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Avatar OE 2022 Update 84

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Product Requirements / Recommendations

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Product Update Form Description

In the Order Entry Console (Discharge Med Reconciliation section), the values for the 'Last Dose' and 'Next Due' columns on the Discharge Med Reconciliation report are now re-checked and updated each time the report is requested, thereby accounting for additional doses that might be administered after the medication reconciliation is saved. In addition, the calculation of the 'Next Due' value now takes into account the possibility that the 'Frequency' on the order in the 'Home Medications Scratchpad (Post-Discharge)' can be changed after it is added to the Scratchpad from an existing order in the list of 'Inpatient Medications'. When that occurs, the newly-selected 'Frequency' for the order in the Scratchpad will be used to determine what the 'Next Due' date/time is.

Included Updates

2, 3, 4, 5, 6, 7, 8, 9, 11, 16, 23, 24, 25, 26, 31, 33, 36, 41, 42, 43, 44, 46, 47, 48, 52, 59, 63, 64, 65, 66, 68, 70, 71, 72, 73, 79, 82

Required Updates

None

Details
NEW1 CHANGED0 FIXED0
New (1)
Discharge Med Rec Report - Next Due
In the Order Entry Console (Discharge Med Reconciliation section), the values for the 'Last Dose' and 'Next Due' columns on the Discharge Med Reconciliation report are now re-checked and updated each time the report is requested, thereby accounting for additional doses that might be administered after the medication reconciliation is saved. In addition, the calculation of the 'Next Due' value now takes into account the possibility that the 'Frequency' on the order in the 'Home Medications Scratchpad (Post-Discharge)' can be changed after it is added to the Scratchpad from an existing order in the list of 'Inpatient Medications'. When that occurs, the newly-selected 'Frequency' for the order in the Scratchpad will be used to determine what the 'Next Due' date/time is.
Value Added: myAvatar and myAvatar NX is enhanced to use the proper ‘next due’ dose for 'Discharge Med Reconciliation' report.
Topics
• Discharge Med Reconciliation • NX • Order Entry Console
 
Acceptance Tests
AV-81144 Summary | Details
Discharge Med Rec Report - Next Due
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.
Steps
  1. Select "Client A” and access the Order Entry Console.
  2. Search for and select "XANAX 1 MG TABLET ORAL" in the 'New Order' field.
  3. Set the 'Dose' field to "1".
  4. Select "TABLET" from the 'Dose Unit' field.
  5. Select "Every 4 Hours" from the 'Freq' field.
  6. Validate the 'First Dose Date' field contains the current date
  7. Validate the 'First Dose Time' field contains the current time.
  8. Set the 'Duration' field to "14" and click [Days].
  9. Click [Add to Scratchpad] and [Sign].
  10. Search for and select "RITALIN 10 MG TABLET ORAL" in the 'New Order' field.
  11. Set the 'Dose' field to "1".
  12. Select "TABLET" from the 'Dose Unit' field.
  13. Select "TWICE A DAY" from the 'Freq' field.
  14. Validate the 'First Dose Date' field contains the current date.
  15. Validate the 'First Dose Time' field contains "09:00 AM".
  16. Validate the 'First Dose Date' field contains the current date.
  17. Validate the 'First Dose Time' field contains either "09:00 AM" or "09:00 PM" depending on the current time and hours of administration.
  18. Set the 'Duration' field to "14" and click [Days].
  19. Click [Add to Scratchpad] and [Sign].
  20. Validate the 'Order grid' contains an order for "RITALIN ORAL TABLET 1 TABLET, TWICE A DAY" and "XANAX ORAL TABLET 1 TABLET, Every 4 Hours".
  21. Access the ‘eMAR’ widget.
  22. Validate an order for "RITALIN 10 MG ORAL TABLET, 1 TABLET TWICE A DAY" is displayed with hours of administration of "0900" and "2100" under the current date and an order for "XANAX 1 MG ORAL TABLET, 1 TABLET Every 4 Hours" 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.
  23. Select the first cell with a future time under the current date for the "RITALIN 10 MG ORAL TABLET, 1 TABLET TWICE A DAY" order and click [Administer].
  24. Verify the 'Order Acknowledgement' dialog exists and click [OK].
  25. Verify the 'Client Education' dialog exists.
  26. Select "Yes" from the 'Education Performed' field and click [OK].
  27. Verify the 'Administration Event' dialog exists and contains the order for "RITALIN 10 MG ORAL TABLET".
  28. Validate the 'Administration Date/Time' fields contains the current date and time.
  29. Set the 'Med ID' field to the NDC# for "RITALIN 10 MG ORAL TABLET".
  30. Validate the 'Qty' field is equal to "1".
  31. Validate the 'Unit' field is equal to "TABLET".
  32. Select a successful administration event in the 'Administration Event' field.
  33. Check the 'Accept administration information entered' checkbox and click [Ok].
  34. Validate the first cell under the current date for the "RITALIN 10 MG ORAL TABLET, 1 TABLET TWICE A DAY" order contains an administration of "1 TABLET" and the time of the administration.
  35. Select the first cell under the current date for the "XANAX 1 MG ORAL TABLET, 1 TABLET Every 4 Hours" order and click [Administer].
  36. Verify the 'Order Acknowledgement' dialog exists and click [OK].
  37. Verify the 'Client Education' dialog exists.
  38. Select "Yes" from the 'Education Performed' field and click [OK].
  39. Verify the 'Administration Event' dialog exists and contains the order for "XANAX 1 MG ORAL TABLET".
  40. Validate the 'Administration Date/Time' fields contains the current date and time.
  41. Set the 'Med ID' field to the NDC# for "XANAX 1 MG ORAL TABLET".
  42. Validate the 'Qty' field is equal to "1".
  43. Validate the 'Unit' field is equal to "TABLET".
  44. Select "Nurse-Administered" from the 'Administration Event' field.
  45. Check the 'Accept administration information entered' field and [Ok].
  46. Validate the first cell under the current date for the "XANAX 1 MG ORAL TABLET, 1 TABLET Every 6 Hours" order contains an administration of "1 TABLET {administration time}".
  47. Access the Order Entry Console.
  48. Select the 'Discharge Reconciliation' tab.
  49. Select the first order from 'Inpatient Medications' and click [Add to Scratchpad].
  50. Select the second order from 'Inpatient Medications' and click [Add to Scratchpad].
  51. Select the first order from 'Home Medications Scratchpad (Post-Discharge)'.
  52. Validate the 'New Order' field contains "Ritalin 10 MG Oral Tablet (Schedule II)".
  53. Validate the 'Dose' field contains "1".
  54. Validate the 'Dose Unit' field contains "Tablet".
  55. Validate the 'Frequency' field contains "TWICE A DAY".
  56. Set the 'Days Supply' field to "14" and press Tab.
  57. Validate the 'Dispense Qty' field contains "28".
  58. Validate the 'Dispense Qty Unit' field contains "Tablet".
  59. Set the 'Start Date' field to the current date and press Tab.
  60. Click [Update Order].
  61. Select the second order from 'Home Medications Scratchpad (Post-Discharge)'.
  62. Validate the 'New Order' field contains "Xanax 1 MG Oral Tablet (Schedule II)".
  63. Validate the 'Dose' field contains "1".
  64. Validate the 'Dose Unit' field contains "Tablet".
  65. Validate the 'Frequency' field contains "Every 4 Hours".
  66. Set the 'Frequency' field to "Every 6 Hours".
  67. Set the 'Days Supply' field to "14" and press Tab.
  68. Validate the 'Dispense Qty' field contains "56".
  69. Validate the 'Dispense Qty Unit' field contains "Tablet".
  70. Set the 'Start Date' field to the current date and press Tab.
  71. Click [Update Order].
  72. Search for and select "Zyflo 600 MG Tablet Oral" in the 'New Order' field.
  73. Set the 'Dose' field contains "1".
  74. Validate the 'Dose Unit' field contains "Tablet".
  75. Select "EVERY DAY" from the 'Frequency' field.
  76. Set the 'Days Supply' field to "14" and press Tab.
  77. Validate the 'Dispense Qty' field contains "14".
  78. Validate the 'Dispense Qty Unit' field contains "Tablet".
  79. Set the 'Start Date' field to the current date.
  80. Click [Add to Scratchpad].
  81. Validate 'Home Medications Scratchpad (Post-Discharge)' contains an order for "Zyflo 600 MG Tablet Oral 600 MG Tablet Take one (1) tablet by mouth daily (Refills: 0, Dispense Quantity: 14)".
  82. Validate that the "Ritalin", "Xanax", and "Zyflo" orders have a status of "ADD", "ADD", and "NEW" respectively in the 'Action' column.
  83. Click [Review and Sign].
  84. Validate the 'Final Review' dialog is displayed and click [Sign].
  85. Click [Print Report]
  86. Verify the 'Discharge Medications Report' is displayed.
  87. Click [Go To Next Page].
  88. 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.
  89. 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'.
  90. 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.
  91. 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.
Steps
  1. Select “Client A” and access the Order Entry Console.
  2. Search for and select "XANAX 1 MG TABLET ORAL" in the 'New Order' field.
  3. Set the 'Dose' field to "1".
  4. Select "TABLET" from the 'Dose Unit' field.
  5. Select "EVERY DAY" from the 'Freq' field.
  6. Set the 'Duration' field to "14" and click [Days].
  7. Click [Add to Scratchpad] and [Sign].
  8. Validate the 'Order grid' contains an order for "XANAX ORAL TABLET 1 TABLET, EVERY DAY".
  9. Select the 'Home Medications' tab.
  10. Uncheck the 'Client Reported' check box.
  11. Search for and select "RITALIN 10 MG TABLET ORAL" in the 'New Order' field.
  12. Set the 'Dose' field to "1".
  13. Validate the 'Dose Unit' field contains "Tablet".
  14. Select "EVERY DAY" from the 'Frequency' field.
  15. Set the 'Days Supply' field to "14" and press Tab.
  16. Validate the 'Dispense Qty' field contains "14".
  17. Validate the 'Dispense Qty Unit' field contains "Tablet".
  18. Set the 'Start Date' field to the current date.
  19. Validate the 'Stop Date' field contains a date that is 14 days in the future from the 'Start Date'.
  20. Click [Add to Scratchpad], [Final Review], and [Sign].
  21. Validate the 'Order grid' contains an order for "Ritalin 10 MG ORAL Tablet, Take one (1) tablet by mouth daily (Refills: 0, Disp. Qty: 14 Tablet)".
  22. Access the ‘eMAR’ widget.
  23. Validate an order for "XANAX 1 MG ORAL TABLET, 1 TABLET EVERY DAY" is displayed with no hours of administration in the cells under the current date.
  24. Select the first cell under the current date and click [Administer].
  25. Verify the 'Order Acknowledgement' dialog exists and click [OK].
  26. Verify the 'Client Education' dialog exists.
  27. Select "Yes" in the 'Education Performed' field and click [OK].
  28. Verify the 'Administration Event' dialog exists and contains an order for "XANAX 1 MG ORAL TABLET".
  29. Validate the 'Administration Date/Time' fields contains the current date and time.
  30. Set the 'Med ID' field to the NDC for "XANAX 1 MG ORAL".
  31. Validate the 'Qty' field is equal to "1".
  32. Validate the 'Unit' field is equal to "TABLET".
  33. Select a successful administration event from the 'Administration Event' field.
  34. Check the 'Accept administration information entered' checkbox and [Ok].
  35. Validate the first cell under the current date for the "XANAX 1 MG ORAL TABLET, 1 TABLET EVERY DAY" order contains "1 TABLET" and the time administered.
  36. Validate "Client A" is selected and access the Order Entry Console.
  37. Select the 'Discharge Reconciliation' tab.
  38. Validate 'Inpatient Medications' contains an order for "XANAX ORAL TABLET 1 TABLET, EVERY DAY".
  39. Validate 'Home Medications Scratchpad (Post-Discharge)' contains an order for "Ritalin 10 MG ORAL Tablet Take one (1) tablet by mouth daily (Refills: 0, Disp. Qty: 14 Tablet)".
  40. Select the order for "XANAX ORAL TABLET 1 TABLET, EVERY DAY" from 'Inpatient Medications' and click [Add to Scratchpad].
  41. Select the order for "XANAX ORAL TABLET 1 TABLET, EVERY DAY" from 'Home Medications Scratchpad (Post-Discharge)'.
  42. Validate the 'Dose' field contains "1".
  43. Validate the 'Dose Unit' field contains "Tablet".
  44. Validate the 'Frequency' field contains "EVERY DAY".
  45. Set the 'Days Supply' field to "14" and press Tab.
  46. Validate the 'Dispense Qty' field contains "14".
  47. Validate the 'Dispense Qty Unit' field contains "Tablet".
  48. Set the 'Start Date' field to the current date.
  49. Validate the 'Stop Date' field contains a date that is 14 days in the future from the 'Start Date'.
  50. Click [Update Order].
  51. Search for and select "Zyflo 600 MG Tablet Oral" in the 'New Order' field.
  52. Set the 'Dose' field contains "1".
  53. Validate the 'Dose Unit' field contains "Tablet".
  54. Select "EVERY DAY" from the 'Frequency' field.
  55. Set the 'Days Supply' field to "14" and press Tab.
  56. Validate the 'Dispense Qty' field contains "14".
  57. Validate the 'Dispense Qty Unit' field contains "Tablet".
  58. Set the 'Start Date' field to the current date.
  59. Validate the 'Stop Date' field contains a date that is 14 days in the future from the 'Start Date'.
  60. Click [Add to Scratchpad].
  61. Validate 'Home Medications Scratchpad (Post-Discharge)' contains an order for "Zyflo 600 MG Tablet Oral 600 MG Tablet Take one (1) tablet by mouth daily (Refills: 0, Dispense Quantity: 14)".
  62. Select the order for "Ritalin 10 MG ORAL Tablet" from 'Home Medications Scratchpad (Post-Discharge)' and click [Continue].
  63. Validate that the "Ritalin", "Xanax", and "Zyflo" orders have a status of "CONT", "ADD", and "NEW" respectively in the 'Action' column.
  64. Click [Review and Sign].
  65. Validate the 'Final Review' dialog is displayed and click [Sign].
  66. Validate that 'Discharge Med Reconciliation' is in view-only mode.
  67. Click [Print Report].
  68. Verify the 'Discharge Medications Report' is displayed.
  69. 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".
  70. 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".
  71. 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".
  72. Click [Go To Next Page].
  73. 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}".
  74. Close the report.
Topics
• Discharge Med Reconciliation • NX • Order Entry Console