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Avatar OE 2022 Update 80

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Product Update Form Description

An issue is resolved in the Order Entry Console (Discharge Med Reconciliation section) where 'Frequency' may not be carried over when adding an order to the Scratchpad from the 'Inpatient Medications' list.

Included Updates

None

Required Updates

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Details
NEW0 CHANGED0 FIXED1
Fixed (1)
Carry forward 'frequency' - Sliding Scale Insulin - Discharge Med Reconciliation
An issue is resolved in the Order Entry Console (Discharge Med Reconciliation section) allowing 'Frequency' to be carried over when adding a “Sliding Scale Insulin" order to the Scratchpad from the 'Inpatient Medications' list.
Topics
• Order Entry Console
 
Acceptance Tests
AV-83399 Summary | Details
Carry forward 'frequency' - Sliding Scale Insulin - Discharge Med Reconciliation
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Order Code Setup
  • Order Entry Console
  • Orders This Episode
  • Sliding Scale Insulin Template Setup
Scenario 1: Carry forward Sliding Scale Insulin Instructions to Discharge Med Reconciliation
Specific Setup:
  • A pharmacy-type order code must have the 'Enable Sliding Scale Insulin Instructions' checkbox checked in the 'Order Code Setup' form. (HUMALOG 100 UNITS/1 ML SOLUTION INJECTION)
  • 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
  1. Select "Client A" and access the Order Entry Console.
  2. Search for and select "HUMALOG 100 UNITS/1 ML SOLUTION INJECTION" in the 'New Order' field.
  3. Click [Sliding Scale Instructions].
  4. Click [New Row] and populate the required fields
  5. Click [New Row] and populate the required fields
  6. Click [Save].
  7. Set the 'Freq' field to "As Needed".
  8. Set the 'Duration' field to "20" and click [Days].
  9. Validate the 'Addl Instructions' displays information based on the data entered in the SSI dialog.
  10. Click [Add to Scratchpad] and [Sign].
  11. Click the 'Discharge Med Reconciliation' tab.
  12. Validate the 'Inpatient Medications' order grid contains the order for "HUMALOG 100 UNITS/1 ML INJECTION SOLUTIONAS NEEDED" with information based on the data entered in the SSI dialog.
  13. Select the order in the 'Inpatient Medications' order grid and click [Add to Scratchpad].
  14. Validate the order appears in the 'Home Medications Scratchpad (Post-Discharge)' with a red flag in 'Action'.
  15. Select the order and populate the required fields.
  16. Validate the 'Directions' field displays information based on the data entered in the SSI dialog.
  17. Click [Update Order] and [Review and Sign].
  18. Validate the 'Final Review' dialog is displayed and click [Sign].
  19. Validate that the 'Discharge Med Reconciliation' tab is in view-only mode.
  20. Select the 'Home Medications' tab.
  21. Validate an order for "HUMALOG 100 UNITS/1 ML INJECTION SOLUTIONAS NEEDED" with information based on the data entered in the SSI dialog is displayed
Scenario 2: OE NX - external pharmacy mode - Carry forward Sliding Scale Insulin Instructions to Discharge Med Reconciliation
Specific Setup:
  • Avatar OE 2022 Update 65 and Avatar NX Release 2022.10.00 are required in order to utilize this functionality.
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Copy SSI Instr. into 'Directions' in OE Console (OTE in external pharmacy mode)' registry setting must be set to "N".
  • Please log out of the application and log back in after completing the above configuration.
  • A Sliding Scale Insulin template must exist (Template 1) and have the following criteria.
  • 'Period 1 Column Name' = "Unit(s) Before Breakfast"
  • 'Period 1 Short Column Name' = "Unit(s) B4 B-fast"
  • 'Period 1 Active' = "Yes".
  • 'Period 2 Column Name' = "Unit(s) Before Lunch-this is a test"
  • 'Period 2 Short Column Name' is blank
  • 'Period 2 Active' = "Yes".
  • 'Period 3 Column Name' = "Unit(s) Before Dinner"
  • Period 3 Short Column Name' = "Unit(s) Before Supper"
  • 'Period 3 Active' = "Yes".
  • 'Period 4 Active' = "No".
  • A pharmacy-type order code must exist that has the 'Enable Sliding Scale Insulin Instructions' checkbox checked. (HUMALOG 100 UNITS/1 ML SOLUTION INJECTION).
  • 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
  1. Select "Client A" and access the Order Entry Console.
  2. Search for and select "HUMALOG 100 UNITS/1 ML SOLUTION INJECTION" in the 'New Order' field.
  3. Click [Sliding Scale Instructions].
  4. Validate the 'Sliding Scale Insulin Instructions' dialog is displayed.
  5. Select "Template 1" and click [Save].
  6. Select "3 TIMES A DAY" in the 'Freq' field.
  7. Set the 'Duration' field to "28" and click [Days].
  8. Validate the 'Days Supply' field contains "28".
  9. Set the 'Dispense Qty' field to "1".
  10. Select "Unspecified" in the 'Dispense Qty Unit' field.
  11. Validate the 'Addl Instructions' field contains "If blood glucose is 0-69: 0 Unit(s) Before Breakfast, 0 Unit(s) Before Lunch-this is a test, 0 Unit(s) Before Dinner, Call 911 70-140: 0 Unit(s) Before Breakfast, 0 Unit(s) Before Lunch-this is a test, 0 Unit(s) Before Dinner, normal 141-200: 1 Unit(s) Before Breakfast, 1 Unit(s) Before Lunch-this is a test, 1 Unit(s) Before Dinner, Monitor 201-300: 2 Unit(s) Before Breakfast, 2 Unit(s) Before Lunch-this is a test, 2 Unit(s) Before Dinner, monitor and call Dr.".
  12. Validate the 'Directions' field contains "See sliding scale instructions".
  13. Click [Add to Scratchpad].
  14. Validate the 'Scratchpad' contains "HUMALOG 100 UNITS/1 ML SOLUTION INJECTION 3 TIMES A DAY Addl Instructions: If blood glucose is 0-69: 0 Unit(s) Before Breakfast, 0 Unit(s) Before Lunch-this is a test, 0 Unit(s) Before Dinner, Call 911 70-140: 0 Unit(s) Before Breakfast, 0 Unit(s) Before Lunch-this is a test, 0 Unit(s) Before Dinner, normal 141-200: 1 Unit(s) Before Breakfast, 1 Unit(s) Before Lunch-this is a test,1 Unit(s) Before Dinner, Monitor 201-300: 2 Unit(s) Before Breakfast, 2 Unit(s) Before Lunch-this is a test, 2 Unit(s) Before Dinner, monitor and call Dr.".
  15. Click [Final Review].
  16. Validate the 'Final Review' dialog is displayed and contains the following information in the 'Order Details' cell: "HumaLOG 100 UNITS/1 ML Solution See sliding scale instructions Days Supply: 28 Number of Refills: 0 Dispense Quantity: 1 Unspecified Substitution Allowed Written Date: date the order was created".
  17. Select "None" in 'Output' and click [Sign].
  18. Validate the 'Order grid' contains an order for "HUMALOG 100 UNITS/1 ML INJECTION SOLUTION3 TIMES A DAY" with 'Addl Instructions' of "If blood glucose is 0-69: 0 Unit(s) Before Breakfast, 0 Unit(s) Before Lunch-this is a test, 0 Unit(s) Before Dinner, Call 911 70-140: 0 Unit(s) Before Breakfast, 0 Unit(s) Before Lunch-this is a test, 0 Unit(s) Before Dinner, normal 141-200: 1 Unit(s) Before Breakfast, 1 Unit(s) Before Lunch-this is a test, 1 Unit(s) Before Dinner, Monitor 201-300: 2 Unit(s) Before Breakfast, 2 Unit(s) Before Lunch-this is a test, 2 Unit(s) Before Dinner, monitor and call Dr."
  19. Click the 'Discharge Med Reconciliation' tab.
  20. Validate the 'Inpatient Medications' order grid contains the order for "HUMALOG 100 UNITS/1 ML INJECTION SOLUTION3 TIMES A DAY" with 'Addl Instructions' of "If blood glucose is 0-69: 0 Unit(s) Before Breakfast, 0 Unit(s) Before Lunch-this is a test, 0 Unit(s) Before Dinner, Call 911 70-140: 0 Unit(s) Before Breakfast, 0 Unit(s) Before Lunch-this is a test, 0 Unit(s) Before Dinner, normal 141-200: 1 Unit(s) Before Breakfast, 1 Unit(s) Before Lunch-this is a test, 1 Unit(s) Before Dinner, Monitor 201-300: 2 Unit(s) Before Breakfast, 2 Unit(s) Before Lunch-this is a test, 2 Unit(s) Before Dinner, monitor and call Dr.".
  21. Select the order in the 'Inpatient Medications' order grid and click [Add to Scratchpad].
  22. Validate the order appears in the 'Home Medications Scratchpad (Post-Discharge)' without a red flag in 'Action'.
  23. Select the order.
  24. Validate the 'Frequency' field contains "3 TIMES A DAY".
  25. Click [Undo].
  26. Validate the 'Inpatient Medications' order grid contains the order for "HUMALOG 100 UNITS/1 ML INJECTION SOLUTION3 TIMES A DAY".
  27. Select the order in the 'Inpatient Medications' order grid and click [Add to Scratchpad].
  28. Validate the order appears in the 'Home Medications Scratchpad (Post-Discharge)' without a red flag in 'Action'.
  29. Select the order.
  30. Validate the 'Frequency' field contains "3 TIMES A DAY".
  31. Click [Undo].
  32. Validate the 'Inpatient Medications' order grid contains the order for "HUMALOG 100 UNITS/1 ML INJECTION SOLUTION3 TIMES A DAY".
Topics
• Order Entry Console

 

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