OE NX - Compound Medications
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: OE NX - Compound Medication - Recipe - Non External Pharmacy Mode
Specific Setup:
- A client must have an active episode.
- “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
- Access the 'Order Code Setup' form.
- Select 'Add New Code' from the 'Add/Edit Order Code' field.
- Set the 'New Order Code' field to "Ketamine-Amitriptyline-Lidocaine-topical-cream".
- Set the 'Order Code Description' field to "Ketamine - Amitriptyline - Lidocaine topical cream".
- Select "Pharmacy" from the 'Order Type' field.
- Select "Yes" from the 'Is A Compound Medication Orderable?' field.
- Validate the 'Exclude this item from Clinical Screening processes?' checkbox is checked.
- Click [Submit].
- Validate a message displays stating: "Do you want to Return to Form?" and click [No].
- Access the 'Recipe Maintenance' form.
- Select 'Add' from the 'Add/Edit/Delete Recipe' field.
- Set the 'Recipe Code' field to "Ketamine - Amitriptyline - Lidocaine topical cream".
- Set the 'Recipe Description' field to "Ketamine - Amitriptyline - Lidocaine topical cream".
- Select "TOPICAL" from the 'Route Code' field.
- Select "-Create New" from the 'Components' field.
- Select "Yes" from the 'Use as main Order Code on order' field.
- Select "Yes" from the 'Base Component' field.
- Search for and select "Ketamine - Amitriptyline - Lidocaine topical cream" from the 'Order Code' field.
- Select "-Create New" from the 'Components' field.
- Select "No" from the 'Use as main Order Code on order' field.
- Select "No" from the 'Base Component' field.
- Search for and select "KETAMINE HCL POWDER" from the 'Order Code' field.
- Select "-Create New" from the Components field.
- Select "No" from the 'Use as main Order Code on order' field.
- Select "No" from the 'Base Component' field.
- Search for and select "LIDOCAINE HCL 4 % CREAM TOPICAL APPLICATION" from the 'Order Code' field.
- Select "-Create New" from the Components field.
- Select "No" from the 'Use as main Order Code on order' field.
- Select "No" from the 'Base Component' field.
- Search for and select "AMITRIPTYLINE HCL POWDER" from the 'Order Code' field.
- Click [Submit].
- Log out of and back into the application.
- Select "Client A" and access the Order Entry Console.
- Search for and select "Ketamine - Amitriptyline - Lidocaine topical cream" from the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "Application" from the 'Dose Unit' field.
- Select "AS DIRECTED" from the 'Frequency' field.
- Set the 1st 'Ingredients Quantity' field to "0.15".
- Select "Gram" from the 1st 'Ingredients Quantity Unit' field.
- Set the 2nd 'Ingredients Quantity' field to "1.2".
- Select "Gram" from the 2nd 'Ingredients Quantity Unit' field.
- Set the 3rd 'Ingredients Quantity' field to "0.3".
- Select "Gram" from the 3rd 'Ingredients Quantity Unit' field.
- Set the 'Duration' field to "12" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate the 'Order Grid' contains an order for "Ketamine - Amitriptyline - Lidocaine topical cream TOPICALLY Ingredient: KETAMINE HCL POWDER 0.15 Gram Ingredient: LIDOCAINE HCL 4 % CREAM TOPICAL APPLICATION 1.2 Gram Ingredient: AMITRIPTYLINE HCL POWDER 0.3 Gram".
No allergies - Final Review
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Orders This Episode
- Registry Settings (CWS)
- App Dashboard
Scenario 1: OE NX - Orders This Episode - X-Ray - New, Copy, Modify, Print and Discontinue
Specific Setup:
- An order type with an 'Order Type Category' of "X-ray" must exist. (X-ray)
- The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Display warning if no Allergy form filed' registry setting must be set to "Y".
- Please log out of the application and log back in after completing the above configuration.
- A client must not have any information filed in the ‘Allergies and Hypersensitivities’ form. (Client 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, ‘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 "X-ray" in the 'New Order' field.
- Select "Every 4 Hours" from the 'Frequency' field.
- Set the 'Duration' field to "1" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate the "X-ray" order is displayed in the 'Order grid'.
- Select the order and click [Copy].
- Validate a message is displayed stating "Do you want the new order to default to START AFTER the original orders end? (The alternative is to have the new order default to start now.)" and click [Yes].
- Click [Add to Scratchpad].
- Validate the 'Scratchpad' contains the "X-Ray" order and does not contain a red flag.
- Click [Sign].
- Validate the 'Interactions' dialog is displayed.
- Override the interaction and click [Save Override and Exit].
- Validate that there are two "X-ray" orders in the 'Order grid'.
- Select the first "X-ray" order and click [Modify].
- Set the 'Start Date' field to yesterday's date.
- Set the 'Addl Instructions' field to any value.
- Click [Add to Scratchpad].
- Validate the 'Scratchpad' contains the "X-Ray" order and does not contain a red flag.
- Click [Sign].
- Validate the 'Interactions' dialog is displayed.
- Override the interaction and click [Save Override and Exit].
- Validate a new "X-ray" order is displayed in the 'Order grid'.
- Select the first "X-ray" order and click [Print].
- Validate that the 'Order Detail Report' is displayed and contains all information pertaining to the order.
- Close the report.
- Select both orders in the 'Order grid' and click [D/C].
- Click [Add to Scratchpad] and [Sign].
- Validate that the 'Order grid' does not contain any orders.
Scenario 2: Lab Orders - Interval Orders
Specific Setup:
- An interval frequency code must exist. (Frequency Code A).
- The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Display warning if no Allergy form filed' registry setting must be set to "Y".
- Please log out of the application and log back in after completing the above configuration.
- A client must not have any information filed in the ‘Allergies and Hypersensitivities’ form. (Client 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, ‘Diagnosis’ form, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
Steps
- Select "Client A" and access the Order Entry Console
- Set the 'New Order' field to any Lab type order code.
- Select "Frequency Code A" from the 'Freq' field.
- Validate the 'First Collect - Date' field is equal to the current date.
- Validate the 'First Collect - Time' field is equal to the current time.
- Set the 'Duration' field to "2" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate the 'Order grid' contains the lab order created.
Successful Administration - Discharge Med Reconciliation.
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Orders This Episode
- Order Entry Console
- Avatar eMAR
- Avatar eMAR - Order Acknowledgement dialog
Scenario 1: Discharge Med Rec for client episode will show a successful Administration in the Last Dose column displayed in the last Admin Event.
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->'Require client wristband scan in Avatar eMAR' registry setting must be set to "Y".
- Must have the "NDC's" for "CEFTRIAXONE 1 GM/5 ML INTRAVENOUS SOLUTION" and "COUMADIN (WARFARIN SODIUM) 10 MG ORAL TABLET".
- 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.
- Search for and select "PRILOSEC 10 MG CAPSULE, DELAYED RELEASE ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Validate the 'Dose Unit' field contains "Capsule".
- Select "EVERY DAY" from the 'Freq' field.
- Set the 'Duration' field to "12" and click [Days].
- Validate the 'Days Supply' field contains "12".
- Validate the 'Dispense Qty' field contains "12".
- Select "Capsule" from the 'Dispense Qty Unit' field.
- Validate the 'Directions' field contains "Take one (1) capsule by mouth daily".
- Click [Add to Scratchpad] 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 the 'Output' column for the order and click [Sign].
- Access the 'eMAR' widget.
- Validate the 'Order grid' contains the order for "PRILOSEC 10 MG CAPSULE, DELAYED RELEASE ORAL".
- Complete the 'Order Acknowledgement' and 'Client Education' for both orders.
- Select a cell under the current date for the "PRILOSEC 10 MG CAPSULE, DELAYED RELEASE ORAL" order and click [Administer].
- Validate the 'Administration Event' dialog is displayed.
- Set the 'Med ID' field to the NDC for "PRILOSEC 10 MG CAPSULE, DELAYED RELEASE ORAL".
- Select a successful administration event in the 'Administration Event' field.
- Check the 'Accept administration information entered' check box and click [OK].
- Validate the first cells under the current date for the "PRILOSEC 10 MG CAPSULE, DELAYED RELEASE ORAL" order contain the amount administered and the time administered.
- Access the Order Entry Console.
- Click the Admission Reconciliation tab
- Click the Discharge Reconciliation tab
- Validate the 'Last Dose' column for the 'Inpatient Medications' contains "1 Capsule on 02/25/2022 (Nurse Administered)".
- Access the 'eMAR' widget.
- Select a cell under the current date for the "CEFTRIAXONE" order and for the "COUMADIN" order and click [Administer]
- Validate the 'Administration Event' dialog is displayed.
- Set the 'Med ID' field to the NDC for "COUMADIN (WARFARIN SODIUM) 10 MG TABLET ORAL".
- Select a successful administration event in the 'Administration Event' field.
- Check the 'Accept administration information entered' check box and click [OK].
- Validate the first cells under the current date for the "CEFTRIAXONE" and "COUMADIN" orders contain the amount administered and the time administered.
- Access the Order Entry Console.
- Click the Admission Reconciliation tab
- Click the Discharge Reconciliation tab
- Validate the 'Last Dose' column for the 'Inpatient Medications' contains "1 Capsule on 02/25/2022 (Nurse Administered)".
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Topics
• Compound Meds
• NX
• Order Entry Console
• Registry Settings
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