OE NX - Discharge Reconciliation - Discharge Medications Report
Scenario 1: Enable Last Dose/Next Due on OE Console Discharge Med Reconciliation report
Specific Setup:
- The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Enable Last Dose/Next Due on OE Console Discharge Med Reconciliation report' registry setting must be set to "Y".
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
- The 'Avatar eMAR->General->Settings->->->Support Medication ID' registry setting must be set to "Y".
- Please log out and log back in after completing the above configuration.
- A client must have an active episode. (Client A)
- "Client A" must have a ‘Date of Birth’, ‘Sex’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Allergies and Hypersensitivities’ form, ‘Diagnosis’ form and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
- Note: Avatar OE 2022 Update 91, NX Release 2022.10.00.02, or NX Release 2022.11.00.01 are required for full functionality.
Steps
- Select "Client A” and access the Order Entry Console.
- Search for and select "XANAX 1 MG TABLET ORAL" in the 'New Order' field.
- Populate the required fields.
- Click [Add to Scratchpad] and [Sign].
- Search for and select "RITALIN 10 MG TABLET ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "TABLET" from the 'Dose Unit' field.
- Select "TWICE A DAY" from the 'Freq' field.
- Validate the 'First Dose Date' field contains the current date.
- Validate the 'First Dose Time' field contains either "09:00 AM" or "09:00 PM" depending on the current time and hours of administration.
- Set the 'Duration' field to "14" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate the 'Order grid' contains an order for "RITALIN ORAL TABLET" and "XANAX ORAL TABLET".
- Access the ‘eMAR’ widget.
- Validate an order for "RITALIN 10 MG ORAL TABLET" is displayed with hours of administration of "0900" and "2100" under the current date and an order for "XANAX 1 MG ORAL TABLET" with hours of administration under the current date starting with the time the order was created and running through the end of the day in 4 hour increments.
- Select the first cell with a future time under the current date for the "RITALIN 10 MG ORAL TABLET" order and click [Administer].
- Perform 'Order Acknowledgement' and 'Client Education'.
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC# for "RITALIN 10 MG ORAL TABLET".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event in the 'Administration Event' field.
- Check the 'Accept administration information entered' checkbox and click [Ok].
- Validate the first cell under the current date for the "RITALIN 10 MG ORAL TABLET" order contains an administration of "1 TABLET" and the time of the administration.
- Select the first cell under the current date for the "XANAX 1 MG ORAL TABLET" order and click [Administer].
- Perform 'Order Acknowledgement' and 'Client Education'.
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC# for "XANAX 1 MG ORAL TABLET".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event in the 'Administration Event' field.
- Check the 'Accept administration information entered' field and [Ok].
- Validate the first cell under the current date for the "XANAX 1 MG ORAL TABLET" order contains an administration of "1 TABLET and the time of the administration".
- Access the Order Entry Console.
- Select the 'Discharge Reconciliation' tab.
- Select the first order from 'Inpatient Medications' and click [Add to Scratchpad].
- Select the second order from 'Inpatient Medications' and click [Add to Scratchpad].
- Select the first order from 'Home Medications Scratchpad (Post-Discharge)'.
- Validate the 'New Order' field contains "Ritalin 10 MG Oral Tablet (Schedule II)".
- Populate the required fields and click [Update Order].
- Select the second order from 'Home Medications Scratchpad (Post-Discharge)'.
- Validate the 'New Order' field contains "Xanax 1 MG Oral Tablet (Schedule II)".
- Populate the required fields and click [Update Order].
- Search for and select "Zyflo 600 MG Tablet Oral" in the 'New Order' field.
- Populate the required fields and click [Add to Scratchpad].
- Validate 'Home Medications Scratchpad (Post-Discharge)' contains an order for "Zyflo 600 MG Tablet Oral.
- Validate that the "Ritalin", "Xanax", and "Zyflo" orders have a status of "ADD", "ADD", and "NEW" respectively in the 'Action' column.
- Click [Review and Sign].
- Validate the 'Final Review' dialog is displayed and click [Sign].
- Click [Print Report]
- Verify the 'Discharge Medications Report' is displayed.
- Click [Go To Next Page].
- Validate the report contains "Ritalin 10 MG Tablet Oral" in the 'ACTIVE MEDICATIONS LIST' with a 'Last Given' time of "{current date} 09:00AM/09:00PM" and a 'Next Due' time and date twelve hours from the 'Last Give' time.
- Validate the report contains "Xanax 1 MG Tablet Oral" in the 'ACTIVE MEDICATIONS LIST' with a 'Last Given' time based on the 'First Dose' field and a 'Next Due' time and date six hours from the 'First Dose'.
- Validate the report contains "Zyflo 600 MG Tablet Oral" in the 'ACTIVE MEDICATIONS LIST' with no value in the 'Last Given' or 'Next Due' columns.
- Close the report.
Scenario 2: OE NX - Discharge Medications Report
Specific Setup:
- The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Enable Last Dose/Next Due on OE Console Discharge Med Reconciliation report' registry setting must be set to "N".
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
- The 'Avatar eMAR->General->Settings->->->Support Medication ID' registry setting must be set to "Y".
- The user logged into the application must have the 'Client Reported' checkbox checked in the 'Default to Client Reported in Home Medications' field in 'Order Entry User Definition'.
- Please log out and log back in after completing the above configuration.
- A client must have an active episode. (Client A)
- "Client A" must have a ‘Date of Birth’, ‘Sex’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Allergies and Hypersensitivities’ form, ‘Diagnosis’ form and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
- Note: Avatar OE 2022 Update 91, NX Release 2022.10.00.02, or NX Release 2022.11.00.01 are required for full functionality.
Steps
- Select “Client A” and access the Order Entry Console.
- Search for and select "XANAX 1 MG TABLET ORAL" in the 'New Order' field.
- Populate the required fields selecting a "PRN" frequency code.
- Validate the 'Order grid' contains an order for "XANAX ORAL TABLET".
- Select the 'Home Medications' tab.
- Search for and select "RITALIN 10 MG TABLET ORAL" in the 'New Order' field.
- Populate the required fields.
- Click [Add to Scratchpad], [Final Review], and [Sign].
- Validate the 'Order grid' contains an order for "Ritalin 10 MG ORAL Tablet"
- Access the ‘eMAR’ widget.
- Validate an order for "XANAX 1 MG ORAL TABLET" is displayed with no hours of administration in the cells under the current date.
- Select the first cell under the current date and click [Administer].
- Perform 'Order Acknowledgement' and 'Client Education'.
- Verify the 'Administration Event' dialog exists and contains an order for "XANAX 1 MG ORAL TABLET".
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC for "XANAX 1 MG ORAL".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event from the 'Administration Event' field.
- Check the 'Accept administration information entered' checkbox and [Ok].
- Validate the first cell under the current date for the "XANAX 1 MG ORAL TABLET" order contains "1 TABLET" and the time administered.
- Validate "Client A" is selected and access the Order Entry Console.
- Select the 'Discharge Reconciliation' tab.
- Validate 'Inpatient Medications' contains an order for "XANAX ORAL TABLET".
- Validate 'Home Medications Scratchpad (Post-Discharge)' contains an order for "Ritalin 10 MG ORAL.
- Select the order for "XANAX ORAL TABLET 1 TABLET, EVERY DAY" from 'Inpatient Medications' and click [Add to Scratchpad].
- Select the order for "XANAX ORAL TABLET 1 TABLET, EVERY DAY" from 'Home Medications Scratchpad (Post-Discharge)'.
- Populate the required fields and click [Update Order].
- Search for and select "Zyflo 600 MG Tablet Oral" in the 'New Order' field.
- Populate the required fields and click [Add to Scratchpad].
- Validate 'Home Medications Scratchpad (Post-Discharge)' contains an order for "Zyflo 600 MG Tablet Ora"
- Select the order for "Ritalin 10 MG ORAL Tablet" from 'Home Medications Scratchpad (Post-Discharge)' and click [Continue].
- Validate that the "Ritalin", "Xanax", and "Zyflo" orders have a status of "CONT", "ADD", and "NEW" respectively in the 'Action' column.
- Click [Review and Sign].
- Validate the 'Final Review' dialog is displayed and click [Sign].
- Validate that 'Discharge Med Reconciliation' is in view-only mode.
- Click [Print Report].
- Verify the 'Discharge Medications Report' is displayed.
- Validate the 'Continue These Medications' section contains "Ritalin 10 MG TAB Start: {the current date} Take one (1) tablet by mouth daily Dispense Quantity: 14 Tablet Days Supply: 14 Refills: 0".
- Validate the 'Start These Medications' section contains "Xanax 1 MG Tablet Oral Start: {the current date} Take one (1) tablet by mouth daily Dispense Quantity: 14 Tablet Days Supply: 14 Refills: 0".
- Validate the 'Start These Medications' section contains "Zyflo 600 MG Tablet Oral Start: {the current date} Take one (1) tablet by mouth daily Dispense Quantity: 14 Tablet Days Supply: 14 Refills: 0".
- Click [Go To Next Page].
- Validate the 'Active Medications List' section contains "Ritalin 10 MG TAB Take one (1) tablet by mouth daily Start: {the current date}", "Xanax 1 MG Tablet Oral Take one (1) tablet by mouth daily Start: {the current date}", and "Zyflo 600 MG Tablet Oral Take one (1) tablet by mouth daily Start: {the current date}".
- Close the report.
Scenario 3: OE NX - Med Rec Full Workflow
Specific Setup:
- A pharmacy-type order code must exist. (Order Code A)
- A client must have an inpatient episode whose program or unit are configured in the ‘External Pharmacy Setup’ form. (Client A)
- “Client A” must have a ‘Date of Birth’, ‘Sex’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Allergies and Hypersensitivities’ form, ‘Diagnosis’ form, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
- Note: Avatar OE 2022 Update 91, NX Release 2022.10.00.02, or NX Release 2022.11.00.01 are required for full functionality.
Steps
- Select "Client A", access the Order Entry Console and click the 'Home Medications' tab.
- Create three orders for "Order Code A", populate the required fields, and click [Add to Scratchpad].
- Select the third order from the scratchpad and validate its position does not change.
- Click [Final Review], populate the duplicate order warning interactions, and click [Save Override and Exit].
- Validate all information in the 'Client Information' and 'Current Prescriber' fields are displayed and Click [Sign].
- Validate the three orders display in the order grid.
- Click the 'Admission Reconciliation' tab.
- Select the three orders for "Order Code A" from the order grid and click [Add to Scratchpad].
- Select the third order from the scratchpad, validate its position does not change, populate the required fields and click [Update Order].
- Repeat for the second and the first orders.
- Click [Reconcile & Sign].
- Validate all information in the 'Client Information' and 'Current Prescriber' fields are displayed in the 'Final Review' dialog.
- Click the 'Orders This Episode' tab.
- Create three copies of "Order Code A" and click [Add to Scratchpad].
- Select the third order from the scratchpad and validate its position does not change.
- Click [Final Review] and populate the duplicate order warning interactions and click [Save Override and Exit].
- Validate all information in the 'Client Information' and 'Current Prescriber' fields are displayed in the 'Final Review' dialog and click [Sign].
- Validate that six orders display for "Order Code A" in the order grid.
- Click the 'Discharge Reconciliation' tab.
- Click [Do not add remaining] for the inpatient medications.
- Click [Continue] for the orders in the Home Medications Scratchpad (Post-Discharge).
- Select the third order from the Home Medications Scratchpad (Post-Discharge) and validate its position does not change.
- Click [Review and Sign].
- Validate all information in the 'Client Information' and 'Current Prescriber' fields are displayed and click [Sign].
- Click [Print Report].
- Verify the 'Discharge Medications Report' is displayed.
- Validate the 'Continue These Medications' section contains three copies of "Order Code A".
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Topics
• NX
• Order Entry Console
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