OE NX - Taper/titration orders - one time only or interval frequency codes
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: OE NX - Admission Med Reconciliation - New order - Taper/Titration - Calendar
Specific Setup:
- A frequency code must be configured as an interval frequency through the 'Frequency Code Setup' form. (Frequency Code A)
- A frequency code must be configured as a one-time-only frequency through the "Frequency Code Setup' form. (Frequency Code B)
- A frequency code must be configured as a routine non-interval frequency with 2 scheduled hours of administration through the "Frequency Code Setup' form. (Frequency Code C)
- 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.
Steps
- Select “Client A” and access the Order Entry Console.
- Select the ‘Admission Medication Reconciliation’ tab.
- Search for and select "Order Code A" in the ‘New Order’ field.
- Click [Taper/Titrate].
- Validate that 'Calendar' is selected.
- Click the ‘Add Step’ link twice.
- Set the 1st ‘Dose’ field to “1” and press [Tab].
- Select "Tablet" from the 1st ‘Dose Unit’ field.
- Validate the 'Days' field does not contain a value and is required.
- Set the 1st ‘Days’ field to “1”.
- Select “Frequency Code C” in the 1st ‘Freq’ field.
- Set the 2nd ‘Dose’ field to “2” and press [Tab].
- Select "Tablet" from the 2nd ‘Dose Unit’ field.
- Validate the 'Days' field does not contain a value and is required.
- Set the 2nd ‘Days’ field to “1”.
- Select “Frequency Code A” in the 2nd ‘Freq’ field and validate the 'Custom' button is no longer shown.
- Set the 3rd ‘Dose’ field to “3” and press [Tab].
- Select "Tablet" from the 3rd ‘Dose Unit’ field.
- Validate the 'Days' field does not contain a value and is required.
- Set the 3rd ‘Days’ field to “1”.
- Select “Frequency Code B” in the 3rd ‘Freq’ field and validate the 'Custom' button is no longer shown.
- Select "Frequency Code C" in the 3rd 'Freq' field and validate the 'Custom' button is shown again.
- Click [Add to Scratchpad].
- Validate the ‘Inpatient Medications Scratchpad’ contains the three new orders.
- Click [Reconcile & Sign].
- Validate the 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Admission Med Reconciliation' tab is in view-only mode.
Scenario 2: OE NX - Admission Medication Reconciliation - Taper/Titrate - 24-hr
Specific Setup:
- A frequency code must be configured as an interval frequency through the 'Frequency Code Setup' form. (Frequency Code A)
- A frequency code must be configured as a one-time-only frequency through the "Frequency Code Setup' form. (Frequency Code B)
- A frequency code must be configured as a routine non-interval frequency with 2 scheduled hours of administration through the "Frequency Code Setup' form. (Frequency Code C)
- 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.
Steps
- Select “Client A” and access the Order Entry Console.
- Select the ‘Admission Medication Reconciliation’ tab.
- Search for and select "Order Code A" in the ‘New Order’ field.
- Click [Taper/Titrate].
- Validate that 'Calendar' is selected.
- Click [24-hr].
- Click the ‘Add Step’ link.
- Set the 1st ‘Dose’ field to “3” and press [Tab].
- Select "Tablet" from the 1st ‘Dose Unit’ field.
- Validate the 'Days' field does not contain a value and is required.
- Set the 1st ‘Days’ field to “3”.
- Select “Frequency Code A” in the 1st ‘Freq’ field and validate the 'Custom' button is no longer shown.
- Set the 2nd ‘Dose’ field to “2” and press [Tab].
- Select "Tablet" from the 2nd ‘Dose Unit’ field.
- Validate the 'Days' field does not contain a value and is required.
- Set the 2nd ‘Days’ field to “”.
- Select “Frequency Code B” in the 2nd ‘Freq’ field and validate the 'Custom' button is no longer shown.
- Click [Add to Scratchpad].
- Validate the Error dialog "Days field is required." is displayed and click [OK].
- Select "3" from the 2nd 'Days' field.
- Select "Frequency Code C" in the 2nd 'Freq' field and validate the 'Custom' button is shown again.
- Click [Add to Scratchpad].
- Validate the ‘Inpatient Medications Scratchpad’ contains the two new orders.
- Click [Reconcile & Review].
- Validate the 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Final Review' dialog is displayed.
- Select "None" in 'Output' for both orders and click [Sign].
- Validate the 'Admission Med Reconciliation' tab is in view-only mode.
Scenario 3: OE NX - Orders This Episode - Taper/Titration - 24-hr - Custom Administration Time
Specific Setup:
- A frequency code must be configured as an interval frequency in the 'Frequency Code Setup' form. (Frequency Code A)
- A frequency code must be configured as a one-time-only frequency in the "Frequency Code Setup' form. (Frequency Code B)
- A frequency code must be configured as 'Routine' with administration times of "09:00 AM" and "09:00 PM" in the 'Frequency Code Setup' form. (Frequency Code C)
- A client must have an active episode whose program and 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.
Steps
- Select “Client A” and access the Order Entry Console.
- Search for and select a pharmacy-type order code.
- Click [Taper/Titration]
- Validate the 'Taper/Titration' dialog is displayed.
- Click [24-hr].
- Click [Add Step] twice.
- For step one enter a 'Dose', 'Dose Unit', select a value in 'Days' and select "Frequency Code C" from the 'Freq' field and validate that 'Custom' is displayed.
- For step two enter 'Dose', 'Dose Unit', select a value in 'Days' and select "Frequency Code A" from the 'Freq' field and validate that 'Custom' is not displayed.
- For step two enter 'Dose', 'Dose Unit', select a value in 'Days' and select "Frequency Code B" from the 'Freq' field and validate that 'Custom' is not displayed.
- Click [Add to Scratchpad].
- Select row 1 from the 'Scratchpad'.
- Validate that 'Custom' is displayed next to the 'Freq' field.
- Populate all missing required fields and click [Update Order].
- Select row 2 from the 'Scratchpad'.
- Validate that 'Custom' is not displayed next to the 'Freq' field.
- Populate all missing required fields and click [Update Order].
- Select row 3 from the 'Scratchpad'.
- Validate that 'Custom' is not displayed next to the 'Freq' field.
- Populate all required fields and select "Frequency Code A" in the 'Freq' field and validate the 'Custom' button is no longer displayed.
- Click [Update Order] and [Final Review].
- Validate the 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Final Review' dialog is displayed, select "None" in 'Output' for all 3 orders and click [Sign].
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Topics
• NX
• Order Entry Console
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Avatar NX - Client Picture
Scenario 1: Medical Note - Validate client in focus when switching client in context
Specific Setup:
- Must have a user with existing Provider login credentials that is logged in (User A).
- "User A" must have the 'Medical Note' widget properly configured to a view.
- "User A" must have various views configured that contain the 'Client Information Header' (View A & View B).
- "User A" has at least two clients with the following configured (Client A & Client B):
- Must have a client photo assigned.
- Must have an existing appointment scheduled with "User A".
Steps
- Navigate to the 'Medical Note' widget and validate the existence of 'Today's E&M Appointments/Notes'.
- Validate that the existing appointment is displayed for new "Client A" in 'Today's E&M Appointments/Notes'.
- Select "Client A" and validate the 'Facesheet' tab displays for "Client A".
- Validate the header displays "Client A" and their picture.
- Navigate to the "View A", validate the client header contains "Client A" and their picture.
- Navigate to the "View B", validate the client header contains "Client A" and their picture.
- Navigate to the 'Medical Note' widget and validate the 'Facesheet' tab displays for "Client A".
- Click [Today's Appts/Notes].
- Validate the existing appointment displays for "Client B" in 'Today's E&M Appointments/Notes'.
- Click [Start] next to "Client B".
- Validate 'Note Details' displays for "Client B".
- Validate the client header updates to display "Client B" and their picture.
- Click [Cancel].
- Navigate to "View A", validate the client header contains "Client B" and their picture.
- Navigate to "View B", validate that the client header contains "Client B" and their picture.
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Topics
• Medical Note
• NX
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OE NX - Order Groups
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Frequency Code Setup
- Order Group Setup
- Orders This Episode
Scenario 1: OENX - Order Group, that has one order selected by default, contains an order code with a 'Frequency' that is configured as One Time Only, Not Daily and has a Schedule Administration Hour of 08:00 AM
Specific Setup:
- A frequency code must exist that is configured as follows:(Frequency Code A)
- 'Routine or PRN(As Needed)' is set to "Routine"
- 'One Time Only' is set to "Yes"
- 'Interval Frequency' is set to "No"
- 'Daily Administration' is set to "Not Daily"
- 'Days Administered' has "Tuesday", "Thursday", and "Saturday" checked.
- 'Times/24 Hours' is set to "1"
- "08:00" is checked in the 'AM(06:00-11:30 AM) field under 'Hours of Administration (Check appropriate hours of administration, if any)'.
- An interval frequency code must exist. (Frequency Code B)
- An order group must exist that contains the following orders: (Order Group A)
- A pharmacy-type order code (Order Code A) with a 'Frequency Code' set to "Frequency Code A".
- A pharmacy-type order code (Order Code B) with a 'Frequency Code' set to "TWICE A DAY", which is "Daily" and has 'Scheduled Hours of Administration' of "09:00 AM" and "09:00 PM" and has the 'Yes' checkbox is checked in the 'Default To Selected When Selecting Orders From Order Group' field.
- A client must have an active inpatient 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select "Order Group A" in the 'New Order' field.
- Validate the 'Order Group' dialog is displayed and contains "Order Code A" and "Order Code B".
- Validate that "Order Code A" is not selected by default.
- Validate the checkbox for "Order Code B" is selected.
- Set the 'Dose' field to "1".
- Select "Tablet" in the 'Dose Unit' field.
- Validate the 'Freq' field contains "TWICE A DAY".
- Set the 'Freq' field to "Frequency Code B" and validate that the 'Start Date/Time' field changes to 'First Dose Date/Time'.
- Set the 'Freq' field back to "TWICE A DAY" and validate that the 'First Dose Date/Time' field changes back to 'Start Date/Time'.
- Set the 'Duration' to any value and click [Days].
- Validate the 'Start Date' field contains the current date.
- Validate the 'Start Time' field contains the current time.
- Click [Add to Scratchpad] and [Sign].
- Validate the 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains a new order for "Order Code B".
Scenario 2: OE NX - Order Group - One Time Only - Non-Daily with Scheduled Hour of Administration
Specific Setup:
- A frequency code must exist that has the following configuration:(Frequency Code A)
- 'Routine or PRN(As Needed)' is set to "Routine"
- 'One Time Only' is set to "Yes"
- 'Interval Frequency' is set to "No"
- 'Daily Administration' is set to "Not Daily"
- 'Days Administered' is set to "Monday", "Wednesday", and "Friday".
- 'Times/24 Hours' is set to "1".
- 'Hours of Administration (Check appropriate hours of administration, if any.) has "08:00" selected under 'AM(06:00-11: 30 AM)'.
- An order group must contain a pharmacy-type order code (Order Code A) that has a 'Frequency Code' of "Frequency Code A". (Order Group A)
- 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 an allergy to "Ritalin" filed in the ‘Allergies and Hypersensitivities’ form, ‘Diagnosis’ form, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select "Order Group A".
- Validate the 'Order Group' dialog is displayed.
- Select "Order Code A" and enter a 'Dose' of "1" and a 'Dose Unit' of "Tablet".
- Set the 'Duration' field to "5" and click [Days].
- Validate the 'Frequency' field contains "Frequency Code A".
- Validate the 'First Dose Date/Time' field is equal to the next available dose.
- Click [Add to Scratchpad].
- Validate the 'Scratchpad' contains an order for "Order Code A".
- Select the order.
- Validate the 'Freq' field contains "Frequency Code A".
- Validate the 'First Dose Date' field contains the date of the next available administration.
- Validate the 'First Dose Time' field contains "08:00 AM".
- Validate the 'Start Date' and 'Start Time' fields match the 'First Dose Date' and 'First Dose Time' fields.
- Click [Cancel Update] and [Sign].
- Validate the 'Order grid' contains an order for "Order Code A".
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Topics
• NX
• Order Entry Console
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