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1 | EPIP.zip\PSS_1.0_225_PSB_3.0_103 _Aug_2018 | psb_3_pharm_chui_um_r1118.doc | Tue Aug 28 12:14:54 2018 UTC |
2 | EPIP.zip\PSS_1.0_225_PSB_3.0_103 _Aug_2018 | psb_3_pharm_chui_um_r1118.doc | Tue Aug 28 12:31:46 2018 UTC |
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1 | BCMA CHUI OPTIONS – NURSING ME NU | |
2 | BAR CODE M EDICATION ADMINISTRA TION (BCMA ) | |
3 | PHARMACY C HUI USER M ANUAL | |
4 | Version 3. 0 | |
5 | February 2 004 | |
6 | (Revised N ovember 20 18) | |
7 | ||
8 | Revision H istory | |
9 | DateRevise d PagesPat ch NumberD escription 11/20185, 35 - 36PSB *3*103Adde d Section 3.14 regar ding the n ew Report for Respir atory Ther apy Medica tions [PSB RPT RESP THERAPY ME DS] option . Updated Section 3. 1 to refer ence the n ew option. | |
10 | (G. Miller , PM; T. T urowski, T ech Writer )12/2016ii i-iv, 5 | |
11 | 34c, 42PSB *3*88Secti on 3.1 – E xhibit 1 s creen upda ted | |
12 | Section 3. 13 – Added BCMA Drug IEN Synon ym Check [ PSB DRUG I EN CHECK] option12/2 01621PSB*3 *83Removed Missing Dose Reque st option. | |
13 | (D. Connol ly, PM, E, Phelps, T ech Writer )03/2008ii i-iv | |
14 | 5, 31-32, | |
15 | 34 a-b, 41 PSB*3*2Sec tion 3.1 – Exhibit 1 screen up dated (p. 5). | |
16 | Section 3. 10 - Refer ences to Z ebra print ers restor ed (p. 31) ; sample b arcode scr eens delet ed (p. 32) . | |
17 | Section 3. 12 added, references to “Dosag e” changed to “Dose” and space between c olon and d ose measur ement dele ted (pp. 3 4 a-b). | |
18 | (E. Willia mson, PM; G. O’Conno r, S.B. Sc udder, Tec h Writer)0 8/2006iv, | |
19 | 31- 32PSB* 3*2Note: T he functio nality lis ted below will be ac tivated wi th the rel ease of PS B*3*2. | |
20 | – Updated Table of E xhibits to include E xhibits 22 a and 22b. (p. iv) | |
21 | – Updated Section 3 .10, Label Print. Re moved spec ific refer ences to t he Zebra p rinter to accommodat e new feat ure to sup port multi ple bar co de printer s, and upd ated instr uctions fo r creating a bar cod e label. I ncluded ne w sample b ar code la bel sample s for Unit Dose and Ward Stock labels. ( p. 31-32) | |
22 | (R. Singer , PM; M. N ewman, Tec h Writer)0 7/200419, 20PSB*3*5– Updated t he second paragraph to include the “Alle rgies” inf ormation. | |
23 | (p. 19) | |
24 | – Updated the “Exhib it 12: Med ication Ad ministrati on History Report by Patient” to show th e removal of the Rea ctions hea der and th e inclusio n of the A DRs header and the A llergies h eader. (p. 20)02/200 4Original Released B CMA V. 3.0 Pharmacy CHUI User Manual.TAB LE OF CONT ENTS | |
25 | 1 | |
26 | INTRODUCTI ON | |
27 | 1 | |
28 | 1.1 | |
29 | What is BC MA? | |
30 | 1 | |
31 | 1.2 | |
32 | Features o f BCMA | |
33 | 1 | |
34 | 2 | |
35 | About This Manual | |
36 | 3 | |
37 | 2.1 | |
38 | Special No tations—Do cumentatio n Conventi ons | |
39 | 3 | |
40 | 2.2 | |
41 | Package Co nventions | |
42 | 3 | |
43 | 2.3 | |
44 | Intranet D ocumentati on | |
45 | 3 | |
46 | 2.4 | |
47 | On-line He lp | |
48 | 3 | |
49 | 3 | |
50 | BCMA Menu— Pharmacy O ption | |
51 | 5 | |
52 | 3.1 | |
53 | Using the Medication Administr ation Menu Pharmacy Option | |
54 | 5 | |
55 | 3.2 | |
56 | Using Scre enMan Form at to Requ est a Repo rt | |
57 | 6 | |
58 | 3.3 | |
59 | Medication Administr ation Log Report | |
60 | 8 | |
61 | 3.4 | |
62 | Missed Med ications R eport | |
63 | 11 | |
64 | 3.5 | |
65 | Due List R eport | |
66 | 15 | |
67 | 3.6 | |
68 | Medication Administr ation Hist ory (MAH) Report | |
69 | 19 | |
70 | 3.7 | |
71 | Missing Do se Request | |
72 | 21 | |
73 | 3.8 | |
74 | Missing Do se Followu p | |
75 | 25 | |
76 | 3.9 | |
77 | Missing Do se Report | |
78 | 28 | |
79 | 3.10 | |
80 | Label Prin t | |
81 | 31 | |
82 | 3.11 | |
83 | Drug File Inquiry | |
84 | 33 | |
85 | 3.12 | |
86 | Barcode La bel Print | |
87 | 34a | |
88 | 3.13 | |
89 | BCMA Drug IEN Synony m Check | |
90 | 34b | |
91 | 3.14 | |
92 | Report for Respirato ry Therapy Medicatio ns…………..…… ………………………… | |
93 | …....35 | |
94 | glossary | |
95 | 37 | |
96 | INDEX | |
97 | ||
98 | ||
99 | 43 | |
100 | TABLE OF E XHIBITS | |
101 | 5Exhibit 1 : BCMA Pha rmacy Opti on Menu Sc reen | |
102 | ||
103 | ||
104 | 6Exhibit 2 : Report R equest Usi ng ScreenM an Format Screen | |
105 | ||
106 | ||
107 | 8Exhibit 3 : Medicati on Adminis tration Lo g Report S creen | |
108 | ||
109 | ||
110 | 9Exhibit 4 : Medicati on Adminis tration Lo g Report b y Patient | |
111 | ||
112 | ||
113 | 10Exhibit 5: Medicat ion Admini stration L og Report by Ward | |
114 | ||
115 | ||
116 | 12Exhibit 6: Missed Medication s Report S creen | |
117 | ||
118 | ||
119 | 13Exhibit 7: Missed Medication s Report B y Patient | |
120 | ||
121 | ||
122 | 14Exhibit 8: Missed Medication s Report B y Ward | |
123 | ||
124 | ||
125 | 15Exhibit 9: Due Lis t Report R equest Scr een | |
126 | ||
127 | ||
128 | 17Exhibit 10: Due Li st Report by Patient | |
129 | ||
130 | ||
131 | 18Exhibit 11: Due Li st Report by Ward | |
132 | ||
133 | ||
134 | 20Exhibit 12: Medica tion Admin istration History Re port by Pa tient | |
135 | ||
136 | ||
137 | 21Exhibit 16: Missin g Dose Fol lowup Requ est Screen | |
138 | ||
139 | ||
140 | 22Exhibit 17: Missin g Dose Req uest Pharm acy Follow -up Inform ation Scre en | |
141 | ||
142 | ||
143 | 23Exhibit 18: Pharma cy Reasons Needed Se lection Ta ble | |
144 | ||
145 | ||
146 | 24Exhibit 19: Missin g Dose Rep ort Reques t Screen | |
147 | ||
148 | ||
149 | 26Exhibit 20: Missin g Dose Rep ort | |
150 | ||
151 | ||
152 | 27Exhibit 21: Bar Co de Label S creen | |
153 | ||
154 | ||
155 | 29Exhibit 23: Drug F ile Inquir y Screen 1 | |
156 | ||
157 | ||
158 | 30Exhibit 24: Drug F ile Inquir y Screen 2 | |
159 | ||
160 | ||
161 | 31Exhibit 25: Bar Co de Label P rint Scree n | |
162 | ||
163 | ||
164 | 32Exhibit 26a: Sampl e Unit Dos e Bar Code Label | |
165 | ||
166 | ||
167 | 32Exhibit 26b: Sampl e Ward Sto ck Bar Cod e Label | |
168 | ||
169 | ||
170 | 33Exhibit 27: BCMA D rug IEN Sy nonym Chec k | |
171 | ||
172 | ||
173 | 35Exhibit 28: Report for Respi ratory The rapy Medic ations Opt ion | |
174 | ||
175 | ||
176 | 36Exhibit 29: Exampl e Report f or Respira tory Thera py Medicat ions | |
177 | ||
178 | ||
179 | ||
180 | ||
181 | INTRODUCTI ON | |
182 | ||
183 | What is BC MA? XE "B CMA" | |
184 | The Bar Co de Medicat ion Admini stration ( BCMA) V. 3 .0 softwar e includes routines and files, Phase Rel ease chang es for BCM A V. 2.0, maintenanc e fixes, a nd enhance ments. The enhanceme nts are a direct res ult of fee dback from the BCMA Workgroup and our ma ny end use rs. | |
185 | BCMA softw are is des igned to i mprove the accuracy of the med ication ad ministrati on process . By autom ating this process, Department of Vetera ns Affairs Medical C enters (VA MCS) can e xpect enha nced patie nt safety and patien t care. | |
186 | As each pa tient wris tband and medication is scanne d with a b ar code sc anner, BCM A validate s that the medicatio n is order ed, timely , and in t he correct dosage — as well as electroni cally upda tes the pa tient’s Me dication A dministrat ion Histor y (MAH) Re port. | |
187 | The electr onic infor mation pro vided by B CMA V. 3.0 improves the clinic ian’s abil ity to adm inister me dications safely and effective ly to pati ents on wa rds during their med ication pa sses. It a lso helps to improve the daily communica tion that occurs bet ween Nursi ng and Pha rmacy staf fs. | |
188 | ||
189 | Features o f BCMA | |
190 | BCMA V. 3. 0 provides the follo wing featu res: | |
191 | Increases medication administr ation accu racy. | |
192 | Improves t he efficie ncy of the medicatio n administ ration pro cess by ca pturing dr ug account ability da ta. | |
193 | Records Un it Dose, I V Push (IV P), IV Pig gyback (IV PB), and l arge-volum e IVs admi nistered t o patients . | |
194 | Provides t he CPRS Me d Order Bu tton, a “l ink” to th e Computer ized Patie nt Record System (CP RS) for el ectronical ly orderin g, documen ting, revi ewing, and signing v erbal- and phone-typ e STAT and NOW (One- Time) orde rs for Uni t Dose and IV medica tions alre ady admini stered to patients. | |
195 | Increases the inform ation avai lable to n ursing sta ff at the patient po int of car e. | |
196 | Reduces wa sted medic ations. | |
197 | Improves c ommunicati on between Nursing a nd Pharmac y staffs. | |
198 | Provides a real-time Virtual D ue List (V DL) of ord ers for me dication a dministrat ion. | |
199 | Records mi ssing dose s and send s the requ ests elect ronically to the Pha rmacy. | |
200 | Provides a point-of- care data entry/retr ieval syst em. | |
201 | Provides f ull compat ibility wi th the exi sting Vist A system. | |
202 | Identifies Pro Re Na ta (PRN) e ntries tha t require Effectiven ess commen ts. | |
203 | Replaces t he manual Medication Administr ation Reco rd (MAR) w ith a Medi cation Adm inistratio n History (MAH) to p rovide an automatic record of a patient’ s medicati on adminis tration in formation. | |
204 | Provides a list of v ariances t hat identi fy Early o r Late med ication ad ministrati ons and la te PRN Eff ectiveness entries. | |
205 | Provides t he ability to docume nt the pat ient’s pai n score in BCMA and store it i n the Vita ls package . | |
206 | About This Manual | |
207 | This manua l contains a descrip tion of th e Characte r-based Us er Interfa ce (CHUI) BCMA optio ns for the Pharmacy user. It i s organize d around t he Medicat ion Admini stration M enu Pharma cy Options . It expla ins how to access an d use each option, a nd provide s sample s creen capt ures and r eports. An Index and a Glossar y are avai lable at t he back of this manu al. | |
208 | Special No tations—Do cumentatio n Conventi ons XE "Do cumentatio n Conventi ons" | |
209 | Responses in boldfac e type ind icate what you shoul d type at your compu ter screen . Example: At the “P atient/War d:” prompt , type P f or Patient or W for Ward. | |
210 | Text cente red betwee n arrows r epresents a keyboard key that needs to b e pressed for the sy stem to ca pture a us er respons e or move the cursor to anothe r prompt. <Enter> in dicates th at the Ent er key (or Return ke y on some keyboards) must be p ressed. <T ab> indica tes that t he Tab key must be p ressed. Ex ample: Pre ss <Tab> t o move the cursor to the next prompt. En ter Y for Yes or N f or No, and then pres s <Enter>. | |
211 | Indicates especially important or helpfu l informat ion. | |
212 | ||
213 | Package Co nventions | |
214 | Up-arrow ( caret or a circumfle x) | |
215 | In CHUI BC MA, you ca n move bac k to a pre vious scre en by ente ring a ^ a nd then pr essing <En ter>. Repe at this pr ocess unti l you loca te the des ired scree n. | |
216 | ||
217 | Intranet D ocumentati on | |
218 | You can lo cate this and other BCMA-relat ed documen tation on the Intran et, from t he VistA D ocumentati on Library (VDL), at the follo wing addre ss. It pro vides back ground, te chnical in formation, and impor tant user documentat ion. | |
219 | http://www . DNS /vdl | |
220 | ( | |
221 | Remember t o bookmark this site for futur e referenc e. | |
222 | ||
223 | On-line He lp XE "BCM A:On-line Help" | |
224 | ?, ??, ??? | |
225 | On-line he lp is avai lable by e ntering on e, two, or three que stion mark s at a pro mpt. One q uestion ma rk elicits a brief s tatement o f what inf ormation i s appropri ate for th e prompt; two questi on marks e licits mor e help, pl us the hid den action s shown ab ove; and t hree quest ion marks will provi de more de tailed hel p, includi ng a list of possibl e answers, if approp riate. | |
226 | BCMA Menu— Pharmacy O ption XE " BCMA Menu" | |
227 | ||
228 | XE "Pharm acy Option Menu" | |
229 | ||
230 | Using the Medication Administr ation Menu Pharmacy Option | |
231 | The BCMA P harmacy Op tion Menu, as illust rated in E xhibit 1, lets Pharm acy person nel access informati on that ha s been ent ered via t he BCMA Gr aphical Us er Interfa ce (GUI XE "GUI Opti ons" ) VDL . Because BCMA opera tes in rea l time, sc anned info rmation is available as soon a s the scan is succes sfully com pleted. Yo u can acce ss the Pha rmacy Opti on Menu fr om any Vis tA-enabled terminal within the VAMC. | |
232 | ( | |
233 | Several of these opt ions are a vailable u nder both the Nursin g and the Pharmacy m enu option s. The opt ions that are unique to Pharma cy include Missing D ose Follow up, Missin g Dose Rep ort, Label Print, Ba rcode Labe l Print, B CMA Drug I EN Synonym Check, an d Report f or Respira tory Thera py Medicat ions. | |
234 | Exhibit 1: XE "Sampl e Screens: BCMA Pharm acy Option Menu Scre en" BCMA Pharmacy O ption Menu Screen | |
235 | ||
236 | To select a Pharmacy option: | |
237 | At the “Se lect Medic ation Admi nistration Menu Phar macy Optio n:” prompt , enter th e number o f the desi red option . | |
238 | Press <Ent er> to dis play the S ort Screen for the o ption chos en. | |
239 | ||
240 | Using Scre enMan Form at to Requ est a Repo rt XE " U sing the P harmacy Me nu Options :Request a Report" | |
241 | Many of th e Pharmacy options u se a commo n screen t o define s election c riteria fo r reports, as illust rated in E xhibit 2, Report Req uest Using ScreenMan Format Sc reen. Othe r options use specif ic screens . This sec tion expla ins the sc reen promp ts for all reports u sing the R eport Info rmation So rt Screen and gives instructio ns for ent ering info rmation. F ollowing t his sectio n are samp le reports that you can run fr om each of the Medic ation Admi nistration Menu Phar macy optio ns. | |
242 | Exhibit 2: XE "Sampl e Screens: Using Scre enMan Form at to Requ est a Repo rt" Repor t Request Using Scre enMan Form at Screen | |
243 | ||
244 | Many of th e reports can be sor ted and pr inted in t he followi ng ways: | |
245 | By patient . The info rmation wi ll display chronolog ically. | |
246 | By ward. T he system can sort t he informa tion by pa tient or r oom/bed, a nd display it chrono logically within eac h patient. | |
247 | To request a report using Scre enMan: | |
248 | At the “St art Date:” prompt, t ype the st art date o f the repo rt, and th en press < Enter>. | |
249 | Note: The cursor mov es to the next promp t each tim e that you press <En ter>. | |
250 | To display a list or a standar d date and time form at, enter a ? in any date or t ime prompt , and then press <En ter>. | |
251 | At the fir st “At:” p rompt, typ e the star t time of the report (in HHMM format), a nd then pr ess <Enter >. | |
252 | At the “St op Date:” prompt, ty pe the sto p date, an d then pre ss <Enter> . | |
253 | At the sec ond “At:” prompt, ty pe the sto p time (in HHMM form at), and t hen press <Enter>. | |
254 | At the “Ru n by Patie nt or Ward :” prompt, type P fo r Patient or W for W ard, and t hen press <Enter>. | |
255 | If you are sorting t he report by ward, a t the “War d Location :” prompt, type the ward desig nation, an d then pre ss <Enter> . At the “ Sort by Pt or Room-B ed:” promp t, type P for Patien t or R for Room, and then pres s <Enter>. | |
256 | If you are sorting t he report by patient , at the “ Patient Na me:” promp t, type th e patient’ s name or Social Sec urity Numb er (SSN), and then p ress <Ente r>. | |
257 | ( | |
258 | To display a list or a standar d format, enter a ? at any “Pa tient Name :” prompt, and then press <Ent er>. | |
259 | At the “In clude Comm ents:” pro mpt, enter Y for Yes or N for No, and th en press < Enter>. | |
260 | ( | |
261 | If a “Yes/ No” prompt is blank, press <En ter> to re spond No. | |
262 | At the “In clude Audi ts:” promp t, enter Y for Yes o r N for No , and then press <En ter>. | |
263 | At the “Pr int to Dev ice:” prom pt, type a valid pri nter, and then press <Enter>. | |
264 | At the “Qu eue to Run At:” prom pt, press <Enter> to accept th e date dis played, or enter a d ate and ti me, and th en press < Enter>. Th e report w ill print at the tim e and date entered. | |
265 | At the “<R ET> Re-Edi t:” prompt , press PF 1 (or Num Lock), fol lowed by E , to submi t this rep ort for pr inting. (O ther avail able actio ns at this prompt ar e PF1-Q to Quit or P F1-R to re fresh the screen.) | |
266 | The screen clears an d the foll owing mess age displa ys: | |
267 | Submitting Your Repo rt Request to Taskma n…Submitte d! | |
268 | Your Task Number Is: XXXX | |
269 | Depending on how you r division is config ured, eith er the PF1 key or Nu m Lock wil l be activ e. For con sistency, this manua l refers t o the PF1 convention , but user s are advi sed that P F1 is the same as Nu m Lock, if that is t he active function a t your VAM C. | |
270 | ||
271 | Medication Administr ation Log Report | |
272 | The Medica tion Admin istration Log [PSBO ML] option lets Phar macy perso nnel print the Medic ation Admi nistration Log Repor t, which X E "Using t he Pharmac y Menu Opt ions:Medic ation Admi nistration Log" dis plays deta iled admin istration informatio n for a sp ecified da te/time ra nge. The r eport can be sorted and printe d by patie nt or by w ard, as il lustrated in Exhibit 3. When p rinted by ward, you may sort t he view by patient o r room/bed . With thi s sort, th e drug adm inistratio n informat ion will b e printed chronologi cally with in each pa tient. | |
273 | The Medica tion Admin istration Log XE "Us ing the Ph armacy Men u Options: Medication Administr ation Log" Report p rints in a 132-colum n output. Exhibit 4, Medicatio n Administ ration Log Report by Patient, and Exhibi t 5, Medic ation Admi nistration Log Repor t by Ward, show exam ples of bo th Medicat ion Admini stration L og Reports . | |
274 | Throughout this manu al, the re ports show n are prov ided for i llustrativ e purposes only. Act ual report s may be l onger. | |
275 | To print a Medicatio n Administ ration Log Report: | |
276 | 1. | |
277 | At the “Se lect Medic ation Admi nistration Menu Phar macy Optio n:” prompt , type 1, and then p ress <Ente r> to acce ss the Med ication Ad ministrati on Log [PS BO ML] opt ion. | |
278 | 2. | |
279 | See Sectio n 3.2, “Us ing Screen Man Format to Reques t a Report ,” for ins tructions about requ esting a M edication Administra tion Log R eport. | |
280 | Exhibit 3: XE "Sampl e Screens: Medication Administr ation Log Report Scr een" Medi cation Adm inistratio n Log Repo rt Screen | |
281 | ||
282 | Exhibit 4: XE "Sampl e reports: Medication Administr ation Log Report by Patient " Medicatio n Administ ration Log Report by Patient | |
283 | ||
284 | Exhibit 5: XE "Sampl e reports: Medication Administr ation Log Report by Ward " Me dication A dministrat ion Log Re port by Wa rd | |
285 | ||
286 | ||
287 | Missed Med ications R eport | |
288 | The Missed Medicatio n [PSBO MM ] option l ets Pharma cy personn el print t he Missed Medication s Report, which XE " Using the Pharmacy M enu Option s:Missed M edications Report" includes C ontinuous and One-Ti me Unit Do se and IV Piggyback medication s that wer e not admi nistered t o a patien t during a medicatio n pass. Th is report also inclu des patien t demograp hics data, adverse d rug reacti on (ADR) i nformation , ward/bed location, administr ation date /time, ord er number from Inpat ient Medic ations V. 5.0, and t he medicat ion type o f the miss ed medicat ion. (Self -medicatio ns do not display on the repor t.) The re port can b e sorted a nd printed by ward o r patient, and you c an specify the date and time t hat the re port cover s, as illu strated in Exhibit 6 . | |
289 | Informatio n that may display o n this rep ort includ es medicat ions that were sched uled to be administe red, but w ere not ma rked as Gi ven, Held, or Refuse d. It may also inclu de medicat ions that have been renewed or expired s hortly aft er the sch eduled adm inistratio n time, an d medicati ons reques ted from t he Pharmac y as Missi ng Dose Re quests. Me dications placed “On Hold” and taken “Of f Hold” vi a the Comp uterized P atient Rec ord System (CPRS) or Inpatient Medicatio ns V. 5.0 will displ ay on this report wi th the Hol d informat ion below the medica tion. The Hold infor mation app lies only to adminis trations d ue within the Hold t imeframe. | |
290 | ||
291 | The “Order Num” colu mn on the report, sh own in Exh ibit 7, li sts the ac tual order number an d order ty pe (i.e., Unit Dose or IV). Th is informa tion is qu ite helpfu l when tro ubleshooti ng problem with BCMA . | |
292 | To print a Missed Me dications Report: | |
293 | 1. | |
294 | At the “Se lect Medic ation Admi nistration Menu Phar macy Optio n:” prompt , type 2, and then p ress <Ente r> to acce ss the Mis sed Medica tions [PSB O MM] opti on. | |
295 | 2. | |
296 | See Sectio n 3.2, “Us ing Screen Man Format to Reques t a Report ,” for ins tructions about requ esting a M issed Medi cations Re port. | |
297 | The report s will pri nt in a 13 2-column o utput. Exh ibit 7, Mi ssed Medic ations XE "Using the Pharmacy Menu Optio ns:Missed Medication s" Report by Patien t, and Exh ibit 8, Mi ssed Medic ations Rep ort by War d, show ex amples of both Misse d Medicati ons Report s. | |
298 | You should run the M issed Medi cations Re port by Wa rd after e ach schedu led admin time to en sure that all entrie s listed o n this rep ort are re solved. | |
299 | Exhibit 6: XE "Sampl e reports: Missed Med ications R eport Scre en" Misse d Medicati ons Report Screen | |
300 | ||
301 | Exhibit 7: XE "Sampl e reports: Missed Med ications R eport by P atient" M issed Medi cations Re port By Pa tient | |
302 | ||
303 | Exhibit 8: XE "Sampl e reports: Missed Me dications by Ward Re port" Mis sed Medica tions Repo rt By Ward | |
304 | ||
305 | ||
306 | Due List R eport XE " Due List Report" | |
307 | The Due Li st [PSBO D L] option lets Pharm acy person nel displa y the Due List Repor t in CHUI BCMA, whic h displays XE "Using the Pharm acy Menu O ptions:Due List" th e informat ion availa ble from t he VDL wit hin GUI BC MA XE "GUI Options" . It provi des detail ed informa tion about active an d future U nit Dose a nd IV medi cation ord ers that a re “due” f or adminis tering to a patient — during a timeframe that you specify — within a 2 4-hour per iod. Withi n the date /time rang e, the rep ort may be printed b y patient or by ward , and incl ude the fo llowing: | |
308 | Continuous , PRN, On- Call, and One-Time S chedule Ty pes | |
309 | Unit-Dose or IV medi cations | |
310 | Addendums | |
311 | The Due Li st Report includes p atient dem ographics data, ADR informatio n, plus de tailed inf ormation a bout an or der, such as whether (or not) the medica tion is a self-med; the medica tion type, schedule, dose, and route; Sp ecial Inst ructions; administra tion times ; Last Giv en date an d time; St art/Stop d ate and ti me; and th e individu al(s) who verified t he order. | |
312 | ( | |
313 | Only medic ations act ive at the time the Due List i s printed will displ ay on the report. Th e printed Due List a nd the VDL within GU I BCMA may not match if orders have been added, di scontinued , or renew ed after p rinting. | |
314 | Complete t he steps o n the next page to e nter infor mation on the screen illustrat ed in Exhi bit 9, Due List Repo rt Request Screen. | |
315 | Exhibit 9: XE "Sampl e screens: Due List R eport Requ est Screen " Due Lis t Report R equest Scr een | |
316 | ||
317 | To Print a Due List Report: | |
318 | At the “Se lect Medic ation Admi nistration Menu Phar macy Optio n:” prompt , type 3, and then p ress <Ente r> to acce ss the Due List [PSB O DL] opti on. | |
319 | At the “St art Date:” prompt, t ype the da te, and th en press < Enter>. | |
320 | At the “St art Time:” prompt, t ype the ti me, and th en press < Enter>. | |
321 | At the “St op Time:” prompt, ty pe a date, and then press <Ent er>. | |
322 | At the “Ru n by Patie nt or Ward :” prompt, type P fo r Patient or W for W ard, and t hen press <Enter>. | |
323 | If you are sorting t he report by patient , at the “ Patient Na me:” promp t, type th e patient' s name or SSN, and t hen press <Enter>. | |
324 | If you are sorting t he report by ward, i n the ward location, type the ward desig nation, an d then pre ss <Enter> . At the “ Sort by Pt or Room-B ed:” promp t, type P for Patien t or R for Room/Bed, and then press <Ent er>. | |
325 | At the “In clude Sche dule:” pro mpts, ente r Y for Ye s for the desired Sc hedule Typ e(s) and N for No th e others a nd, then p ress <Ente r>. | |
326 | At the “In clude Orde r Types:” prompts, e nter Y for Yes or N for No at the “IV:” prompt and “Unit Dos e:” prompt , and then press <En ter>. If y ou enter N for No at both prom pts, no or ders will print on t he report. | |
327 | At the “In clude Adde ndums:” pr ompt, ente r Y for Ye s or N for No, and t hen press <Enter>. W hen Y is e ntered, an additiona l section called Cha nges/Adden dums to Or ders will print at t he bottom of the rep ort. You c an use thi s section of the rep ort to man ually reco rd informa tion about a medicat ion admini stration. | |
328 | At the “Pr int to Dev ice:” prom pt, type t he desired printer, and then p ress <Ente r>. | |
329 | At the “Qu eue to Run At:” prom pt, type t he date yo u want to run a repo rt, and th en press < Enter>. If you press <Enter>, the system defaults to the cur rent date and time. | |
330 | At the “<R et> Re-Edi t:” prompt , press th e PF1 key followed b y E (Exit) to submit the reque st for pri nting. (Ot her availa ble action s at this prompt are PF1 - Q t o Quit, or PF1-R to refresh th e screen.) | |
331 | The screen clears an d the foll owing mess age displa ys: | |
332 | Submitting Your Repo rt Request to Taskma n…Submitte d! | |
333 | Your Task Number Is: XXXX | |
334 | The report s will pri nt in a 13 2-column o utput. Exh ibit 10, D ue List Re port by Pa tient, and | |
335 | Exhibit 11 Due List Report by Ward, show examples of both Du e List Rep orts. | |
336 | Exhibit 10 : XE "Samp le reports :Due List Report by Patient" Due List R eport by P atient | |
337 | Exhibit 11 : XE "Samp le reports :Due List Report by Patient" Due List R eport by W ard | |
338 | ||
339 | ||
340 | Medication Administr ation Hist ory (MAH) Report | |
341 | The Medica tion Admin istration History (M AH) [PSBO MH] option lets Phar macy perso nnel print an MAH Re port XE " Using the Pharmacy M enu Option s:Medicati on Adminis tration Hi story (MAH )" for Un it Dose an d IV medic ation orde rs. This r eport list s a clinic ian’s name and initi als, and t he exact t ime that a n action w as taken o n an order (in a con ventional MAR format ). Each or der is lis ted alphab etically b y the orde rable item . The Date column li sts three asterisks (***) to i ndicate th at a medic ation was not due. T his inform ation is a lso noted in the Leg end at the bottom of the MAH R eport. | |
342 | An MAH Rep ort also i ncludes pa tient demo graphics d ata, aller gies and A DR informa tion, plus detailed informatio n about th e order, s uch as the drug/addi tive/solut ion; the m edication schedule, dose, rout e, and inj ection sit e; the act ual admini stration t imes; the name and i nitials of the clini cian who a dministere d the medi cation; an d the indi viduals wh o verified the order . It also includes i nformation about whe n an order is placed “On Hold” and taken “Off Hold ” by a pro vider, and the order Start and Stop Date /Time for the medica tion. | |
343 | If no para meter is d efined in CPRS, the maximum da te range d efaults to a seven-d ate range. For examp le, a repo rt would l ist the Su nday proce eding, and the Satur day follow ing, the d ate that y ou selecte d for the report. | |
344 | When a stu dent nurse is admini stering me dications under the supervisio n of an in structor, and both i ndividuals hold the appropriat e security keys (i.e ., PSB STU DENT and P SB INSTRUC TOR), an a sterisk pr ints next to the stu dent’s ini tials on t he MAH. A legend pri nts at the bottom of the MAH t o indicate the date/ time the m edication was given, along wit h the name s of the s tudent and the instr uctor. | |
345 | To print a n MAH Repo rt: | |
346 | At the “Se lect Medic ation Admi nistration Menu Phar macy Optio n:” prompt , type 4, and then p ress <Ente r> to acce ss the Med ication Ad ministrati on History (MAH) [PS BO MH] opt ion. | |
347 | See Sectio n 3.2, “Us ing Screen Man Format to Reques t a Report ,” for ins tructions about requ esting an MAH Report . Exhibit 12, MAH Re port by Pa tient, sho ws an exam ple of the MAH Repor t. | |
348 | Exhibit 12 : XE "Samp le reports :Medicatio n Administ ration His tory Repor t by Patie nt" Medic ation Admi nistration History R eport by P atient | |
349 | ||
350 | ||
351 | Missing Do se Request | |
352 | The Missin g Dose Req uest [PSB MISING DOS E REQUEST] option wa s removed by patch P SB*3*70. | |
353 | ||
354 | Missing Do se Followu p XE "Samp le screens :Due List Report Req uest Scree n" | |
355 | The Missin g Dose Fol lowup [PSB MISSING D OSE FOLLOW UP] option lets Phar macy perso nnel XE "U sing the P harmacy Me nu Options :Missing D ose Follow -up" elec tronically respond t o a Missin g Dose Req uest submi tted by nu rsing usin g the VDL in GUI BCM A. Pharmac y can ente r a reason that the dose was m issing, th e time the dose was delivered, and the n ame of the individua l who deli vered the dose. | |
356 | To create a Missing Dose follo w-up messa ge: | |
357 | At the “Se lect Medic ation Admi nistration Menu Phar macy Optio n:” prompt , type 6, and then p ress <Ente r> to acce ss the Mis sing Dose Followup [ PSB MISSIN G DOSE FOL LOWUP] opt ion. The M issing Dos e Request Screen, an d the prom pts you wi ll complet e, is show n in Exhib it 16. | |
358 | At the “Se lect Missi ng Dose Re quest # (< RET> to co ntinue, ‘^ ’ to quit) : (1-7):” prompt, t ype the nu mber oppos ite the Mi ssing Dose that you want to cr eate a fol low-up mes sage for, and then p ress <Ente r>. The Mi ssing Dose Request P harmacy Fo llow-up In formation Screen, sh own in Exh ibit 17, t hen displa ys. | |
359 | Exhibit 16 : Missing Dose Follo wup Reques t Screen X E "Sample screens:Mi ssing Dose Follow Up Request S creen" | |
360 | ||
361 | Exhibit 17 : Missing Dose Reque st Pharmac y Follow-u p Informat ion Screen XE "Sampl e screens: Missing D ose Reques t Pharmacy Follow-up Informati on Screen" | |
362 | ||
363 | At the “Do se Deliver ed:” promp t, enter Y for Yes, and then p ress <Ente r>. If a m edication is no long er active or will no t be deliv ered, ente r N for No at this p rompt. | |
364 | There may be instanc es where a missing d ose is req uested for an item t hat is no longer act ive. If th e medicati on is no l onger an a ctive orde r or will not be del ivered, en ter N for No at this prompt. | |
365 | At the “De livery Dat e/Time:” p rompt, ent er N (for Now) or th e date and time that the dose was delive red, and t hen press <Enter>. | |
366 | At the “Ph armacy Rea son Needed :” prompt, type the number tha t correspo nds to you r selectio n in Exhib it 18, XE "Pharmacy Reasons Ne eded Selec tion Table " Pharmac y Reasons Needed Sel ection Tab le. | |
367 | Exhibit 18 : Pharmacy Reasons N eeded Sele ction Tabl e XE "Phar macy Reaso ns Needed Selection Table" | |
368 | 1WS/FILL O N REQUEST2 FOUND IN D RAWER3PHAR MACIST ERR OR4EXPIRED /NO ORDER5 ATC ERROR6 NOT ENOUGH PRNS7TECH NICIAN ERR OR8ON PRE- EXCHANGE/P ICK LIST9P ATIENT TRA NSFERRED10 NURSE ADMI N ERRORAt the “COMMA ND:” promp t, perform one of th e followin g actions: | |
369 | Type S, an d then pre ss <Enter> to save t he informa tion that you entere d for the Missing Do se Request selected. | |
370 | Type E, an d then pre ss <Enter> to exit t he Followu p Informat ion Screen . | |
371 | Type R, an d then pre ss <Enter> to refres h the Foll owup Infor mation Scr een. | |
372 | If you try to exit t he screen without sa ving the d ata, the s ystem disp lays the “ Save chang es before leaving fo rm (Y/N)?” prompt. E nter N for No, or Y for Yes, a nd then pr ess <Enter >. The sys tem confir ms that th e data has been save d, and ret urns you t o the “Sel ect Bar Co de Medicat ion Admini stration M anager Opt ion:” prom pt. | |
373 | ||
374 | Missing Do se Report XE "Missin g Dose Rep ort" | |
375 | The Missin g Dose Rep ort [PSBO MD] option provides informatio n XE "Usin g the Phar macy Menu Options:Mi ssing Dose Report" about Miss ing Doses that were submitted by a ward or for all wards. Th is report displays t he total n umber of M issing Dos es submitt ed for eac h ward loc ation sele cted, the dispense d rug reques ted, and t he total n umber of M issing Dos e Requests submitted for the d ispensed d rug within the selec ted date r ange. | |
376 | To print a Missing D ose Report : | |
377 | At the “Se lect Medic ation Admi nistration Menu Phar macy Optio n:” prompt , type 7, and then p ress <Ente r> to acce ss the Mis sing Dose Report [PS BO MD] opt ion. The M issing Dos e Report R equest Scr een will d isplay, as shown in Exhibit 19 . | |
378 | At the “St art Date:” prompt, t ype the st art date o f the repo rt, and th en press < Enter>. Th e Missing Dose Reque st Pharmac y Follow-u p Informat ion Screen then disp lays. Note : The curs or moves t o the next prompt ea ch time th at you pre ss <Enter> . | |
379 | ( | |
380 | To display a list or a standar d date and time form at, enter a ? in any date or t ime prompt , and then press <En ter>. | |
381 | Exhibit 19 : Missing Dose Repor t Request Screen | |
382 | At the fir st “At:” p rompt, typ e the star t time of the report (in HHMM format), a nd then pr ess <Enter >. | |
383 | At the “St op Date:” prompt, ty pe the sto p date, an d then pre ss <Enter> . | |
384 | At the sec ond “At:” prompt, ty pe the sto p time (in HHMM form at), and t hen press <Enter>. | |
385 | At the “Wa rd (Return for ALL): ” prompt, press <Ent er> to dis play a lis t of all w ards, or e nter the w ard for wh ich you wa nt to run a report. | |
386 | At the “Pr int to DEV ICE:” prom pt, type a valid pri nter, and then press <Enter>. | |
387 | At the “Qu eue to Run At:” prom pt, press <Enter> to accept th e date dis played, or enter a d ate and ti me, and th en press < Enter>. Th e report w ill print at the tim e and date entered. | |
388 | At the “<R ET> Re-Edi t:” prompt , press PF 1 (or Num Lock), fol lowed by E , to submi t this rep ort for pr inting. (O ther avail able actio ns at this prompt ar e PF1-Q to Quit or P F1-R to re fresh the screen.) | |
389 | Depending on how you r division is config ured, eith er the PF1 key or Nu m Lock wil l be activ e. For con sistency, this manua l refers t o the PF1 convention , but user s are advi sed that P F1 is the same as Nu m Lock, if that is t he active function a t their VA MC. | |
390 | The screen clears an d the foll owing mess age displa ys: | |
391 | Submitting Your Repo rt Request to Taskma n…Submitte d! | |
392 | Your Task Number Is: XXXX | |
393 | A sample r eport is s hown in Ex hibit 20, XE "Sample reports:M issing Dos e Report" Missing D ose Report . | |
394 | Exhibit 20 : Missing Dose Repor t XE "Samp le reports :Missing D ose Report " | |
395 | ||
396 | Label Prin t | |
397 | BCMA V. 3. 0 includes the Label Print [PS BO BL] opt ion for pr inting ind ividual or batch Uni t Dose bar code labe ls. It is specifical ly coded t o the Zebr a-brand pr inters usi ng the Zeb ra Program ming Langu age (ZPL). Model 105 SE was use d in the d evelopment of the la bels. Rout ine [PSBOB L] uses si te-specifi c printers or termin als to pro duce label s. | |
398 | Exhibit 21 : Bar Code Label Scr een | |
399 | To create bar code l abels: | |
400 | At the “Se lect Medic ation Admi nistration Menu Phar macy Optio n:” prompt , type 8, and then p ress <Ente r> to acce ss the Lab el Print [ PSBO BL] o ption. The Bar Code Label Scre en will di splay, as shown in E xhibit 21. | |
401 | At the “Dr ug Name:” prompt, en ter the dr ug name an d then pre ss <Enter> . | |
402 | At the “Lo t #:” prom pt, enter the Lot #, and then press <Ent er>. | |
403 | At the “Ex piration D ate:” prom pt, enter a date, an d then pre ss <Enter> . | |
404 | At the “Ma nufacturer :” prompt, enter the manufactu rer's name , and then press <En ter>. | |
405 | At the “Qu antity:” p rompt, ent er a quant ity betwee n 0.25 and 9999 (up to two dec imal place s), and th en press < Enter>. | |
406 | At the “Fi lled By:” prompt, ty pe the ini tials of t he person who filled the order , and then press <En ter>. | |
407 | If it is u nknown, le ave the fi eld blank by pressin g <Enter>. This will provide s pace for a nother ind ividual to initial t he label a t a later time. | |
408 | At the “Ch ecked By:” prompt, t ype the in itials of the person who will check the order, and then pres s <Enter>. | |
409 | If it is u nknown, le ave the fi eld blank by pressin g <Enter>. This will provide s pace for a nother ind ividual to initial t he label a t a later time. | |
410 | At the “# Labels:” p rompt, typ e the numb er of labe ls needed between 1 and 999, a nd then pr ess <Enter >. | |
411 | At the “Pa tient Name :” prompt, type the patient’s name, and then press <Enter>. | |
412 | If prepari ng a Ward Stock labe l, leave t he field b lank by pr essing <En ter>. | |
413 | At the “Do sage:” pro mpt, enter a dosage and then p ress <Ente r>. | |
414 | The “Dosag e:” prompt will acce pt entries from two to 30 alph a/numeric characters . | |
415 | At the “Pr int to Dev ice:” prom pt, type t he bar cod e printer assigned t o the ward , and then press <En ter>. | |
416 | At the “Qu eue to Run :” prompt, enter a d ate and ti me, and th en press < Enter>. | |
417 | At the “<R ET> Re-Edi t:” prompt , press PF 1 - E to p rint the l abel, PF1 - Q to Qui t or PF1 - R to refr esh the sc reen. | |
418 | Drug File Inquiry XE "Drug Fil e Inquiry" | |
419 | The Drug F ile Inquir y [PSB DRU G INQUIRY] option le ts Pharmac y personne l XE "Usi ng the Pha rmacy Menu Options:D rug File I nquiry" c heck the b ar-coded I nternal En try Number (IEN) Cod e listed o n dispense d Unit Dos e medicati ons. This is particu larly usef ul in help ing resolv e discrepa ncies when the incor rect bar c ode is aff ixed to a medication . | |
420 | On a medic ation bar code, the IEN appear s on the f irst line next to th e Drug nam e. Any add itional sy nonyms loa ded into P harmacy Da ta Managem ent V. 1.0 also appe ar under t he Synonym heading o f this opt ion. | |
421 | To run a d rug file i nquiry: | |
422 | At the “Se lect Medic ation Admi nistration Menu Phar macy Optio n:” prompt , type 9, and then p ress <Ente r> to acce ss the Dru g File Inq uiry [PSB DRUG INQUI RY] option . | |
423 | At the “Se lect DRUG: ” prompt, as shown i n Exhibit 23, Drug F ile Inquir y Screen 1 , type the name and dosage of the drug, and then p ress <Ente r>. | |
424 | You can di splay a li st or a st andard for mat by ent ering a ? at the “Se lect DRUG: ” prompt, and then p ressing <E nter>. The Drug File informati on will di splay, as illustrate d in Exhib it 24, Dru g File Inq uiry Scree n 2. | |
425 | Exhibit 23 : XE "Samp le screens :Drug File Inquiry S creen 1" Drug File Inquiry Sc reen 1 | |
426 | Exhibit 24 : XE "Samp le screens :Drug File Inquiry S creen 2" Drug File Inquiry Sc reen 2 | |
427 | ||
428 | The IEN di splays on the first line, to t he right o f the Drug Name. The IEN is un ique to th is drug fi le entry. In most ca ses, it is the bar-c oded numbe r on the U nit Dose p ackages th at are cre ated in th e Pharmacy . Manufact urers’ Nat ional Drug Code (NDC ) bar code s may disp lay at the “SYNONYMS :” prompt of this di splay. If the drug i s Non-Form ulary (N/F ), the “No n-Formular y:” prompt will be s et to N/F. | |
429 | ||
430 | Bar Code L abel Print XE "Barco de Label P rint" | |
431 | BCMA V. 3. 0 includes the Barco de Label P rint [PSBO BZ] optio n for prin ting indiv idual or b atch Unit Dose bar c ode labels . This opt ion allows the user to have th e flexibil ity to use any print er that ha s bar code printing capabiliti es to prod uce BCMA b ar code la bels. Rout ine PSBOBZ uses site -specific printers o r terminal s to produ ce labels. | |
432 | Exhibit 25 : Bar Code Label Pri nt Screen XE "Sample screens:B ar Code La bel Print Screen" | |
433 | ||
434 | To print b ar code la bels: | |
435 | At the “Se lect Medic ation Admi nistration Menu Phar macy Optio n:” prompt , type 10, and then press <Ent er> to acc ess the Ba rcode Labe l Print [P SBO BZ] op tion. The Bar Code L abel Print Screen wi ll display , as shown in Exhibi t 25. | |
436 | At the “Dr ug Name:” prompt, en ter the dr ug name an d then pre ss <Enter> . | |
437 | At the “Lo t #:” prom pt, enter the Lot #, and then press <Ent er>. | |
438 | At the “Ex piration D ate:” prom pt, enter a date, an d then pre ss <Enter> . | |
439 | At the “Ma nufacturer :” prompt, enter the manufactu rer's name , and then press <En ter>. | |
440 | At the “Qu antity:” p rompt, ent er a quant ity betwee n 0.25 and 9999 (up to two dec imal place s), and th en press < Enter>. | |
441 | At the “Fi lled By:” prompt, ty pe the ini tials of t he person who filled the order , and then press <En ter>. | |
442 | If it is u nknown, le ave the fi eld blank by pressin g <Enter>. This will provide s pace for a nother ind ividual to initial t he label a t a later time. | |
443 | At the “Ch ecked By:” prompt, t ype the in itials of the person who will check the order, and then pres s <Enter>. | |
444 | If it is u nknown, le ave the fi eld blank by pressin g <Enter>. This will provide s pace for a nother ind ividual to initial t he label a t a later time. | |
445 | At the “# Labels:” p rompt, typ e the numb er of labe ls needed between 1 and 999, a nd then pr ess <Enter >. | |
446 | At the “Pa tient Name :” prompt, type the patient’s name, and then press <Enter>. | |
447 | If prepari ng a Ward Stock labe l, leave t he field b lank by pr essing <En ter>. | |
448 | At the “Do sage:” pro mpt, enter a dosage and then p ress <Ente r>. | |
449 | The “Dosag e” prompt will accep t entries between 1- 22 alphanu meric char acters. | |
450 | At the “Pr int to Dev ice:” prom pt, type t he name of the bar c ode printe r assigned to the wa rd, and th en press < Enter>. | |
451 | To view al l availabl e printers , type a q uestion ma rk (?) and then pres s <Enter>. Type the number of the printe r and then press <En ter>. The printer na me populat es the fie ld | |
452 | At the “Qu eue to Run At:” prom pt, enter a date and time, and then pres s <Enter>. | |
453 | At the “<R ET> Re-Edi t:” prompt , press PF 1 - E to p rint the l abel, PF1 - Q to Qui t or PF1 - R to refr esh the sc reen. Samp le labels are shown in the Exh ibits belo w XE "Bar Code Label , Sample" . | |
454 | Exhibit 26 a: Sample Unit Dose Bar Code L abel XE "S ample Unit Dose Bar Code Label " | |
455 | Drug: BACL OFEN 10MG TABS (Qty: 1)Dose:25 MGPatient: BCMAPATIE NT,ONE | |
456 | Ward: GEN MED | |
457 | Lot: 12314 1 | |
458 | ||
459 | Exp: 4/5/2 006 Mfg: DRUGCO | |
460 | Filled/Che cked By: X X/XX | |
461 | *500-2564* Exhibit 26 b: Sample Ward Stock Bar Code Label XE " Sample War d Stock Ba r Code Lab el" | |
462 | Drug: BACL OFEN 10MG TABS (Qty: 1)Dose:25 MGPatient: | |
463 | Ward: | |
464 | Lot: 12314 1 | |
465 | ||
466 | Exp: 4/5/2 006 Mfg: DRUGCO | |
467 | Filled/Che cked By:__ _____/____ ___ | |
468 | *500-2564* | |
469 | BCMA Drug IEN Synony m Check | |
470 | BCMA V. 3. 0 includes the BCMA Drug IEN S ynonym Che ck [PSB DR UG IEN CHE CK] option checks a specific d rug in the DRUG (#50 ) file by using its IEN to sea rch for ot her entrie s that mat ch or cont ain the IE N as its s ynonym. | |
471 | Exhibit 27 : BCMA Dru g IEN Syno nym Check XE "Sampl e screens: Bar Code L abel Print Screen" | |
472 | ||
473 | To run the BCMA Drug IEN Synon ym Check o ption: | |
474 | At the “Se lect Medic ation Admi nistration Menu Phar macy Optio n:” prompt , type 11, and then press <Ent er> to acc ess the BC MA Drug IE N Synonym Check [PSB DRUG IEN CHECK] opt ion. The “ Scan Medic ation” pro mpt will d isplay, as shown in Exhibit 27 . | |
475 | At the “Sc an Medicat ion:” prom pt, enter the Drug I EN and the n press <E nter > OR scan the b arcode. | |
476 | Report for Respirato ry Therapy Medicatio ns | |
477 | The Report for Respi ratory The rapy Medic ations [PS B RPT RESP THERAPY M EDS] optio n enables Respirator y Therapis ts to gene rate the R espiratory Therapy M edications report, w hich ident ifies pati ents who n eed admini stration o f orderabl e items th at have be en classif ied as Res piratory T herapy Dru gs. These medication s are clas sified in the Pharma cy Data Ma nagement p ackage usi ng the Edi t Orderabl e Items [P SS EDIT OR DERABLE IT EMS] optio n. Refer t o the Phar macy Data Management User Manu al for mor e informat ion on cla ssifying R espiratory Therapy D rugs. | |
478 | The Respir atory Ther apy Medica tions repo rt lists t he order n umber, pat ient name and locati on, medica tion name and dosage , and admi nistration date and time, thus allowing Respirator y Therapis ts to easi ly locate each patie nt so that they can administer treatment at the ap propriate time. Mult i-division al sites h ave the op tion to se lect a sin gle divisi on to incl ude in the report, o r to inclu de all div isions. | |
479 | To run the Report fo r Respirat ory Therap y Medicati ons: | |
480 | At the “Se lect Medic ation Admi nistration Menu Phar macy Optio n:” prompt , type 12 and then p ress <Ente r>. | |
481 | At the "Do you want (A)ll Divi sions or j ust (O)ne Division: (A/O): O// " prompt, press <Ent er> if you wish to g enerate th e report f or one div ision. You are promp ted to sel ect a divi sion; the default re sponse is the divisi on to whic h you are assigned i n the NEW PERSON fil e (#200). | |
482 | At a multi -divisiona l site, ty pe A and t hen press <Enter> if you wish to generat e the repo rt for all divisions . | |
483 | At the "Se lect date of Respira tory Thera py Meds Re port (eg T or T-1, e tc.):" pro mpt, enter the date the report will cove r and then press <En ter>. | |
484 | At the " D EVICE: HOM E//" promp t, enter t he destina tion print er and the n press <E nter>. Que uing the r eport is r ecommended because t he report might take a signifi cant time to generat e; therefo re, sendin g the repo rt to your computer screen cou ld tie up your compu ter for a long perio d of time. Note: In the follow ing exampl e, the P-M ESSAGE vir tual print er is sele cted. | |
485 | Exhibit 28 : Report f or Respira tory Thera py Medicat ions Optio n | |
486 | Select OPT ION NAME: PSB PHARMA CY M edication Administra tion Menu Pharmacy | |
487 | 1 Medication Administr ation Log | |
488 | 2 Missed Med ications ( INPATIENT ONLY) | |
489 | 3 Due List ( INPATIENT ONLY) | |
490 | 4 Medication Administr ation Hist ory (MAH) | |
491 | 6 Missing Do se Followu p | |
492 | 7 Missing Do se Report | |
493 | 8 Label Prin t | |
494 | 9 Drug File Inquiry | |
495 | 10 Barcode La bel Print | |
496 | 11 BCMA Drug IEN Synony m Check | |
497 | 12 Report for Respirato ry Therapy Medicatio ns | |
498 | Select Med ication Ad ministrati on Menu Ph armacy <TE ST ACCOUNT > Option: 12 Report | |
499 | for Respir atory Ther apy Medica tions | |
500 | Report for Respirato ry Therapy Medicatio ns | |
501 | Do you wan t (A)ll Di visions or just (O)n e Division : (A/O): O// ne Div ision | |
502 | Select Div ision: CAS PER// ? | |
503 | Answer with MEDI CAL CENTER DIVISION NUM, or NA ME, or FAC ILITY NUMB ER, or | |
504 | TR EATING SPE CIALTY | |
505 | Choose from: | |
506 | 1 CHEY ENNE VAMRO C 442 | |
507 | 2 CASP ER 442 GA | |
508 | 3 FORT COLLINS 442GC | |
509 | 4 GREE LEY 44 2GD | |
510 | 5 SIDN EY 442 GB | |
511 | 6 CHEY ENNE MOC 442HK | |
512 | ||
513 | Select Div ision: CAS PER// 442GA | |
514 | Select dat e of Respi ratory The rapy Meds Report (eg T or T-1, etc.): T (JUN 12, | |
515 | 2018) | |
516 | Please cho ose a 132 character printer | |
517 | Queuing of this repo rt is reco mmended | |
518 | DEVICE: HO ME// P-MES S P-MESSA GE-HFS HF S FILE => MESSAGE | |
519 | Subject: T est for Ca sper, 6/12 @2:31pm | |
520 | Selec t one of t he followi ng: | |
521 | M Me | |
522 | P Postmaster | |
523 | From whom: Me// | |
524 | Send mail to: USER,T EST// US ER,TEST | |
525 | Select bas ket to sen d to: IN// | |
526 | And Send t o: | |
527 | Requested Start Time : NOW// ( JUN 12, 20 18@13:31:5 3) | |
528 | 1 Medication Administr ation Log | |
529 | 2 Missed Med ications ( INPATIENT ONLY) | |
530 | 3 Due List ( INPATIENT ONLY) | |
531 | 4 Medication Administr ation Hist ory (MAH) | |
532 | 6 Missing Do se Followu p | |
533 | 7 Missing Do se Report | |
534 | 8 Label Prin t | |
535 | 9 Drug File Inquiry | |
536 | 10 Barcode La bel Print | |
537 | 11 BCMA Drug IEN Synony m Check | |
538 | 12 Report for Respirato ry Therapy Medicatio ns | |
539 | Select Med ication Ad ministrati on Menu Ph armacy <TE ST ACCOUNT > Option: | |
540 | Exhibit 29 : Example Report for Respirato ry Therapy Medicatio ns XE "Sa mple repor ts:Report for Respir atory Ther apy Medica tions" | |
541 | ||
542 | glossary X E "Glossar y" | |
543 | This secti on contain s definiti ons for ac ronyms and terms use d througho ut this ma nual. | |
544 | Acronyms X E "Acronym s" | |
545 | ADRAdverse Drug Reac tion. BCMA Bar Code M edication Administra tion. CHUI Character- based User Interface .CPRSCompu terized Pa tient Reco rd System. GUIGraphi cal User I nterface. IENInterna l Entry Nu mber. IVIn travenous. MAHMedicat ion Admini stration H istory. MA RMedicatio n Administ ration Rec ord. N/FNo n-formular yNDCNation al Drug Co de. PRN Pr o Re Nata, or “as ne eded.” VDL Virtual Du e List. Vi stAVeteran s Health I nformation Systems a nd Technol ogy Archit ecture.Ter ms XE "Ter ms" | |
546 | ADRAdverse Drug Reac tion. Any response t o a drug w hich is no xious and unintended , and whic h occurs a t doses no rmally use d in human s for trea tment, dia gnosis, or therapy o f a diseas e, or for modifying physiologi cal functi ons, inclu ding toxic ity caused by overdo se, drug i nteraction , drug abu se, drug w ithdrawal, significa nt failure of expect ed action, food-drug interacti on, or all ergy.Admin istration History Re portA repo rt in CPRS that list s the date , time, an d orderabl e item of a medicati on highlig hted on th e CPRS Med s Tab. Thi s report i s called “ Medication History R eport” in BCMA.Audit sThe proce ss that tr acks the a ctivities of nurses administer ing medica tions, by recording selected t ypes of ev ents in th e patient’ s Medicati on Log.BCM AA VistA s oftware ap plication used in VA MCs for va lidating p atient inf ormation a nd medicat ions again st active medication orders be fore being administe red to a p atient.Cli nicianVAMC personnel who admin ister acti ve medicat ion orders to patien ts on a wa rd. In a V AMC, a num ber of tea ms may be assigned t o take car e of one w ard, with specific r ooms and b eds assign ed to each team.Comp letedThis status for an IV bag indicates that the infusion h as been co mpleted, a nd the bag is being taken down or replac ed with a new bag. N o addition al actions may be ta ken on a b ag marked as “Comple ted,” othe r than to enter comm ents.Conti nuous Orde rA medicat ion given continuous ly to a pa tient for the life o f the orde r, as defi ned by the order Sta rt and Sto p Date/Tim e.CPRSA Vi stA softwa re applica tion that allows use rs to ente r patient orders int o differen t software packages from a sin gle applic ation. All pending o rders that appear in the Unit Dose and I V packages are initi ally enter ed through the CPRS package. C linicians, managers, quality a ssurance s taff, and researcher s use this integrate d record s ystem.Disp ensed Drug A drug who se name ha s the stre ngth assoc iated with it (e.g., Acetamino phen 325 m g). The na me without the stren gth is cal led the “O rderable I tem Name.” Due List R eportA rep ort that p rovides de tailed inf ormation a bout activ e and futu re Unit Do se and IV medication orders th at are “du e” for adm inistering to a pati ent during a time fr ame that y ou specify within a 24-hour pe riod.Given When a med ication is administe red to a p atient, it is consid ered to be “Given” a nd marked as such (w ith a “G”) in the St atus colum n of the V DL.GUIGrap hical User Interface . The type of interf ace chosen for BCMA. HeldWhen a medicatio n is not a ctually ta ken by a p atient, it is consid ered to be “Held” an d marked a s such (wi th an “H”) in the St atus colum n of the V DL. Reason s might in clude the patient be ing tempor arily off the ward. You can se lect and m ark multip le medicat ions as He ld on the VDL using the Right Click drop -down menu . In the c ase of IV bags, this status in dicates th at the dos e was Held . The only actions a vailable f or this ty pe of IV b ag are to mark the b ag as Infu sing or Re fused, or to submit a Missing Dose Reque st to the Pharmacy.H oldTo disp lay a medi cation ord er grayed out on the VDL until its Stop Date/Time or until i t is Given . Some med ical cente rs require that a nu rse mark t hese order types as “Held,” al though it is not nec essary tha t they do so.IEN Cod eThe inter nal entry drug numbe r entered by Pharmac y personne l into the DRUG file (#50) to identify U nit Dose a nd IV medi cations.IV A medicati on given i ntravenous ly (within a vein) t o a patien t from an | |
547 | IV Bag. IV types inc lude Admix ture, Chem otherapy, Hyperal, P iggyback, and Syring e.MAHA pat ient repor t that lis ts a clini cian’s nam e and init ials, and the exact time that an action was taken on an orde r (in a co nventional MAR forma t). Each o rder is li sted alpha betically by the ord erable ite m. The Dat e column l ists three asterisks (***) to indicate t hat a medi cation is not due. T he report also lists informati on about w hen an ord er is plac ed “On Hol d” and tak en “Off Ho ld” by a p rovider, a nd the ord er Start a nd Stop Da te/Time fo r the medi cation.Med ication Ad ministrati on History ReportAls o called “ MAH,” A pa tient repo rt that li sts a clin ician’s na me and ini tials, and the exact time that an action was taken on an ord er (in a c onventiona l MAR form at). Each order is l isted alph abetically by the or derable it em. The Da te column lists thre e asterisk s (***) to indicate that a med ication is not due. The report also list s informat ion about when an or der is pla ced “On Ho ld” and ta ken “Off H old” by a provider, and the or der Start and Stop D ate/Time f or the med ication.Me dication H istory Rep ortA repor t in BCMA that lists the date, time, and orderable item of a medicatio n selected on the VD L. This re port is ca lled “Admi nistration History R eport” in CPRS.Medic ation Log ReportAlso called “M ed Log,” a report th at lists e very actio n taken on a medicat ion order within a s pecified 2 4-hour per iod. You c an choose to include Comments and Audits performed on the pa tient’s me dication o rders.Miss ing DoseA medication considere d “Missing .” BCMA au tomaticall y marks th is order t ype (with an “M”) in the Statu s column o f the VDL after you submit a M issing Dos e Request to the Pha rmacy. If an IV bag displayed in the IV Bag Chrono logy displ ay area of the VDL i s not avai lable for administra tion, you may mark t he IV bag as a “Miss ing Dose” using the Missing Do se button or by righ t clicking the IV ba g and sele cting the Missing Do se command in the Ri ght Click drop-down menu.Misse d Medicati ons Report A report t hat lists informatio n about Co ntinuous a nd One-Tim e Unit Dos e and IV P iggyback m edications that were not admin istered to a patient .National Drug Code Also calle d “NDC,” t he number assigned b y a manufa cturer to each item/ medication administe red to a p atient.Not GivenThe status tha t a scanne d medicati on marked as “Given, ” but not actually t aken by a patient, i s changed to on the VDL. The a dministrat ion will d isplay on the VDL as it appear ed before it was mar ked as “Gi ven.” BCMA notes the status ch ange only in the Aud it Trail s ection of the Medica tion Log ( not on the VDL).NOW OrderA med ication or der given ASAP to a patient, e ntered as a One-Time order by Providers and Pharma cists. Thi s order ty pe display s for a fi xed length of time o n the VDL, as define d by the o rder Start and Stop Date/Time. On-Call Or derA speci fic order or action dependent upon anoth er order o r action t aking plac e before i t is carri ed out. Fo r example, “Cefazoli n 1gm IVPB On Call t o Operatin g Room.” S ince it ma y be unkn when the p atient wil l be taken to the op erating ro om, the ad ministrati on of the On-Call Ce fazolin is dependent upon that event.One -Time Orde rA medicat ion order given one time to a patient su ch as a ST AT or NOW a order. T his order type displ ays for a fixed leng th of time on the VD L, as defi ned by the order Sta rt and Sto p Date/Tim e or until it is Giv en.Orderab le ItemA d rug whose name does NOT have t he strengt h associat ed with it (e.g., Ac etaminophe n 325 mg). The name with a str ength is c alled the “Dispensed Drug Name .”PRN Effe ctiveness List Repor tA report that lists PRN medic ations adm inistered to a patie nt that ne eds Effect iveness co mments.Pro vider Anot her name f or the “Ph ysician” i nvolved in the prese cription o f a medica tion (i.e. , Unit Dos e or IV) t o a patein t.PSB INST RUCTORThe name of th e security “key” tha t must be assigned t o nursing instructor s, supervi sing nursi ng student s, so they can acces s user opt ions withi n BCMA V. 3.0.PSB ST UDENTThe n ame of the security “key” that must be a ssigned to nursing s tudents, s upervised by nursing instructo rs, so the y can acce ss user op tions with BCMA V. 3 .0. This k ey require s that a n ursing ins tructor si gn on to B CMA V. 3.0 .RefusedTh e status f or an IV b ag or Unit Dose to i ndicate th at the pat ient refus ed to take the dose. RemovedThe status fo r a patch (i.e., Nit roglycerin , Fentanyl , or Nicot ine) to in dicate tha t it has b een remove d from a p atient. On ce removed , the lett ers “RM” ( for “Remov ed”) displ ay in the Status col umn of the VDL.Sched uleThe fre quency at which a me dication i s administ ered to a patient. F or example , QID, QD, QAM, Q4H. Schedule T ypeIdentif ies the ty pe of sche dule (i.e. , Continuo us, PRN, O n-Call, an d One-Time ) for the medication being adm inistered to a patie nt.Securit y KeysUsed to access specific options wi thin BCMA that are o therwise “ locked” wi thout the security k ey. Only u sers desig nated as “ Holders” m ay access these opti ons.Start Date/TimeT he date an d time tha t a medica tion is sc heduled fo r administ ration to a patient. STAT Order A medicati on order g iven immed iately to a patient, entered a s a One-Ti me order b y provider s and phar macists. T his order type displ ays for a fixed leng th of time on the VD L, as defi ned by the order Sta rt and Sto p Date/Tim e.StatusA code used to inform a clinicia n about th e conditio n or progr ess of a m edication order. For Unit Dose and IVP/I VPB orders , status c odes inclu de G=Given , H=Held, R=Refused, M=Missing , and RM=R emoved (pa tch remova l only). F or IV orde rs, status codes inc lude I=Inf using, H=H eld, R=Ref used, S=St opped, C=C ompleted, and M=Miss ing.Stop D ate/TimeTh e date and time that a medicat ion order will expir e, and sho uld no lon ger be adm inistered to a patie nt.Unit Do seA medica tion given to a pati ent, such as tablets or capsul es.VDLAn o n-line “li st” used b y clinicia ns when ad ministerin g active m edication orders (i. e., Unit D ose, IV Pu sh, IV Pig gyback, an d large-vo lume IVs) to a patie nt. This i s the Main Screen in BCMA.Veri fyWhen a n urse or a pharmacist confirms that a med ication or der is acc urate and complete, according to the inf ormation s upplied by the provi der.Virtua l Due List Also calle d “VDL,” a n on-line list used by clinici ans when a dministeri ng active medication orders to a patient . This is the Main S creen in B CMA.INDEX | |
548 | ||
549 | Acronyms, 37 | |
550 | Bar Code L abel, Samp le, 32 | |
551 | Barcode La bel Print, 31 | |
552 | BCMA, 1 | |
553 | On-line He lp, 3 | |
554 | BCMA Menu, 5 | |
555 | Documentat ion Conven tions, 3 | |
556 | Drug File Inquiry, 2 9 | |
557 | Due List R eport, 15 | |
558 | Glossary, 37 | |
559 | GUI Option s, 5, 15 | |
560 | Missing Do se Report, 24 | |
561 | Pharmacy O ption Menu , 5 | |
562 | Pharmacy R easons Nee ded Select ion Table, 23 | |
563 | Sample rep orts | |
564 | Due List R eport by P atient, 17 , 18 | |
565 | Medication Administr ation Hist ory Report by Patien t, 20 | |
566 | Medication Administr ation Log Report by Patient, 9 | |
567 | Medication Administr ation Log Report by Ward, 10 | |
568 | Missed Med ications b y Ward Rep ort, 14 | |
569 | Missed Med ications R eport by P atient, 13 | |
570 | Missed Med ications R eport Scre en, 12 | |
571 | Missing Do se Report, 25, 26 | |
572 | Report for Respirato ry Therapy Medicatio ns, 36 | |
573 | Sample scr eens | |
574 | Bar Code L abel Print Screen, 3 1, 33 | |
575 | Drug File Inquiry Sc reen 1, 29 | |
576 | Drug File Inquiry Sc reen 2, 30 | |
577 | Due List R eport Requ est Screen , 15, 21 | |
578 | Missing Do se Follow Up Request Screen, 2 1 | |
579 | Missing Do se Request Pharmacy Follow-up Informatio n Screen, 22 | |
580 | Sample Scr eens | |
581 | BCMA Pharm acy Option Menu Scre en, 5 | |
582 | Medication Administr ation Log Report Scr een, 8 | |
583 | Using Scre enMan Form at to Requ est a Repo rt, 6 | |
584 | Sample Uni t Dose Bar Code Labe l, 32 | |
585 | Sample War d Stock Ba r Code Lab el, 32 | |
586 | Terms, 38 | |
587 | Using the Pharmacy M enu Option s | |
588 | Request a Report, 6 | |
589 | Using the Pharmacy M enu Option s | |
590 | Medication Administr ation Log, 8 | |
591 | Using the Pharmacy M enu Option s | |
592 | Medication Administr ation Log, 8 | |
593 | Using the Pharmacy M enu Option s | |
594 | Missed Med ications R eport, 11 | |
595 | Using the Pharmacy M enu Option s | |
596 | Missed Med ications, 11 | |
597 | Using the Pharmacy M enu Option s | |
598 | Due List, 15 | |
599 | Using the Pharmacy M enu Option s | |
600 | Medication Administr ation Hist ory (MAH), 19 | |
601 | Using the Pharmacy M enu Option s | |
602 | Missing Do se Follow- up, 21 | |
603 | Using the Pharmacy M enu Option s | |
604 | Missing Do se Report, 24 | |
605 | Using the Pharmacy M enu Option s | |
606 | Drug File Inquiry, 2 9 | |
607 | ||
608 | ||
609 | Department of Vetera ns Affairs | |
610 | VistA Heal th Systems Design & Developmen t | |
611 | ||
612 | Continuing /PRN/Stat/ One Time M edication/ Treatment Record (De tailed Log ) (VAF 10- 2970 B, C, D) �Run D ate: NOV 1 6, 2001@14 :35 | |
613 | Log Type: INDIVIDUAL PATIENT Page: 1 | |
614 | ||
615 | Patient: BCMAPATIEN T,SEVEN SSN: 000-00-10 01 DOB: JAN 1,19 49 (52) | |
616 | Sex: MALE Ht/Wt: 182cm/83k g Ward: BCMA Rm 401-4 | |
617 | Dx: COPD Last Mvmt: NOV 27,20 00@11:33:3 0 Type: ADMISSIO N | |
618 | ||
619 | Reactions: STRAWBER RIES | |
620 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ===== | |
621 | Activity D ate Orde rable Item Acti on Actio n | |
622 | Start Date > [Dos e/Sched/Ro ute/Inj Si te] By Date/ Time Dru g/Additive /Solution U/Ord U/Gvn Unit | |
623 | Stop Date< | |
624 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
625 | 11/16/01 1 3:44 BENZ TROPINE [3 MG Q6H PO] DD 11/16 /01 11:00 | |
626 | Given | |
627 | 11/14/01 1 2:42> BEN ZTROPINE 1 MG TAB 3.00 3.00 TAB | |
628 | Comm ents: 11/16/01 1 3:44 DD Actually given at 11am compu ter down d uring med pass | |
629 | 11/16/01 1 3:45 DD computer down duri ng 11am me d pass | |
630 | 2/22/02 24 :00< | |
631 | Audi ts: 11/16/01 1 3:45 DD Field: A CTION DATE /TIME 'NOV 16, 2001@ 13:44:58' deleted. | |
632 | 11/16/01 1 3:45 DD Field: A CTION DATE /TIME Set to 'NOV 16 , 2001@11: 00'. | |
633 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
634 | 11/16/01 1 2:25 PROC HLORPERAZI NE [10MG Q 6H PRN | |
635 | IM I nj Site: R ight Arm] DD 11/16 /01 12:25 | |
636 | Given | |
637 | 11/16/01 1 2:19> PRO CHLORPERAZ INE 5MG/ML INJ | |
638 | 2ML 1.00 1.00 10MG | |
639 | PRN Reason: VOMITING | |
640 | PRN Effectiven ess: Patie nt's N/V r elieved by 10mg of c ompazine | |
641 | Entered By : DENVER,D ONNA Date/ Time: NOV 16, 2001@1 3:22:55 Mi nutes: 57 | |
642 | Comm ents: <No Commen ts> | |
643 | 2/24/02 24 :00< | |
644 | Audi ts: 1 1/16/01 13 :22 DD Field: PR N EFFECTIV ENESS Set to 'Patien t's N/V re lieved by 10mg � of compazine' . | |
645 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
646 | 11/16/01 1 2:46 WARF ARIN [2MG MO-WE-FR@1 300 PO] DD 11/1 6/01 12:46 | |
647 | Give n | |
648 | 11/14/01 1 2:49> WA RFARIN 2MG TABS 1.00 1.00 TAB | |
649 | Comm ents: 11/16/01 1 3:43 DD SELECTED IN ERROR | |
650 | 2/22/02 24 :00< | |
651 | Audi ts: 11/16/01 1 3:43 DD Field: A CTION STAT US 'Given' deleted. | |
652 | 11/16/01 1 3:43 DD Field: A CTION STAT US Set to 'Given'. | |
653 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
654 | 11/16/01 1 2:46 AMOX ICILLIN [2 50MG Q8H P O] DD 11/ 16/01 12:4 6 | |
655 | Giv en | |
656 | 11/14/01 1 2:44> A MOXICILLIN 250MG CAP 1.00 1.00 CAP, ORAL | |
657 | Comm ents: <No Commen ts> | |
658 | 11/28/01 2 4:00< | |
659 | Audi ts: <No Audits > | |
660 | ||
661 | 1/16/01 13 :20 MEPER IDINE [50M G ON CALL IM Inj | |
662 | Site : Right Ar m] DD 11/ 16/01 13:2 0 | |
663 | Giv en | |
664 | 11/16/01 1 2:22> MEPERIDINE 50MG SYRI NGE 1.00 1.00 50M G | |
665 | Comm ents: 11/16/01 1 3:20 DD Surg ery called for pre o p to be ad ministered | |
666 | 2/24/02 24 :00< | |
667 | Audi ts: <No Audits > | |
668 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
669 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ====== | |
670 | BCMAPATIEN T,SEVEN 000-00-10 01 War d: BCMA R oom-Bed: 4 01-4 | |
671 | ||
672 | ||
673 | BCMAPATIEN T,SEVEN (00000 1001) | |
674 | Ward: BCMA Rm-Bed: 401-4 | |
675 | ||
676 | 11/16/01 1 2:25 PROC HLORPERAZI NE [10MG Q 6H PRN | |
677 | IM I nj Site: R ight Arm] DD 11/ 16/01 12:2 5 | |
678 | Giv en | |
679 | 11/16/01 1 2:19> PROCH LORPERAZIN E 5MG/ML I NJ | |
680 | 2ML 1.0 0 1.00 10MG | |
681 | PRN Reason: VOMITING | |
682 | PRN Effectiven ess: Patie nt's N/V r elieved by 10mg of c ompazine | |
683 | Entered By : DENVER,D ONNA Date/ Time: NOV 16, 2001@1 3:22:55 Mi nutes: 57 | |
684 | 2/24/02 24 :00< | |
685 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
686 | 11/16/01 1 2:46 WARF ARIN [2MG MO-WE-FR@1 300 PO] DD 11/ 16/01 12:4 6 | |
687 | Giv en | |
688 | 11/14/01 1 2:49> WARFA RIN 2MG TA BS 1.0 0 1.00 TAB | |
689 | 2/22/02 24 :00< | |
690 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
691 | 11/16/01 1 2:46 AMOX ICILLIN [2 50MG Q8H P O] DD 11/ 16/01 12:4 6 | |
692 | Giv en | |
693 | 11/14/01 1 2:44> AMOXI CILLIN 250 MG CAP 1.0 0 1.00 CAP,ORAL | |
694 | 11/28/01 2 4:00< | |
695 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
696 | 11/16/01 1 3:20 MEPE RIDINE [50 MG ON CALL IM Inj | |
697 | Site : Right Ar m] DD 11/ 16/01 13:2 0 | |
698 | Giv en | |
699 | 11/16/01 1 2:22> MEPER IDINE 50MG SYRINGE 1.0 0 1.00 50MG | |
700 | 2/24/02 24 :00< | |
701 | ||
702 | BCMAPATIEN T,ONE (00 0009678) | |
703 | Ward: BCMA Rm-Bed: 422-2 | |
704 | ||
705 | ||
706 | <<<< NO ME DICATIONS FOUND FOR THIS TIME FRAME >>>> | |
707 | ||
708 | ||
709 | BCMAPATIEN T,FOUR (0 00001002) | |
710 | Ward: BCMA Rm-Bed: 404-1 | |
711 | ||
712 | ||
713 | <<<< NO ME DICATIONS FOUND FOR THIS TIME FRAME >>>> | |
714 | ||
715 | ||
716 | BCMAPATIEN T,FIVE (0 00001084) | |
717 | Ward: BCMA Rm-Bed: 420-2 | |
718 | ||
719 | ||
720 | <<<< NO ME DICATIONS FOUND FOR THIS TIME FRAME >>>> | |
721 | ||
722 | ||
723 | BCMAPATIEN T,EIGHT ( 000001055) | |
724 | Ward: BCMA Rm-Bed: 420-4 | |
725 | ||
726 | ||
727 | <<<< NO ME DICATIONS FOUND FOR THIS TIME FRAME >>>> | |
728 | ||
729 | ||
730 | BCMAPATIEN T,NINE (0 00001013) | |
731 | Ward: BCMA Rm-Bed: 421-1 | |
732 | ||
733 | ||
734 | <<<< NO ME DICATIONS FOUND FOR THIS TIME FRAME >>>> | |
735 | ||
736 | ||
737 | MISSED MED ICATIONS from Jan 3 0, 2004@00 :01 thru J an 30, 200 4@23:59 | |
738 | Run Date: JAN 30, 20 04@08:02 | |
739 | Page: 1 | |
740 | ||
741 | Patient: BCMAPATIEN T,ONE SSN: 000-00-96 78 DOB: SEP 2,19 47 (56) | |
742 | Sex: MALE Ht/Wt: */* Ward: 7A GEN M ED Rm 724- A | |
743 | Dx: CHF Last Mvmt: DEC 2,200 3@07:30:35 Type: ADMISSIO N | |
744 | ||
745 | Reactions: No ADRs on file. | |
746 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ====== | |
747 | Order Num Administ ration Dat e/Time Me dication | |
748 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
749 | 2IV Jan 30, 2004@09:00 AM PICILLIN I NJ | |
750 | ||
751 | 4UD Jan 30, 2004@09:00 HA LOPERIDOL TAB | |
752 | (O n Hold) De c 08, 2003 @12:50 | |
753 | 10UD Jan 30, 2004@09:00 SO DIUM BICAR BONATE TAB | |
754 | ||
755 | ||
756 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ====== | |
757 | BCMAPATIEN T,ONE 000 -00-9678 W ard: 7A GE N MED Roo m-Bed: 724 -A | |
758 | ||
759 | ||
760 | MISSED MED ICATIONS from Jan 3 0, 2004@00 :01 thru J an 30, 200 4@23:59 | |
761 | Run Date: JAN 30, 20 04@08:14 | |
762 | Page: 1 | |
763 | ||
764 | Ward Locat ion: 7A GE N MED D ivision: A LBANY | |
765 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ====== | |
766 | Ord Num Room-B ed Patient Admin Date/Time Medicatio n | |
767 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ------ | |
768 | ||
769 | ||
770 | 2IV 724-A BCMAPATIEN T,ONE (9 678) 1/30 /04@01:00 AMPICILL IN INJ | |
771 | 4UD 724-A BCMAPATIEN T,ONE (9 678) 1/30 /04@01:00 HALOPERI DOL TAB (O n Hold) De c 08, 2003 @12:50 | |
772 | 10UD 724-A BCMAPATIEN T,ONE (9 678) 1/30 /04@01:00 SODIUM B ICARBONATE TAB | |
773 | ||
774 | 2IV 724-A BCMAPATIEN T,ONE (9 678) 1/30 /04@05:00 AMPICILL IN INJ | |
775 | 4UD 724-A BCMAPATIEN T,ONE (9 678) 1/30 /04@05:00 HALOPERI DOL TAB (O n Hold) De c 08, 2003 @12:50 | |
776 | 10UD 724-A BCMAPATIEN T,ONE (9 678) 1/30 /04@05:00 SODIUM B ICARBONATE TAB | |
777 | ||
778 | 2IV 724-A BCMAPATIEN T,ONE (9 678) 1/30 /04@09:00 AMPICILL IN INJ | |
779 | 4UD 724-A BCMAPATIEN T,ONE (9 678) 1/30 /04@09:00 HALOPERI DOL TAB (O n Hold) De c 08, 2003 @12:50 | |
780 | ||
781 | ||
782 | ||
783 | ||
784 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ====== | |
785 | ||
786 | MEDICATION DUE LIST for JAN 30 , 2004 00 01-2400 Run Date: JAN 30, 2004@ 08:56 | |
787 | Order Type (s): IV & Unit Dose -- Contin uous PRN O n-Call One -Time Pa ge: 1 | |
788 | ||
789 | Patient: BCMAPATIEN T,ONE SS N: 0 00-00-9678 DOB: SEP 2,1947 (56) | |
790 | Sex: MALE Ht/Wt: */* Ward: 7A GEN M ED Rm 724- A | |
791 | Dx: CHF Last Mvmt: DEC 2,200 3@07:30:35 Type: ADMISSIO N | |
792 | ||
793 | Reactions: No ADRs on file. | |
794 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ===== | |
795 | Self Last Star t Stop Veri fying | |
796 | Med Sche d Medica tion Dose Route Given Date Date Rph/ Rn | |
797 | @Tim e @Tim e | |
798 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
799 | IV-C AMPICI LLIN INJ Give: Q4 H IV 01/16/04@ 1003 12/8 /03 6/21 /04 A12/ *** | |
800 | @13: 30 @12: 00 | |
801 | *AMPIC ILLIN (50 GM) | |
802 | *DEXTR OSE 5% IN N. SALINE (1000 ML) Admin Time s: | |
803 | 0100-0500- 0900-1300- 1700-2100 | |
804 | Spec I nst: <None Entered> | |
805 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
806 | IV-C DEXTRO SE/SALINE INJ,SOLN Give: IV 12/8 /03 6/21 /04 A12/ *** | |
807 | @14: 12 @12: 00 | |
808 | *DEXTR OSE 5% IN N. SALINE (1000 ML) Admin Time s: 0000 | |
809 | Spec I nst: Bolus one bag. | |
810 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
811 | UD-C SODIUM BICARBONA TE TAB Give: 325M G Q4H PO 01/16/04@ 1002 1/16 /04 4/25 /04 PI/* ** | |
812 | @10: 00 @12: 00 | |
813 | *SODIU M BICARBON ATE 325MG TABS(2664) Admin Time s: | |
814 | 0100-0500- 0900-1300- 1700-2100 | |
815 | Spec I nst: <None Entered> | |
816 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
817 | UD-P ACETAM INOPHEN TA B Give: 650M G Q6H PRN PO 01/16/04@ 0945 12/8 /03 6/21 /04 A12/ *** | |
818 | @12: 35 @12: 00 | |
819 | *ACETA MINOPHEN 3 25MG TAB ( 263) | |
820 | Spec I nst: <None Entered> | |
821 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
822 | UD-P FUROSE MIDE INJ,S OLN Give: 20MG /2ML BID IVP 1/16 /04 4/25 /04 ***/ DD | |
823 | @10: 28 @12: 00 | |
824 | *FUROS EMIDE 10MG /ML 10ML I NJ(651) | |
825 | Spec I nst: For c ongestion | |
826 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
827 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ===== | |
828 | BCMAPATIEN T,ONE 00 0-00-9678 Ward: 7A G EN MED Ro om-Bed: 72 4-A | |
829 | ||
830 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ===== | |
831 | MEDICATION DUE LIST for JAN 30 , 2004 00 01-2400 Run Date: JAN 30, 2004@ 08:56 | |
832 | Order Type (s): IV & Unit Dose -- Contin uous PRN O n-Call One -Time Page: 2 | |
833 | Patient: BCMAPATIEN T,ONE SS N: 0 00-00-9678 DOB: SEP 2,1947 (56) | |
834 | Sex: MALE Ht/Wt: */* Ward: 7A GEN M ED Rm 724- A | |
835 | Dx: CHF Last Mvmt: DEC 2,200 3@07:30:35 Type: ADMISSIO N | |
836 | ||
837 | Reactions: No ADRs on file. | |
838 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ===== | |
839 | ||
840 | ***** FUTURE ORD ERS **** * | |
841 | ||
842 | Self Last Star t Stop Veri fying | |
843 | Med Sche d Medica tion Dose Route Given Date Date Rph/ Rn | |
844 | @Tim e @Tim e | |
845 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
846 | UD-C METHYL DOPATE INJ Give: 50MG /1ML Q6H PO 1/30 /04 2/6/ 04 ***/ DD | |
847 | @18: 00 @24: 00 | |
848 | *METHY LDOPATE 25 0MG/5ML IN J (208) Admin Time s: | |
849 | 0300-0900- 1500-2100 | |
850 | Spec I nst: <None Entered> | |
851 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
852 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ===== | |
853 | BCMAPATIEN T,ONE 00 0-00-9678 Ward: 7A G EN MED Ro om-Bed: 72 4-A | |
854 | ||
855 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== == | |
856 | MEDICATION DUE LIST for FEB 25 , 2004 00 01-2400 Run Dat e: FEB 25, 2004@11:2 2 | |
857 | Order Type (s): IV & Unit Dose -- Contin uous PRN O n-Call One -Time Page: 1 | |
858 | ||
859 | Patient: BCMAPATIEN T,ONE SSN: 000-00-9 678 DOB: SEP 2,1 947 (56) | |
860 | Sex: MALE Ht/Wt: */* Wa rd: 7A GE N MED Rm 7 24-A | |
861 | Dx: CHF Last Mv mt: DEC 2, 2003@07:30 :35 Ty pe: ADMIS SION | |
862 | ||
863 | Reactions: STRAWBER RIES | |
864 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== == | |
865 | Self L ast Start Stop Verify ing | |
866 | Med Sche d Medica tion Dose Ro ute G iven Date Date Rph/Rn | |
867 | @Time @Time | |
868 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
869 | IV-C AMPICI LLIN INJ Give: Q4H IV 0 1/16/04@10 03 12/8/0 3 6/21/0 4 ***/DD | |
870 | @13:30 @12:00 | |
871 | *AMPIC ILLIN (50 GM) | |
872 | *DEXTR OSE 5% IN N. SALINE (1000ML) | |
873 | Admin Times: | |
874 | 0100- 0500-0900- 1300-1700 | |
875 | -2100 | |
876 | Spec I nst: <None Entered> | |
877 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
878 | IV-C DEXTRO SE/SALINE INJ,SOLN Give : IV 12/8/0 3 6/21/0 4 ***/DD | |
879 | @14:12 @12:00 | |
880 | *DEXTR OSE 5% IN N. SALINE (1000 ML) | |
881 | Admi n Times: 0 000 | |
882 | Spec I nst: Bolus one bag. | |
883 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
884 | UD-C SODIUM BICARBONA TE TAB Give : 325MG Q 4H PO 0 2/13/04@11 00 1/16/0 4 4/25/0 4 ***/DD | |
885 | @10:00 @12:00 | |
886 | *SODIU M BICARBON ATE 325MG TABS | |
887 | (2664 ) Admi n Times: | |
888 | 0100 -0500-0900 -1300-1700 | |
889 | -2 100 | |
890 | Spec I nst: <None Entered> | |
891 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
892 | UD-P ACETAM INOPHEN TA B Give : 650MG Q 6H PRN PO 0 2/13/04@10 59 12/8/0 3 6/21/0 4 ***/DD | |
893 | @12:35 @12:00 | |
894 | *ACETA MINOPHEN 3 25MG TAB ( 263) | |
895 | Spec I nst: <None Entered> | |
896 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
897 | UD-P FUROSE MIDE INJ,S OLN Give : 20MG/2ML BID IV P 1/16/0 4 4/25/0 4 ***/DD | |
898 | @10:28 @12:00 | |
899 | *FUROS EMIDE 10MG /ML 10ML I NJ | |
900 | (651) | |
901 | Spec I nst: For c ongestion | |
902 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
903 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
904 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== == | |
905 | BCMAPATIEN T,ONE 000-0 0-9678 War d: 7A GEN MED Room- Bed: 724-A | |
906 | ||
907 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ==== | |
908 | Continuing /PRN/Stat/ One Time M edication/ Treatment Record (VA F 10-2970 B, C, D) Run Date: FEB 12, 2004@1 3:48 | |
909 | Page: 1 | |
910 | ||
911 | Patient: B CMAPATIENT ,ONE SSN : 00 0-00-9678 DOB: SEP 2, 1 947 (56) | |
912 | Sex: M ALE Ht/Wt: */* W ard: 7A GE N MED Rm 7 24-A | |
913 | Dx: C HF Last Mvmt: DEC 2, 20 03@07:30:3 5 T ype: ADMIS SION | |
914 | ||
915 | ADRs: No ADRs on file. | |
916 | ||
917 | Allergies: LATEX, S TRAWBERRIE S | |
918 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ===== | |
919 | Start Date Stop Date | Admin | | | | | | | | |
920 | and Time and Time | Times | 02/06/20 04 | 02/07 /2004 | 02 /08/2004 | 02/09/200 4 | 02/10/ 2004 | 02/ 11/2004 | |
921 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
922 | 12/08/2003 06/21/2004 | 0100 | | | | | | | |
923 | @13:30 @12:00 | 0500 | | | | | | | |
924 | | 0900 | | | | | | | |
925 | AMPICILLIN INJ | 1300 | | | | | | | |
926 | AMPICIL LIN 50 GM, DEXTROSE | 1700 | | | | | | | |
927 | 5% IN N. SALINE 10 00 ML Give : | 2100 | | | | | | | |
928 | IV Q4H INF USE OVER 2 0 MIN. | | | | | | | | |
929 | | | | | | | | | |
930 | RPH: A12 RN: | | | | | | | | |
931 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
932 | 12/08/2003 06/21/2004 | 0000 | | | | | | | |
933 | @14:12 @12:00 | | | | | | | | |
934 | | | | | | | | | |
935 | DEXTROSE/S ALINE INJ, SOLN | | | | | | | | |
936 | DEXTROS E 5% IN N. SALINE | | | | | | | | |
937 | 1000 ML Give: IV 1 00 ml/hr | | | | | | | | |
938 | Spec Inst: Bolus one bag. | | | | | | | | |
939 | | | | | | | | | |
940 | RPH: A12 RN: | | | | | | | | |
941 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
942 | 12/08/2003 06/21/2004 | 0100 | | | | | | | |
943 | @12:50 @12:00 | 0500 | | | | | | | |
944 | | 0900 | | | | | | | |
945 | HALOPERIDO L TAB | 1300 | | | | | | | |
946 | HALOPER IDOL 1MG S .T. Give: | 1700 | | | | | | | |
947 | 2MG PO Q4H | 2100 | | | | | | | |
948 | ENTERED A S ACTIVE B Y | | | | | | | | |
949 | PHARMACIST | | | | | | | | |
950 | A12 DEC 0 8, 2003@12 :50:05 | | | | | | | | |
951 | PLACED ON HOLD BY P HARMACIST | | | | | | | | |
952 | A12 DEC 0 8, 2003@12 :50:16 | | | | | | | | |
953 | RPH: A12 RN: | | HOLD | HOLD | H OLD | HOLD | HOLD | HO LD | |
954 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
955 | 01/30/2004 02/06/2004 | 0300 | | | | | | | |
956 | @18:00 @24:00 | 0900 | | | | | | | |
957 | | 1500 | | | | | | | |
958 | METHYLDOPA TE INJ | 2100 | | | | | | | |
959 | METHYLD OPATE 250M G/5ML INJ | | | | | | | | |
960 | Give: 50MG /1ML PO Q6 H | | | | | | | | |
961 | | | | | | | | | |
962 | | | | | | | | | |
963 | RPH: RN : DD | | | *** | * ** | *** | *** | ** * | |
964 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
965 | 01/16/2004 04/25/2004 | 0100 | | | | | | | |
966 | @10:00 @12:00 | 0500 | | | | | | | |
967 | | 0900 | | | | | | | |
968 | SODIUM BIC ARBONATE T AB | 1300 | | | | | | | |
969 | SODIUM BICARBONAT E 325MG | 1700 | | | | | | | |
970 | TABS Giv e: 325MG P O Q4H | 2100 | | | | | | | |
971 | | | | | | | | | |
972 | | | | | | | | | |
973 | RPH: PI RN: | | | | | | | | |
974 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
975 | ||
976 | Initial - Name Legen d | |
977 | ||
978 | ||
979 | Status Cod es | |
980 | C - Comple ted | |
981 | G - Given | |
982 | H - Held | |
983 | I - Infusi ng | |
984 | M - Missin g Dose Req uested | |
985 | R - Refuse d | |
986 | RM - Remov ed | |
987 | S - Stoppe d | |
988 | *** - Medi cation Not Due | |
989 | ||
990 | MISSING DO SE REPORT FROM SEP 2 4, 2003@01 :00 thru S EP 26, 200 3@23:00 Run Da te: OCT 01 , 2003@15: 31 | |
991 | ALL WARDS Page: 1 | |
992 | ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== ========== == | |
993 | Ward Locat ion M edication Total | |
994 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
995 | ||
996 | 7B POST OP ERATIVE A CETAMINOPH EN 650MG S UPPOS. 1 | |
997 | Schedule : Q4H | |
998 | ------ -- | |
999 | ||
1000 | W ard 7B POS T OPERATIV E Total: 1 | |
1001 | ||
1002 | BCMA P APAVERINE 30MG/ML 10 ML 1 | |
1003 | Schedule : Q3H | |
1004 | ------ -- | |
1005 | ||
1006 | W ard BCMA T otal 1 | |
1007 | ====== == | |
1008 | R eport Tota l: 2 | |
1009 | ||
1010 | ||
1011 | ||
1012 | _104417916 0.doc |
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