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Avatar OE 2022 Update 9

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Product Update Form Description

The following enhancements are introduced: 1) In the Order Entry Console (Discharge Med Reconciliation section), the 'Discharge Medications Report' is updated to suppress the "Pharmacy" line for any prescription for which "None" was selected as the 'Output' on the 'Final Review' dialog. 2) The 'OrderEntry.med_rec_dis_scr_pad' table is updated to include a 'pharmacy_output' column. 3) The Order Entry Console (Admission Med Reconciliation section) is enhanced to support a new 'Edit Pending Reconciliation' button. Note: A myAvatar Client Update or upgrade must also be installed in order to make use of this functionality.

Included Updates

None

Required Updates

None

Details
NEW1 CHANGED1 FIXED0
New (1)
Suppress Pharmacy for the 'Discharge Medications Report' when 'Output' is set to "None".
A change is made to suppress Pharmacy details on the 'Discharge Medications Report' when 'Output' is set to "None" on the 'Final Review' dialog.
Value Added: Pharmacy details will only appear on the 'Discharge Medications Report' when appropriate.
Topics
• Discharge Med Reconciliation • NX • Order Entry Console
 
Changed (1)
Admission Med Reconciliation - Holding in Pending Status - Edit Pending Reconciliation
The Order Entry Console (Admission Med Reconciliation section) is enhanced to support a new 'Edit Pending Reconciliation' button and the 'Hold in Pending Status' button.

Value Added: Admission Med Reconciliation section is enhanced to support a new 'Edit Pending Reconciliation' button and the 'Hold in Pending Status' button, this will grant more efficiency by allowing orders to be held in pending and also edited before reconciling.
Topics
• Admission Med Reconciliation • Discharge Med Reconciliation • NX • Order Entry Console
 
Acceptance Tests
AV-72614 Summary | Details
Admission Med Reconciliation - Holding in Pending Status - Edit Pending Reconciliation
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Order Entry Console
  • Home Medications
  • Orders This Episode
Scenario 1: OE NX - Discharge Med Reconciliation - Create New Order and place in 'Hold in Pending Status'
Specific Setup:
  • Two clients must have active inpatient episodes. (Client A and Client B) One whose program or unit are configured in the 'External Pharmacy Setup' form. (Client A)
  • "Client A" and "Client B" 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. Select the 'Discharge Med Reconciliation' tab.
  3. Search for and select "Zubsolv 5.7 MG-1.4 MG Tablet Sublingual (Schedule III)" in the 'New Order' field.
  4. Set the 'Dose' field to "1".
  5. Validate the 'Dose Unit' field contains "Tablet".
  6. Select "As Needed" in the 'Frequency' field.
  7. Set the 'Days Supply' field to "20" and press Tab.
  8. Validate the 'Dispense Qty' field contains "20".
  9. Validate the 'Dispense Qty Unit' field contains "Tablet".
  10. Click [Add to Scratchpad]
  11. Validate the 'Home Medications Scratchpad (Post-Discharge)' contains the order for "Zubsolv".
  12. Click [Hold in Pending Status].
  13. Select the 'Orders This Episode' tab.
  14. Select the 'Discharge Med Reconciliation' tab.
  15. Validate the 'Home Medications Scratchpad (Post-Discharge)' contains the order for "Zubsolv".
  16. Select the 'Home Medications' tab.
  17. Select the 'Discharge Med Reconciliation' tab.
  18. Validate the 'Home Medications Scratchpad (Post-Discharge)' contains the order for "Zubsolv".
  19. Select the 'Admission Med Reconciliation' tab.
  20. Select the 'Discharge Med Reconciliation' tab.
  21. Validate the 'Home Medications Scratchpad (Post-Discharge)' contains the order for "Zubsolv".
  22. Click [Edit Pending Reconciliation]
  23. Validate the 'Warning' message is displayed stating "Discharge Medication Reconciliation has not been updated to reflect any changes to inpatient or discharge medications since previously saved." and click [Ok].
  24. Select "Client B" and access the Order Entry Console.
  25. Select the 'Discharge Med Reconciliation' tab.
  26. Select "Client A" and access the Order Entry Console.
  27. Select the 'Discharge Med Reconciliation' tab.
  28. Validate the 'Saved session' message is displayed stating "New medications may have been added since you switched clients. Do you want to restart reconciliation to ensure all medication orders are up to date or continue with reconciliation in progress?" and click [Continue].
  29. Click [Hold in Pending Status]
  30. Validate the 'Home Medications Scratchpad (Post-Discharge)' contains a single order for "Zubsolv".
Scenario 2: OE NX - Admission Med Rec - Edit Pending Reconciliation - Hold in Pending Status, Active and Reconcile
Specific Setup:
  • The 'Default to Client Reported' checkbox is checked for the logged in user in the 'Order Entry User Definition' form.
  • Please log out of the application 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’ 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 "TYLENOL 325 MG TABLET ORAL" in the 'New Order' field.
  3. Set the 'Dose' field to "1".
  4. Click the 'Dose Unit' field.
  5. Select "TABLET" from the 'Dose Unit' field.
  6. Select "4 TIMES A DAY" from the 'Freq' field.
  7. Set the 'Duration' field to "12" and click [Days].
  8. Validate the 'Days Supply' field contains "12".
  9. Select "Tablet" from the 'Dispense Qty Unit' field.
  10. Click [Add to Scratchpad] and [Sign].
  11. Validate the 'Order grid' contains the order for "TYLENOL 325 MG ORAL 1 TABLET, 4 TIMES A DAY".
  12. Click the 'Home Medications' tab.
  13. Check the 'Client Reported' checkbox.
  14. Search for and select "PriLOSEC 20 MG Capsule, Delayed Release Oral" in the 'New Order' field.
  15. Set the 'Dose' field to "1".
  16. Select "AS NEEDED" from the 'Frequency' field.
  17. Click [Save].
  18. Validate the 'Order grid' contains the order for "PriLOSEC - 20 MG Take one (1) capsule by mouth as needed".
  19. Click the 'Admission Reconciliation' tab.
  20. Validate the 'Home Medications Scratchpad (Post-Discharge)' contains the order for "PriLOSEC - 20 MG Take one (1) capsule by mouth as needed".
  21. Validate the 'Inpatient Medications Scratchpad' contains the order for "TYLENOL 325 MG ORAL 1 TABLET, 4 TIMES A DAY".
  22. Select the order in the 'Home Medications (Pre-Admission)' and click [Add to Scratchpad].
  23. Validate the 'Inpatient Medications Scratchpad' contains the order for "PRILOSEC 20 MG CAPSULE, DELAYED RELEASE ORAL20 MG, AS NEEDED"
  24. Validate the 'Action' cell for the "PRILOSEC 20 MG CAPSULE" order contains a red flag.
  25. Select the "PRILOSEC 20 MG CAPSULE" order from the 'Inpatient Medications Scratchpad'.
  26. Select "Other" from the 'Preferred Dose' field
  27. Set the 'Dose' field to "1"
  28. Click the 'Dose Unit' field
  29. Select "Capsule" from the 'Dose Unit' field
  30. Validate the 'Freq' field contains "AS NEEDED"
  31. Set the 'Duration' field to "15" and click [Days].
  32. Validate the 'Days Supply' field contains "15"
  33. Select "Capsule" from the 'Dispense Quantity Unit' field
  34. Click [Reason-View].
  35. Validate the 'Multiple Reason Checklist' dialog is displayed.
  36. Select any value in the 'Reasons' field and click [Save].
  37. Click [Update Order].
  38. Validate the 'Action' cell for the "PRILOSEC 20 MG CAPSULE" order does not contain a red flag.
  39. Validate [Reconcile & Sign] is enabled.
  40. Click [Hold in Pending Status].
  41. Validate the 'Interactions' dialog is displayed.
  42. Override all interactions and click [Save Override and Exit].
  43. Validate the 'Admission Med Reconciliation' tab is in view-only mode.
  44. Validate the [Activate for Reconciliation] is enabled.
  45. Click the 'Home Medications' tab.
  46. Click the 'Admission Reconciliation' tab.
  47. Validate the 'Admission Med Reconciliation' tab is in view-only mode.
  48. Click [Edit Pending Reconciliation].
  49. Validate the 'Warning' message is displayed stating "Admission Medication Reconciliation has not been updated to reflect any changes to inpatient or discharge medications since previously saved. Please review accordingly." and click [OK].
  50. Validate [Reconcile & Sign] is enabled.
  51. Search for and select "BAYER ASPIRIN CHILDREN'S, 81 MG TABLET, CHEWABLE ORAL" in the 'New Order' field.
  52. Set the 'Dose' field to "1".
  53. Select "TABLET" from the 'Dose Unit' field.
  54. Select "3 TIMES A DAY" from the 'Freq' field.
  55. Set the 'Duration' field to "48".
  56. Click [Hours].
  57. Validate the 'Days Supply' field contains "2".
  58. Select "Tablet" from the 'Dispense Quantity Unit' field.
  59. Click [Add to Scratchpad].
  60. Validate the 'Inpatient Medications Scratchpad' contains order for "BAYER ASPIRIN CHILDREN'S 81 MG TABLET, CHEWABLE ORAL1 TABLET, 3 TIMES A DAY".
  61. Validate [Reconcile & Sign] is enabled.
  62. Click [Hold in Pending Status].
  63. Validate the 'Interactions' dialog is displayed.
  64. Override all interactions and click [Save Override and Exit].
  65. Validate the 'Admission Med Reconciliation' tab is in view-only mode.
  66. Validate the [Activate for Reconciliation] is enabled.
  67. Click [Activate for Reconciliation].
  68. Validate the 'Admission Med Reconciliation' tab is in view-only mode.
Topics
• Admission Med Reconciliation • Discharge Med Reconciliation • NX • Order Entry Console
AV-77932 Summary | Details
Suppress Pharmacy for the 'Discharge Medications Report' when 'Output' is set to "None".
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Avatar eMAR
  • Order Entry Console
  • Registry Settings (CWS)
Scenario 1: 'Pharmacy' validation on the Discharge Medications Report based on 'Output' selection during 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
  1. Select "Client A" and access the Order Entry Console.
  2. Select the 'Discharge Reconciliation' tab.
  3. Uncheck the 'No Prescription Required' checkbox.
  4. Search for and select "Advil 200 MG, Tablet, Oral (1 Tablet TWICE A DAY)" from the 'New Order' field.
  5. Set the 'Days Supply' field to "14" and press [Tab].
  6. Click [Add to Scratchpad].
  7. Search for and select "Bayer Aspirin Children's 81 MG, Tablet, Chewable, Oral (1 Tablet TWICE A DAY)" from the 'New Order' field.
  8. Set the 'Days Supply' field to "14" and press [Tab].
  9. Click [Add to Scratchpad].
  10. Click [Review and Sign].
  11. Override any interactions and click [Save Override and Exit button].
  12. Validate the 'Final Review' dialog is displayed.
  13. Click [Change] to update the Pharmacy.
  14. Select "All" from the 'Search Within' field and click [Search].
  15. Select any Pharmacy and click [Select & Make Preferred].
  16. For the "Advil 200 MG" order, select "eRX" for the Output method.
  17. For the "Bayer Aspirin Children's 81 MG" order, select "None" for the Output method.
  18. Click [Sign] and then click [Print Report] to launch the 'Discharge Medications Report'.
  19. Validate in the 'Start These Medications' section that the order for "Advil 200 MG Tablet Oral" contains a Pharmacy line with details about the pharmacy's name and address.
  20. Validate in the 'Start These Medications' section that the order for "Bayer Aspirin Children's 81 MG Tablet, Chewable Oral" does not contain a Pharmacy line.
Topics
• Discharge Med Reconciliation • NX • Order Entry Console

 

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