N 500MG CA P 1 0 0 | |
5615 | ORDER NOT VERIFIED | |
5616 | Self Med: NO | |
5617 | Entry By: PSJPROVIDE R,ONE Entry D ate: 09/07 /00 13:37 | |
5618 | Reports Me nu | |
5619 | [PSJU REPO RTS] | |
5620 | The Report s Menu opt ion contai ns various reports g enerated b y the Unit Dose pack age. | |
5621 | Note: All of these r eports are QUEUABLE, and it is strongly suggested that these reports b e queued w hen run. | |
5622 | Example: R eports Men u | |
5623 | Select Rep orts Menu Option: ? | |
5624 | 7 7 Day MAR | |
5625 | 14 14 Day MAR | |
5626 | 24 24 Hour MA R | |
5627 | AP1 Action Pro file #1 | |
5628 | AP2 Action Pro file #2 | |
5629 | AUthorized Absence/D ischarge S ummary | |
5630 | Extra Unit s Dispense d Report | |
5631 | ||
5632 | ||
5633 | ||
5634 | Free Text Dosage Re port | |
5635 | INpatient Stop Order Notices | |
5636 | Medication s Due Work sheet | |
5637 | Patient Pr ofile (Ext ended) | |
5638 | 24 Hour MA R XE "24 H our MAR Re port" | |
5639 | [PSJU 24H MAR] | |
5640 | The 24 Hou r MAR XE " 24 Hour MA R Report" option cr eates a re port that can be use d to track the admin istration of a patie nt’s medic ations ove r a 24-hou r period. The 24 Hou r MAR XE " 24 Hour MA R Report" report in cludes: | |
5641 | Date/time range cove red by the MAR using a four-di git year f ormat | |
5642 | Institutio n Name | |
5643 | Ward/Clini c* | |
5644 | Patient de mographic data | |
5645 | Time line | |
5646 | Informatio n about ea ch order | |
5647 | *For Outpa tients rec eiving Inp atient Med ication or ders in an appropria te clinic. | |
5648 | The order informatio n consists of: | |
5649 | Order date | |
5650 | Start date | |
5651 | Stop date | |
5652 | Schedule t ype (a let ter code n ext to the administr ation time s) | |
5653 | Administra tion times (will be blank if a n IV order does not have a sch edule) | |
5654 | Drug name | |
5655 | Strength ( if differe nt from th at indicat ed in drug name) | |
5656 | Medication route abb reviation | |
5657 | Schedule | |
5658 | Verifying pharmacist ’s and nur se’s initi als | |
5659 | The MAR is printed b y group (G ), ward (W ) XE "War d" , clini c (C) XE "Clinic" , or patien t (P). Whe n group is selected, a prompt to select by ward gr oup (W) XE "Ward Gro up" or cl inic group (C) XE " Clinic Gro up" displa ys. If the user choo ses to pri nt by pati ent, the o pportunity to select more than one patie nt will be given. Th e system w ill keep p rompting, “Select an other PATI ENT:”. If a caret (^ ) is enter ed, the us er will re turn to th e report m enu. When all patien ts are ent ered, pres s <Enter> at this pr ompt to co ntinue. | |
5660 | Note: If t he user ch ooses to s elect by w ard, admin istration teams XE " Administra tion Team" may be s pecified a nd the MAR may be so rted by ad ministrati on team XE "Administ ration Tim es" , and then by ro om-bed or patient na me. The de fault for the admini stration t eam is ALL and multi ple admini stration t eams may b e entered. If select ing by war d group XE "Ward Gro up" , the MAR may be sorted by room-bed or XE "Ad ministrati on Times" patient na me. When t he report is printed by clinic XE "Clini c" or cli nic group XE "Clinic Group" , and the or der is for an outpat ient, the report lea ves Room/B ed blank. | |
5661 | When selec ting by Wa rd, Ward G roup, Clin ic, or Cli nic Group, the follo wing promp ts are inc luded. All orders fo r a patien t are grou ped togeth er by the patient’s name, rega rdless of location. | |
5662 | Select by Ward: | |
5663 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): W ARD | |
5664 | Include Cl inic Order s? | |
5665 | Entering Y ES for Cli nic Orders prints bo th ward an d clinic o rders for patients o n a ward. | |
5666 | Entering N O for Clin ic Orders prints onl y the ward orders. | |
5667 | Select by Ward Group : | |
5668 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): G ROUP | |
5669 | Select by WARD GROUP (W) or CL INIC GROUP (C): WARD | |
5670 | Include Cl inic Order s? | |
5671 | Entering Y ES for Cli nic Orders prints bo th ward an d clinic o rders for patients i n a Ward G roup. | |
5672 | Entering N O for Clin ic Orders prints onl y the ward orders fo r patients in a Ward Group. | |
5673 | Select by Clinic: | |
5674 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): C LINIC | |
5675 | Include Wa rd Orders? | |
5676 | Entering Y ES for War d Orders p rints both clinic an d ward ord ers for pa tients in a clinic. | |
5677 | Entering N O for Ward Orders pr ints only the clinic orders. | |
5678 | Select by Clinic Gro up: | |
5679 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): G ROUP | |
5680 | Select by WARD GROUP (W) or CL INIC GROUP (C): CLIN IC | |
5681 | Include Wa rd Orders? | |
5682 | Entering Y ES for War d Orders p rints both clinic an d ward ord ers for pa tients in a Clinic G roup. | |
5683 | Entering N O for Ward Orders pr ints only the clinic orders fo r patients in a Clin ic Group. | |
5684 | There are six medica tion choic es. The us er may sel ect multip le choices of medica tions to b e printed on the 24 Hour MAR X E "24 Hour MAR Repor t" . Since the first choice is ALL Medic ations, th e user wil l not be a llowed to combine th is with an y other ch oices. The default c hoice is “ Non-IV Med ications o nly” if: | |
5685 | The MAR OR DER SELECT ION DEFAUL T paramete r was not defined. | |
5686 | Selection by Ward gr oup. | |
5687 | Selected b y patients and patie nts are fr om differe nt wards. | |
5688 | The MAR is separated into two sheets. Th e first sh eet is for continuou s medicati ons and th e second s heet is fo r one-time and PRN m edications . When the 24 Hour M AR XE "24 Hour MAR R eport" wi th orders is run, bo th sheets will print for each patient, e ven though the patie nt might o nly have o ne type of order. Th e user can also prin t blank MA Rs and des ignate whi ch sheets to print. The user c an print c ontinuous medication sheets on ly, PRN sh eets only, or both. The blank MARs conta in patient demograph ics, but n o order da ta. Order informatio n can be a dded manua lly or wit h labels. | |
5689 | Each sheet of the 24 Hour MAR XE "24 Hou r MAR Repo rt" consi sts of thr ee parts: | |
5690 | The top pa rt of each sheet con tains the patient de mographics . | |
5691 | The main b ody of the MAR conta ins the or der inform ation and an area to record th e medicati on adminis tration. | |
5692 | The order informatio n prints o n the left side of t he main bo dy, and is printed i n the same format as on labels . Labels c an be used to add ne w orders t o this are a of the M AR (Labels should ne ver be pla ced over o rder infor mation alr eady on th e MAR). Re newal date s can be r ecorded on the top l ine of eac h order. | |
5693 | The right side of th e main bod y is where the actua l administ ration is to be reco rded. It i s marked i n one-hour increment s for simp licity. | |
5694 | The bottom of the fo rm allows space for signatures /titles, i nitials fo r injectio ns, allerg ies, injec tion sites , omitted doses, rea son for om itted dose s, and ini tials for omitted do ses. | |
5695 | At the “En ter START DATE/TIME for 24 Hou r MAR XE " 24 Hour MA R Report" :” prompt, indicate the date a nd the tim e of day, in militar y time, th e 24 Hour MAR XE "24 Hour MAR Report" i s to start , includin g leading and traili ng zeros. The time t hat is ent ered into this field will prin t on the 2 4 Hour MAR XE "24 Ho ur MAR Rep ort" as t he earlies t time on the time l ine. If th e time is not entere d at this prompt, th e time wil l default to the tim e specifie d in the w ard parame ter, “STAR T TIME OF DAY FOR 24 HOUR MAR: ”. If the ward param eter is bl ank, then the time w ill defaul t to 0:01 a.m. syste m time. | |
5696 | Please kee p in mind that the M AR is desi gned to pr int on sto ck 8 ½” by 11” paper at 16 pit ch (6 line s per inch ). | |
5697 | Note: It i s strongly recommend ed that th is report be queued to print a t a later time. | |
5698 | Example: 2 4 Hour MAR XE "24 Ho ur MAR Rep ort Exampl e" | |
5699 | Select Rep orts Menu Option: 24 24 Hour MAR | |
5700 | Select the MAR forms : 3// ? | |
5701 | Selec t one of t he followi ng: | |
5702 | 1 Print Blan k MARs onl y | |
5703 | 2 Print Non- Blank MARs only | |
5704 | 3 Print both Blank and Non-Blank MARs | |
5705 | Select the MAR forms : 3// <Ent er> Print both Blan k and Non- Blank MARs | |
5706 | Enter STAR T DATE/TIM E for 24 h our MAR: 0 90700@1200 (SEP 07, 2000@12:0 0) | |
5707 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): P ATIENT <En ter> | |
5708 | Select PAT IENT: P SJPATIENT1 ,ONE 000-00-000 1 08/18/ 20 1 EAS T | |
5709 | Select ano ther PATIE NT: <Enter > | |
5710 | Enter medi cation typ e(s): 2,3, 6// ? | |
5711 | 1. All me dications | |
5712 | 2. Non-IV medicatio ns only | |
5713 | 3. IVPB ( Includes I V syringe orders wit h a med ro ute of IV or IVPB. | |
5714 | All other IV syringe orders ar e included with non- IV medicat ions). | |
5715 | 4. LVPs | |
5716 | 5. TPNs | |
5717 | 6. Chemot herapy med ications ( IV) | |
5718 | A combinat ion of cho ices can b e entered here excep t for opti on 1. | |
5719 | e.g. Ente r 1 or 2-4 ,5 or 2. | |
5720 | Enter medi cation typ e(s): 2,3, 6// 1 | |
5721 | Select PRI NT DEVICE: 0;132 NT /Cache vir tual TELNE T terminal | |
5722 | ---------- ---------- ---------- ---------- -report co ntinues--- ---------- ---------- --------- | |
5723 | Example: 2 4 Hour MAR (continue d) | |
5724 | CONTINUOUS SHEET 24 HOU R MAR 09/0 7/2000 12 :00 throu gh 09/08/ 2000 11:5 9 | |
5725 | SAMPLE HEA LTHCARE SY STEM P rinted on 09/20/20 00 16:15 | |
5726 | Name: PSJPATIE NT1,ONE Wei ght (kg): ______ (__ ______) Wa rd: 1 EAST | |
5727 | PID: 000-00-0 001 DOB: 08/18/1920 (80) Height ( cm): _____ _ (_______ _) R oom-Bed: B -12 | |
5728 | Sex: MALE Dx: TESTING Admitt ed: 05/03/ 2000 13:2 9 | |
5729 | Allergies: No Aller gy Assessm ent ADR : | |
5730 | A dmin | |
5731 | Order Sta rt Stop T imes 1 2 13 14 15 16 17 18 19 20 21 2 2 23 24 01 02 03 04 05 06 07 0 8 09 10 11 | |
5732 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5733 | | | | |
5734 | ---- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5735 | | | | |
5736 | ---- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5737 | | | | |
5738 | ---- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5739 | | | | |
5740 | ---- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5741 | | | | |
5742 | ---- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5743 | | | | |
5744 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5745 | | SIGNATU RE/TITLE | I NIT | ALL ERGIES | INJECTION SITES | MED/DOSE OMITTED | REASON | INIT | | |
5746 | |--------- ---------- -------|-- ----|----- ---------| ---------- ---------| ---------- ---------- |--------- ---|------ | | |
5747 | |--------- ---------- -------|-- ----|----- ---------| Indicate RIGHT (R)| ---------- ---------- |--------- ---|------ | | |
5748 | |--------- ---------- -------|-- ----|----- ---------| or LEFT ( L) | ---------- ---------- |--------- ---|------ | | |
5749 | |--------- ---------- -------|-- ----|----- ---------| 1. DELTOI D | ---------- ---------- |--------- ---|------ | | |
5750 | |--------- ---------- -------|-- ----|----- ---------| 2. ABDOME N | ---------- ---------- |--------- ---|------ | | |
5751 | |--------- ---------- -------|-- ----|----- ---------| 3. ILIAC CREST | ---------- ---------- |--------- ---|------ | | |
5752 | |--------- ---------- -------|-- ----|----- ---------| 4. GLUTEA L | ---------- ---------- |--------- ---|------ | | |
5753 | |--------- ---------- -------|-- ----|----- ---------| 5. THIGH | ---------- ---------- |--------- ---|------ | | |
5754 | |--------- ---------- -------|-- ----|----- ---------| PRN:E=Effe ctive | ---------- ---------- |--------- ---|------ | | |
5755 | |--------- ---------- -------|-- ----|----- ---------| N=Not Effective| ---------- ---------- |--------- ---|------ | | |
5756 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5757 | PSJPATI ENT1,ONE 00 0-00-0001 Room-Bed: B-12 VA FORM 1 0-2970 | |
5758 | ---------- ---------- ---------- ---------- -report co ntinues--- ---------- ---------- -------- | |
5759 | Example: 2 4 Hour MAR (continue d) | |
5760 | ONE-TIME/P RN SHEET 24 HO UR MAR 09/0 7/2000 12 :00 throu gh 09/08/ 2000 11:5 9 | |
5761 | SAMPLE HEA LTHCARE SY STEM Printed on 09/20/2 000 16:15 | |
5762 | Name: PSJPATIEN T1,ONE We ight (kg): ______ (_ _______) W ard: 1 EAS T | |
5763 | PID: 000-00-00 01 DOB: 0 8/18/1920 (80) Height (cm): ____ __ (______ __) Room-Bed: B-12 | |
5764 | Sex: MALE Dx: T ESTING Admitt ed: 05/03/ 2000 13:2 9 | |
5765 | Allergies: No Aller gy Assessm ent ADR : | |
5766 | Admin | |
5767 | Order Sta rt Sto p Times 12 13 14 1 5 16 17 18 19 20 21 22 23 24 0 1 02 03 04 05 06 07 08 09 10 1 1 | |
5768 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5769 | | | | |
5770 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5771 | | | | |
5772 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5773 | | | | |
5774 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5775 | | | | |
5776 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5777 | | | | |
5778 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5779 | | | | |
5780 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5781 | | SIGNAT URE/TITLE | IN IT | ALLE RGIES | INJECTION SITES | MED/DOSE OMITTED | REASON | INIT | | |
5782 | |--------- ---------- ------|--- ---|------ --------|- ---------- ---------| ---------- ---------- |--------- ---|------ | | |
5783 | |--------- ---------- ------|--- ---|------ --------| Indicate R IGHT (R) | ---------- ---------- |--------- ---|------ | | |
5784 | |--------- ---------- ------|--- ---|------ --------| or LEFT (L ) | ---------- ---------- |--------- ---|------ | | |
5785 | |--------- ---------- ------|--- ---|------ --------| 1. DELTOID | ---------- ---------- |--------- ---|------ | | |
5786 | |--------- ---------- ------|--- ---|------ --------| 2. ABDOMEN | ---------- ---------- |--------- ---|------ | | |
5787 | |--------- ---------- ------|--- ---|------ --------| 3. ILIAC C REST | ---------- ---------- |--------- ---|------ | | |
5788 | |--------- ---------- ------|--- ---|------ --------| 4. GLUTEAL | ---------- ---------- |--------- ---|------ | | |
5789 | |--------- ---------- ------|--- ---|------ --------| 5. THIGH | ---------- ---------- |--------- ---|------ | | |
5790 | |--------- ---------- ------|--- ---|------ --------|P RN: E=Effe ctive | ---------- ---------- |--------- ---|------ | | |
5791 | |--------- ---------- ------|--- ---|------ --------| N=Not Effective| ---------- ---------- |--------- ---|------ | | |
5792 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5793 | PSJPATI ENT1,ONE 0 00-00-0001 Room-Bed : B-12 VA FORM 10-5568d | |
5794 | ---------- ---------- ---------- ---------- -report co ntinues--- ---------- ---------- --------- | |
5795 | Example: 2 4 Hour MAR (continue d) | |
5796 | CONTINUOUS SHEET 24 HOUR MAR 09/07/ 2000 12:0 0 through 09/08/20 00 11:59 | |
5797 | SAMPLE HE ALTHCARE S YSTEM P rinted on 09/20/20 00 16:15 | |
5798 | Name: PSJPATIEN T1,ONE Weight (kg): ____ __ (______ __) Wa rd: 1 EAST | |
5799 | PID: 000-00-00 01 DOB: 0 8/18/1920 (80) Height (cm): ____ __ (______ __) Room-B ed: B-12 | |
5800 | Sex: MALE Dx: T ESTING Admitted : 05/03/20 00 13:29 | |
5801 | Allergies: No Allerg y Assessme nt ADR : | |
5802 | Admin | |
5803 | Order St art Stop Times 12 13 14 15 16 17 1 8 19 20 21 22 23 24 01 02 03 0 4 05 06 07 08 09 10 11 | |
5804 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
5805 | | | |01 | | |
5806 | 09/07 |09/ 07 15:00|0 9/21/00 24 :00(A9111) |09 | | |
5807 | AMPICILLIN CAP C|15 | 15 20 01 09 | |
5808 | Give: 500M G PO QID |20 | | |
5809 | | | | |
5810 | RPH: P I RN: __ ___| | | |
5811 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---- | |
5812 | | | |01 | | |
5813 | 09/07 |09/ 07 15:00 | 09/14/00 1 6:54(A9111 ) |09 | | |
5814 | AMPICILLIN 1 GM C|15 | 15 20 01 09 | |
5815 | in 0.9% N ACL 100 ML |20 | | |
5816 | IVPB QID | | | |
5817 | See next l abel for c ontinuatio n | | | |
5818 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---- | |
5819 | THIS IS AN INPATIENT IV EXAMPL E | | | |
5820 | | | | |
5821 | | | | |
5822 | | | | |
5823 | | | | |
5824 | RPH: P I RN: ___ __ | | | |
5825 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---- | |
5826 | | | | | | |
5827 | 09/07 |09/ 07 17:00 | 09/07/00 1 2:00(A9111 ) | | | |
5828 | HYDROCORTI SONE CREAM ,TOP C|17 | | |
5829 | Give: 1% T OP QDAILY | | | |
5830 | | | | |
5831 | RPH: P I RN: __ ___| | | |
5832 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---- | |
5833 | | | | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
5834 | 09/07 |09/ 07 17:00 | 09/07/00 1 2:50 (A911 1) | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
5835 | METHYLPRED NISOLNE IN J C|09 |****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *| | |
5836 | Give: 500M G IV Q12H |21 |****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *| | |
5837 | THIS IS AN INPATIENT IV EXAMPL E | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
5838 | RPH: MLV RN: _ ____| | | | | | | | | | | | | | | | | |
5839 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
5840 | | | | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
5841 | 09/07 |09/ 07 17:00 | 09/07/00 1 2:50 (A911 1) | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
5842 | METHYLPRED NISOLNE IN J C|17 |****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *| | |
5843 | Give: 1000 MG IV QDAI LY | | | | | | | | | | | | | | | | | |
5844 | THIS IS AN INPATIENT IV EXAMPL E | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
5845 | RPH: MLV RN: _ ____| | | | | | | | | | | | | | | | | |
5846 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---- | |
5847 | | SIGNAT URE/TITLE | INIT | ALLERGIES | INJE CTION SITE S | M ED/DOSE OM ITTED | REASO N | IN IT | | |
5848 | |--------- ---------- ---------- -|------|- ---------- ---|------ ---------- ----|----- ---------- ---------| ---------- ------|--- ---| | |
5849 | |--------- ---------- ---------- -|------|- ---------- ---| Indic ate RIGHT (R) |----- ---------- ---------| ---------- ------|--- ---| | |
5850 | |--------- ---------- ---------- -|------|- ---------- ---| or LE FT (L) |----- ---------- ---------| ---------- ------|--- ---| | |
5851 | |--------- ---------- ---------- -|------|- ---------- ---| 1. DE LTOID |----- ---------- ---------| ---------- ------|--- ---| | |
5852 | |--------- ---------- ---------- -|------|- ---------- ---| 2. AB DOMEN |----- ---------- ---------| ---------- ------|--- ---| | |
5853 | |--------- ---------- ---------- -|------|- ---------- ---| 3. IL IAC CREST |----- ---------- ---------| ---------- ------|--- ---| | |
5854 | |--------- ---------- ---------- -|------|- ---------- ---| 4. GL UTEAL |----- ---------- ---------| ---------- ------|--- ---| | |
5855 | |--------- ---------- ---------- -|------|- ---------- ---| 5. TH IGH |----- ---------- ---------| ---------- ------|--- ---| | |
5856 | |--------- ---------- ---------- -|------|- ---------- ---|PRN: E =Effective |----- ---------- ---------| ---------- ------|--- ---| | |
5857 | |--------- ---------- ---------- -|------|- ---------- ---| N =Not Effec tive|----- ---------- ---------| ---------- ------|--- ---| | |
5858 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---- | |
5859 | PSJPATI ENT1,ONE 000-00-00 01 Room-B ed: B-12 PAGE : 1 VA FORM 10-2970 | |
5860 | ---------- ---------- ---------- ---------- -report co ntinues--- ---------- ---------- --------- | |
5861 | Example: 2 4 Hour MAR (continue d) | |
5862 | ONE-TIME/P RN SHEET 24 HO UR MAR 09/0 7/2000 12 :00 throu gh 09/08/ 2000 11:5 9 | |
5863 | SAMPLE HE ALTHCARE S YSTEM Printed o n 09/20/ 2000 16:1 5 | |
5864 | Name: PSJPATIEN T1,ONE Weight (kg): ___ ___ (_____ ___) Ward: 1 EAST | |
5865 | PID: 000-00-00 01 DOB: 0 8/18/1920 (80) H eight (cm) : ______ ( ________) Room -Bed: B-12 | |
5866 | Sex: MALE Dx: T ESTING Admitt ed: 05/03/ 2000 13:2 9 | |
5867 | Allergies: No Allerg y Assessme nt ADR : | |
5868 | Admin | |
5869 | Order Sta rt Stop Times 12 13 14 1 5 16 17 18 19 20 21 22 23 24 0 1 02 03 04 05 06 07 08 09 10 1 1 | |
5870 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5871 | | | | |
5872 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5873 | | | | |
5874 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5875 | | | | |
5876 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5877 | | | | |
5878 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5879 | | | | |
5880 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5881 | | | | |
5882 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5883 | | SIGNAT URE/TITLE | I NIT | ALL ERGIES | INJECTION SITES | MED/DOSE OMITTED | REASON | INIT | | |
5884 | |--------- ---------- -------|-- ----|----- --------|- ---------- ---------| ---------- ---------- |--------- ---|------ | | |
5885 | |--------- ---------- -------|-- ----|----- --------| Indicate R IGHT (R) | ---------- ---------- |--------- ---|------ | | |
5886 | |--------- ---------- -------|-- ----|----- --------| or LEFT (L ) | ---------- ---------- |--------- ---|------ | | |
5887 | |--------- ---------- -------|-- ----|----- --------| 1. DELTOID | ---------- ---------- |--------- ---|------ | | |
5888 | |--------- ---------- -------|-- ----|----- --------| 2. ABDOMEN | ---------- ---------- |--------- ---|------ | | |
5889 | |--------- ---------- -------|-- ----|----- --------| 3. ILIAC C REST | ---------- ---------- |--------- ---|------ | | |
5890 | |--------- ---------- -------|-- ----|----- --------| 4. GLUTEAL | ---------- ---------- |--------- ---|------ | | |
5891 | |--------- ---------- -------|-- ----|----- --------| 5. THIGH | ---------- ---------- |--------- ---|------ | | |
5892 | |--------- ---------- -------|-- ----|----- --------|P RN: E=Effe ctive | ---------- ---------- |--------- ---|------ | | |
5893 | |--------- ---------- -------|-- ----|----- --------| N=Not Effective| ---------- ---------- |--------- ---|------ | | |
5894 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5895 | PSJPATI ENT1,ONE 000 -00-0001 Room-Be d: B-12 LAST PAGE: 2 VA FORM 10-5568d | |
5896 | 7 Day MAR XE "7 Day MAR Report " | |
5897 | [PSJU 7D M AR] | |
5898 | The 7 Day MAR XE "7 Day MAR Re port" opt ion create s a report form that can be us ed to trac k the admi nistration of patien ts’ medica tions. | |
5899 | The 7 Day MAR XE "7 Day MAR Re port" rep ort includ es: | |
5900 | Date/time range cove red by the MAR using a four-di git year f ormat | |
5901 | Institutio n Name | |
5902 | Ward/Clini c* | |
5903 | Patient de mographic data | |
5904 | Time line | |
5905 | Informatio n about ea ch order | |
5906 | *For Outpa tients rec eiving Inp atient Med ication or ders in an appropria te clinic. | |
5907 | The order informatio n consists of: | |
5908 | Order date | |
5909 | Start date | |
5910 | Stop date | |
5911 | Schedule t ype (a let ter code n ext to the administr ation time s) | |
5912 | Administra tion times (will be blank if a n IV order does not have a sch edule) | |
5913 | Drug name | |
5914 | Strength ( if differe nt from th at indicat ed in drug name) | |
5915 | Medication route abb reviation | |
5916 | Schedule | |
5917 | Verifying pharmacist ’s and nur se’s initi als | |
5918 | The MAR is printed b y group (G ), ward (W ), clinic (C) XE "C linic" , o r patient (P). When group is s elected, a prompt to select by ward grou p (W) XE "Ward Grou p" or clin ic group ( C) XE "Cl inic Group " display s. If the user choos es to prin t by patie nt, the op portunity to select more than one patien t will be given. The system wi ll keep pr ompting, “ Select ano ther PATIE NT:”. If a caret (^) is entere d, the use r will ret urn to the report me nu. When a ll patient s are ente red, press <Enter> a t this pro mpt to con tinue. | |
5919 | Note: If t he user ch ooses to s elect by w ard, admin istration teams XE " Administra tion Team" may be s pecified a nd the MAR may be so rted by ad ministrati on team XE "Administ ration Tim es" , and then by ro om-bed or patient na me. The de fault for the admini stration t eam is ALL and multi ple admini stration t eams may b e entered. If select ing by war d group XE "Ward Gro up" , the MAR may be sorted by room-bed or XE "Ad ministrati on Times" patient na me. When t he report is printed by clinic or clinic group, an d the orde r is for a n outpatie nt XE "Inp atient Med ication Or ders for O utpatients " , the re port leave s Room/Bed blank. | |
5920 | When selec ting by Wa rd, Ward G roup, Clin ic, or Cli nic Group, the follo wing promp ts are inc luded. All orders fo r a patien t are grou ped togeth er by the patient’s name, rega rdless of location. | |
5921 | Select by Ward: | |
5922 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): W ARD | |
5923 | Include Cl inic Order s? | |
5924 | Entering Y ES for Cli nic Orders prints bo th ward an d clinic o rders for patients o n a ward. | |
5925 | Entering N O for Clin ic Orders prints onl y the ward orders. | |
5926 | Select by Ward Group : | |
5927 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): G ROUP | |
5928 | Select by WARD GROUP (W) or CL INIC GROUP (C): WARD | |
5929 | Include Cl inic Order s? | |
5930 | Entering Y ES for Cli nic Orders prints bo th ward an d clinic o rders for patients i n a Ward G roup. | |
5931 | Entering N O for Clin ic Orders prints onl y the ward orders fo r patients in a Ward Group. | |
5932 | Select by Clinic: | |
5933 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): C LINIC | |
5934 | Include Wa rd Orders? | |
5935 | Entering Y ES for War d Orders p rints both clinic an d ward ord ers for pa tients in a clinic. | |
5936 | Entering N O for Ward Orders pr ints only the clinic orders. | |
5937 | Select by Clinic Gro up: | |
5938 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): G ROUP | |
5939 | Select by WARD GROUP (W) or CL INIC GROUP (C): CLIN IC | |
5940 | Include Wa rd Orders? | |
5941 | Entering Y ES for War d Orders p rints both clinic an d ward ord ers for pa tients in a Clinic G roup. | |
5942 | Entering N O for Ward Orders pr ints only the clinic orders fo r patients in a Clin ic Group. | |
5943 | There are six medica tion choic es. The us er may sel ect multip le choices of medica tions to b e printed on the 7 D ay MAR XE "7 Day MAR Report" . Since the first cho ice is ALL Medicatio ns, the us er will no t be allow ed to comb ine this w ith any ot her choice s. The def ault choic e is “Non- IV Medicat ions only” if: | |
5944 | The MAR OR DER SELECT ION DEFAUL T paramete r was not defined. | |
5945 | Selection by Ward gr oup. | |
5946 | Selected b y patients and patie nts are fr om differe nt wards. | |
5947 | The 7 Day MAR XE "7 Day MAR Re port" opt ion also a llows the nurse to c hoose whet her to pri nt one of the two sh eets, cont inuous, PR N, or both . The MAR is separat ed into tw o sheets. The first sheet is f or continu ous medica tions and the second sheet is for one-ti me and PRN medicatio ns. When t he 7 Day M AR XE "7 D ay MAR Rep ort" with orders is run, both sheets wi ll print f or each pa tient, eve n though t he patient might onl y have one type of o rder. The user can a lso print blank MARs and desig nate which sheets to print. Th e user can print con tinuous me dication s heets only , PRN shee ts only, o r both. Th e blank MA Rs contain patient d emographic s, but no order data . Order in formation can be add ed manuall y or with labels. | |
5948 | Each sheet of the 7 Day MAR XE "7 Day MA R Report" consists of three p arts: | |
5949 | The top pa rt of each sheet con tains the patient de mographics . | |
5950 | The main b ody of the MAR conta ins the or der inform ation and an area to record th e medicati on adminis tration. | |
5951 | The order informatio n prints o n the left side of t he main bo dy, printe d in the s ame format as on lab els. Label s can be u sed to add new order s to this area of th e MAR (Lab els should never be placed ove r order in formation already on the MAR). Renewal d ates can b e recorded on the to p line of each order . | |
5952 | The right side of th e main bod y is where the actua l administ ration is to be reco rded. On t he continu ous medica tion sheet , the righ t side wil l be divid ed into se ven column s, one for each day of the ran ge of the MAR. Aster isks will print at t he bottom of the col umns corre sponding t o the days on which the medica tion is no t to be gi ven (e.g., Orders wi th a sched ule XE "Sc hedule" o f Q3D woul d only be given ever y three da ys, so ast erisks wou ld appear on days th e medicati on should not be giv en). | |
5953 | The bottom of the fo rm is desi gned to du plicate th e bottom o f the curr ent CMR (V A FORM 10- 2970 XE "V A FORM 10- 2970" ), t he back of the curre nt PRN and ONE TIME MED RECORD CMR (VA F ORM 10-556 8d XE "VA FORM 10-55 68d" ). Th e MAR is p rovided to record ot her inform ation abou t the pati ent and hi s or her m edication( s). It is similar to the botto m of the 2 4 Hour MAR XE "24 Ho ur MAR Rep ort" , but lists mor e injectio n sites an d does not allow spa ce to list allergies . | |
5954 | For IV ord ers that h ave no sch edule XE " Schedule" , ******* will print on the bo ttom of th e column c orrespondi ng to the day the or der is to expire. On the conti nuous medi cation she et only, t here might be additi onal infor mation abo ut each or der under the column marked no tes. On th e first li ne, SM wil l print if the order has been marked as a self-med order. Th e letters HSM will p rint if th e order is marked as a hospita l supplied self-med. On the se cond line, WS will p rint if th e order is found to be a ward stock XE " Ward Stock " item, C S will pri nt if the item is a Controlled Substance and/or NF will prin t if the o rder is a non-formul ary. If th e order is printed i n more tha n one bloc k, the RPH and RN in itial line will prin t on the l ast block. | |
5955 | The answer to the pr ompt, “Ent er START D ATE/TIME f or 7 Day M AR XE "7 D ay MAR Rep ort" :” de termines t he date ra nge covere d by the 7 Day MAR X E "7 Day M AR Report" . The sto p date is automatica lly calcul ated. Entr y of time is not req uired, but if a time is entere d with the date, onl y those or ders that expire aft er the dat e and time selected will print . If no ti me is ente red, all o rders that expire on or after the date s elected wi ll print. | |
5956 | Please kee p in mind that the M AR is desi gned to pr int on sto ck 8 ½” by 11” paper at 16 pit ch (6 line s per inch ). | |
5957 | Note: It i s strongly recommend ed that th is report be queued to print a t a later time. | |
5958 | Example: 7 Day MAR X E "7 Day M AR Report Example" | |
5959 | Select Rep orts Menu Option: 7 7 Day MAR | |
5960 | Select the MAR forms : 3// <Ent er> Print both Blan k and Non- Blank MARs | |
5961 | Select TYP E OF SHEET S TO PRINT : BOTH// < Enter> | |
5962 | Enter STAR T DATE/TIM E for 7 da y MAR: 090 700@1200 (SEP 07, 2 000@12:00: 00) | |
5963 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): P ATIENT <En ter> | |
5964 | Select PAT IENT: P SJPATIENT1 ,ONE 000-00-0 001 08/1 8/20 1 E AST | |
5965 | Select ano ther PATIE NT: <Enter > | |
5966 | Enter medi cation typ e(s): 2,3, 6// 1 | |
5967 | Select PRI NT DEVICE: 0;132 NT /Cache vir tual TELNE T terminal | |
5968 | CONTINUOUS SHEET 7 DAY M AR 09/07/2000 through 09/13/200 0 | |
5969 | SAMPLE HE ALTHCARE S YSTEM Printed on 09/20/ 2000 16:1 4 | |
5970 | Name : PSJPATIE NT1,ONE We ight (kg): ______ (_ _______) L oc: 1 EAST | |
5971 | PID: 000-00-0 001 DOB: 08/18/1920 (80) H eight (cm) : ______ ( ________) Room -Bed: B-12 | |
5972 | Sex: MALE Dx: TESTING Admitt ed: 05/03/ 2000 13:2 9 | |
5973 | Allergies: No Aller gy Assessm ent ADR : | |
5974 | A dmin | |
5975 | Order St art St op T imes 09 /07 09/ 08 09/0 9 09/10 09/11 09/12 09/13 notes | |
5976 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5977 | | | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5978 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5979 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5980 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5981 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5982 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5983 | | | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5984 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5985 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5986 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5987 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5988 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5989 | | | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5990 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5991 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5992 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5993 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5994 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
5995 | | | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5996 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5997 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5998 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
5999 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
6000 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
6001 | | | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
6002 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
6003 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
6004 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
6005 | |___ _____|____ ____|_____ ___|______ __|_______ _|________ |________| | |
6006 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
6007 | | SIGNATU RE/TITLE | IN IT | INJECTI ON SITES | MED/DOSE OMITTED | REASON | INIT | | |
6008 | |--------- ---------- ------|--- ---|------ ---------- ---------- ---------| ---------- ---------- |--------- ---|------ | | |
6009 | |--------- ---------- ------|--- ---| Ind icate RIGH T (R) or L EFT (L) | ---------- ---------- |--------- ---|------ | | |
6010 | |--------- ---------- ------|--- ---| | ---------- ---------- |--------- ---|------ | | |
6011 | |--------- ---------- ------|--- ---| (IM ) (SUB Q) | ---------- ---------- |--------- ---|------ | | |
6012 | |--------- ---------- ------|--- ---|1.DELT OID 6. U PPER ARM | ---------- ---------- |--------- ---|------ | | |
6013 | |--------- ---------- ------|--- ---|2.VENT RAL GLUTEA L 7. A BDOMEN | ---------- ---------- |--------- ---|------ | | |
6014 | |--------- ---------- ------|--- ---|3.GLUT EUS MEDIUS 8. T HIGH | ---------- ---------- |--------- ---|------ | | |
6015 | |--------- ---------- ------|--- ---|4.MID( ANTERIOR) THIGH 9. B UTTOCK | ---------- ---------- |--------- ---|------ | | |
6016 | |--------- ---------- ------|--- ---|5.VAST US LATERAL IS 10. U PPER BACK| ---------- ---------- |--------- ---|------ | | |
6017 | |--------- ---------- ------|--- ---|PRN: E =Effective N=Not E ffective | ---------- ---------- |--------- ---|------ | | |
6018 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
6019 | PSJPATI ENT1,ONE 000-00-000 1 Room-Be d: B-12 VA FORM 1 0-2970 | |
6020 | ---------- ---------- ---------- ---------- -report co ntinues--- ---------- ---------- --------- | |
6021 | Example: 7 Day MAR ( continued) | |
6022 | ONE-TIME/P RN SHEET 7 DAY MAR 0 9/07/2000 through 09/13/2000 | |
6023 | SAMPL E HEALTHCA RE SYSTEM Printed on 09/20/ 2000 16:1 4 | |
6024 | Name : PSJPATIE NT1,ONE Weig ht (kg): _ _____ (___ _____) Loc : 1 EAST | |
6025 | PID: 000-00-0 001 DOB: 08/18/1920 (80) H eight (cm) : ______ ( ________) Room -Bed: B-12 | |
6026 | Sex: MALE Dx: TESTING Admitt ed: 05/03/ 2000 13:2 9 | |
6027 | Allergies: No Aller gy Assessm ent ADR : | |
6028 | Order St art S top Order Start Stop | |
6029 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
6030 | | | | | | | | |
6031 | | | | |
6032 | | | | |
6033 | | | | |
6034 | | | | |
6035 | | | | |
6036 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
6037 | | | | | | | | |
6038 | | | | |
6039 | | | | |
6040 | | | | |
6041 | | | | |
6042 | | | | |
6043 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
6044 | | DATE | TIME | MEDICATIO N/DOSE/ROU TE | I NIT | REASON | RESULTS | TIM E | INIT | | |
6045 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6046 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6047 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6048 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6049 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6050 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6051 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6052 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6053 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6054 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6055 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6056 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6057 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6058 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6059 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6060 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6061 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6062 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6063 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6064 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6065 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6066 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6067 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6068 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6069 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6070 | |--------| --------|- ---------- ---------- -------|-- ----|----- ---------- ----|----- ---------- ----|----- ---|------ | | |
6071 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
6072 | | SIGNA TURE/TITLE | INIT | INJE CTION SITE S | S IGNATURE/T ITLE | INIT | | |
6073 | |--------- ---------- --------|- -----|---- ---------- ---------- ---------- --|------- ---------- ---------- ---|------ | | |
6074 | |--------- ---------- --------|- -----| I ndicate RI GHT (R) or LEFT (L) |------- ---------- ---------- ---|------ | | |
6075 | |--------- ---------- --------|- -----| |------- ---------- ---------- ---|------ | | |
6076 | |--------- ---------- --------|- -----| ( IM) (SUB Q) |------- ---------- ---------- ---|------ | | |
6077 | |--------- ---------- --------|- -----|1. D ELTOID 6 . UPPER AR M |------- ---------- ---------- ---|------ | | |
6078 | |--------- ---------- --------|- -----|2. V ENTRAL GLU TEAL 7 . ABDOMEN |------- ---------- ---------- ---|------ | | |
6079 | |--------- ---------- --------|- -----|3. G LUTEUS MED IUS 8 . THIGH |------- ---------- ---------- ---|------ | | |
6080 | |--------- ---------- --------|- -----|4. M ID(ANTERIO R) THIGH 9 . BUTTOCK |------- ---------- ---------- ---|------ | | |
6081 | |--------- ---------- --------|- -----|5. V ASTUS LATE RALIS 10 . UPPER BA CK|------- ---------- ---------- ---|------ | | |
6082 | |--------- ---------- --------|- -----| PRN : E=Effect ive N=No t Effectiv e |------- ---------- ---------- ---|------ | | |
6083 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
6084 | PSJPATI ENT1,ONE 000-00-00 01 Room-B ed: B-12 VA FORM 1 0-5568d | |
6085 | ---------- ---------- ---------- ---------- -report co ntinues--- ---------- ---------- --------- | |
6086 | Example: 7 Day MAR ( continued) | |
6087 | CONTINUOUS SHEET 7 DAY MA R 09 /07/2000 through 0 9/13/2000 | |
6088 | SAMPL E HEALTHCA RE SYSTEM Printed o n 09/20/2 000 16:14 | |
6089 | Name: PSJPATIEN T1,ONE W eight (kg) : ______ ( ________) Loc: 1 EA ST | |
6090 | PID: 000-00-00 01 DOB: 0 8/18/1920 (80) Hei ght (cm): ______ (__ ______) Room- Bed: B-12 | |
6091 | Sex: MALE Dx: T ESTING Admitte d: 05/03/2 000 13:29 | |
6092 | Allergies: No Allerg y Assessme nt ADR : | |
6093 | Admin | |
6094 | Order S tart Stop Times 09/07 09/08 09/09 09/10 09/11 09/12 09/13 notes | |
6095 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6096 | | | |01 |********* |_________ |_________ |_________ |_________ |________| _________| | |
6097 | 09/07 |09/ 07 15:00 | 09/21/00 2 4:00(A9111 ) |09 |********* |_________ |_________ |_________ |_________ |________| _________| | |
6098 | AMPICILLIN CAP C|15 |_________ |_________ |_________ |_________ |_________ |________| _________| | |
6099 | Give: 500M G PO QID |20 |_________ |_________ |_________ |_________ |_________ |________| _________| | |
6100 | | |_________ |_________ |_________ |_________ |_________ |________| _________| | |
6101 | RPH: P I RN: __ ___| | | | | | | | | | |
6102 | ---- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6103 | | | |01 |********* |_________ |_________ |_________ |_________ |_________ |________| | |
6104 | 09/07 |09/ 07 15:00 | 09/14/00 1 6:54(A9111 ) |09 |********* |_________ |_________ |_________ |_________ |_________ |________| | |
6105 | AMPICILLIN 1 GM C|15 |_________ |_________ |_________ |_________ |_________ |_________ |________| | |
6106 | in 0.9% N ACL 100 ML |20 |_________ |_________ |_________ |_________ |_________ |_________ |________| | |
6107 | IVPB QID | |_________ |_________ |_________ |_________ |_________ |_________ |________| | |
6108 | See next l abel for c ontinuatio n | | | | | | | | | | |
6109 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6110 | THIS IS AN INPATIENT IV EXAMPL E | |_________ |_________ |_________ |_________ |_________ |_________ |________| | |
6111 | | |_________ |_________ |_________ |_________ |_________ |_________ |________| | |
6112 | | |_________ |_________ |_________ |_________ |_________ |_________ |________| | |
6113 | | |_________ |_________ |_________ |_________ |_________ |_________ |________| | |
6114 | | |_________ |_________ |_________ |_________ |_________ |_________ |________| | |
6115 | RPH: P I RN: ___ __ | | | | | | | | | | |
6116 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6117 | | | | |_________ |_________ |_________ |_________ |_________ |_________ |________| | |
6118 | 09/07 |09/ 07 17:00 | 09/07/00 1 2:34(A9111 ) | |_________ |_________ |_________ |_________ |_________ |_________ |________| | |
6119 | HYDROCORTI SONE CREAM ,TOP C|17 |********* |********* |********* |********* |********* |********* |********| | |
6120 | Give: 1% 0 QDAILY | |_________ |_________ |_________ |_________ |_________ |_________ |________| | |
6121 | | |_________ |_________ |_________ |_________ |_________ |_________ |________| | |
6122 | RPH: M LV RN: __ ___| | | | | | | | | | |
6123 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6124 | | | | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6125 | 09/07 |09/ 07 17:00 | 09/07/00 1 2:50 (A911 1) | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6126 | METHYLPRED NISOLNE IN J C|09 |****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *| | |
6127 | Give: 500M G IV Q12H |21 |****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *| | |
6128 | THIS IS AN INPATIENT IV EXAMPL E | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6129 | RPH: MLV RN: _ ____| | | | | | | | | | | | | | | | | |
6130 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6131 | | | | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6132 | 09/07 |09/ 07 17:00 | 09/07/00 1 2:50 (A911 1) | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6133 | METHYLPRED NISOLNE IN J C|17 |****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *| | |
6134 | Give: 1000 MG IV QDAI LY | | | | | | | | | | | | | | | | | |
6135 | THIS IS AN INPATIENT IV EXAMPL E | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6136 | RPH: MLV RN: _ ____| | | | | | | | | | | | | | | | | |
6137 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6138 | | SIGNATU RE/TITLE | INIT | INJECTION SITES | MED/DOSE OMITTED | RE ASON | INIT | | |
6139 | |--------- ---------- ---------- -|-------- |--------- ---------- ---------- -------|-- ---------- ---------- --|------- ---------| ---------| | |
6140 | |--------- ---------- ---------- -|-------- | Indica te RIGHT ( R) or LEFT (L) |-- ---------- ---------- --|------- ---------| ---------| | |
6141 | |--------- ---------- ---------- -|-------- | |-- ---------- ---------- --|------- ---------| ---------| | |
6142 | |--------- ---------- ---------- -|-------- | (IM) (SU B Q) |-- ---------- ---------- --|------- ---------| ---------| | |
6143 | |--------- ---------- ---------- -|-------- |1. DELTOI D 6. UPP ER ARM |-- ---------- ---------- --|------- ---------| ---------| | |
6144 | |--------- ---------- ---------- -|-------- |2. VENTRA L GLUTEAL 7. ABD OMEN |-- ---------- ---------- --|------- ---------| ---------| | |
6145 | |--------- ---------- ---------- -|-------- |3. GLUTEU S MEDIUS 8. THI GH |-- ---------- ---------- --|------- ---------| ---------| | |
6146 | |--------- ---------- ---------- -|-------- |4. MID(AN TERIOR) TH IGH 9. BUT TOCK |-- ---------- ---------- --|------- ---------| ---------| | |
6147 | |--------- ---------- ---------- -|-------- |5. VASTUS LATERALIS 10. UPP ER BACK|-- ---------- ---------- --|------- ---------| ---------| | |
6148 | |--------- ---------- ---------- -|-------- | PRN: E=E ffective N=Not Eff ective |-- ---------- ---------- --|------- ---------| ---------| | |
6149 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6150 | PSJPATI ENT1,ONE 000-00-000 1 Room-Be d: B-12 LA ST PAGE: 1 VA FO RM 10-2970 | |
6151 | 14 Day MAR XE "14 Da y MAR Repo rt" | |
6152 | [PSJU 14D MAR] | |
6153 | The 14 Day MAR XE "1 4 Day MAR Report" o ption crea tes a repo rt form th at can be used to tr ack the ad ministrati on of pati ents’ medi cations. | |
6154 | Date/time range cove red by the MAR using a four-di git year f ormat | |
6155 | Institutio n Name | |
6156 | Ward/Clini c* | |
6157 | Patient de mographic data | |
6158 | Time line | |
6159 | Informatio n about ea ch order | |
6160 | *For Outpa tients rec eiving Inp atient Med ication or ders in an appropria te clinic. | |
6161 | The order informatio n consists of: | |
6162 | Order date | |
6163 | Start date | |
6164 | Stop date | |
6165 | Schedule t ype (a let ter code n ext to the administr ation time s) | |
6166 | Administra tion times (will be blank if a n IV order does not have a sch edule) | |
6167 | Drug name | |
6168 | Strength ( if differe nt from th at indicat ed in drug name) | |
6169 | Medication route abb reviation | |
6170 | Schedule | |
6171 | Verifying pharmacist ’s and nur se’s initi als | |
6172 | The MAR is printed b y group (G ), ward (W ), clinic (C) XE "C linic" , o r patient (P). When group is s elected, a prompt to select by ward grou p (W) XE "Ward Grou p" or clin ic group ( C) XE "Cl inic Group " display s. If the user choos es to prin t by patie nt, the op portunity to select more than one patien t will be given. The system wi ll keep pr ompting, “ Select ano ther PATIE NT:”. If a caret (^) is entere d, the use r will ret urn to the report me nu. When a ll patient s are ente red, press <Enter> a t this pro mpt to con tinue. | |
6173 | Note: If t he user ch ooses to s elect by w ard, admin istration teams XE " Administra tion Team" may be s pecified a nd the MAR may be so rted by ad ministrati on team XE "Administ ration Tim es" , and then by ro om-bed or patient na me. The de fault for the admini stration t eam is ALL and multi ple admini stration t eams may b e entered. If select ing by war d group XE "Ward Gro up" , the MAR may be sorted by room-bed or XE "Ad ministrati on Times" patient na me. When t he report is printed by clinic or clinic group, an d the orde r is for a n outpatie nt XE "Inp atient Med ication Or ders for O utpatients " , the re port leave s Room/Bed blank. | |
6174 | When selec ting by Wa rd, Ward G roup, Clin ic, or Cli nic Group, the follo wing promp ts are inc luded. All orders fo r a patien t are grou ped togeth er by the patient’s name, rega rdless of location. | |
6175 | Select by Ward: | |
6176 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): W ARD | |
6177 | Include Cl inic Order s? | |
6178 | Entering Y ES for Cli nic Orders prints bo th ward an d clinic o rders for patients o n a ward. | |
6179 | Entering N O for Clin ic Orders prints onl y the ward orders. | |
6180 | Select by Ward Group : | |
6181 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): G ROUP | |
6182 | Select by WARD GROUP (W) or CL INIC GROUP (C): WARD | |
6183 | Include Cl inic Order s? | |
6184 | Entering Y ES for Cli nic Orders prints bo th ward an d clinic o rders for patients i n a Ward G roup. | |
6185 | Entering N O for Clin ic Orders prints onl y the ward orders fo r patients in a Ward Group. | |
6186 | Select by Clinic: | |
6187 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): C LINIC | |
6188 | Include Wa rd Orders? | |
6189 | Entering Y ES for War d Orders p rints both clinic an d ward ord ers for pa tients in a clinic. | |
6190 | Entering N O for Ward Orders pr ints only the clinic orders. | |
6191 | Select by Clinic Gro up: | |
6192 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): G ROUP | |
6193 | Select by WARD GROUP (W) or CL INIC GROUP (C): CLIN IC | |
6194 | Include Wa rd Orders? | |
6195 | Entering Y ES for War d Orders p rints both clinic an d ward ord ers for pa tients in a Clinic G roup. | |
6196 | Entering N O for Ward Orders pr ints only the clinic orders fo r patients in a Clin ic Group. | |
6197 | There are six medica tion choic es. The us er may sel ect multip le choices of medica tions to b e printed on the 14 Day MAR XE “14 Day M AR Report” . Since t he first c hoice is A LL Medicat ions, the user will not be all owed to co mbine this with any other choi ces. The d efault cho ice is “No n-IV Medic ations onl y” if: | |
6198 | The MAR OR DER SELECT ION DEFAUL T paramete r was not defined. | |
6199 | Selection by Ward gr oup. | |
6200 | Selected b y patients and patie nts are fr om differe nt wards. | |
6201 | The 14 Day MAR XE "1 4 Day MAR Report" o ption allo ws the nur se to choo se whether to print continuous , PRN, or both. The MAR is sep arated int o two shee ts. The fi rst sheet is for con tinuous me dications and the se cond sheet is for on e-time and PRN medic ations. Wh en the 14 Day MAR wi th orders is run, bo th sheets will print for each patient, e ven though the patie nt might o nly have o ne type of order. | |
6202 | The user c an also pr int blank MARs and d esignate w hich sheet s to print . The user can print continuou s medicati on sheets only, PRN sheets onl y, or both . The blan k MARs con tain patie nt demogra phics, but no order data. Orde r informat ion can be added man ually or w ith labels . | |
6203 | Each sheet of the MA R consists of three parts: | |
6204 | The top pa rt of each sheet con tains the patient de mographics . | |
6205 | The main b ody of the MAR conta ins the or der inform ation and an area to record th e medicati on adminis tration. | |
6206 | The order informatio n prints o n the left side of t he main bo dy, printe d in the s ame format as on lab els. Label s can be u sed to add new order s to this area of th e MAR (Lab els should never be placed ove r order in formation already on the MAR). Renewal d ates can b e recorded on the to p line of each order . | |
6207 | The right side of th e main bod y is where the actua l administ ration is to be reco rded. On t he continu ous medica tion sheet , the righ t side wil l be divid ed into 14 columns, one for ea ch day of the range of the MAR . Asterisk s will pri nt at the bottom of the column s correspo nding to t he days on which the medicatio n is not t o be given (e.g., Or ders with a schedule XE "Sched ule" of Q 3D would o nly be giv en every t hree days, so asteri sks would appear on two days o ut of thre e). | |
6208 | The bottom of the MA R is provi ded to rec ord other informatio n about th e patient and his or her medic ation(s). It is simi lar to the bottom of the 24-ho ur MAR, bu t lists mo re injecti on sites. | |
6209 | For IV ord ers that h ave no sch edule XE " Schedule" , **** wil l print on the botto m of the c olumn corr esponding to the day the order is to exp ire. On th e continuo us medicat ion sheet only, ther e might be additiona l informat ion about each order under the column ma rked notes . On the f irst line, SM will p rint if th e order ha s been mar ked as a s elf-med or der. The l etters HSM will prin t if the o rder is ma rked as a hospital s upplied se lf-med. On the secon d line, WS will prin t if the o rder is fo und to be a ward sto ck XE "War d Stock" item, CS w ill print if the ite m is a Con trolled Su bstance an d/or NF wi ll print i f the orde r is a non -formulary . If the o rder is pr inted in m ore than o ne block, the RPH an d RN initi al line wi ll print o n the last block. | |
6210 | The answer to the pr ompt, “Ent er START D ATE/TIME f or 14 Day MAR:” dete rmines the date rang e covered by the 14 Day MAR. T he stop da te is auto matically calculated . Entry of time is n ot require d, but if a time is entered wi th the dat e, only th ose orders that expi re after t he date an d time sel ected will print. If no time i s entered, all order s that wil l expire o n or after the date selected w ill print. | |
6211 | Please kee p in mind that the M AR is desi gned to pr int on sto ck 8 ½” by 11” paper at 16 pit ch (6 line s per inch ). | |
6212 | Note: It i s strongly recommend ed that th is report be queued to print a t a later time. | |
6213 | Example: 1 4 Day MAR XE "14 Day MAR Repor t Example" | |
6214 | Select Rep orts Menu Option: 1 4 Day MAR | |
6215 | Select the MAR forms : 3// <Ent er> Print both Blan k and Non- Blank MARs | |
6216 | Select TYP E OF SHEET S TO PRINT : BOTH// < Enter> | |
6217 | Enter STAR T DATE/TIM E for 14 d ay MAR: 09 0700@1200 (SEP 07, 2000@12:00 :00) | |
6218 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): P ATIENT <En ter> | |
6219 | Select PAT IENT: P SJPATIENT1 ,ONE 0 00-00-0001 08/18/2 0 1 EAST | |
6220 | Select ano ther PATIE NT: <Enter > | |
6221 | Enter medi cation typ e(s): 2,3, 6// 1 | |
6222 | Select PRI NT DEVICE: 0;132 NT/Cache v irtual TEL NET termin al | |
6223 | ---------- ---------- ---------- ---------- -report co ntinues--- ---------- ---------- --------- | |
6224 | Example: 1 4 Day MAR Report (co ntinued) | |
6225 | CONTINUOU S SHEET 14 DA Y MAR 09/07/200 0 through 09/20/20 00 | |
6226 | SAMPL E HEALTHCA RE SYSTEM Printed on 09/20 /2000 16: 11 | |
6227 | Name : PSJPATIE NT1,ONE Wei ght (kg): ______ (__ ______) Lo c: 1 EAST | |
6228 | PID: 000-00-0 001 DOB: 08/18/1920 (80) Height (cm ): ______ (________) Roo m-Bed: B-1 2 | |
6229 | Sex: MALE Dx: TESTING Admit ted: 05/03 /2000 13: 29 | |
6230 | Allergies: No Aller gy Assessm ent ADR : | |
6231 | Ad min SEP | |
6232 | Order St art St op Ti mes 07 08 09 10 11 12 13 14 15 16 17 18 19 20 notes | |
6233 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
6234 | | | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6235 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6236 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6237 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6238 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6239 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
6240 | | | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6241 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6242 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6243 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6244 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6245 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
6246 | | | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6247 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6248 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6249 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6250 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6251 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
6252 | | | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6253 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6254 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6255 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6256 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6257 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
6258 | | | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6259 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6260 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6261 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6262 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6263 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
6264 | | | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6265 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6266 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6267 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6268 | |____| ____|____| ____|____| ____|____| ____|____| ____|____| ____|____| ____| | |
6269 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
6270 | | SIGN ATURE/TITL E | IN IT | INJECT ION SITES | MED/DOS E OMITTED | REASO N | INIT | | |
6271 | |--------- ---------- ------|--- ---|------ ---------- ---------- ---------- |--------- ---------- -|-------- ----|----- -| | |
6272 | |--------- ---------- ------|--- ---| Ind icate RIGH T (R) or L EFT (L) |--------- ---------- -|-------- ----|----- -| | |
6273 | |--------- ---------- ------|--- ---| |--------- ---------- -|-------- ----|----- -| | |
6274 | |--------- ---------- ------|--- ---| (IM ) (SUB Q) |--------- ---------- -|-------- ----|----- -| | |
6275 | |--------- ---------- ------|--- ---|1. DEL TOID 6. UPPER ARM |--------- ---------- -|-------- ----|----- -| | |
6276 | |--------- ---------- ------|--- ---|2. VEN TRAL GLUTE AL 7. ABDOMEN |--------- ---------- -|-------- ----|----- -| | |
6277 | |--------- ---------- ------|--- ---|3. GLU TEUS MEDIU S 8. THIGH |--------- ---------- -|-------- ----|----- -| | |
6278 | |--------- ---------- ------|--- ---|4. MID (ANTERIOR) THIGH 9. BUTTOCK |--------- ---------- -|-------- ----|----- -| | |
6279 | |--------- ---------- ------|--- ---|5. VAS TUS LATERA LIS 10. UPPER BACK |--------- ---------- -|-------- ----|----- -| | |
6280 | |--------- ---------- ------|--- ---| PRN: E=Effectiv e N=Not Effective |--------- ---------- -|-------- ----|----- -| | |
6281 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
6282 | PSJPATI ENT1,ONE 000-00-000 1 Room-Be d: B-12 VA FORM 10-2970 | |
6283 | ---------- ---------- ---------- ---------- -report co ntinues--- ---------- ---------- --------- | |
6284 | Example: 1 4 Day MAR (continued ) | |
6285 | ONE-TIME/P RN SHEET 14 DAY MAR 0 9/07/2000 through 09/20/2000 | |
6286 | SAMPL E HEALTHCA RE SYSTEM Printed on 09/20/ 2000 16:1 1 | |
6287 | Name : PSJPATIE NT1,ONE W eight (kg) : ______ ( ________) Ward: 1 EA ST | |
6288 | PID: 000-00-0 001 DOB: 08/18/1920 (80) H eight (cm) : ______ ( ________) Room -Bed: B-12 | |
6289 | Sex: MALE Dx: TESTING Admitt ed: 05/03/ 2000 13:2 9 | |
6290 | Allergies: No Aller gy Assessm ent ADR : | |
6291 | Order St art Stop Order S tart Stop | |
6292 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
6293 | | | | | | | | |
6294 | | | | |
6295 | | | | |
6296 | | | | |
6297 | | | | |
6298 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
6299 | | | | | | | | |
6300 | | | | |
6301 | | | | |
6302 | | | | |
6303 | | | | |
6304 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
6305 | | DATE | TIME | MEDICA TION/DOSE/ ROUTE | INIT | REASON | RESULTS | TIM E | INIT | | |
6306 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6307 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6308 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6309 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6310 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6311 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6312 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6313 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6314 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6315 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6316 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6317 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6318 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6319 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6320 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6321 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6322 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6323 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6324 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6325 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6326 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6327 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6328 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6329 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6330 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6331 | |--------| --------|- ---------- ---------- ---------- |------|-- ---------- ------|--- ---------- ----|----- ---|------ | | |
6332 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
6333 | | SIG NATURE/TIT LE | INIT | INJ ECTION SIT ES | SIGNATUR E/TITLE | INIT | | |
6334 | |--------- ---------- ---------| ------|--- ---------- ---------- ---------- ---|------ ---------- ---------- ---|------ | | |
6335 | |--------- ---------- ---------| ------| Indicate R IGHT (R) o r LEFT (L) |------ ---------- ---------- ---|------ | | |
6336 | |--------- ---------- ---------| ------| |------ ---------- ---------- ---|------ | | |
6337 | |--------- ---------- ---------| ------| (IM) (SUB Q) |------ ---------- ---------- ---|------ | | |
6338 | |--------- ---------- ---------| ------|1. DELTOID 6. UPPER A RM |------ ---------- ---------- ---|------ | | |
6339 | |--------- ---------- ---------| ------|2. VENTRAL GL UTEAL 7. ABDOMEN |------ ---------- ---------- ---|------ | | |
6340 | |--------- ---------- ---------| ------|3. GLUTEUS ME DIUS 8. THIGH |------ ---------- ---------- ---|------ | | |
6341 | |--------- ---------- ---------| ------|4. MID(ANTERI OR) THIGH 9. BUTTOCK |------ ---------- ---------- ---|------ | | |
6342 | |--------- ---------- ---------| ------|5. VASTUS LAT ERALIS 1 0. UPPER B ACK|------ ---------- ---------- ---|------ | | |
6343 | |--------- ---------- ---------| ------| PR N: E=Effec tive N=N ot Effecti ve |------ ---------- ---------- ---|------ | | |
6344 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
6345 | PSJPATI ENT1,ONE 0 00-00-0001 Room-Bed : B-12 VA FORM 10-5 568d | |
6346 | ---------- ---------- ---------- ---------- -report co ntinues--- ---------- ---------- --------- | |
6347 | Example: 1 4 Day MAR (continued ) | |
6348 | CONTINUOUS SHEET 14 D AY MAR 09/ 07/2000 t hrough 09 /20/2000 | |
6349 | SAMPL E HEALTHCA RE SYSTEM Printed on 09/20/20 00 16:11 | |
6350 | Name: PSJPATIE NT1,ONE Weight (kg): ____ __ (______ __) W ard: 1 EAS T | |
6351 | PID: 000-00-0 001 DOB: 08/18/1920 (80) Height ( cm): _____ _ (_______ _) Room-B ed: B-12 | |
6352 | Sex: MALE Dx: TESTING Admitted : 05/03/20 00 13:29 | |
6353 | Allergies: No Aller gy Assessm ent ADR : | |
6354 | Admin SEP | |
6355 | Order S tart Stop Times 07 08 09 10 11 12 13 14 15 16 17 18 19 20 notes | |
6356 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6357 | | | |01 |****|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6358 | 09/07 |09/ 07 15:00 | 09/21/00 2 4:00 (A911 1) |09 |****|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6359 | AMPICILLIN CAP C|15 |____|__ __|____|__ __|____|__ __|____|__ __|____|__ __|____|__ __|____|__ __| | |
6360 | Give: 500M G PO QID |20 |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6361 | | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6362 | RPH: PI RN: _ ____| | | | | | | | | | | | | | | | | |
6363 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6364 | | | |01 |****|___ _|____|___ _|____|___ _|____|___ _|****|*** *|****|*** *|****|*** *| | |
6365 | 09/07 |09/ 07 15:00 | 09/14/00 1 6:54 (A911 1) |09 |****|___ _|____|___ _|____|___ _|____|___ _|****|*** *|****|*** *|****|*** *| | |
6366 | AMPICILLIN 1 GM C|15 |____|___ _|____|___ _|____|___ _|____|___ _|****|*** *|****|*** *|****|*** *| | |
6367 | in 0.9% N ACL 100 ML |20 |____|___ _|____|___ _|____|___ _|____|*** *|****|*** *|****|*** *|****|*** *| | |
6368 | IVPB QID | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6369 | See next l abel for c ontinuatio n | | | | | | | | | | | | | | | | | |
6370 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6371 | THIS IS AN INPATIENT IV EXAMPL E | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6372 | | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6373 | | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6374 | | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6375 | | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6376 | RPH: PI RN: __ ___ | | | | | | | | | | | | | | | | | |
6377 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6378 | | | | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6379 | 09/07 |09/ 07 17:00 | 09/07/00 1 2:34 (A911 1) | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6380 | HYDROCORTI SONE CREAM ,TOP C|17 |****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *| | |
6381 | Give: 1% 0 QDAILY | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6382 | | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6383 | RPH: MLV RN: _ ____| | | | | | | | | | | | | | | | | |
6384 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6385 | | | | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6386 | 09/07 |09/ 07 17:00 | 09/07/00 1 2:50 (A911 1) | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6387 | METHYLPRED NISOLNE IN J C|09 |****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *| | |
6388 | Give: 500M G IV Q12H |21 |****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *| | |
6389 | THIS IS AN INPATIENT IV EXAMPL E | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6390 | RPH: MLV RN: _ ____| | | | | | | | | | | | | | | | | |
6391 | --- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6392 | | | | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6393 | 09/07 |09/ 07 17:00 | 09/07/00 1 2:50 (A911 1) | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6394 | METHYLPRED NISOLNE IN J C|17 |****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *|****|*** *| | |
6395 | Give: 1000 MG IV QDAI LY | | | | | | | | | | | | | | | | | |
6396 | THIS IS AN INPATIENT IV EXAMPL E | |____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _|____|___ _| | |
6397 | RPH: MLV RN: _ ____| | | | | | | | | | | | | | | | | |
6398 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6399 | | SIG NATURE/TIT LE | INIT | INJECTIO N SITES | MED/DOS E OMITTED | R EASON | INIT | | |
6400 | |--------- ---------- ---------- ----|----- -|-------- ---------- ---------- --------|- ---------- ---------- ---|------ ---------- |--------| | |
6401 | |--------- ---------- ---------- ----|----- -| Indic ate RIGHT (R) or LEF T (L) |- ---------- ---------- ---|------ ---------- |--------| | |
6402 | |--------- ---------- ---------- ----|----- -| |- ---------- ---------- ---|------ ---------- |--------| | |
6403 | |--------- ---------- ---------- ----|----- -| (IM) (S UB Q) |- ---------- ---------- ---|------ ---------- |--------| | |
6404 | |--------- ---------- ---------- ----|----- -|1. DELTO ID 6. UP PER ARM |- ---------- ---------- ---|------ ---------- |--------| | |
6405 | |--------- ---------- ---------- ----|----- -|2. VENTR AL GLUTEAL 7. AB DOMEN |- ---------- ---------- ---|------ ---------- |--------| | |
6406 | |--------- ---------- ---------- ----|----- -|3. GLUTE US MEDIUS 8. TH IGH |- ---------- ---------- ---|------ ---------- |--------| | |
6407 | |--------- ---------- ---------- ----|----- -|4. MID(A NTERIOR) T HIGH 9. BU TTOCK |- ---------- ---------- ---|------ ---------- |--------| | |
6408 | |--------- ---------- ---------- ----|----- -|5. VASTU S LATERALI S 10. UP PER BACK|- ---------- ---------- ---|------ ---------- |--------| | |
6409 | |--------- ---------- ---------- ----|----- -| PRN: E= Effective N=Not Ef fective |- ---------- ---------- ---|------ ---------- |--------| | |
6410 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6411 | PSJPATI ENT1,ONE 000-00-00 01 Room-B ed: B-12 LAST PAGE : 1 VA FOR M 10-2970 | |
6412 | Action Pro file #1 XE "Action P rofile #1 Report" | |
6413 | [PSJU AP-1 ] | |
6414 | The Action Profile # 1 [PSJU AP -1]option creates a report for m that con tains all of the act ive inpati ent medica tion order s for one or more pa tients. Th ese patien ts may be selected b y ward gro up (G) XE "Ward Grou p" , ward (W) XE "W ard" , or patient (P ). If sele ction by w ard is cho sen, the a dministrat ion teams XE "Admini stration T eam" may be specifi ed. The de fault for the admini stration t eam is ALL and multi ple admini stration t eams may b e entered. If select ing by war d or ward group XE " Ward Group " , the pr ofile may be sorted by patient name or r oom-bed. E ntering a Ward Group of ^OTHER XE "Ward Group Sor t:^OTHER" will autom atically s ort by pat ient and p rint a rep ort for Ou tpatients XE "Inpati ent Medica tion Order s for Outp atients" that are r eceiving I npatient M edications and that meet the r eport para meters. If the user chooses to run this option by patient, t he opportu nity is gi ven to sel ect as man y patients as needed , but only those tha t have act ive orders will prin t. | |
6415 | The Action Profile # 1 [PSJU AP -1] option also allo ws for vie wing a lis t of clini c orders. New clinic orders ca nnot be cr eated. Cli nic orders are displ ayed separ ately from non-clini c orders. | |
6416 | Start and stop dates will be p rompted ne xt. If the user choo ses to ent er a start and stop date, only patients with activ e orders o ccurring b etween tho se dates w ill print. The start and stop dates must be in the future (N OW XE "Def ault Start Date Calc ulation:De fault Star t Date Cal culation = NOW" is acceptable ). Time is required only if th e current date of TO DAY or T i s entered. | |
6417 | There are six medica tion choic es. The us er may sel ect multip le choices of medica tions to b e printed on the Act ion Profil e #1 XE "A ction Prof ile #1 Rep ort" repo rt. Since the first choice is ALL Medica tions, the user will not be al lowed to c ombine thi s with any other cho ices. The default ch oice is “N on-IV Medi cations on ly” if: | |
6418 | The MAR OR DER SELECT ION DEFAUL T paramete r was not defined. | |
6419 | Selection by Ward gr oup. | |
6420 | Selected b y patients and patie nts are fr om differe nt wards. | |
6421 | The form i s printed so the att ending pro vider will have a me thod of pe riodically reviewing these act ive medica tion order s. If the user choos es to run this optio n by patie nt, the op portunity is given t o select a s many pat ients as n eeded, but only thos e that hav e active o rders will print. | |
6422 | Also on th is profile , the prov ider can r enew, disc ontinue, o r not take any actio n regardin g the acti ve orders for each p atient. A new order will be re quired for any new m edication prescribed or for an y changes in the dos age or dir ections of an existi ng order. If no acti on is take n, a new o rder is no t required . | |
6423 | If the use r chooses to enter a start and stop date , only pat ients with active or ders occur ring betwe en those d ates will print (for the ward or wards c hosen). Th e start an d stop dat es must be in the fu ture (NOW is accepta ble). Time is requir ed only if the curre nt date of TODAY or T is enter ed. | |
6424 | It is reco mmended th at the act ion profil es be prin ted on two -part pape r, if poss ible. Usin g two-part paper all ows a copy to stay o n the ward and the o ther copy to be sent to the ph armacy. | |
6425 | Note: This report us es a four- digit year format. | |
6426 | Example: A ction Prof ile #1 XE "Action Pr ofile #1 R eport Exam ple" | |
6427 | Select Rep orts Menu Option: AP 1 Action Profile #1 | |
6428 | Select by WARD GROUP (G), WARD (W), or P ATIENT (P) : Patient <Enter> | |
6429 | Select PAT IENT: PSJP ATIENT1,ON E 000 -00-0001 08/18/20 1 EAST | |
6430 | Select ano ther PATIE NT: <Enter > | |
6431 | Enter medi cation typ e(s): 2,3, 6// 1 | |
6432 | ...this ma y take a f ew minutes ...(you sh ould QUEUE this repo rt)... | |
6433 | Select PRI NT DEVICE: <Enter> NT/Cache v irtual TEL NET termin al | |
6434 | Enter RETU RN to cont inue or '^ ' to exit: <Enter> | |
6435 | UNIT DOSE ACTI ON PROFILE #1 09/11/20 00 11:01 | |
6436 | SAM PLE HEALTH CARE SYSTE M | |
6437 | (Contin uation of VA FORM 10 -1158 XE " VA FORM 10 -1158" ) Page: 1 | |
6438 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6439 | This fo rm is to b e used to REVIEW/REN EW/CANCEL existing a ctive medi cation | |
6440 | orders fo r inpatien ts. Revie w the acti ve orders listed and beside ea ch order | |
6441 | circle on e of the f ollowing: | |
6442 | R - to REN EW the ord er | |
6443 | D - to DIS CONTINUE t he order | |
6444 | N - to tak e NO ACTIO N (the ord er will re main | |
6445 | active until the stop date indicated ) | |
6446 | A new o rder must be written for any n ew medicat ion or to make any c hanges | |
6447 | in dosage or direct ions on an existing order. | |
6448 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6449 | PSJPATIEN T1,ONE Ward: 1 EA ST | |
6450 | PID: 0 00-00-0001 Room -Bed: B-12 Ht(cm): ______ (_ _______) | |
6451 | DOB: 0 8/18/1920 (80) Wt(kg): ______ (_ _______) | |
6452 | Sex: M ALE Admitted: 05/03/200 0 | |
6453 | Dx: T ESTING | |
6454 | CrCL: < Not Found> BSA (m2): _________ | |
6455 | Allergies : No Aller gy Assessm ent | |
6456 | ADR : | |
6457 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6458 | No. Actio n Drug ST Start Stop Sta tus/Info | |
6459 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
6460 | 1 R D N AMPICILLI N 1 GM C 09/ 07 09/14 A | |
6461 | in 0.9% N ACL 100 ML QID | |
6462 | Special I nstruction s: THIS IS AN INPATI ENT IV EXA MPLE | |
6463 | 2 R D N AMPICILLI N CAP C 09/07 09/21 A | |
6464 | Give: 500 MG PO QID | |
6465 | 3 R D N HYDROCORT ISONE CREA M,TOP C 09/07 09/21 A | |
6466 | Give: 1% TOP QDAILY | |
6467 | 4 R D N MULTIVITA MINS 5 ML C 09/07 09/12 A | |
6468 | in 0.9% N ACL 1000 M L 20 ml/hr | |
6469 | 5 R D N PROPRANOL OL 10MG U/ D C 09/07 09/21 A | |
6470 | Give: PO QDAILY | |
6471 | ____ __________ ____ __________ __________ __________ ______ | |
6472 | Date AND Time PHYSICIAN’ S SIGNATUR E | |
6473 | MULTIDISCI PLINARY RE VIEW | |
6474 | (WHE N APPROPRI ATE) __________ __________ __________ ______ | |
6475 | PHARMACIST 'S SIGNATU RE | |
6476 | __________ __________ __________ ______ | |
6477 | NURSE'S SI GNATURE | |
6478 | ADDITIO NAL MEDICA TION ORDER S: | |
6479 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6480 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6481 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6482 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6483 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6484 | ____ __________ ____ __________ __________ __________ ______ | |
6485 | Date AND Time PHYSICIAN’ S SIGNATUR E | |
6486 | PSJPATIE NT1,ONE 000-00 -0001 08/18/19 20 | |
6487 | Action Pro file #2 | |
6488 | [PSJU AP-2 ] | |
6489 | The Action Profile # 2 [PSJU AP -2] option is simila r to the A ction Prof ile #1 opt ion (see p revious re port) with the added feature t hat the nu rse can sh ow only ex piring ord ers, givin g in effec t, stop or der notice s (see INp atient Sto p Order No tices). | |
6490 | The Action Profile # 2 [PSJU AP -2] option also allo ws for vie wing a lis t of clini c orders. New clinic orders ca nnot be cr eated. Cli nic orders are displ ayed separ ately from non-clini c orders. | |
6491 | The user c an run the Action Pr ofile #2 [ PSJU AP-2] option by group (G) , ward (W) , clinic ( C), or pat ient (P). When group is select ed, a prom pt to sele ct by ward group (W) or clinic group (C) displays. If this o ption is r un by pati ent, the o pportunity to select as many p atients as desired i s given, b ut the use r will not get a rep ort if the patient h as no acti ve orders. | |
6492 | If the opt ion for a ward or a ward group is chosen , a prompt to choose the ward or ward gr oup for wh ich the us er wants t o run the option is displayed. The user will then be asked t o sort (pr int) Actio n Profiles by team ( T) or trea ting provi der (P). I f Ward Gro up of ^OTH ER is ente red, the u ser will n ot be give n a sort ( print) opt ion; it wi ll automat ically sor t by treat ing provid er and pri nt a repor t of Outpa tients tha t are rece iving Inpa tient Medi cations an d that mee t the repo rt paramet ers. | |
6493 | At the “Pr int (A)ll active ord ers, or (E )xpiring o rders only ? A//” pro mpt, the u ser can ch oose to pr int all ac tive order s for the patient(s) selected, or print only order s that wil l expire w ithin the date range selected for the pa tient(s) s elected. | |
6494 | There are six medica tion choic es. The us er may sel ect multip le choices of medica tions to b e printed on the Act ion Profil e #2 repor t. Since t he first c hoice is A LL Medicat ions, the user will not be all owed to co mbine this with any other choi ces. | |
6495 | It is reco mmended th at the act ion profil es be prin ted on two -part pape r, if poss ible. Usin g two-part paper all ows a copy to stay o n the ward and the o ther copy to be sent to the ph armacy. | |
6496 | Note: This report us es a four- digit year format. | |
6497 | Example: A ction Prof ile #2 XE "Action Pr ofile #2 R eport Exam ple" | |
6498 | Select Rep orts Menu Option: AP 2 Action Profile #2 | |
6499 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): P ATIENT <En ter> | |
6500 | Select PAT IENT: PSJP ATIENT1,ON E 0 00-00-0001 08/18/2 0 1 EAST | |
6501 | Select ano ther PATIE NT: <Enter > | |
6502 | Enter STAR T date/tim e: NOW// < Enter> (S EP 11, 200 0@11:02) | |
6503 | Enter STOP date/time : SEP 11,2 000@11:02/ / T+7 (SE P 18, 2000 ) | |
6504 | Print (A)l l active o rders, or (E)xpiring orders on ly? A// <E nter> (AL L) | |
6505 | Enter medi cation typ e(s): 2,3, 6// 1 | |
6506 | Select PRI NT DEVICE: <Enter> NT/Cache virtual TE LNET termi nal | |
6507 | ...this ma y take a f ew minutes ...(you re ally shoul d QUEUE th is report) ... | |
6508 | Enter RETU RN to cont inue or '^ ' to exit: <Enter> | |
6509 | UNIT DOSE ACTI ON PROFILE #2 09/11/20 00 11:03 | |
6510 | SAM PLE HEALTH CARE SYSTE M | |
6511 | (Contin uation of VA FORM 10 -1158 XE " VA FORM 10 -1158" ) Page: 1 | |
6512 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6513 | A new o rder must be written for any n ew medicat ion or to make any c hanges | |
6514 | in dosage or direct ions on an existing order. | |
6515 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6516 | Team: NO T FOUND | |
6517 | PSJPATIEN T1,ONE Ward: 1 EAST | |
6518 | PID: 0 00-00-0001 Ro om-Bed: B- 12 Ht(cm): ______ (_ _______) | |
6519 | DOB: 0 8/18/1920 (80) Wt(kg): ______ (_ _______) | |
6520 | Sex: M ALE Admitted: 05/03/200 0 | |
6521 | Dx: T ESTING | |
6522 | Allergies : No Aller gy Assessm ent | |
6523 | ADR : | |
6524 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6525 | No. Action Drug ST S tart Stop Status/In fo | |
6526 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
6527 | 1 AMPICIL LIN 1 GM C 0 9/07 09/14 A | |
6528 | in 0. 9% NACL 10 0 ML QID | |
6529 | Speci al Instruc tions: THI S IS AN IN PATIENT IV EXAMPLE | |
6530 | __TAK E NO ACTIO N __DI SCONTINUE __RENE W COST/D OSE: 1.32 | |
6531 | -------- ---------- ---------- ---------- ---------- ---------- ---------- ---- | |
6532 | 2 AMPICIL LIN CAP C 0 9/07 09/21 A | |
6533 | Give: 500MG PO QID | |
6534 | __TAK E NO ACTIO N __DI SCONTINUE __RENE W COST/D OSE: 0.731 | |
6535 | -------- ---------- ---------- ---------- ---------- ---------- ---------- ---- | |
6536 | 3 HYDROCO RTISONE CR EAM,TOP C 0 9/07 09/21 A | |
6537 | Give: 1% TOP QD AILY | |
6538 | __TAK E NO ACTIO N __DI SCONTINUE __RENE W COST/D OSE: 0.86 | |
6539 | -------- ---------- ---------- ---------- ---------- ---------- ---------- ---- | |
6540 | 4 MULTIVI TAMINS 5 M L C 0 9/07 09/12 A | |
6541 | in 0. 9% NACL 10 00 ML 20 m l/hr | |
6542 | __TAK E NO ACTIO N __DI SCONTINUE __RENE W COST/D OSE: 468.7 95 | |
6543 | -------- ---------- ---------- ---------- ---------- ---------- ---------- ---- | |
6544 | ____ __________ ____ __________ __________ __________ ______ | |
6545 | Date AND Time PHYSICIAN’ S SIGNATUR E | |
6546 | MULTIDISCI PLINARY RE VIEW | |
6547 | (WHE N APPROPRI ATE) __________ __________ __________ ______ | |
6548 | PHARMACIST 'S SIGNATU RE | |
6549 | __________ __________ __________ ______ | |
6550 | NURSE'S SI GNATURE | |
6551 | ADDITIO NAL MEDICA TION ORDER S: | |
6552 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6553 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6554 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6555 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6556 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6557 | ____ __________ ____ __________ __________ __________ ______ | |
6558 | Date AND Time PHYSICIAN’ S SIGNATUR E | |
6559 | PSJPATIE NT1,ONE 000-00- 0001 08/18/192 0 | |
6560 | AUthorized Absence/D ischarge S ummary | |
6561 | [PSJU DS] | |
6562 | The AUthor ized Absen ce/Dischar ge Summary option cr eates a re port to al low the us er to dete rmine what action to take on a patient’s Unit Dose orders if the patie nt is disc harged fro m the hosp ital or wi ll leave t he hospita l for a de signated p eriod of t ime (autho rized abse nce). The form is pr inted so t hat the pr ovider can place the active or ders of a patient on hold, not take any action on the order, or contin ue the ord er upon di scharge or absence. If the pro vider wish es to cont inue the o rder upon discharge, then he o r she can identify t he number of refills , the quan tity, and the number of days f or the ord er to rema in active. If no act ion is tak en on the order, it will expir e or be di scontinued . | |
6563 | The user c an run the Authorize d Absence Discharge Summary by ward grou p, ward, o r by patie nt. If the user choo ses to run this repo rt by pati ent, the o pportunity is given to select as many pa tients as desired, b ut only pa tients wit h active o rders will print. | |
6564 | If the opt ion by war d or ward groups is chosen, th e user wil l be promp ted for st art and st op date. E ntry of th ese dates is not req uired, but if a star t and stop date is e ntered, a discharge summary wi ll print o nly for th ose patien ts that ha ve at leas t one orde r that wil l be activ e between those date s. If the user does not enter a start da te, all pa tients wit h active o rders will print (fo r the ward or ward g roup chose n). If a c linic visi t has been scheduled , the date will prin t. If more than one has been s cheduled, only the f irst one w ill print. It is rec ommended t hat this r eport be q ueued to p rint when user deman d for the system is low. | |
6565 | For co-pay ment purpo ses, infor mation rel ated to th e patient’ s service connection is shown on the fir st page of the form (for each patient). If the pat ient is a service-co nnected le ss than 50 % veteran, the provi der is giv en the opp ortunity t o mark eac h non-supp ly item or der as eit her SERVIC E CONNECTE D (SC) or NON-SERVIC E CONNECTE D (NSC). | |
6566 | Note: This report us es a four- digit year format. | |
6567 | Example: A uthorized Absence/Di scharge Su mmary | |
6568 | Select Rep orts Menu Option: AU thorized A bsence/Dis charge Sum mary | |
6569 | Print BLAN K Authoriz ed Absence /Discharge Summary f orms? NO// <Enter> | |
6570 | Select by WARD GROUP (G), WARD (W), or P ATIENT (P) : Patient <Enter> | |
6571 | Select PAT IENT: PSJP ATIENT2,TW O 000- 00-0002 02/22/42 1 West | |
6572 | Select ano ther PATIE NT: <Enter > | |
6573 | ...this ma y take a f ew minutes ...(you sh ould QUEUE this repo rt)... | |
6574 | Select PRI NT DEVICE: <Enter> TELNET | |
6575 | AUTHORIZ ED ABSENCE /DISCHARGE ORDERS 09/19/20 00 12:43 | |
6576 | V AMC: REGI ON 5 (660) | |
6577 | VA FORM: 10-7978M | |
6578 | Effective Date: Page: 1 | |
6579 | ========== ========== ========== ========== ========== ========== ========== ========== | |
6580 | Instructio ns to the physician: | |
6581 | A. A p rescriptio n blank (V A FORM 10- 2577F) mus t be used for: | |
6582 | 1 . all clas s II narco tics | |
6583 | 2 . any medi cations ma rked as 'n onrenewabl e' | |
6584 | 3 . any new medication s in addit ion to tho se entered on this f orm. | |
6585 | B. If a medicati on is not to be cont inued, mar k "TAKE NO ACTION". | |
6586 | C. To continue a medicatio n, you MUS T: | |
6587 | 1 . enter di rections, quantity, and refill s | |
6588 | 2 . sign the order, en ter your D EA number, and enter the date AND time. | |
6589 | ========== ========== ========== ========== ========== ========== ========== ========== | |
6590 | PSJPATIEN T2,TWO Ward: 1 We st | |
6591 | PID: 0 00-00-0002 Room -Bed: A-6 Ht(cm): ______ (_ _______) | |
6592 | DOB: 0 2/22/1942 (58) Team: * NF * Wt(kg): ______ (_ _______) | |
6593 | Sex: M ALE Last Admitted: 06/24/199 8 | |
6594 | Dx: K DJF D ischarged: 12/11/12 | |
6595 | CrCL: < Not Found> BSA (m2): _________ | |
6596 | Allergies : CARAMEL, CN900, LO MEFLOXACIN , PENTAMID INE, PENTA ZOCINE, CH OCOLATE, | |
6597 | NUTS, ST RAWBERRIES , DUST | |
6598 | NV Aller. : AMOXICIL LIN, AMPIC ILLIN, TAP E, FISH, F LUPHENAZIN E DECANOAT E | |
6599 | ADR : | |
6600 | ========== ========== ========== ========== ========== ========== ========== ========== | |
6601 | ** * THIS PAT IENT HAS N ON-VERIFIE D ORDERS. *** | |
6602 | ___ AU THORIZED A BSENCE <96 HOURS _ __ AUTHORI ZED ABSENC E >96 HOUR S | |
6603 | NU MBER OF DA YS: _____ (NO REFI LLS allowe d on AA/PA SS meds) | |
6604 | ___ RE GULAR DISC HARGE __ _ OPT NSC ___ SC | |
6605 | Servi ce Connect ed: | |
6606 | Disab ilities: N ONE STATED | |
6607 | Ne xt schedul ed clinic visit: | |
6608 | ========== ========== ========== ========== ========== ========== ========== ========== | |
6609 | Sche dule Cost per | |
6610 | No. M edication Type Dose | |
6611 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6612 | 1 ACETAM INOPHEN 65 0 MG SUPP CONT INUOUS 0.088 | |
6613 | Inpt D ose: 650MG RECTALLY QDAILY | |
6614 | ___ TA KE NO ACTI ON (PATIEN T WILL NOT RECEIVE M EDICATION) | |
6615 | Outpat ient Direc tions: ___ __________ __________ __________ __________ _________ | |
6616 | Qty: _____ Refills : 0 1 2 3 4 5 6 7 8 9 10 11 | |
6617 | ______ __________ __________ _________ __________ ____ _____ __________ _________ | |
6618 | Physic ian’s Sign ature DEA # Date AND Time | |
6619 | Enter RETU RN to cont inue or '^ ' to exit: | |
6620 | AUTHORIZ ED ABSENCE /DISCHARGE ORDERS Page: 2 | |
6621 | V AMC: REGI ON 5 (660) | |
6622 | VA FORM: 10-7978M | |
6623 | PSJPATIEN T2,TWO 000-00-000 2 02/22/1942 | |
6624 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6625 | Sche dule Cost per | |
6626 | No. Medication Type Dose | |
6627 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6628 | 2 BENZOY L PEROXIDE 10% GEL ( 2OZ) CONT INUOUS 3.78 | |
6629 | Inpt D ose: APPLY SMALL AMO UNT TOP QD AILY | |
6630 | Specia l Instruct ions: TEST | |
6631 | ___ TA KE NO ACTI ON (PATIEN T WILL NOT RECEIVE M EDICATION) | |
6632 | Outpat ient Direc tions: ___ __________ __________ __________ __________ _________ | |
6633 | Qty: _____ Refills : 0 1 2 3 4 5 6 7 8 9 10 11 | |
6634 | ______ __________ __________ _________ __________ ____ _____ __________ _________ | |
6635 | Physic ian’s Sign ature DEA # Date AND Time | |
6636 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6637 | 3 RANITI DINE 150MG CONT INUOUS 0.5 | |
6638 | Inpt D ose: 150MG PO BID | |
6639 | ___ TA KE NO ACTI ON (PATIEN T WILL NOT RECEIVE M EDICATION) | |
6640 | Outpat ient Direc tions: ___ __________ __________ __________ __________ _________ | |
6641 | Qty: _____ Refills : 0 1 2 3 4 5 6 7 8 9 10 11 | |
6642 | ______ __________ __________ _________ __________ ____ _____ __________ _________ | |
6643 | Physic ian’s Sign ature DEA # Date AND Time | |
6644 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6645 | 4 THEO-2 4 200MG CONT INUOUS 0.086 | |
6646 | Inpt D ose: 400MG PO QID | |
6647 | Specia l Instruct ions: TEST ING DO | |
6648 | ___ TA KE NO ACTI ON (PATIEN T WILL NOT RECEIVE M EDICATION) | |
6649 | Outpat ient Direc tions: ___ __________ __________ __________ __________ _________ | |
6650 | Qty: _____ Refills : 0 1 2 3 4 5 6 7 8 9 10 11 | |
6651 | ______ __________ __________ _________ __________ ____ _____ __________ _________ | |
6652 | Physic ian’s Sign ature DEA # Date AND Time | |
6653 | ========== ========== ========== ========== ========== ========== ========== ========== | |
6654 | OTHER MEDICATION S: | |
6655 | 5 Medica tion: ____ __________ __________ __________ __________ __________ _________ | |
6656 | Outpat ient Direc tions: ___ __________ __________ __________ __________ _________ | |
6657 | Qty: _____ Refills : 0 1 2 3 4 5 6 7 8 9 10 11 | |
6658 | ______ __________ __________ _________ __________ ____ _____ __________ _________ | |
6659 | Physic ian’s Sign ature DEA # Date AND Time | |
6660 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6661 | 6 Medica tion: ____ __________ __________ __________ __________ __________ _________ | |
6662 | Outpat ient Direc tions: ___ __________ __________ __________ __________ _________ | |
6663 | Qty: _____ Refills : 0 1 2 3 4 5 6 7 8 9 10 11 | |
6664 | ______ __________ __________ _________ __________ ____ _____ __________ _________ | |
6665 | Physic ian’s Sign ature DEA # Date AND Time | |
6666 | Enter RETU RN to cont inue or '^ ' to exit: <Enter> | |
6667 | A UTHORIZED ABSENCE/DI SCHARGE IN STRUCTIONS 09/19/20 00 12:43 | |
6668 | V AMC: REGI ON 5 (660) | |
6669 | VA FORM: 10-7978M | |
6670 | Effective Date: | |
6671 | ========== ========== ========== ========== ========== ========== ========== ========== | |
6672 | PSJPATIEN T2,TWO Ward: 1 We st | |
6673 | PID: 0 00-00-0002 Room -Bed: A-6 Ht(cm): ______ (_ _______) | |
6674 | DOB: 0 2/22/1942 (58) Team: * NF * Wt(kg): ______ (_ _______) | |
6675 | Sex: M ALE Last Admitted: 06/24/199 8 | |
6676 | Dx: K DJF D ischarged: 12/11/12 | |
6677 | CrCL: < Not Found> BSA (m2): _________ | |
6678 | Allergies : CARAMEL, CN900, LO MEFLOXACIN , PENTAMID INE, PENTA ZOCINE, CH OCOLATE, | |
6679 | NUTS, ST RAWBERRIES , DUST | |
6680 | NV Aller. : AMOXICIL LIN, AMPIC ILLIN, TAP E, FISH, F LUPHENAZIN E DECANOAT E | |
6681 | ADR : | |
6682 | ========== ========== ========== ========== ========== ========== ========== ========== | |
6683 | Ne xt schedul ed clinic visit: | |
6684 | ========== ========== ========== ========== ========== ========== ========== ========== | |
6685 | DIETARY I NSTRUCTION S: (Check One) | |
6686 | __ NO RES TRICTIONS __ RESTRIC TIONS (Spe cify) ____ __________ __________ _________ | |
6687 | _________ __________ __________ __________ __________ __________ __________ _________ | |
6688 | _________ __________ __________ __________ __________ __________ __________ _________ | |
6689 | ========== ========== ========== ========== ========== ========== ========== ========== | |
6690 | PHYSICAL ACTIVITY L IMITATIONS : (Check O ne) | |
6691 | __ NO RES TRICTIONS __ RESTRIC TIONS (Spe cify) ____ __________ __________ _________ | |
6692 | _________ __________ __________ __________ __________ __________ __________ _________ | |
6693 | _________ __________ __________ __________ __________ __________ __________ _________ | |
6694 | ========== ========== ========== ========== ========== ========== ========== ========== | |
6695 | SPECIAL I NSTRUCTION S: (list p rint infor mation, ha ndouts, or other | |
6696 | instructi ons pertin ent to pat ient's con dition)___ __________ __________ _________ | |
6697 | _________ __________ __________ __________ __________ __________ __________ _________ | |
6698 | _________ __________ __________ __________ __________ __________ __________ _________ | |
6699 | ========== ========== ========== ========== ========== ========== ========== ========== | |
6700 | DIAGNOSES : ________ __________ __________ __________ __________ __________ _________ | |
6701 | _________ __________ __________ __________ __________ __________ __________ _________ | |
6702 | _________ __________ __________ __________ __________ __________ __________ _________ | |
6703 | Enter RETU RN to cont inue or '^ ' to exit: <Enter> | |
6704 | A UTHORIZED ABSENCE/DI SCHARGE IN STRUCTIONS 09/19/20 00 12:43 | |
6705 | V AMC: REGI ON 5 (660) | |
6706 | VA FORM: 10-7978M | |
6707 | Effective Date: | |
6708 | ========== ========== ========== ========== ========== ========== ========== ========== | |
6709 | PSJPATIEN T2,TWO Ward: 1 We st | |
6710 | PID: 0 00-00-0002 Room -Bed: A-6 Ht(cm): ______ (_ _______) | |
6711 | DOB: 0 2/22/1942 (58) Team: * NF * Wt(kg): ______ (_ _______) | |
6712 | Sex: M ALE Last Admitted: 06/24/199 8 | |
6713 | Dx: K DJF D ischarged: 12/11/12 | |
6714 | CrCL: < Not Found> BSA (m2): _________ | |
6715 | Allergies : CARAMEL, CN900, LO MEFLOXACIN , PENTAMID INE, PENTA ZOCINE, CH OCOLATE, | |
6716 | NUTS, ST RAWBERRIES , DUST | |
6717 | NV Aller. : AMOXICIL LIN, AMPIC ILLIN, TAP E, FISH, F LUPHENAZIN E DECANOAT E | |
6718 | ADR : | |
6719 | ========== ========== ========== ========== ========== ========== ========== ========== | |
6720 | Ne xt schedul ed clinic visit: | |
6721 | _ __________ __________ __________ ____ _____ __________ _________ | |
6722 | N urse's Sig nature Date AND Time | |
6723 | _ __________ __________ __________ ____ _____ __________ _________ | |
6724 | P hysician’s Signature Date AND Time | |
6725 | = ========== ========== ========== ========== = | |
6726 | > >>>> I HAV E RECEIVED AND UNDER STAND <<<< < | |
6727 | > >>>> MY DI SCHARGE IN STRUCTIONS <<<< < | |
6728 | = ========== ========== ========== ========== = | |
6729 | _ __________ __________ __________ ____ _____ __________ _________ | |
6730 | P atient's S ignature Date And Time | |
6731 | PSJPATIENT 2,TWO 00 0-00-0002 02/2 2/1942 | |
6732 | Extra Unit s Dispense d Report | |
6733 | [PSJU EUDD ] | |
6734 | The Extra Units Disp ensed Repo rt option allows the user to p rint a rep ort showin g the amou nts, date dispensed, and the i nitials of the perso n who ente red the di spensed dr ug. This c an be prin ted by war d group, w ard, or by patient. If the use r chooses to select by ward, t he adminis tration te ams may be specified . The defa ult for th e administ ration tea m is ALL a nd multipl e administ ration tea ms may be entered. I f selectin g by ward or ward gr oup, the p rofile may be sorted by patien t name or room-bed. | |
6735 | Example: E xtra Units Dispensed Report | |
6736 | Select Rep orts Menu Option: EX tra Units Dispensed Report | |
6737 | Enter Star t Date and Time: T@ 1000 (SEP 19, 2000@ 10:00) | |
6738 | Enter Endi ng Date an d Time: T@ 2400 (SEP 19, 2000@ 24:00) | |
6739 | Select by WARD GROUP (G), WARD (W), or P ATIENT (P) : Patient <Enter> | |
6740 | Select PAT IENT: P SJPATIENT2 ,TWO 2-2 2-42 00 0000002 YES ACTIVE DUT Y | |
6741 | Select ano ther PATIE NT: <Enter > | |
6742 | Select out put device : 0;80 TE LNET | |
6743 | this may t ake a whil e...(you s hould QUEU E the Extr a Units Di spensed re port) | |
6744 | EXTRA UNIT S DISPENSE D REPORT PA GE: 1 | |
6745 | REP ORT FROM: 09/19/00 10:00 TO: 09/19/00 24:00 | |
6746 | PSJPATIENT 2,TWO R oom_Bed: A -6 | |
6747 | 000-00-000 2 Ward: 1 West | |
6748 | DRUG NAME UNI T DATE D ISP. | |
6749 | DISPENS ED B Y | |
6750 | ACETAMINOP HEN 650 MG SUPP 3 09/19/0 0 12:54 M V | |
6751 | 5 09/19/0 0 12:54 M V | |
6752 | ...... .......... .......... .......... ...... 8 | |
6753 | BENZOYL PE ROXIDE 10% GEL (2OZ) 2 09/19/0 0 12:58 P M | |
6754 | ...... .......... .......... .......... ...... 2 | |
6755 | RANITIDINE 150MG 3 09/19/0 0 12:54 M V | |
6756 | 3 09/19/0 0 12:58 P M | |
6757 | ...... .......... .......... .......... ...... 6 | |
6758 | TOTAL FO R PSJPATIE NT2,TWO... .......... ...... 1 6 | |
6759 | Press Retu rn to cont inue... | |
6760 | Free Text Dosage Rep ort | |
6761 | [PSJU DOSA GE REPORT] | |
6762 | The Free T ext Dosage Report op tion creat es a repor t to track commonly ordered fr ee text do sages over a date ra nge. This report eva luates Uni t Dose ord ers that w ere active during th e specifie d dates ag ainst the DISPENSE D RUG file. If the app licable Po ssible Dos ages or Lo cal Possib le Dosages do not ma tch the Do sage Order ed, then t his is con sidered a Free Text Dosage Ent ry and is contained in this re port. This report in cludes the : | |
6763 | Dispense D rug | |
6764 | Free Text Dosage XE "Free Text Dosage" Entry | |
6765 | Total numb er of occu rrences of each Free Text Dosa ge Entry | |
6766 | Number of occurrence s by the P rovider Na me | |
6767 | Each entry in the Fr ee Text Do sage Repor t consists of at lea st two lin es of disp lay. The f irst line shows the Dispense D rug name, followed b y the drug internal entry numb er in pare ntheses. T he first l ine contin ues with t he Free Te xt Dosage Entry and the total number of occurrence s of this entry. The second li ne shows t he name of the Provi ders that used this Free Text Dosage Ent ry during the reques ted date r ange, and the number of times Providers used this free text dosage. Si nce all Pr oviders ar e listed, multiple l ines will be display ed. | |
6768 | Unit Dose orders tha t were act ive during the speci fied date range and have free text dosag es are inc luded in t his report . The user is prompt ed to ente r the “Beg inning Dat e:” and an “Ending D ate:” for the report to print. If no val ue is ente red in eit her of the two promp ts, the re port will not print. The date range will be listed in the “P eriod:” se ction of t he report header wit h the begi nning date appearing as the fi rst date a nd the end ing date a ppearing a s the seco nd date. | |
6769 | Note: It i s strongly recommend ed that th is report be queued to print a t a later time. | |
6770 | Example: F ree Text D osage Repo rt | |
6771 | Select Rep orts Menu Option: FR EE Text Do sage Repor t | |
6772 | Beginning Date: T-10 0 (SEP 29 , 2001) | |
6773 | Ending Dat e: T (JAN 07, 2002) | |
6774 | DEVICE: HO ME// 0;80 NT/Cache virtual TE LNET termi nal | |
6775 | Working - please wai t......... .......... ........ | |
6776 | Page 1 | |
6777 | Inpat ient Free Text Dosag e Entry Re port | |
6778 | Per iod: Sep 2 9, 2001 to Jan 07, 2 002 | |
6779 | Drug Free Text Entry Count | |
6780 | Provid er:Count | |
6781 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
6782 | A-METHYL-P ARA-TYROSI NE CAPS,25 (5098) 100MG 1 | |
6783 | PSJPRO VIDER,ONE: 1 | |
6784 | ACETAMINOP HEN 325MG C.T. (263) 1000MG 1 | |
6785 | PSJPRO VIDER,TWO: 1 | |
6786 | 100MG 2 | |
6787 | PSJPRO VIDER,THRE E:1 PSJP ROVIDER,FO UR:1 | |
6788 | 100mg 1 | |
6789 | PSJPRO VIDER,FOUR :1 | |
6790 | 300MG 1 | |
6791 | PSJPRO VIDER,TWO: 1 | |
6792 | 325MG 7 | |
6793 | PSJPRO VIDER,ONE: 1 PSJPRO VIDER,TWO: 4 | |
6794 | PSJPRO VIDER,FIVE :2 | |
6795 | Press Ret urn to Con tinue or ^ to Exit: | |
6796 | INpatient Stop Order Notices | |
6797 | [PSJ EXP] | |
6798 | The INpati ent Stop O rder Notic es option produces a list of p atients’ m edication orders tha t are abou t to expir e. Action must be ta ken (using VA FORM 1 0-1158) if these med ications a re to be r e-ordered. This opti on will li st both Un it Dose or ders and I V orders. The user m ay choose to print A ll, which is the def ault, or e ither the Unit Dose or IV orde rs. | |
6799 | The next p rompt allo ws the use r to selec t by group (G), ward (W), clin ic (C), or patient ( P). When g roup is se lected, a prompt to select by ward group (W) or cl inic group (C) displ ays. | |
6800 | Start and stop dates will be p rompted ne xt. | |
6801 | Special In structions for Unit Dose order s and Othe r Print In formation for IV ord ers are li sted on th e report. IV orders are sorted by the Or derable It em of the first addi tive or so lution in the order. The Order able Item with each additive a nd solutio n is displ ayed along with the strength/v olume spec ified. The schedule type for a ll IV orde rs is assu med to be continuous . | |
6802 | If the use r chooses to print b y ward, th e selectio n to sort by adminis tration te ams is dis played. AL L teams, w hich is th e default, multiple teams, or one admini stration t eam may be chosen. | |
6803 | Example: I npatient S top Order Notices XE "Inpatien t Stop Ord er Notices Example" | |
6804 | Select Rep orts Menu Option: IN patient St op Order N otices | |
6805 | Select by GROUP (G), WARD (W), CLINIC (C ), or PATI ENT (P): P ATIENT <En ter> | |
6806 | Select PAT IENT: P SJPATIENT2 ,TWO 000 -00-0002 02/22/42 1 West | |
6807 | Enter star t date: T (SEP 19, 2000) | |
6808 | Enter stop date: T+7 (SEP 26, 2000) | |
6809 | List IV or ders, Unit Dose orde rs, or All orders: A LL// <Ente r> | |
6810 | Select PRI NT DEVICE: 0;80 TEL NET | |
6811 | ...this ma y take a f ew minutes ... | |
6812 | ...yo u really s hould QUEU E this rep ort, if po ssible... | |
6813 | Enter RETU RN to cont inue or '^ ' to exit: <Enter> | |
6814 | AS OF: 09/ 19/00 13: 14 P age: 1 | |
6815 | THE FOLLOW ING MEDICA TIONS WILL EXPIRE | |
6816 | FRO M 09/19/00 00:01 TH ROUGH 09/2 6/00 24:0 0 | |
6817 | TO CONTINU E MEDICATI ONS, PLEAS E REORDER ON VA FORM 10-1158. | |
6818 | PSJPATIEN T2,TWO Ward: 1 We st | |
6819 | PID: 0 00-00-0002 Room -Bed: A-6 Ht(cm): ______ (_ _______) | |
6820 | DOB: 0 2/22/1942 (58) Team: * NF * Wt(kg): ______ (_ _______) | |
6821 | Sex: M ALE Last Admitted: 06/24/199 8 | |
6822 | Dx: K DJF D ischarged: 12/11/12 | |
6823 | CrCL: < Not Found> BSA (m2): _________ | |
6824 | Allergies : CARAMEL, CN900, LO MEFLOXACIN , PENTAMID INE, PENTA ZOCINE, CH OCOLATE, | |
6825 | NUTS, ST RAWBERRIES , DUST | |
6826 | NV Aller. : AMOXICIL LIN, AMPIC ILLIN, TAP E, FISH, F LUPHENAZIN E DECANOAT E | |
6827 | ADR : | |
6828 | Medicatio n ST Start Stop Sta tus/Info | |
6829 | Dosage Pro vider | |
6830 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
6831 | AMPICILLI N 1 GM C 09/19 0 9/22/00 1 8:00 A | |
6832 | in 0.45 % NACL 100 ML QID | |
6833 | ||
6834 | ||
6835 | ||
6836 | ||
6837 | ||
6838 | ||
6839 | ||
6840 | ||
6841 | PSJPROV IDER,ONE | |
6842 | IV | |
6843 | PENTAMIDI NE ISETHIO NATE 1 MG C 09/19 09/22/00 18:00 A | |
6844 | in 0.45 % NACL 100 0 ML 8 MG/ HR | |
6845 | ||
6846 | ||
6847 | ||
6848 | ||
6849 | ||
6850 | ||
6851 | ||
6852 | PSJPROVIDE R,ONE | |
6853 | IV 8 MG/ HR@1 | |
6854 | ACETAMINO PHEN 300/C ODEINE 30 TAB C 09/16 09/22/00 22:00 A | |
6855 | Give: 2TA BS PO QDAI LY | |
6856 | ||
6857 | ||
6858 | ||
6859 | ||
6860 | ||
6861 | ||
6862 | ||
6863 | ||
6864 | ||
6865 | PSJP ROVIDER,ON E | |
6866 | BENZOYL P EROXIDE GE L,TOP C 09/19 09/22/00 22:00 A | |
6867 | Give: APP LY SMALL A MOUNT TOP QDAILY | |
6868 | ||
6869 | ||
6870 | ||
6871 | ||
6872 | PSJPROV IDER,ONE | |
6873 | Speci al Instruc tions: TES T | |
6874 | RANITIDIN E TAB C 09/18 09/22/00 22:00 A | |
6875 | Give: 150 MG PO BID | |
6876 | ||
6877 | ||
6878 | ||
6879 | ||
6880 | ||
6881 | ||
6882 | ||
6883 | ||
6884 | ||
6885 | ||
6886 | ||
6887 | ||
6888 | PSJPROVIDE R,ONE | |
6889 | THEOPHYLL INE CAP,SA C 09/18 09/22/00 22:00 A | |
6890 | Give: 400 MG PO QID | |
6891 | ||
6892 | ||
6893 | ||
6894 | ||
6895 | ||
6896 | ||
6897 | ||
6898 | ||
6899 | ||
6900 | ||
6901 | ||
6902 | ||
6903 | PSJPROVIDE R,ONE | |
6904 | Speci al Instruc tions: TES TING | |
6905 | PSJPATIENT 2,TWO 000-00-0 002 1 We st A-6 | |
6906 | Medication s Due Work sheet | |
6907 | [PSJ MDWS] | |
6908 | The Medica tions Due Worksheet option cre ates a rep ort that l ists activ e medicati ons (Unit Dose and I V) that ar e due with in a selec ted 24-hou r period. The user w ill be abl e to selec t by ward group, war d, or indi vidual pat ients. If the user c hooses to select by ward, the administra tion teams may be sp ecified. T he default for the a dministrat ion team i s ALL and multiple a dministrat ion teams may be ent ered. If s electing b y ward or ward group , the Medi cations Du e Workshee t may be s orted by a dministrat ion time, patient na me, or roo m-bed. How ever, if t he user ch ooses to s elect by p atient, mu ltiple pat ients can be entered . | |
6909 | Note: If y ou specify ^OTHER as the ward group, it will selec t orders f or outpati ents in cl inics that allow inp atient med ication or ders. | |
6910 | For IV ord ers that h ave no sch edule, the projected administr ation time s will be calculated based on the order’ s volume, flow rate, and start time. An asterisk ( *) will be printed f or the adm inistratio n times in stead of t he project ed adminis tration ti mes. | |
6911 | If the MAR ORDER SEL ECTION DEF AULT promp t for the ward param eter is de fined, the default w ill be dis played at the “Enter medicatio n type(s): ” prompt. | |
6912 | The defaul t choice i s 2 or Non -IV Medica tions only if: | |
6913 | The MAR OR DER SELECT ION DEFAUL T paramete r was not defined. | |
6914 | Selection by Ward gr oup. | |
6915 | Selected b y patients and patie nts are fr om differe nt wards. | |
6916 | The PRN me dication o rders will be printe d if the u ser enters YES at th e “Would y ou like to include P RN Medicat ions (Y/N) ? NO//” pr ompt. PRN orders wil l be liste d after al l continuo us and one -time orde rs are pri nted. | |
6917 | Example: M edications Due Works heet | |
6918 | Select Rep orts Menu Option: ME Dications Due Worksh eet | |
6919 | Would you like to in clude PRN Medication s (Y/N)? N O// YES | |
6920 | Enter Star t Date and Time: T@ 1000 (SEP 19, 2000@ 10:00) | |
6921 | Enter Endi ng Date an d Time: T@ 2400 (SEP 19, 2000@ 24:00) | |
6922 | Select by WARD GROUP (G), WARD (W), or P ATIENT (P) : Patient <Enter> | |
6923 | Select PAT IENT: P SJPATIENT2 ,TWO 2-22 -42 000 000002 YES A CTIVE DUTY | |
6924 | Select ano ther PATIE NT: <Enter > | |
6925 | Enter medi cation typ e(s): 2// 1 | |
6926 | Select out put device : 0;80 TE LNET | |
6927 | MEDICATION S DUE WORK SHEET For: PSJPATIEN T2,TWO Page : 1 | |
6928 | Report fro m: 09/19/0 0 10:00 t o: 09/19/0 0 24:00 R eport Date : 09/19/00 | |
6929 | Continuous /One time Orders for : ALL MEDS | |
6930 | For date: 09/19/00 | |
6931 | PSJPATIENT 2,TWO A-6 12:00 0 9/18 | 09/ 18 12:00 | 09/22/00 22:00 | |
6932 | 000-00-000 2 R ANITIDINE TAB | |
6933 | 1 West G ive: 150MG PO BID | |
6934 | R N/LPN Init : ________ | |
6935 | 0 9/18 | 09/ 18 12:00 | 09/22/00 22:00 | |
6936 | T HEOPHYLLIN E CAP,SA | |
6937 | G ive: 400MG PO QID | |
6938 | T ESTING | |
6939 | R N/LPN Init : ________ | |
6940 | * 09/1 9 | 09/19 12:00 | 0 9/22/00 1 8:00 | |
6941 | A MPICILLIN 1 GM | |
6942 | i n | |
6943 | 0 .45% NACL 1000 ML QI D | |
6944 | I V QID | |
6945 | R N/LPN Init : ________ | |
6946 | 15:00 0 9/18 | 09/ 18 12:00 | 09/22/00 22:00 | |
6947 | R ANITIDINE TAB | |
6948 | G ive: 150MG PO BID | |
6949 | R N/LPN Init : ________ | |
6950 | 0 9/18 | 09/ 18 12:00 | 09/22/00 22:00 | |
6951 | T HEOPHYLLIN E CAP,SA | |
6952 | G ive: 400MG PO QID | |
6953 | T ESTING | |
6954 | R N/LPN Init : ________ | |
6955 | 20:00 0 9/18 | 09/ 18 12:00 | 09/22/00 22:00 | |
6956 | R ANITIDINE TAB | |
6957 | G ive: 150MG PO BID | |
6958 | R N/LPN Init : ________ | |
6959 | 0 9/18 | 09/ 18 12:00 | 09/22/00 22:00 | |
6960 | T HEOPHYLLIN E CAP,SA | |
6961 | G ive: 400MG PO QID | |
6962 | T ESTING | |
6963 | R N/LPN Init : ________ | |
6964 | * Projecte d admin. t imes based on order' s volume, flow rate, and start time. | |
6965 | Enter RETU RN to cont inue or '^ ' to exit: | |
6966 | Patient Pr ofile (Ext ended) | |
6967 | [PSJ EXTP] | |
6968 | The Patien t Profile (Extended) option cr eates a re port to al low the vi ewing of a ll the ord ers on fil e for a pa tient. The user can view all o f the orde rs that ha ve not bee n purged o r enter a date to st art search ing from. | |
6969 | Select Rep orts Menu Option: PA Tient Prof ile (Exten ded) | |
6970 | Select PAT IENT: P SJPATIENT1 ,ONE 000-00-0 001 08/18 /20 1 E AST | |
6971 | Date to st art search ing from ( optional): 083101 | |
6972 | Select ano ther PATIE NT: <Enter > | |
6973 | Show PROFI LE only, E XPANDED VI EWS only, or BOTH: P ROFILE// B OTH | |
6974 | Show SHORT , LONG, or NO activi ty log? N O// SHORT | |
6975 | Select PRI NT DEVICE: <Enter> DECSERVER | |
6976 | I N P A T I E N T M E D I C A T I O N S 02/28/ 02 14:12 | |
6977 | VA MC: ALBAN Y, NY (500 ) | |
6978 | - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - | |
6979 | PSJPATIENT 1,ONE Ward: 1 EAST | |
6980 | PID: 00 0-00-0001 Ro om-Bed: B- 12 Ht(cm): _ _____ (___ _____) | |
6981 | DOB: 08 /18/20 (8 1) Wt(kg): _ _____ (___ _____) | |
6982 | Sex: MA LE A dmitted: 0 5/03/00 | |
6983 | Dx: TE STING Last tran sferred: * ******* | |
6984 | CrCL: <N ot Found> B SA (m2): _ ________ | |
6985 | Allergies : No Aller gy Assessm ent | |
6986 | ADR : | |
6987 | - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - - - - | |
6988 | 1 M ULTIVITAMI NS 5 ML C 02/28/0 2 03/30/0 2 A | |
6989 | i n 0.9% SOD IUM CHLORI DE 1000 ML Q8H | |
6990 | 2 B ACLOFEN TA B C 02/20/0 2 03/06/0 2 A | |
6991 | Give: 10M G PO QDAIL Y | |
6992 | PATIENT S PITS OUT M EDICINE | |
6993 | 3 P REDNISONE TAB C 02/25/0 2 03/11/0 2 A | |
6994 | Give: 5MG PO TU-TH- SA@09 | |
6995 | 4 R ESERPINE T AB C 02/20/0 2 03/06/0 2 A | |
6996 | Give: 1MG PO QDAILY | |
6997 | 5 P ANCREATIN CAP,ORAL O 02/21/0 2 03/23/0 2 A | |
6998 | Give: 1 C APSULE PO ONCE | |
6999 | - - - - - - - - - - - - - - - N O N - A C T I V E - - - - - - - - - - - - - - - | |
7000 | 6 C EFTAZIDIME INJ ? ******* * ******* * N | |
7001 | Give: 1 G M IV QDAIL Y | |
7002 | 7 T RACE ELEME NTS INJ ? ******* * ******* * N | |
7003 | Give: 1 M L IV QDAIL Y | |
7004 | - - - - - - - - - - - - - - - N O N - A C T I V E - - - - - - - - - - - - - - - | |
7005 | 8 i n DEXTROSE 5% 1000 M L 1 ml/hr ? ******* * ******* * P | |
7006 | 9 C EFAZOLIN I NJ ? ******* * ******* * P | |
7007 | Give: 1GM /1VIAL IVP B ONE TIME | |
7008 | 10 P ENICILLIN INJ,SUSP ? ******* * ******* * P | |
7009 | Give: 600 000UNT/1ML IM BID | |
7010 | 11 P ENICILLIN INJ,SUSP ? ******* * ******* * P | |
7011 | Give: 600 000UNT/1ML IM QDAILY | |
7012 | - - - - - - - - - - - - - - - N O N - A C T I V E - - - - - - - - - - - - - - - | |
7013 | 12 C EFAZOLIN 1 GM C 11/02/0 1 12/07/0 1 E | |
7014 | i n 5% DEXTR OSE 1000 M L QID | |
7015 | 13 z C2TESTDRUG 1 LITER C 12/14/0 1 12/21/0 1 E | |
7016 | i n 5% DEXTR OSE 1000 M L QDAILY | |
7017 | Enter RETU RN to cont inue or '^ ' to exit: <Enter> | |
7018 | Patie nt: PSJPAT IENT1,ONE Status : ACTIVE | |
7019 | *(1) Addi tives: O rder numbe r: 29 Type : PIGGYBAC K | |
7020 | MUL TIVITAMINS 5 ML | |
7021 | (2) Solu tions: | |
7022 | 0.9 % SODIUM C HLORIDE 10 00 ML | |
7023 | Duration: | |
7024 | *(4) Start: 02/ 28/02 13: 56 | |
7025 | (3) Infu sion Rate: INFUSE OV ER 8 HOURS . | |
7026 | *(5) Med Route: IV *(6) Stop : 03/30/02 24:00 | |
7027 | *(7) Schedule: QDAILY Last F ill: ***** *** | |
7028 | (8) Ad min Times: 09-13-17- 21 Quantity : 0 | |
7029 | *(9) Provider: PSJPROVID ER,ONE [w ] Cum. Doses : | |
7030 | *(10)Order able Item: MULTIVITA MINS INJ | |
7031 | Ins tructions: | |
7032 | (11) Ot her Print: | |
7033 | (12) Rem arks : | |
7034 | Ent ry By: PSJ PROVIDER,O NE Entry Date : 02/28/02 13:56 | |
7035 | ACTIVITY L OG: | |
7036 | # DATE TIME REASON USER | |
7037 | ========== ========== ========== ========== ========== ========== ========== ========= | |
7038 | 1 FEB 28, 2002 13:58 :30 VERIFY PSJPHARMAC IST,ONE | |
7039 | Comment : ORDER VE RIFIED BY PHARMACIST | |
7040 | ----- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
7041 | Patient: P SJPATIENT1 ,ONE Stat us: ACTIVE | |
7042 | Orderable Item: BACL OFEN TAB | |
7043 | Instruct ions: | |
7044 | Dosage Ord ered: 10MG | |
7045 | Dura tion: St art: 02/20 /02 15:20 | |
7046 | Med R oute: ORAL (PO) S top: 03/06 /02 24:00 | |
7047 | Schedule Type: CONT INUOUS | |
7048 | Sche dule: QDAI LY | |
7049 | Admin T imes: 1440 | |
7050 | Prov ider: PSJP ROVIDER,ON E [w] | |
7051 | Special In structions : PATIENT SPITS OUT MEDICINE | |
7052 | Un its Unit s Inacti ve | |
7053 | Dispense Drugs U/D Di sp'd Ret' d Date | |
7054 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
7055 | BACLOFEN 10MG TABS 1 0 0 | |
7056 | Entry By: PSJPROVIDE R,ONE Entry Da te: 02/20/ 02 15:20 | |
7057 | ACTIVITY L OG: | |
7058 | # DATE TIME REASON USER | |
7059 | ========== ========== ========== ========== ========== ========== ========== ========= | |
7060 | (THE OR DERABLE IT EM IS CURR ENTLY LIST ED AS INAC TIVE.) | |
7061 | Date: 02/20/02 15:20 User: PSJP HARMACIST, ONE | |
7062 | Activity: ORDER ENTE RED AS ACT IVE BY PHA RMACIST | |
7063 | ----- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
7064 | Patient: P SJPATIENT1 ,ONE Sta tus: ACTIV E | |
7065 | Orderable Item: PRED NISONE TAB | |
7066 | Instruct ions: | |
7067 | Dosage Ord ered: 5MG | |
7068 | Dura tion: St art: 02/25 /02 10:58 | |
7069 | Med R oute: ORAL (PO) S top: 03/11 /02 24:00 | |
7070 | Schedule Type: CONT INUOUS | |
7071 | Sche dule: TU-T H-SA@09 | |
7072 | Admin T imes: 09 | |
7073 | Prov ider: PSJP ROVIDER,ON E [w] | |
7074 | Un its Unit s Inacti ve | |
7075 | Dispense Drugs U/D Di sp'd Ret' d Date | |
7076 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
7077 | PREDNISON E 5MG TAB 1 0 0 | |
7078 | Self Med: NO | |
7079 | Entry By: PSJPROVIDE R,ONE Entry Da te: 02/25/ 02 10:58 | |
7080 | ACTIVITY L OG: | |
7081 | # DATE TIME REASON USER | |
7082 | ========== ========== ========== ========== ========== ========== ========== ========= | |
7083 | Date: 02/25/02 10:58 User: PSJP HARMACIST, ONE | |
7084 | Activity: ORDER VERI FIED BY PH ARMACIST | |
7085 | Align Labe ls (Unit D ose) XE "A lign Label s (Unit Do se)" | |
7086 | [PSJU AL] | |
7087 | The Align Labels (Un it Dose) o ption allo ws the use r to align the label stock on a printer so that Un it Dose or der inform ation will print wit hin the ph ysical bou ndaries of the label . | |
7088 | Example: A lign Label s (Unit Do se) XE "Al ign Labels (Unit Dos e) Example " | |
7089 | Select Uni t Dose Med ications O ption: ALI Gn Labels (Unit Dose ) | |
7090 | Select LAB EL PRINTER : <Enter> TELNET | |
7091 | \--------- ---- FIRST LINE OF L ABEL ----- -------/ | |
7092 | < > | |
7093 | <--------- ---- LABEL BOUNDARIE S -------- -------> | |
7094 | < > | |
7095 | /--------- -----LAST LINE OF LA BEL------- -------\ | |
7096 | XX/XX | X X/XX | XX/ XX/XX XX: XX (PXXXX ) | A T PATIENT NAME | |
7097 | ROO M-BED | |
7098 | DRUG NAME SCHEDULE T YPE| D I XXX-XX-X XXX DOB (AGE) | |
7099 | TEAM | |
7100 | DOSAGE OR DERED ME D ROUTE SCHEDULE | M M SEX DIAGN OSIS | |
7101 | SPECIAL I NSTRUCTION S | I E ACTIVITY DATE/TIME ACTIVITY | |
7102 | WS HSM NF RPH:_ ____ RN:__ ___| N S WARD GRO UP | |
7103 | WARD | |
7104 | Are the l abels alig ned correc tly? Yes// Y (Yes) | |
7105 | Label Prin t/Reprint XE "Label Print/Repr int" | |
7106 | [PSJU LABE L] | |
7107 | The Label Print/Repr int option allows th e user to print new unprinted labels and /or reprin t the late st label f or any ord er contain ing a labe l record. When enter ing this o ption, the nurse wil l be infor med if the re are any unprinted new label s from aut o-cancelle d orders ( i.e., due to ward or service t ransfers). The nurse will be s hown a lis t of wards to choose from if t hese label s are to b e printed at this ti me. The nu rse can de lete these auto-canc el labels; however, deletion w ill be for all of th e labels. | |
7108 | Next, the nurse will be instru cted if th ere are an y unprinte d new labe ls. The nu rse can th en decide whether to print the m now or l ater. | |
7109 | The nurse can choose to print the labels for a gro up (G), wa rd (W) XE "Ward" , c linic (C) XE "Clinic " , or pat ient (P). When group is select ed, a prom pt to sele ct by ward group (W) XE "Ward Group" or clinic gr oup (C) XE "Clinic G roup" dis plays. If ward, ward group, cl inic, or c linic grou p is chose n, the lab el start d ate will b e entered and the la bels will print on t he specifi ed printer device. W hen the op tion to pr int by ind ividual pa tient is c hosen, an Inpatient Profile XE "Inpatien t Profile" will be displayed and the nu rse can th en choose the labels from the displayed Unit Dose and IV ord ers to be printed on a specifi ed printer . | |
7110 | Inquiries Options XE "Inquirie s Options" | |
7111 | All of the Inquiries Options a re located under the INQuiries Menu opti on on the Unit Dose Medication s XE "Unit Dose Medi cations" menu. | |
7112 | INQuiries Menu | |
7113 | [PSJU INQM GR] | |
7114 | The INQuir ies Menu X E "Inquiri es Menu" option all ows the us er to view informati on concern ing standa rd schedul es and dru gs. No inf ormation i n this opt ion can be edited, s o there is no danger of disrup ting the U nit Dose M edications module’s operation. The INQui ries Menu contains t he followi ng sub-opt ions: | |
7115 | Example: I nquiries M enu XE "In quiries Me nu Example " | |
7116 | Select Uni t Dose Med ications O ption: INQ uiries Men u | |
7117 | Select INQ uiries Men u Option: ? | |
7118 | Dispense D rug Look-U p | |
7119 | Standard S chedules | |
7120 | Dispense D rug Look-U p XE "Disp ense Drug Look-Up" | |
7121 | [PSJU INQ DRUG] | |
7122 | The Dispen se Drug Lo ok-Up opti on allows the user t o see what drugs are in the DR UG file XE "Drug Fil e" and an y Unit Dos e informat ion pertai ning to th em. | |
7123 | At the “Se lect DRUG: ” prompt, the nurse can answer with drug number, q uick code XE "Quick Code" , or VA drug c lass code XE "VA Dru g Class Co de" (for IV, soluti on XE "Sol ution" pr int name, or additiv e XE "Addi tive" pri nt name). Informatio n about th e selected drug will be displa yed. | |
7124 | Example: D ispense Dr ug Look-Up XE "Dispe nse Drug L ook-Up Exa mple" | |
7125 | Select Uni t Dose Med ications O ption: INQ uiries Men u | |
7126 | Select INQ uiries Men u Option: DIspense D rug Look-U p | |
7127 | Select DRU G: ASP | |
7128 | 1 A SPIRIN 10 GRAIN SUPP OSITORIES CN103 02-18-98 INPAT IENT | |
7129 | 2 A SPIRIN 325 MG CN103 N/F *90-DAY FILL* | |
7130 | 3 A SPIRIN 325 MG E.C. CN 103 *90-DAY FILL* | |
7131 | 4 A SPIRIN 325 MG E.C. U/ D CN103 N/F TAB | |
7132 | 5 A SPIRIN 325 MG U/D CN1 03 | |
7133 | Press <RET URN> to se e more, '^ ' to exit this list, OR | |
7134 | CHOOSE 1-5 : 5 ASPIR IN 325MG U /D CN103 | |
7135 | FORMULARY ITEM | |
7136 | A UNIT DO SE DRUG | |
7137 | DAY (nD) or DOSE ( nL) LIMIT: | |
7138 | UNIT DOSE MED ROUTE: | |
7139 | UNIT DOSE SCHE DULE TYPE: | |
7140 | UNIT DOSE SCHEDULE: | |
7141 | CORRESPOND ING OUTPAT IENT DRUG: | |
7142 | ATC MNEMONIC: | |
7143 | ATC CANISTER: WEST WING 12 | |
7144 | SOUTH WIN G 12 | |
7145 | JUNK ONE 12 | |
7146 | TESSS 12 | |
7147 | 11;PS(57. 5, 12 | |
7148 | 13;PS(57. 5, 12 | |
7149 | 14;PS(57. 5, 12 | |
7150 | 15;PS(57. 5, 12 | |
7151 | 16;PS(57. 5, 12 | |
7152 | 17;PS(57. 5, 12 | |
7153 | 18;PS(57. 5, 12 | |
7154 | 21;PS(57. 5, 12 | |
7155 | 22;PS(57. 5, 12 | |
7156 | Select DRU G: | |
7157 | Standard S chedules X E "Standar d Schedule s" | |
7158 | [PSJU INQ STD SCHD] | |
7159 | It is extr emely impo rtant for all users to know th e method o f schedule XE "Sched ule" inpu t. When th e user ent ers a stan dard sched ule XE "St andard Sch edules" , the system will echo back the correspond ing Admini stration t imes. | |
7160 | At the “Se lect STAND ARD SCHEDU LE:” promp t, enter a n administ ration sch edule abbr eviation t o view inf ormation p ertaining to that sc hedule. An explanati on of the selected s chedule wi ll be disp layed. To view a lis t of the a vailable a dministrat ion schedu le abbrevi ations, en ter a ques tion mark (?) at the prompt “S elect STAN DARD SCHED ULE:”. | |
7161 | Example: S tandard Sc hedules XE "Standard Schedules Example" | |
7162 | Select INQ uiries Men u Option: STandard S chedules | |
7163 | Select STA NDARD SCHE DULE: q4H 01-05 -09-13-17- 21 | |
7164 | Schedule : Q4H Ty pe: CONTIN UOUS | |
7165 | Standard Admin Tim es: 01-05- 09-13-17-2 1 | |
7166 | Select STA NDARD SCHE DULE: | |
7167 | CPRS Order Checks: H ow They Wo rk XE "CPR S Order Ch ecks\: How They Work " | |
7168 | CPRS Order Checks In troduction XE "CPRS Order Chec ks Introdu ction" | |
7169 | In CPRS, O rder Check s occur by evaluatin g a reques ted order against ex isting pat ient data. Most orde r checks a re process ed via the CPRS Expe rt System. A few are processed within th e Pharmacy , Allergy Tracking S ystem, and Order Ent ry package s. Order C hecks are a real-tim e process that occur s during t he orderin g session and is dri ven by res ponses ent ered by th e ordering provider. Order Che ck message s are disp layed inte ractively in the ord ering sess ion. | |
7170 | Order Chec ks review existing d ata and cu rrent even ts to prod uce a rele vant messa ge, which is present ed to pati ent caregi vers. Orde r Checks u se the CPR S Expert S ystem (OCX namespace ), to defi ne logical expressio ns for thi s evaluati on and mes sage creat ion. In ad dition to the expert system Or der Checks have some hard-code d algorith ms. For ex ample, the drug-drug interacti on order c heck is ma de via an entry poin t in the p harmacy pa ckage wher eas Renal Functions for Patien ts Over 65 is define d as a rul e in the C PRS Expert System. | |
7171 | Order Chec k Data Cac hing XE "O rder Check Data Cach ing" | |
7172 | Data cachi ng was rec ently adde d to impro ve the spe ed of orde r checks X E "Order c heck:data caching" | |
7173 | ||
7174 | XE "Order check:XTM P" | |
7175 | ||
7176 | XE "Order check:OCX CACHE" . B efore data caching, order chec ks could b e slow bec ause each order chec k retrieve d data fro m the othe r VISTA pa ckages—eve n if the o rder check s used the same data . With dat a caching, the first order che ck in an o rdering se ssion retr ieves data from othe r VISTA pa ckages, us es the dat a to evalu ate whethe r it shoul d display a warning, and then stores the retrieved data in t he ^XTMP(“ OCXCACHE” XE "XTMP" | |
7177 | ||
7178 | XE "OCXCA CHE" glob al for fiv e minutes. The order checks th at occur i n the next five minu tes can us e the cach ed data, i f it is th e appropri ate data, instead of retrievin g data fro m the othe r packages . After fi ve minutes , the cach ed data ex pires, and order che cks must r etrieve ne w data fro m the VIST A packages . | |
7179 | For exampl e, before data cachi ng was imp lemented, if an orde r check to ok 3 secon ds to retr ieve data from other VISTA pac kages, and there wer e 12 order checks, c linicians might wait 36 second s to sign orders. Wi th data ca ching, the first ord er check m ight take 3 seconds to retriev e the data , but subs equent ord er checks could use the cache and might take only .03 second s each. Th at would b e 3.33 sec onds compa red to 36 seconds. T he numbers in this e xample are for illus tration on ly and do not reflec t real sys tem speed. However, data cachi ng should speed up o rder check s. | |
7180 | To avoid u sing all a vailable d isk space for storin g data fro m order ch ecks, ther e are seve ral ways t o clear th e ^XTMP(“O CXCACHE” g lobal. ORM TIME remov es data fr om the glo bal when i t runs. Th e suggeste d frequenc y for runn ing ORMTIM E is every 30 minute s, but not every sit e runs it that frequ ently. Ker nel clean up utiliti es also re move data from the c ache when they run, which is u sually eve ry 24 hour s. If need ed, users that have access to the progra mmer’s pro mpt can ma nually cle ar the cac he from th at prompt by using P URGE^OCXCA CHE. | |
7181 | (This page included for two-si ded copyin g.) | |
7182 | Error Mess ages XE "E rror Messa ges" | |
7183 | Error Info rmation XE "Error In formation" | |
7184 | The text i n the erro r message and reason column wi ll be disp layed to t he user. T he type of error is displayed in Column 1. | |
7185 | There are three leve ls of erro r messages : | |
7186 | SystemWhen such an e rror occur s, Drug In teraction, Duplicate Therapy, or Dosing order chec ks will be performed . Other or der checks that do n ot use the COTS data base (FDB) will stil l be perfo rmed such as allergy /ADRs, dup licate dru g (for out patient on ly) and ne w CPRS ord er checks, etc.Drug The second error lev el is for the drug a nd no Drug Interacti on, Duplic ate Therap y, or Dosi ng order c hecks will be perfor med for a specific d rug. Drug level erro rs can occ ur for the prospecti ve drug (d rug being processed) or the pr ofile drug . If a dru g level er ror occurs on the pr ospective drug, no p rofile dru g errors w ill be dis played. Th e only exc eption to this is wh en you are processin g an IV or der with m ultiple pr ospective drugs (i.e . multiple IV Additi ves). Prof ile drug l evel error s will onl y be shown once per patient se ssion. | |
7187 | There are two reason s that a d rug level error is g enerated; the drug i s not matc hed to NDF or the dr ug is matc hed to NDF , but the VA Product to which it is matc hed does n ot have a GCNSEQNO a ssigned or the GCNSE QNO assign ed does no t match up to the GC NSEQNO in the COTS d atabase. T he latter (GCNSENO m ismatch) i s rare.Ord er The thi rd error l evel is fo r the orde r. Order l evel error s will onl y occur wi th dosing order chec ks. Please see the D osing Orde r Check Us er Manual for more i nformation .Error Lev elError Me ssageReaso nWhy messa ge is bein g displaye dSystemNo Enhanced O rder Check s can be p erformed.V endor Data base canno t be reach ed.The con nectivity to the ven dor databa se has gon e down. A MailMan me ssage is s ent to the G. PSS OR DER CHECKS mail grou p when the link goes down and when it co mes back u p.SystemNo Enhanced Order Chec ks can be performed. The connec tion to th e vendor d atabase ha s been dis abled.A us er has exe cuted the Enable/Dis able Vendo r Database Link [PSS ENABLE/DI SABLE DB L INK] optio n and disa bled the i nterface.S ystemNo En hanced Ord er Checks can be per formedVend or databas e updates are being processedT he vendor database ( custom and standard data) is b eing updat ed using t he DATUP ( Data Updat e) process .SystemNo Enhanced O rder Check s can be p erformedAn unexpecte d error ha s occurred There is a system ne twork prob lem and th e vendor d atabase ca nnot be re ached or a software interface issue.Drug Enhanced O rder Check s cannot b e performe d for Loca l or Local Outpatien t Drug: <D RUG NAME>D rug not ma tched to N DFThe loca l drug bei ng ordered / or on pr ofile has not been m atched to NDF. Match ing the dr ug to a VA Product w ill elimin ate this m essage.Dru gOrder Che cks could not be don e for Remo te Drug: < DRUG NAME> , please c omplete a manual che ck for Dru g Interact ions and D uplicate T herapy. | |
7188 | Remote ord er indicat orIf this error mess age is dis played, it means tha t the VA p roduct tha t the loca l or remot e drug bei ng ordered /or on the local or remote pro file does not have a GCNSEQNO or in rare cases, th e GCNSEQNO assigned to the VA Product do es not mat ch up with a GCNSEQN O in the v endor data base. Drug Enhanced O rder Check s cannot b e performe d for Orde rable Item : <OI NAME >No active Dispense Drug found Highly unl ikely that this erro r would be seen. At the time t he order c heck was b eing perfo rmed the o rderable i tem did no t have an active dis pense drug associate d.Glossary XE "Gloss ary" | |
7189 | Action Pro mptsThere are three types of I npatient M edications “Action” prompts th at occur d uring orde r entry: L istMan, Pa tient/Orde r, and Hid den action prompts.L istMan Act ion Prompt s+ | |
7190 | Next Scree n | |
7191 | - | |
7192 | Previous S creen | |
7193 | UP | |
7194 | Up a Line | |
7195 | DN | |
7196 | Down a Lin e | |
7197 | > | |
7198 | Shift View to Right | |
7199 | < | |
7200 | Shift View to Left | |
7201 | FS | |
7202 | First scre en | |
7203 | LS | |
7204 | Last Scree n | |
7205 | GO | |
7206 | Go to Page | |
7207 | RD | |
7208 | Re Display Screen | |
7209 | PS | |
7210 | Print Scre en | |
7211 | PT | |
7212 | Print List | |
7213 | SL | |
7214 | Search Lis t | |
7215 | Q | |
7216 | Quit | |
7217 | ADPL | |
7218 | Auto Displ ay (on/off )Patient/O rder Actio n PromptsP U | |
7219 | Patient Re cord Updat es | |
7220 | DA | |
7221 | Detailed A llergy/ADR List XE " Detailed A llergy/ADR List" | |
7222 | VP | |
7223 | View Profi le XE "Vie w Profile" | |
7224 | NO | |
7225 | New Orders Entry | |
7226 | IN | |
7227 | Interventi on Menu XE "Interven tion Menu" | |
7228 | PI | |
7229 | Patient In formation XE "Patien t Informat ion" | |
7230 | SO | |
7231 | Select Ord er XE "Sel ect Order" | |
7232 | DC | |
7233 | Discontinu e | |
7234 | ED | |
7235 | Edit | |
7236 | FL | |
7237 | Flag | |
7238 | VF | |
7239 | Verify | |
7240 | HD | |
7241 | Hold | |
7242 | RN | |
7243 | Renew | |
7244 | AL | |
7245 | Activity L ogs | |
7246 | OC | |
7247 | On Call | |
7248 | NL | |
7249 | Print New IV Labels | |
7250 | RL | |
7251 | Reprint IV Labels | |
7252 | RC | |
7253 | Recycled I V | |
7254 | DT | |
7255 | Destroyed IV | |
7256 | CA | |
7257 | Cancelled IV | |
7258 | Hidden Act ion Prompt sLBL | |
7259 | Label Pati ent/Report | |
7260 | JP | |
7261 | Jump to a Patient | |
7262 | OTH | |
7263 | Other Phar macy Optio ns | |
7264 | MAR | |
7265 | MAR Menu | |
7266 | DC | |
7267 | Speed Disc ontinue XE "Speed Ac tions:Spee d Disconti nue" | |
7268 | RN | |
7269 | Speed Rene w XE "Spee d Actions: Speed Rene w" | |
7270 | SF | |
7271 | Speed Fini sh XE "Spe ed Actions :Speed Fin ish" | |
7272 | SV | |
7273 | Speed Veri fy XE "Spe ed Actions :Speed Ver ify" | |
7274 | CO | |
7275 | Copy | |
7276 | N | |
7277 | Mark Not t o be Given | |
7278 | I | |
7279 | Mark Incom plete | |
7280 | DIN | |
7281 | Drug Restr /Guide | |
7282 | DA | |
7283 | Display Dr ug Allergi es | |
7284 | OCI | |
7285 | Overrides/ Interventi ons | |
7286 | CK | |
7287 | Check Inte ractionsAc tive Order Any order which has not expire d or been discontinu ed. Active orders al so include any order s that are on hold X E "Hold" or on call .Activity Reason Log The comple te list of all activ ity relate d to a pat ient order . The log contains t he action taken, the date of t he action, and the u ser who to ok the act ion.Activi ty RulerTh e activity ruler pro vides a vi sual repre sentation of the rel ationship between ma nufacturin g times, d oses due, and order start time s. The int ent is to provide th e on-the-f loor user with a mea ns of trac king activ ity in the IV room X E "IV Room " and det ermining w hen to cal l for dose s before t he normal delivery. The activi ty ruler c an be enab led or dis abled unde r the SIte Parameter s (IV) opt ion.Additi veA drug t hat is add ed to an I V solution XE "IV So lution" f or the pur pose of pa renteral X E "Parente ral" admi nistration . An addit ive XE "Ad ditive" c an be an e lectrolyte , a vitami n or other nutrient, or an ant ibiotic. O nly an ele ctrolyte o r multivit amin type additives can be ent ered as IV fluid add itives in CPRS XE "C PRS" .ADMI NISTRATION SCHEDULE XE "Admini stration S chedule" FileFile # 51.1. This file cont ains admin istration schedule n ames and s tandard do sage admin istration times. The name is a common ab breviation for an ad ministrati on schedul e type (e. g., QID, Q 4H, PRN). The admini stration t ime entere d is in mi litary tim e, with ea ch time se parated fr om the nex t by a das h, and tim es listed in ascendi ng order.A dministeri ng TeamsNu rsing team s used in the admini stration o f medicati on to the patients. There can be a numbe r of teams assigned to take ca re of one ward, with specific rooms and beds assig ned to eac h team.Adm ixture | |
7288 | Allergy/AD R Order Ch eckAn admi xture XE " Admixture" is a typ e of intra venously a dministere d medicati on compris ed of any number of additives (including zero) in one soluti on XE "Sol ution" . I t is given at a spec ified flow rate; whe n one bott le or bag is empty, another is hung. | |
7289 | The screen ing of a p atient’s d ocumented allergies or adverse reactions against a medicatio n ordered by a provi der.APSP I NTERVENTIO N File Fil e #9009032 .4. This f ile is use d to enter pharmacy interventi ons. Inter ventions i n this fil e are reco rds of occ urrences w here the p harmacist had to tak e some sor t of actio n involvin g a partic ular presc ription or order. A record wou ld record the provid er involve d, why an interventi on XE "Int ervention" was nece ssary, wha t action w as taken b y the phar macists, e tc.Average Unit Drug CostThe t otal drug cost divid ed by the total numb er of unit s of measu rement.BSA Body Surfa ce Area. T he Dubois formula is used to c alculate t he Body Su rface Area using the following formula: | |
7290 | BSA (m²) = 0.20247 x Height (m )0.725 x W eight (kg) 0.425 | |
7291 | The equati on is perf ormed usin g the most recent pa tient heig ht and wei ght values that are entered in to the vit als packag e. | |
7292 | The calcul ation is n ot intende d to be a replacemen t for inde pendent cl inical jud gment.BCMA A VistA co mputer sof tware pack age named Bar Code M edication Administra tion. This package v alidates m edications against a ctive orde rs prior t o being ad ministered to the pa tient.Calc Start Dat eCalculate d Start Da te. This i s the date that woul d have bee n the defa ult Start Date/Time for an ord er if no d uration wa s received from CPRS . Due to t he existen ce of a du ration, th e default Start Date /Time of t he order b ecomes the expected first dose .Calc Stop DateCalcu lated Stop Date. Thi s is the d ate that w ould have been the d efault Sto p Date/Tim e for an o rder if no duration was receiv ed from CP RS. Due to the exist ence of a duration, the defaul t Stop Dat e/Time of the order becomes th e expected first dos e plus the duration. Chemothera pyChemothe rapy is th e treatmen t or preve ntion of c ancer with chemical agents. Th e chemothe rapy XE "C hemotherap y" IV typ e administ ration can be a syri nge XE "Sy ringe" , a dmixture X E "Admixtu re" , or a piggyback XE "Piggy back" . On ce the sub type (syri nge XE "Sy ringe" , p iggyback X E "Piggyba ck" , etc. ) is selec ted, the o rder entry follows t he same pr ocedure as the type that corre sponds to the select ed subtype (e.g., pi ggyback XE "Piggybac k" type o f chemothe rapy XE "C hemotherap y" follow s the same entry pro cedure as regular pi ggyback XE "Piggybac k" IV).Ch emotherapy : “Admixtu re”;The Ch emotherapy “Admixtur e” IV type follows t he same or der entry procedure as the reg ular admix ture XE "A dmixture" IV type. This type is in use when the l evel of to xicity of the chemot herapy XE "Chemother apy" drug is high a nd is to b e administ ered conti nuously ov er an exte nded perio d of time (e.g., hou rs or days ).Chemothe rapy “Pig gyback”The Chemother apy “Piggy back” IV t ype follow s the same order ent ry procedu re as the regular pi ggyback XE "Piggybac k" IV typ e. This ty pe of chem otherapy X E "Chemoth erapy" is in use wh en the che motherapy XE "Chemot herapy" d rug does n ot have ti me constra ints on ho w fast it must be in fused into the patie nt. These types are normally a dministere d over a 3 0 - 60 min ute interv al.Chemoth erapy “Syr inge”The C hemotherap y “Syringe ” IV type follows th e same ord er entry p rocedure a s the regu lar syring e XE "Syri nge" IV t ype. Its a dministrat ion may be continuou s or inter mittent. T he pharmac ist select s this typ e when the level of toxicity o f the chem otherapy X E "Chemoth erapy" dr ug is low and needs to be infu sed direct ly into th e patient within a s hort time interval ( usually 1- 2 minutes) .Child Ord ersOne or more Inpat ient Medic ation Orde rs that ar e associat ed within a Complex order and are linked together using the conjunctio ns AND and OR to cre ate combin ations of dosages, m edication routes, ad ministrati on schedul es, and or der durati ons.CLINIC DEFINITIO N fileFile #53.46. T his file i s used in conjunctio n with Inp atient Med ications f or Outpati ents (IMO) to give t he user th e ability to define, by clinic , default stop dates , whether to auto-dc IMO order s, and whe ther to se nd IMO ord ers to BCM A. User’s may also d efine a Mi ssing Dose Request p rinter and a Pre-Exc hange Repo rt printer .Clinic Gr oupA clini c group is a combina tion of ou tpatient c linics tha t have bee n defined as a group within In patient Me dications to facilit ate proces sing of or ders.Clini cal Remind er Order C hecks (CRO C)CPRS Ord er Checks that use C linical Re minder fun ctionality , both rem inder term s and remi nder defin itions, to perform c hecks for groups of orderable items.Comp lex OrderA n order th at is crea ted from C PRS using the Comple x order di alog and c onsists of one or mo re associa ted Inpati ent Medica tion order s, known a s “child” orders.Con tinuous IV OrderInpa tient Medi cations IV order not having an administr ation sche dule. This includes the follow ing IV typ es: Hypera ls, Admixt ures, Non- Intermitte nt Syringe , and Non- Intermitte nt Syringe or Admixt ure Chemot herapy.Con tinuous Sy ringeA syr inge XE "S yringe" t ype of IV that is ad ministered continuou sly to the patient, similar to a hyperal XE "Hyper al" IV ty pe. This t ype of syr inge XE "S yringe" i s commonly used on o utpatients and admin istered au tomaticall y by an in fusion pum p.Coverage TimesThe start and end of cov erage peri od designa tes admini stration t imes cover ed by a ma nufacturin g run. The re must be a coverag e period f or all IV types: adm ixtures XE "Admixtur e" and pr imaries, p iggybacks XE "Piggyb ack" , hyp erals, syr inges, and chemother apy XE "Ch emotherapy " . For on e type, ad mixtures X E "Admixtu re" for e xample, th e user mig ht define two covera ge periods ; one from 1200 to 0 259 and an other from 0300 to 1 159 (this would mean that the user has t wo manufac turing tim es for adm ixtures XE "Admixtur e" ). CPRS XE "CPRS" A VistA XE "VistA" computer software package ca lled Compu terized Pa tient Reco rd Systems . CPRS is an applica tion in Vi stA that a llows the user to en ter all ne cessary or ders for a patient i n differen t packages from a si ngle appli cation. Al l pending orders tha t appear i n the Unit Dose and IV modules are initi ally enter ed through the CPRS package.Cr CLCreatini ne Clearan ce. The Cr CL value w hich displ ays in the pharmacy header is identical to the CrC L value ca lculated i n CPRS. Th e formula approved b y the CPRS Clinical Workgroup is the fol lowing: | |
7293 | Modified C ockcroft-G ault equat ion using | |
7294 | Adjusted B ody Weight in kg (if ht > 60in ) | |
7295 | This calcu lation is not intend ed to be a replaceme nt for ind ependent c linical ju dgment.Cri tical Drug -Drug Inte raction XE " Critica l Drug-Dru g Interact ion " One of two typ es of drug -drug inte ractions i dentified by order c hecks. The other typ e is a “si gnificant” drug-drug interacti onCumulati ve DosesTh e number o f IV doses actually administer ed, which equals the total num ber of bag s dispense d less any recycled, destroyed , or cance lled bags. DATUPData Update (DA TUP). Func tionality that allow s the Phar macy Enter prise Cust omization System (PE CS) to sen d out VA c ustom and standard c ommercial- off-the-sh elf (COTS) vendor da tabase cha nges to up date the p roduction and pre-pr oduction c entralized MOCHA dat abases at Austin and Philadelp hia.Defaul t AnswerTh e most com mon answer , predefin ed by the system to save time and keystr okes for t he user. T he default answer ap pears befo re the two slash mar ks (//) an d can be s elected by the user by pressin g <Enter>. Dispense D rug XE "Di spense Dru g" The Dis pense Drug is pulled from the DRUG file (#50) and usually ha s the stre ngth attac hed to it (e.g., Ace taminophen 325 mg). Usually, t he name al one withou t a streng th attache d is the O rderable I tem XE "Or derable It em" name. Delivery T imesThe ti me(s) when IV orders are deliv ered to th e wards.Do sage Order ed XE "Dos age Ordere d" After t he user ha s selected the drug during ord er entry, the dosage ordered p rompt is d isplayed. DRUG ELECT ROLYTES fi leFile #50 .4. This f ile contai ns the nam es of anio ns/cations , and thei r concentr ation unit s. DRUG fi leFile #50 . This fil e holds th e informat ion relate d to each drug that can be use d to fill a prescrip tion. Dura tionThe le ngth of ti me between the Start Date/Time and Stop Date/Time for an Inp atient Med ications o rder. The default du ration for the order can be sp ecified by an orderi ng clinici an in CPRS by using the Comple x Dose tab in the In patient Me dications ordering d ialog.Elec trolyte | |
7296 | Enhanced O rder Check sAn additi ve XE "Add itive" th at disasso ciates int o ions (ch arged part icles) whe n placed i n solution XE "Solut ion" . | |
7297 | Drug–Drug Interactio n, Duplica te Therapy , and Dosi ng order c hecks that are execu ted utiliz ing FDB’s MedKnowled ge Framewo rk APIs an d database .Entry ByT he name of the user who entere d the Unit Dose or I V order in to the com puter. Hos pital Supp lied Self MedSelf me dication, which is t o be suppl ied by the Medical C enter’s ph armacy. Ho spital sup plied self med is on ly prompte d for if t he user an swers Yes to the SEL F MED: pro mpt during order ent ry.Hyperal imentation (Hyperal) Long term feeding of a protein -carbohydr ate soluti on XE "Sol ution" . E lectrolyte s, fats, t race eleme nts, and v itamins ca n be added . Since th is solutio n XE "Solu tion" gen erally pro vides all necessary nutrients, it is com monly refe rred to as Total Par enteral Nu trition (T PN). A hyp eral XE "H yperal" i s composed of many a dditives i n two or m ore soluti ons XE "So lution" . When the l abels prin t, they sh ow the ind ividual el ectrolytes in the hy peral XE " Hyperal" order.Infu sion RateT he designa ted rate o f flow of IV fluids into the p atient.INP ATIENT USE R PARAMETE RS fileFil e #53.45. This file is used to tailor va rious aspe cts of the Inpatient Medicatio ns package with rega rds to spe cific user s. This fi le also co ntains fie lds that a re used as temporary storage o f data dur ing order entry/edit .INPATIENT WARD PARA METERS fil eFile #59. 6. This fi le is used to tailor various a spects of the Inpati ent Medica tions pack age with r egards to specific w ards.Inter mittent Sy ringeA syr inge XE "S yringe" t ype of IV that is ad ministered periodica lly to the patient a ccording t o an admin istration schedule X E "Schedul e" . Inter nal Order NumberThe number on the top le ft corner of the lab el of an I V bag in b rackets ([ ]). This number can be used t o speed up the entry of return s and dest royed IV b ags.IV ADD ITIVES XE "IV Additi ves" file File #52.6 . This fil e contains drugs tha t are used as additi ves in the IV room X E "IV Room " . Data e ntered inc ludes drug generic n ame, print name, dru g informat ion, synon ym(s), dis pensing un its, cost per unit, days for I V order, u sual IV sc hedule XE "Schedule" , adminis tration ti mes, elect rolytes, a nd quick c ode XE "Qu ick Code" informati on.IV CATE GORY fileF ile #50.2. This file allows th e user to create cat egories of drugs in order to r un “tailor -made” IV cost repor ts for spe cific user -defined c ategories of drugs. The user c an group d rugs into categories .IV Durati on XE "IV Duration" The durati on of an o rder may b e entered in CPRS at the IV DU RATION OR TOTAL VOLU ME field i n the IV F luids orde r dialog. The durati on may be specified in terms o f volume ( liters or milliliter s), or tim e (hours o r days). I npatient M edications uses this value to calculate a default stop date/ time for t he order a t the time the order is finish ed. IV Lab el ActionA prompt, r equesting action on an IV labe l, in the form of “A ction ( )” , where th e valid co des are sh own in the parenthes es. The fo llowing co des are va lid: | |
7298 | ||
7299 | P – Print a specifie d number o f labels n ow. | |
7300 | ||
7301 | B – Bypass any more actions. | |
7302 | ||
7303 | S – Suspen d a specif ied number of labels for the I V room XE "IV Room" to print on demand. IV Room Na meThe name identifyi ng an IV d istributio n area.IV SOLUTIONS fileFile # 52.7. This file cont ains drugs that are used as pr imary solu tions XE " Solution" in the IV room XE " IV Room" . The solut ion XE "So lution" m ust alread y exist in the Drug file (#50) to be sel ected. Dat a in this file inclu des: drug generic na me, print name, stat us, drug i nformation , synonym( s), volume , and elec trolytes.I V STATS fi leFile #50 .8. This f ile contai ns informa tion conce rning the IV workloa d of the p harmacy. T his file i s updated each time the COmpil e IV Stati stics opti on is run and the da ta stored is used as the basis for the A MIS (IV) r eport.Labe l DeviceTh e device, identified by the us er, on whi ch compute r-generate d labels w ill be pri nted.Local Possible Dosages XE "Local Po ssible Dos ages" Free text dosa ges that a re associa ted with d rugs that do not mee t all of t he criteri a for Poss ible Dosag es XE "Pos sible Dosa ges" .LVPL arge Volum e Parenter al (LVP) X E "Large Volume Par enteral (L VP)" — Ad mixture XE "Admixtur e" . A sol ution XE " Solution" intended for contin uous paren teral XE " Parenteral " infusio n, adminis tered as a vehicle f or additiv e XE "Addi tive" (s) or for the pharmacol ogical eff ect of the solution XE "Soluti on" itsel f. It is c omprised o f any numb er of addi tives, inc luding zer o, in one solution X E "Solutio n" . An LV P runs con tinuously, with anot her bag hu ng when on e bottle o r bag is e mpty. Manu facturing TimesThe t ime(s) tha t designat e(s) the g eneral tim e when the manufactu ring list will be ru n and IV o rders prep ared. This field in the SIte P arameters (IV) optio n (IV Room file (#59 .5)) is fo r document ation only and does not affect IV proces sing.MEDIC ATION ADMI NISTERING TEAM fileF ile #57.7. This file contains wards, the teams use d in the a dministrat ion of med ication to that ward , and the rooms/beds assigned to that te am. MEDICA TION INSTR UCTION fil eFile #51. This file is used b y Outpatie nt Pharmac y and Unit Dose Spec ial Instru ctions. (N ot used by IV Other Print Info .) It cont ains the m edication instructio n name, ex pansion, a nd intende d use.MEDI CATION ROU TES XE "Me dication R outes" fi leFile #51 .2. This f ile contai ns medicat ion route names. The user can enter an a bbreviatio n for each route to be used at their sit e. The abb reviation will most likely be the Latin abbreviati on for the term.Medi cation Rou tes/Abbrev iationsRou te by whic h medicati on is admi nistered ( e.g., oral ). The Med ication Ro utes file (#51.2) co ntains the routes an d abbrevia tions, whi ch are sel ected by e ach VAMC. The abbrev iation can not be lon ger than f ive charac ters to fi t on label s and the MAR. The u ser can ad d new rout es and abb reviations as approp riate. Non -Formulary DrugsThe medication s that are defined a s commerci ally avail able drug products n ot include d in the V A National Formulary .Non-VA Me dsTerm tha t encompas ses any Ov er-the-Cou nter (OTC) medicatio ns, Herbal supplemen ts, Vetera ns Health Administra tion (VHA) prescribe d medicati ons but pu rchased by the patie nt at an o utside pha rmacy, and medicatio ns prescri bed by pro viders out side VHA. All Non-VA Meds must be docume nted in pa tients’ me dical reco rds.Non-Ve rified Ord ersAny ord er that ha s been ent ered in th e Unit Dos e or IV mo dule that has not be en verifie d (made ac tive) by a nurse and /or pharma cist. Ward staff may not verif y a non-ve rified ord er.Orderab le Item XE "Orderabl e Item" An Orderable Item name has no st rength att ached to i t (e.g., A cetaminoph en). The n ame with a strength attached t o it is th e Dispense Drug XE " Dispense D rug" name (e.g., Ac etaminophe n 325mg). Order Chec k XE "Orde r Check" O rder check s (drug-al lergy/ADR interactio ns, drug-d rug intera ctions, du plicate dr ug, and du plicate dr ug class) are perfor med when a new medic ation orde r is place d through either the CPRS or I npatient M edications applicati ons. They are also p erformed w hen medica tion order s are rene wed, when Orderable Items are edited, or during th e finishin g process in Inpatie nt Medicat ions. This functiona lity will ensure the user is a lerted to possible a dverse dru g reaction s and will reduce th e possibil ity of a m edication error.Orde r SetsAn O rder Set i s a set of N pre-wri tten order s. (N indi cates the number of orders in an Order S et is vari able.) Ord er Sets ar e used to expedite o rder entry for drugs that are dispensed to all pat ients in c ertain med ical pract ices and p rocedures. Order Vie wComputer option tha t allows t he user to view deta iled infor mation rel ated to on e specific order of a patient. The order view prov ides basic patient i nformation and ident ification of the ord er variabl es.Parente ralIntrodu ced by mea ns other t han the di gestive tr ack.Patien t ProfileA listing o f a patien t’s active and non-a ctive Unit Dose and IV orders. The patie nt profile also incl udes basic patient i nformation , includin g the pati ent’s name , social s ecurity nu mber, date of birth, diagnosis , ward loc ation, dat e of admis sion, reac tions, and any perti nent remar ks.PECSPha rmacy Ente rprise Cus tomization System. A Graphical User Inte rface (GUI ) web-base d applicat ion used t o research , update, maintain, and report VA custom izations o f the comm ercial-off -the-shelf (COTS) ve ndor datab ase used t o perform Pharmacy o rder check s such as drug-drug interactio ns, duplic ate therap y, and dos ing.Pendin g OrderA p ending ord er is one that has b een entere d by a pro vider thro ugh CPRS X E "CPRS" without Ph armacy or Nursing fi nishing th e order. O nce Pharma cy or Nurs ing has fi nished and verified the order, it will b ecome acti ve.PEPSPha rmacy Ente rprise Pro duct Syste m. A re-en gineering of pharmac y data and its manag ement prac tices deve loped to u se a comme rcial off- the-shelf (COTS) dru g database , currentl y First Da taBank (FD B) MedKnow ledge, to provide th e latest i dentificat ion and sa fety infor mation on medication s.Pharmaci st Interve ntion XE " Pharmaci st Interve ntion " A recommenda tion provi ded by a p harmacist through th e Inpatien t Medicati ons system ’s Interve ntion proc ess acknow ledging th e existenc e of a cri tical drug -drug inte raction an d/or aller gy/ADR int eraction, and provid ing justif ication fo r its exis tence. The re are two ways an i nterventio n can be c reated, ei ther via t he Interve ntion Menu , or in re sponse to Order Chec ks.PHARMAC Y SYSTEM f ileFile #5 9.7. This file conta ins data t hat pertai ns to the entire Pha rmacy syst em of a me dical cent er, and no t to any o ne site or division. XE "CPRS" Piggyba ckSmall vo lume paren teral XE " Parenteral " solutio n XE "Solu tion" for intermitt ent infusi on. A pigg yback XE " Piggyback" is compr ised of an y number o f additive s, includi ng zero, a nd one sol ution XE " Solution" ; the mixt ure is mad e in a sma ll bag. Th e piggybac k XE "Pigg yback" is given on a schedule XE "Sched ule" (e.g ., Q6H). O nce the me dication f lows in, t he piggyba ck XE "Pig gyback" i s removed; another i s not hung until the administr ation sche dule calls for it.Po ssible Dos ages XE "P ossible Do sages" Dos ages that have a num eric dosag e and nume ric dispen se units p er dose ap propriate for admini stration. For a drug to have p ossible do sages, it must be a single ing redient pr oduct that is matche d to the V A PRODUCT file (#50. 68). The V A PRODUCT file (#50. 68) entry must have a numeric strength a nd the dos age form/u nit combin ation must be such t hat a nume ric streng th combine d with the unit can be an appr opriate do sage selec tion.Pre-E xchange Un itsThe num ber of act ual units required f or this or der until the next c art exchan ge.Primary SolutionA solution XE "Soluti on" , usua lly an LVP , administ ered as a vehicle fo r additive XE "Addit ive" (s) o r for the pharmacolo gical effe ct of the solution X E "Solutio n" itself . Infusion is genera lly contin uous. An L VP or pigg yback XE " Piggyback" has only one solut ion XE "So lution" ( primary so lution). A hyperal X E "Hyperal " can hav e one or m ore soluti ons XE "So lution" .P rint NameD rug generi c name as it is to a ppear on p ertinent I V output, such as la bels and r eports. Vo lume or St rength is not part o f the prin t name.Pri nt Name{2} Field used to record the addit ives conta ined in a commercial ly purchas ed premixe d solution XE "Solut ion" .Prof ileThe pat ient profi le shows a patient’s orders. T he Long pr ofile incl udes all t he patient ’s orders, sorted by status: a ctive, non -verified, pending, and non-ac tive. The Short prof ile will e xclude the patient’s discontin ued and ex pired orde rs.PromptA point at which the system que stions the user and waits for a response . Provider Another te rm for the physician /clinician involved in the pre scription of an IV o r Unit Dos e order fo r a patien t.Provider Override ReasonA re ason suppl ied by a p rovider th rough the CPRS syste m, acknowl edging a c ritical dr ug-drug in teraction and/or all ergy/ADR i nteraction and provi ding justi fication f or its exi stence.PSJ I MGRThe n ame of the key that allows acc ess to the superviso r function s necessar y to run t he IV medi cations so ftware. Us ually give n to the I npatient M edications package c oordinator .PSJI PHAR M TECHThe name of th e key that must be a ssigned to pharmacy technician s using th e IV modul e. This ke y allows t he technic ian to fin ish IV ord ers, but n ot verify them.PSJI PURGEThe k ey that mu st be assi gned to in dividuals allowed to purge exp ired IV or ders. This person wi ll most li kely be th e IV appli cation coo rdinator.P SJI RNFINI SHThe name of the ke y that is given to a user to a llow the f inishing o f IV order s. This us er must al so be a ho lder of th e PSJ RNUR SE key.PSJ I USR1The primary me nu option that may b e assigned to nurses .PSJI USR2 The primar y menu opt ion that m ay be assi gned to te chnicians. PSJU MGRTh e name of the primar y menu and of the ke y that mus t be assig ned to the pharmacy package co ordinators and super visors usi ng the Uni t Dose Med ications m odule.PSJU PLThe nam e of the k ey that mu st be assi gned to an yone using the Pick List XE "P ick List" options.P SJ PHARM T ECHThe nam e of the k ey that mu st be assi gned to ph armacy tec hnicians u sing the U nit Dose M edications module.PS J RNFINISH The name o f the key that is gi ven to a u ser to all ow the fin ishing of a Unit Dos e order. T his user m ust also b e a holder of the PS J RNURSE k ey XE "PSJ RNURSE Ke y" .PSJ RN URSEThe na me of the key that m ust be ass igned to n urses usin g the Unit Dose Medi cations mo dule.PSJ R PHARMThe n ame of the key that must be as signed to a pharmaci st to use the Unit D ose Medica tions modu le. If the package c oordinator is also a pharmacis t he/she m ust also b e given th is key.Qui ck CodeAn abbreviate d form of the drug g eneric nam e (from on e to ten c haracters) for IV or ders. One of the thr ee drug fi elds on wh ich lookup is done t o locate a drug. Pri nt name an d synonym are the ot her two. U se of quic k codes wi ll speed u p order en try, etc.R eport Devi ceThe devi ce, identi fied by th e user, on which com puter-gene rated repo rts select ed by the user will be printed .ScheduleT he frequen cy of admi nistration of a medi cation (e. g., QID, Q DAILY, QAM , STAT, Q4 H).Schedul e TypeCode s include: O - one t ime (i.e., STAT - on ly once), P - PRN (a s needed; no set adm inistratio n times). C- continu ous (given continuou sly for th e life of the order; usually w ith set ad ministrati on times). R - fill on request (used for items tha t are not automatica lly put in the cart - but are filled on the nurse’ s request. These can be multid ose items (e.g., eye wash, kep t for use by one pat ient and i s filled o n request when the s upply is e xhausted)) . And OC - on call ( one time w ith no spe cific time to be giv en, i.e., 1/2 hour b efore surg ery). Sche duled IV O rderInpati ent Medica tions IV o rder havin g an admin istration schedule. This inclu des the fo llowing IV Types: IV Piggyback , Intermit tent Syrin ge, IV Pig gyback Che motherapy, and Inter mittent Sy ringe Chem otherapy.S elf MedMed ication th at is to b e administ ered by th e patient to himself .Standard ScheduleSt andard med ication ad ministrati on schedul es stored in the Adm inistratio n Schedule file (#51 .1). Start Date/Time XE "Start Date/Time " The date and time an order i s to begin .StatusA - active, E - expired , R - rene wed (or re instated), D - disco ntinued, H - on hold , I - inco mplete, or N - non-v erified, U – unrelea sed, P – p ending, O – on call, , DP- dis continued by provide r through CPRS, DE- discontinu ed due to edit via b ackdoor ph armacy (un it Dose or ders only) , DF- disc ontinued d ue to edit by provid er through CPRS, DD- auto disc ontinued d ue to deat h, DA- aut o disconti nued due t o patient movements, HP- place d on hold due to pro vider CPRS , DE – dis continued edit, RE – reinstate d, DR – di scontinued renewal. Stop Date/ Time XE "S top Date/T ime" The d ate and ti me an orde r is to ex pire.Stop Order Noti cesA list of patient medicatio ns that ar e about to expire an d may requ ire action .SyringeTy pe of IV t hat uses a syringe X E "Syringe " rather than a bot tle or bag . The meth od of infu sion for a syringe X E "Syringe " -type IV may be co ntinuous o r intermit tent. Syri nge SizeTh e syringe XE "Syring e" size i s the capa city or vo lume of a particular syringe X E "Syringe " . The si ze of a sy ringe XE " Syringe" is usually measured in number of cubic c entimeters (ccs).TPN Total Pare nteral Nut rition. Th e intraven ous admini stration o f the tota l nutrient requireme nts of the patient. The term T PN is also used to m ean the so lution XE "Solution" compound ed to prov ide those requiremen ts.Units p er DoseThe number of Units (ta blets, cap sules, etc .) to be d ispensed a s a Dose f or an orde r. Fractio nal number s will be accepted.V A Drug Cla ss CodeA d rug classi fication s ystem used by VA tha t separate s drugs in to differe nt categor ies based upon their character istics. IV cost repo rts can be run for V A Drug Cla ss Codes.V DL XE "VDL " Virtual Due List. This is a Graphical User Inter face (GUI) applicati on used by the nurse s when adm inistering medicatio ns.Ward Gr oup XE "Wa rd Group" A ward gro up indicat es inpatie nt nursing units (wa rds) that have been defined as a group w ithin Inpa tient Medi cations to facilitat e processi ng of orde rs.WARD GR OUP fileFi le #57.5. This file contains t he name of the ward group XE " Ward Group " , and th e wards in cluded in that group . The grou ping is ne cessary fo r the pick list XE " Pick List" to be ru n for spec ific carts and ward groups.War d Group Na meA field in the WAR D GROUP fi le (#57.5) used to a ssign an a rbitrary n ame to a g roup of wa rds for th e pick lis t XE "Pick List" an d medicati on cart.WA RD LOCATIO N fileFile #42. This file cont ains all o f the faci lity ward locations and their related da ta, i.e., Operating beds, Bed section, e tc. The wa rds are cr eated/edit ed using t he Ward De finition o ption of t he ADT mod ule.Index | |
7304 | ||
7305 | 1 | |
7306 | 14 Day MAR Report, 1 60, 161 | |
7307 | 14 Day MAR Report Ex ample, 163 | |
7308 | 2 | |
7309 | 24 Hour MA R Report, 146, 148, 149, 156 | |
7310 | 24 Hour MA R Report E xample, 14 9 | |
7311 | 7 | |
7312 | 7 Day MAR Report, 15 4, 155, 15 6 | |
7313 | 7 Day MAR Report Exa mple, 157 | |
7314 | A | |
7315 | Abbreviate d Order En try, 28, 2 9 | |
7316 | Action Are a, 6, 14, 22, 26, 27 , 64, 65 | |
7317 | Action Pro file #1 Re port, 166 | |
7318 | Action Pro file #1 Re port Examp le, 167 | |
7319 | Action Pro file #2 Re port Examp le, 169 | |
7320 | Activity L og, 65, 69 , 76, 84, 93, 96 | |
7321 | Activity L og Example , 84 | |
7322 | Additive, 43, 98, 18 3, 190, 19 4, 196, 19 9 | |
7323 | Administra tion Sched ule, 46, 7 5, 190 | |
7324 | Administra tion Team, 147, 154, 160, 166 | |
7325 | Administra tion Time, 90 | |
7326 | Administra tion Times , 47, 68, 90, 147, 1 54, 160 | |
7327 | Admixture, 42, 44, 1 91, 192, 1 93, 196 | |
7328 | Adverse Re action Tra cking (ART ) Package, 53 | |
7329 | Align Labe ls (Unit D ose), 181 | |
7330 | Align Labe ls (Unit D ose) Examp le, 181 | |
7331 | Asterisk, 64, 67, 69 | |
7332 | Auto-Verif y, 75 | |
7333 | B | |
7334 | BCMA, 1, 4 7, 64 | |
7335 | BCMA Virtu al Due Lis t (VDL), 7 5 | |
7336 | C | |
7337 | Check Drug Interacti ons, 129 | |
7338 | Chemothera py, 42, 19 1, 192, 19 3 | |
7339 | Clinic, 15 , 16, 147, 154, 160, 182 | |
7340 | Clinic Gro up, 15, 16 , 147, 154 , 160, 182 | |
7341 | Clinic Loc ation, 49 | |
7342 | Clinic Ord ers, 122 | |
7343 | Clinical R eminder Or der Checks , 119 | |
7344 | Complex Or ders, 81 | |
7345 | Active Com plex Order , 62 | |
7346 | Non-Verifi ed Complex Order, 61 | |
7347 | Pending Co mplex Orde r, 61 | |
7348 | CPRS, 1, 1 5, 39, 47, 49, 64, 7 5, 76, 85, 90, 93, 9 7, 98, 190 , 193, 198 | |
7349 | CPRS Med O rder, 48 | |
7350 | CPRS Order Checks In troduction , 185 | |
7351 | CPRS Order Checks: H ow They Wo rk, 185 | |
7352 | CPRS Provi der Overri des, 30 | |
7353 | Critical D rug-Drug I nteraction , 193 | |
7354 | critical d rug-drug i nteraction s, 53 | |
7355 | CWAD Indic ator, 5, 6 | |
7356 | D | |
7357 | Default St art Date C alculation | |
7358 | Default St art Date C alculation = NOW, 16 6 | |
7359 | Default St op Date, 2 8, 49, 133 , 143, 144 | |
7360 | Default St op Date/Ti me, 49 | |
7361 | Detailed A llergy/ADR List, 53, 189 | |
7362 | Discontinu e All of a Patient’s Orders, 9 4 | |
7363 | Discontinu e an Order , 65 | |
7364 | Discontinu e an Order Example, 65 | |
7365 | Discontinu ing a Pend ing Renewa l, 83 | |
7366 | Dispense D rug, 29, 3 0, 43, 68, 69, 75, 7 6, 91, 92, 98, 194, 197 | |
7367 | Dispense D rug Look-U p, 183 | |
7368 | Dispense D rug Look-U p Example, 183 | |
7369 | Dispense L og, 84 | |
7370 | DONE Order , 48 | |
7371 | Dosage Ord ered, 29, 30, 31, 32 , 69, 194 | |
7372 | Dosing Ord er Checks, 129 | |
7373 | Drug File, 28, 92, 1 83 | |
7374 | Drug Promp t, 28 | |
7375 | Drug Text Indicator, 30, 43 | |
7376 | E | |
7377 | Edit an Or der, 67 | |
7378 | Edit an Or der Exampl e, 67, 69 | |
7379 | Edit Inpat ient User Parameters , 61, 143 | |
7380 | Edit Patie nt’s Defau lt Stop Da te, 143 | |
7381 | Enter/Edit Allergy/A DR Data, 5 3 | |
7382 | Error Info rmation, 1 87 | |
7383 | Error Mess ages, 187 | |
7384 | Expected F irst Dose, 90 | |
7385 | F | |
7386 | Finish an Order, 85 | |
7387 | Finish an Order With a Duratio n Example, 88 | |
7388 | Finish an Order With out a Dura tion Examp le, 86 | |
7389 | Flag an Or der, 93 | |
7390 | Flag an Or der Exampl e, 93 | |
7391 | Free Text Dosage, 17 5 | |
7392 | G | |
7393 | Glossary, 189 | |
7394 | H | |
7395 | Header Are a, 6 | |
7396 | Hidden Act ions, 4, 7 | |
7397 | History Lo g, 67, 84 | |
7398 | Hold, 3, 1 3, 24, 53, 76, 77, 9 4, 95, 190 | |
7399 | Hold All o f a Patien t’s Orders , 94 | |
7400 | Hold All o f a Patien t’s Orders Example, 95 | |
7401 | Hold an Or der, 76 | |
7402 | Hold an Or der Exampl e, 76 | |
7403 | Take All o f a Patien t’s Orders Off of Ho ld Example , 95 | |
7404 | Hyperal, 4 2, 44, 193 , 194, 199 | |
7405 | I | |
7406 | Infusion R ate, 43, 4 4, 46 | |
7407 | Inpatient Medication Orders fo r Outpatie nts, 49, 1 54, 160, 1 66 | |
7408 | Inpatient Narrative, 27 | |
7409 | Inpatient Order Entr y, 3, 6, 7 , 12, 13, 24, 28, 42 , 58, 92 | |
7410 | Inpatient Order Entr y Example, 24 | |
7411 | Inpatient Profile, 9 5, 182 | |
7412 | Inpatient Profile Ex ample, 96 | |
7413 | Inpatient Stop Order Notices E xample, 17 6 | |
7414 | Inpatient User Param eters File , 61, 75 | |
7415 | Inpatient Ward Param eters, 39, 48 | |
7416 | Inquiries Menu, 183 | |
7417 | Inquiries Menu Examp le, 183 | |
7418 | Inquiries Options, 1 83 | |
7419 | Intermitte nt Syringe , 46 | |
7420 | Interventi on, 53, 19 1 | |
7421 | Interventi on Menu, 5 3, 189 | |
7422 | Delete an Interventi on Example , 56 | |
7423 | Edit an In tervention Example, 55 | |
7424 | New Interv ention Exa mple, 54 | |
7425 | Print an I nterventio n Example, 57 | |
7426 | View an In tervention Example, 56 | |
7427 | Introducti on, 1 | |
7428 | IRMS, 43 | |
7429 | IV Additiv es, 49, 19 5 | |
7430 | IV Duratio n, 195 | |
7431 | IV Flag, 9 2 | |
7432 | IV Room, 2 4, 48, 95, 190, 195, 196 | |
7433 | IV Solutio n, 43, 190 | |
7434 | IV Type, 4 2, 43, 49 | |
7435 | L | |
7436 | Label Prin t/Reprint, 182 | |
7437 | Large Volu me Parente ral (LVP), 42, 196 | |
7438 | List Area, 6 | |
7439 | List Manag er, 5, 6, 7, 27, 65 | |
7440 | Local Poss ible Dosag es, 30, 31 , 196 | |
7441 | Local Poss ible Dosag es Example , 31 | |
7442 | M | |
7443 | Maintenanc e Options, 143 | |
7444 | Medication Administr ation Reco rds (MARs) , 1 | |
7445 | Medication Routes, 4 6, 92, 196 | |
7446 | Menu Optio n, 3 | |
7447 | Menu Tree, ix | |
7448 | Message Wi ndow, 6, 6 8 | |
7449 | N | |
7450 | Nature of Order, 29, 39, 49 | |
7451 | New Order Entry, 28 | |
7452 | New IV Ord er Entry E xample, 50 | |
7453 | New Unit D ose Order Entry Exam ple, 40 | |
7454 | Non-Formul ary Status , 30, 43, 68, 75, 76 , 91 | |
7455 | Non-Verifi ed Order, 6 | |
7456 | Non-Verifi ed/Pending Orders, 1 2, 14, 23, 27, 28, 5 8 | |
7457 | Non-Verifi ed/Pending Orders Ex ample, 15 | |
7458 | O | |
7459 | OCI, 9 | |
7460 | OCXCACHE, 185 | |
7461 | Order Acti ons, 65 | |
7462 | Order chec k | |
7463 | data cachi ng, 185 | |
7464 | OCXCACHE, 185 | |
7465 | XTMP, 185 | |
7466 | Order Chec k, 29, 97, 98, 197 | |
7467 | Drug-Aller gy Interac tions, 29, 97, 98 | |
7468 | Drug-Drug Interactio ns, 29, 97 , 98 | |
7469 | Duplicate Class, 29, 97, 98 | |
7470 | Duplicate Drug, 97, 98 | |
7471 | Order Chec k Data Cac hing, 185 | |
7472 | Order Chec k/Interven tions, 9 | |
7473 | Order Chec ks/Interve ntions (OC I) indicat or, 30 | |
7474 | Order Entr y, 9, 12, 13, 28, 95 | |
7475 | Order Lock s, 12 | |
7476 | Order Opti ons, 12 | |
7477 | Order Set, 28, 29, 3 0 | |
7478 | Order Vali dation Che cks, 125 | |
7479 | Orderable Item, 28, 30, 43, 46 , 68, 69, 75, 76, 91 , 144, 194 , 197 | |
7480 | Orientatio n, 3 | |
7481 | Other Prin t Info, 47 , 48 | |
7482 | Output Opt ions, 145 | |
7483 | P | |
7484 | Parenteral , 42, 190, 196, 198 | |
7485 | Patient Ac tion, 14, 22, 26, 27 | |
7486 | Patient Ac tions, 27 | |
7487 | Patient In formation, 6, 14, 26 , 45, 62, 63, 189 | |
7488 | Patient In formation Example, 6 3 | |
7489 | Patient In formation Screen Exa mple, 14, 26 | |
7490 | Patient Lo ck, 12, 28 | |
7491 | Patient Re cord Updat e, 27 | |
7492 | Patient Re cord Updat e Example, 27 | |
7493 | Pharmacist Intervent ion, 198 | |
7494 | Pick List, 1, 75, 20 0, 202 | |
7495 | Pick List Menu Examp le, 132, 1 33 | |
7496 | Piggyback, 42, 44, 4 6, 191, 19 2, 193, 19 8, 199 | |
7497 | Possible D osages, 30 , 196, 198 | |
7498 | Possible D osages Exa mple, 30 | |
7499 | Priority, 6, 16, 17, 20, 59 | |
7500 | Provider, 29, 39 | |
7501 | Provider C omments, 4 8 | |
7502 | PSJ RNFINI SH Key, 16 , 23, 85, 93 | |
7503 | PSJ RNURSE Key, 3, 2 2, 200 | |
7504 | PSJ RPHARM Key, 53 | |
7505 | PSJI RNFIN ISH Key, 1 6, 23, 85 | |
7506 | PSJU PL Ke y, 143 | |
7507 | Q | |
7508 | Quick Code , 43, 183, 195 | |
7509 | R | |
7510 | Regular Or der Entry, 28 | |
7511 | Renew an O rder, 78 | |
7512 | Active Ord ers, 79 | |
7513 | Complex Or ders, 81 | |
7514 | Discontinu ed Orders, 79 | |
7515 | Expired Co ntinuous I V Orders, 81 | |
7516 | Expired Sc heduled IV Orders, 8 0 | |
7517 | Expired Un it Dose Or ders, 80 | |
7518 | Viewing Re newed Orde rs, 82 | |
7519 | Renewing O rders | |
7520 | with CPRS Overrides/ Pharmacist Intervent ions, 78 | |
7521 | Requested Start Date /Time, 88, 90 | |
7522 | Requested Stop Date/ Time, 88 | |
7523 | Revision H istory, i | |
7524 | S | |
7525 | Schedule, 46, 156, 1 62, 184, 1 95, 198 | |
7526 | Screen Pro mpts, 3 | |
7527 | Screen Tit le, 5, 6 | |
7528 | Select Act ion, 6, 7, 14, 22, 2 6 | |
7529 | Select All ergy, 53 | |
7530 | Select Ord er, 60, 63 , 189 | |
7531 | Select Ord er Example , 63 | |
7532 | Self Med, 39 | |
7533 | Short Prof ile Exampl e, 17 | |
7534 | Solution, 42, 43, 98 , 183, 191 , 194, 196 , 198, 199 , 201 | |
7535 | Speed Acti ons, 94 | |
7536 | Speed Disc ontinue, 1 90 | |
7537 | Speed Fini sh, 190 | |
7538 | Speed Rene w, 190 | |
7539 | Speed Veri fy, 190 | |
7540 | Speed Disc ontinue, 9 4 | |
7541 | Speed Fini sh, 85, 94 | |
7542 | Speed Rene w, 94 | |
7543 | Speed Veri fy, 94 | |
7544 | Standard S chedules, 184 | |
7545 | Standard S chedules E xample, 18 4 | |
7546 | Start Date /Time, 48, 65, 69, 2 01 | |
7547 | Stop Date/ Time, 39, 48, 50, 65 , 67, 69, 84, 85, 20 1 | |
7548 | Syringe, 4 2, 191, 19 2, 193, 19 5, 201 | |
7549 | T | |
7550 | Table of C ontents, v ii | |
7551 | Topic Orie nted Secti on, ix | |
7552 | U | |
7553 | Unit Dose Medication s, 3, 12, 13, 143, 1 83 | |
7554 | Unit Dose Order Entr y Profile, 9 | |
7555 | Units Per Dose, 32 | |
7556 | V | |
7557 | VA Drug Cl ass Code, 183 | |
7558 | VA FORM 10 -1158, 167 , 169 | |
7559 | VA FORM 10 -2970, 156 | |
7560 | VA FORM 10 -5568d, 15 6 | |
7561 | VDL, 47, 7 5, 202 | |
7562 | Verify an Order, 75 | |
7563 | Verify an Order Exam ple, 75 | |
7564 | View Profi le, 14, 26 , 58, 189 | |
7565 | View Profi le Example , 58 | |
7566 | VistA, 28, 193 | |
7567 | Volume, 42 | |
7568 | W | |
7569 | Ward, 16, 95, 147, 1 66, 182 | |
7570 | Ward Group , 15, 16, 95, 147, 1 54, 160, 1 66, 182, 2 02 | |
7571 | Ward Group Sort | |
7572 | ^OTHER, 16 , 166 | |
7573 | Ward Stock , 156, 162 | |
7574 | X | |
7575 | XTMP, 185 | |
7576 | ||
7577 | ||
7578 | List Area | |
7579 | (scrolling | |
7580 | region) | |
7581 | ||
7582 | Message | |
7583 | Window | |
7584 | ||
7585 | Header | |
7586 | Area | |
7587 | ||
7588 | Action | |
7589 | Area | |
7590 | ||
7591 |
Araxis Merge (but not the data content of this report) is Copyright © 1993-2016 Araxis Ltd (www.araxis.com). All rights reserved.