Discharge Med Reconciliation with orders that have a status of 'Action at Admission: Held'.
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: OE NX - Order Entry Console - Create orders on Home Medications for multiple clients and view orders in Discharge Med Reconciliation
Specific Setup:
- 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'.
- Four clients must have active inpatient episodes (Client A) (Client B) (Client C) (Client D)
- All four clients must have a ‘Date of Birth’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Diagnosis’ form.
Steps
- Select "Client A" and access the Order Entry Console.
- Select the 'Home Medications' tab.
- Validate the 'Client Reported' checkbox is checked.
- Search for and select "Tylenol 325 MG Tablet Oral" in the 'New Order' field.
- Click [Save].
- Validate the 'Order grid' contains a 'Client Reported' order for "Tylenol".
- Uncheck the 'Client Reported' checkbox.
- Search for and select "Ambien 5 MG Tablet Oral (Schedule IV)" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Validate the 'Dose Unit' field contains "Tablet".
- Select "Daily" in the 'Frequency' field.
- Set the 'Days Supply' field to "30" and press Tab.
- Validate the 'Dispense Qty' field contains "30".
- Validate the 'Dispense Qty Unit' field contains "Tablet".
- Click [Add to Scratchpad].
- Search for and select "Lisinopril 10 MG, Tablet, Oral" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Validate the 'Dose Unit' field contains "Tablet".
- Select "Daily" in the 'Frequency' field.
- Set the 'Days Supply' field to "30".
- Validate the 'Dispense Qty' field contains "30'.
- Validate the 'Dispense Qty Unit' field contains "Tablet".
- Click [Add to Scratchpad], [Final Review], and [Sign].
- Validate the 'Order grid contains the following orders:
- Lisinopril 10 MG ORAL Tablet Take one (1) tablet by mouth daily (Refills: 0, Disp. Qty: 30 Tablet)
- Ambien 5 MG ORAL Tablet (Schedule IV)Take one (1) tablet by mouth daily (Refills: 0, Disp. Qty: 30 Tablet)
- Tylenol - 325 MG, TAB, PO
- Select "Client B" in the 'My Clients' widget.
- Select the 'Home Medications' tab.
- Validate the 'Client Reported' checkbox is checked.
- Search for and select "Lisinopril 10 MG Tablet Oral" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Validate the 'Dose Unit' field contains "Tablet".
- Select "Twice a Day" in the 'Frequency' field.
- Click [Save].
- Validate the 'Order grid' contains a 'Client Reported' order for "Lisinopril".
- Select "Client C" in the 'My Clients' widget.
- Select the 'Home Medications' tab.
- Validate the 'Client Reported' checkbox is checked.
- Search for and select "Acetaminophen 500 MG Capsule Oral" in the 'New Order' field.
- Select any value in the 'Reason' field.
- Click [Save].
- Validate the 'Order grid' contains a 'Client Reported' order for "Acetaminophen".
- Select "Client D" in the 'My Clients' widget.
- Select the 'Home Medications' tab.
- Uncheck the 'Client Reported' checkbox is checked.
- Search for and select "Ambien 10 MG Tablet Oral (Schedule IV)" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Validate the 'Dose Unit' field contains "Tablet".
- Select "Daily" in the 'Frequency' field.
- Set the 'Days Supply' field to "30" and press Tab.
- Validate the 'Dispense Qty' field contains "30".
- Validate the 'Dispense Qty Unit' field contains "Tablet".
- Click [Add to Scratchpad], [Final Review], and [Sign].
- Validate the 'Order grid' contains a 'Client Reported' order for "Ambien 10 MG ORAL Tablet (Schedule IV)Take one (1) tablet by mouth daily (Refills: 0, Disp. Qty: 30 Tablet)".
- Return to the 'HomeView'.
- Select "Client A" and access the Order Entry Console.
- Select the 'Discharge Med Reconciliation' tab.
- Validate the order grid contains the following orders:
- Lisinopril 10 MG ORAL Tablet Take one (1) tablet by mouth daily (Refills: 0, Disp. Qty: 30 Tablet)
- Ambien 5 MG ORAL Tablet (Schedule IV)Take one (1) tablet by mouth daily (Refills: 0, Disp. Qty: 30 Tablet)
- Tylenol - 325 MG, TAB, PO
- Select "Client B".
- Select the 'Discharge Med Reconciliation' tab.
- Validate the 'Order grid' contains and order for "Lisinopril - 10 MG, TAB, PO Take one (1) tablet by mouth twice a day".
- Select "Client C".
- Select the 'Discharge Med Reconciliation' tab.
- Validate the 'Order grid' contains and order for "Acetaminophen - 500 MG, CAP, PO Reason: contains the value selected in the 'Reason' field".
- Select "Client D".
- Select the 'Discharge Med Reconciliation' tab.
- Validate the 'Order grid' contains and order for "Ambien 10 MG ORAL Tablet (Schedule IV)Take one (1) tablet by mouth daily (Refills: 0, Disp. Qty: 30 Tablet)".
Scenario 2: OE NX - Discharge Med Reconciliation - Create New Order and place in 'Hold in Pending Status'
Specific Setup:
- A client must have an active episode. (Client A)
- “Client A” must have a ‘Date of Birth’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Diagnosis’ form.
Steps
- Select "Client A" and access the Order Entry Console.
- Select the 'Discharge Med Reconciliation' tab.
- Search for and select "Zubsolv 5.7 MG-1.4 MG Tablet Sublingual (Schedule III)" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Validate the 'Dose Unit' field contains "Tablet".
- Select "As Needed" in the 'Frequency' field.
- Set the 'Days Supply' field to "20" and press Tab.
- Validate the 'Dispense Qty' field contains "20".
- Validate the 'Dispense Qty Unit' field contains "Tablet".
- Click [Add to Scratchpad]
- Validate the 'Home Medications Scratchpad (Post-Discharge)' contains the order for "Zubsolv".
- Click [Hold in Pending Status].
- Select the 'Orders This Episode' tab.
- Select the 'Discharge Med Reconciliation' tab.
- Validate the 'Home Medications Scratchpad (Post-Discharge)' contains the order for "Zubsolv".
- Select the 'Home Medications' tab.
- Select the 'Discharge Med Reconciliation' tab.
- Validate the 'Home Medications Scratchpad (Post-Discharge)' contains the order for "Zubsolv".
- Select the 'Admission Med Reconciliation' tab.
- Select the 'Discharge Med Reconciliation' tab.
- Validate the 'Home Medications Scratchpad (Post-Discharge)' contains the order for "Zubsolv".
Scenario 3: OE NX - Create Order in Home Medications, Hold order in Admission Med Rec, and view order in Discharge Med Reconciliation
Specific Setup:
- 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 'Home Medications' tab.
- Uncheck the 'Client Reported' checkbox.
- Search for and select "Fish Oil 500 MG Capsule Oral' in the 'New Order' field.
- Set the 'Dose' field to "2".
- Validate the 'Dose Unit' contains "Capsule".
- Select "Twice a Day" in the 'Frequency' field.
- Set the 'Days Supply' field to "30" and press Tab.
- Validate the 'Dispense Qty' field contains "120".
- Validate the 'Dispense Qty Unit' field contains "Capsule".
- Click [Add to Scratchpad], [Final Review], and [Sign].
- Validate the 'Order grid' contains the order for "Fish Oil".
- Click the 'Admission Med Reconciliation' tab.
- Validate the 'Home Medications (Pre-Admission)' order grid contains the "Fish Oil" order.
- Select the order and click [Hold].
- Validate that "HOLD" appears in the 'Action' column of the 'Home Medications (Pre-Admission)' order grid.
- Click [Reconcile & Review].
- Validate the 'Admission Med Reconciliation' tab is in view-only mode.
- Select the 'Discharge Med Reconciliation' tab.
- Validate the 'Home Medications Scratchpad (Post-Discharge)' contains and order for "Fish Oil" with "CONT" and a black hand, signifying that the order was held in the 'Action' column.
- Select the 'Orders This Episode' tab.
- Select the 'Discharge Med Reconciliation' tab.
- Validate the 'Home Medications Scratchpad (Post-Discharge)' contains and order for "Fish Oil" with "CONT" and a black hand, signifying that the order was held in the 'Action' column.
Scenario 4: OE NX - Create Order in Home Medications, Add order to Scratchpad, create new order and Reconcile and Review in Admission Med Reconciliation
Specific Setup:
- A client must have an active episode. (Client A)
- “Client A” must have a ‘Date of Birth’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Diagnosis’ form.
Steps
- Select "Client A" and access the Order Entry Console.
- Select the 'Home Medications' tab.
- Uncheck the 'Client Reported' checkbox.
- Search for and select "Furosemide 80 MG Tablet Oral" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Validate the 'Dose Unit' field contains "Tablet".
- Select "Twice a Day" in the 'Frequency' field.
- Set the 'Days Supply' field to "30" and press Tab.
- Validate the 'Dispense Qty' field contains "60".
- Validate the 'Dispense Qty Unit' field contains "Tablet".
- Click [Add to Scratchpad], [Final Review], and [Sign].
- Validate the 'Order grid' contains an order for "Furosemide".
- Click the 'Admission Med Reconciliation' tab.
- Validate the 'Home Medications (Pre-Admission)' order grid contains the order for "Furosemide".
- Select the order and click [Add to Scratchpad].
- Validate the 'Inpatient Medications Scratchpad' contains the order for "Furosemide" with a red flag in the 'Action' column.
- Select the order in the 'Inpatient Medications Scratchpad'.
- Set the 'Duration' field to "28" and click [Days].
- Validate the 'Dispense Qty' field contains "56".
- Select "Tablet" in the 'Dispense Qty Unit' field.
- Click [Update Order].
- Validate the 'Inpatient Medications Scratchpad' contains the order for "Furosemide" with no red flag in the 'Action' column.
- Search for and select "ALEVE (NAPROXEN SODIUM) 220 MG TABLET ORAL" in the 'New Order' field.
- Set the 'Dose' field to "2".
- Validate the 'Dose Unit' field contains "Tablet".
- Select "Twice a Day" in the 'Freq' field.
- Set the 'Duration' field to "20" and click [Days].
- Validate the 'Days Supply' field contains "20".
- Validate the 'Dispense Qty' field contains "80".
- Select "Tablet" in the 'Dispense Qty Unit' field.
- Click [Add to Scratchpad] and [Reconcile and Review].
- Validate the 'Final Review' dialog is displayed.
- Select "eRX" in 'Output' for both orders and click [Sign].
- Validate the 'Admission Med Reconciliation' tab is in view-only mode.
- Click the 'Orders This Episode' tab.
- Validate the 'Order grid' contains orders for "ALEVE (NAPROXEN SODIUM) 220 MG ORAL TABLET 2 Tablet, TWICE A DAY" and "FUROSEMIDE 80 MG ORAL TABLET 1 Tablet, TWICE A DAY".
|
Topics
• NX
• Order Entry Console
|