OE NX - Limit Access to Medication Reconciliation
Scenario 1: OE NX - Order Entry User Definition - Prevent Entry/Update of Medication Reconciliation
Specific Setup:
- Avatar NX Release 2023.12.00 is required for full functionality.
- Two users must exist and be logged into the application at the same time ("User A", "User B")
- "User B" must have 'Admission' and 'Discharge' checked for the 'Prevent Entry/Update of Medication Reconciliation' field in the 'Order Entry User Definition' form.
- "User A" must not have the same configuration as above.
- 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 ‘Diagnosis’ form and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
Steps
- Select "Client A" and access the Order Entry Console.
- Create any pharmacy-type order.
- Click the 'Home Medications' tab and create any order.
- Access the 'Admission Med Reconciliation' tab and file the reconciliation.
- Access the 'Discharge Med Reconciliation' tab and file the reconciliation.
- Have "User B" access the 'Admission Med Reconciliation' tab for "Client A".
- Validate a message displays for "User B" - Previously saved Medication Reconciliation is displayed. Saved by "User A" on date at time
- Have "User A" access the 'Admission Med Reconciliation' tab for "Client A".
- Validate there is no message stating "Admission Medication Reconciliation for this client/episode is currently in use by another User: "User A, opened at (date at time.)
- Have "User B" access the 'Discharge Med Reconciliation' tab for "Client A".
- Validate a message displays for "User B" - Previously saved Medication Reconciliation is displayed. Saved by "User A" on date at time
- Have "User A" access the 'Discharge Med Reconciliation' tab for "Client A".
- Validate there is no message stating "Admission Medication Reconciliation for this client/episode is currently in use by another User: "User A, opened at (date at time.)
- As "User B" and access the Order Entry Console and click the 'Admission Med Reconciliation' tab for any other client in an inpatient episode.
- Validate a message is displayed "You do not have access to document Admission Reconciliation."
- Click the 'Discharge Med Reconciliation' tab.
- Validate a message is displayed "You do not have access to document Discharge Reconciliation."
eMAR NX
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- eMAR
- Order Entry User Role
Scenario 1: eMAR NX - 'Allowed Edit of Another User's Administration Event' = "Yes" - 'Allow Void of Another User's Administration Event' = "Yes"
Scenario 2: eMAR NX - 'Allow Edit of Another User's Administration Event = "No" - 'Allow Void of Another User's Administration Event' = "No"
OE NX - Edit Administration Times
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- eMAR
- Order Entry User Role
Scenario 1: eMAR NX - Allowed to Edit Administration Times - Order Entry User Definition
Scenario 2: eMAR NX - Allowed to Edit Administration Times - Order Entry User Role
eMAR NX
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Order Code Setup
- eMAR
- Order Entry User Role
Scenario 1: eMAR NX - 'Avatar eMAR->General->Settings->->->Reschedule Feature Available' Registry Setting contains no value - Order Entry User Role - Allowed to Reschedule - "Follow-Up"
eMAR NX
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: eMAR NX - Display High Alert Indicators
|
Topics
• Order Entry Console
• eMAR NX
• NX
|
OE NX - Discharge Med Reconciliation - Discharge Medications Report
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- eMAR
- Remove Completed Medication Reconciliation
- Order Code Setup
Scenario 1: OE NX - 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.
- Note: For testing purposes the time that this test occurred was after 09:00 AM and before 09:00 PM.
Steps
- Select "Client A” and access the Order Entry Console.
- Search for and select "XANAX 1 MG TABLET ORAL" in the 'New Order' field.
- Select "EVERY 4 HOURS" from the 'Freq' field.
- Populate the required fields.
- Click [Add to Scratchpad].
- Search for and select "RITALIN 10 MG TABLET ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "TABLET" from the 'Dose Unit' field.
- Select "TWICE A DAY" from the 'Freq' field.
- Validate the 'First Dose Date' field contains the current date.
- Validate the 'First Dose Time' field contains either "09:00 AM" or "09:00 PM" depending on the current time and hours of administration.
- Set the 'Duration' field to "14" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- The 'Interactions' dialog may be displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains an order for "RITALIN 10 MG ORAL TABLET (Schedule II)" and "XANAX 1 MG ORAL TABLET (Schedule IV)".
- Access the ‘eMAR’ widget.
- Click 'Click here to provide override reason'.
- Validate the 'Wristband Scan Override' dialog is displayed.
- Select any value in the 'Please provide a reason for not scanning the client wristband' field
- Set the 'Other Reason' field to any value and click [Ok].
- Validate an order for "RITALIN 10 MG ORAL TABLET" is displayed with a dashed line in the first cell and "2100" in the second cell under the current date and an order for "XANAX 1 MG ORAL TABLET" 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.
- Select the "2100" cell under the current date for the "RITALIN 10 MG ORAL TABLET" order and click [Administer].
- Perform 'Order Acknowledgement' and 'Client Education'.
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC# for "RITALIN 10 MG ORAL TABLET".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event in the 'Administration Event' field.
- Check the 'Accept administration information entered' checkbox and click [Ok].
- Validate the first cell under the current date for the "RITALIN 10 MG ORAL TABLET" order contains an administration of "1 TABLET" and the time of the administration.
- Select the first cell under the current date for the "XANAX 1 MG ORAL TABLET" order and click [Administer].
- Perform 'Order Acknowledgement' and 'Client Education'.
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC# for "XANAX 1 MG ORAL TABLET".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event in the 'Administration Event' field.
- Check the 'Accept administration information entered' field and [Ok].
- Validate the first cell under the current date for the "XANAX 1 MG ORAL TABLET" order contains an administration of "1 TABLET and the time of the administration".
- Access the Order Entry Console.
- Select the 'Discharge Reconciliation' tab.
- Select the first order from 'Inpatient Medications' and click [Add to Scratchpad As Rx].
- Select the second order from 'Inpatient Medications' and click [Add to Scratchpad As Rx].
- Select the first order from 'Home Medications Scratchpad (Post-Discharge)'.
- Validate the 'New Order' field contains "Ritalin 10 MG Oral Tablet (Schedule II)".
- Populate the required fields and click [Update Order].
- Select the second order from 'Home Medications Scratchpad (Post-Discharge)'.
- Validate the 'New Order' field contains "Xanax 1 MG Oral Tablet (Schedule IV)".
- Select "EVERY 6 HOURS" from the 'Freq' field.
- Populate the required fields and click [Update Order].
- Search for and select "Zyflo 600 MG Tablet Oral" in the 'New Order' field.
- Populate the required fields and click [Add to Scratchpad].
- Validate 'Home Medications Scratchpad (Post-Discharge)' contains an order for "Zyflo 600 MG Tablet Oral.
- Validate that the "Ritalin", "Xanax", and "Zyflo" orders have a status of "ADD", "ADD", and "NEW" respectively in the 'Action' column.
- Click [Review and Sign].
- Validate the 'Final Review' dialog is displayed.
- Select "None" in 'Output' for all orders and click [Sign].
- Click [Print Report]
- Verify the 'Discharge Medications Report' is displayed.
- Click [Go To Next Page].
- Validate the report contains "Ritalin 10 MG Tablet Oral" in the 'ACTIVE MEDICATIONS LIST' with a 'Last Given' time of the current date and the administration time that the successful administration took place and a 'Next Due' date tomorrow's date at "09:00 AM".
- Validate the report contains "Xanax 1 MG Tablet Oral" in the 'ACTIVE MEDICATIONS LIST' with a 'Last Given' time of the current date and the administration time that the successful administration took place and a 'Next Due' that contains a line that can be written on.
- 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.
- Close the report.
Scenario 2: OE NX - Discharge Med Reconciliation - Discharge Reconciliation report after Editing a Pending Reconciliation
Specific Setup:
- Two clients must exist who have their program or unit configured in the 'External Pharmacy Setup' form. (Client A and Client B)
- “Client A” and "Client B" 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.
- Create any pharmacy-type order.
- Click the 'Home Medications' tab.
- Validate the '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 "3 TIMES A DAY" in the 'Frequency' field and click [Save].
- Select "Client B” and access the Order Entry Console.
- Create any pharmacy-type order.
- Click the 'Home Medications' tab.
- Validate the 'Reported' checkbox is checked.
- Create a 'Reported' medication.
- Uncheck the 'Reported' checkbox.
- Create any medication.
- Select "Client A” and click the 'Discharge Reconciliation' tab.
- Click [Do Not Add Remaining].
- Validate the 'Home Medications Scratchpad (Post-Discharge)' contains "Lisinopril - 10 MG, TAB, PO Take one (1) tablet by mouth three times a day".
- Select the order and click [Continue].
- Click [Hold in Pending Status] and [Print Report].
- Validate that "Lisinopril - 10 MG, TAB, PO" appears on both pages of the report.
- Close the report.
- Select "Client B” and click the 'Discharge Reconciliation' tab.
- Select "Client A” and click the 'Discharge Reconciliation' tab.
- Click [Edit Pending Reconciliation].
- Validate warning message is displayed and click [Ok].
- Click [Hold in Pending Status] and [Print Report].
- Validate that "Lisinopril - 10 MG, TAB, PO" appears on both pages of the report.
- Close the report.
Scenario 3: 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.
- Note: Avatar OE 2022 Update 91, NX Release 2022.10.00.02, or NX Release 2022.11.00.01 are required for full functionality.
Steps
- Select “Client A” and access the Order Entry Console.
- Search for and select "XANAX 1 MG TABLET ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1" and the 'Dose Unit' field to "TABLET".
- Select a 'PRN' frequency code from the 'Freq:' field.
- Populate any remaining required fields.
- Validate the 'Order grid' contains an order for "XANAX ORAL TABLET".
- Select the 'Home Medications' tab.
- Search for and select "RITALIN 10 MG TABLET ORAL" in the 'New Order' field.
- Populate the required fields.
- Click [Add to Scratchpad], [Final Review], and [Sign].
- Validate the 'Order grid' contains an order for "Ritalin 10 MG ORAL Tablet"
- Access the ‘eMAR’ widget.
- Validate an order for "XANAX 1 MG ORAL TABLET" is displayed with no hours of administration in the cells under the current date.
- Select the first cell under the current date and click [Administer].
- Perform 'Order Acknowledgement' and 'Client Education'.
- Verify the 'Administration Event' dialog exists and contains an order for "XANAX 1 MG ORAL TABLET".
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC for "XANAX 1 MG ORAL".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event from the 'Administration Event' field.
- Check the 'Accept administration information entered' checkbox and [Ok].
- Validate the first cell under the current date for the "XANAX 1 MG ORAL TABLET" order contains "1 TABLET" and the time administered.
- Validate "Client A" is selected and access the Order Entry Console.
- Select the 'Discharge Reconciliation' tab.
- Validate 'Inpatient Medications' contains an order for "XANAX ORAL TABLET".
- Validate 'Home Medications Scratchpad (Post-Discharge)' contains an order for "Ritalin 10 MG ORAL.
- Select the order for "XANAX ORAL TABLET 1 TABLET, EVERY DAY" from 'Inpatient Medications' and click [Add to Scratchpad].
- Select the order for "XANAX ORAL TABLET 1 TABLET, EVERY DAY" from 'Home Medications Scratchpad (Post-Discharge)'.
- Populate the required fields and click [Update Order].
- Search for and select "Zyflo 600 MG Tablet Oral" in the 'New Order' field.
- Populate the required fields and click [Add to Scratchpad].
- Validate 'Home Medications Scratchpad (Post-Discharge)' contains an order for "Zyflo 600 MG Tablet Ora"
- Select the order for "Ritalin 10 MG ORAL Tablet" from 'Home Medications Scratchpad (Post-Discharge)' and click [Continue].
- Validate that the "Ritalin", "Xanax", and "Zyflo" orders have a status of "CONT", "ADD", and "NEW" respectively in the 'Action' column.
- Click [Review and Sign].
- Validate the 'Final Review' dialog is displayed and click [Sign].
- Validate that 'Discharge Med Reconciliation' is in view-only mode.
- Click [Print Report].
- Verify the 'Discharge Medications Report' is displayed.
- 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".
- 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".
- 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".
- Click [Go To Next Page].
- 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}".
- Close the report.
Scenario 4: OE NX - Med Rec Full Workflow
|
Topics
• Order Entry Console
• NX
|
OE - Support for uncoded allergies
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Allergies and Hypersensitivities
- CareFabric Monitor
- HL7 Connection Monitor
- Medical Note
- BedBoard
- eMAR
- Launch OrderConnect
- Current Medication Profile
Scenario 1: Uncoded Allergies
Specific Setup:
- In order to utilize this functionality the following updates must be installed:
- Avatar CWS 2023 Update 84
- Avatar OE 2023 Update 41
- Avatar eMAR 2023 Update 22
- Avatar CareFabric 2023 Update 63
- Avatar HL7 2023 Update 8
- RADplus Client Update 3392.007
- A client must be admitted to an inpatient episode with no allergies existing. (Client A)
- "Client A" must be associated with a user role. (HomeviewCLINICIAN)
- Two users must exist. One that is associated with a user role (User A) and one who is not. (User B)
- The 'Avatar CWS->CWS Utilities->Set System Defaults->CWS Allergies->->Allow Access to Uncoded Allergies' registry setting must be set to "HomeviewCLINICIAN".
- Please log out of the application and log back in after completing the above configuration.
- Make note of the 'Unit' and 'Room' associated with "Client A".
- "User A" must be logged into the application.
Steps
- Select "Client A" and access the 'Allergies and Hypersensitivities' form.
- Validate that no values are selected in the 'Known Medications Allergies' and 'Known Food Allergies' fields.
- Click [Update].
- Click [New Row] and add a row for "BASIC CARE IBUPROFEN" with the following 'Comment' of "do not administer ibuprofen".
- Click [New Row] and add a row for "Uncoded Drug (Uncoded-Drug)" with the following 'Comment' of "Uncoded Drug- Prozatec".
- Click [New Row] and add a row for "Uncoded Environmental (Uncoded-Envr)" with the following 'Comment' of "Uncoded Environment - Thunderstorm".
- Click [New Row] and add a row for "Uncoded Food (Uncoded-Food)" with the following 'Comment' of "Uncoded Food - Peanut oil".
- Click [Save].
- Validate the 'Known Medication Allergies' field is disabled and has "Yes" selected.
- Validate the 'Known Food Allergies' field is disabled and has "Yes" selected.
- Click [Submit].
- Access the 'Allergies and Hypersensitivities' form.
- Validate the 'Client Information' banner contains "Allergies (4) 1) BASIC CARE IBUPROFEN - Confirmed 2) Uncoded Drug: Uncoded Drug- Prozatec - Confirmed 3) Uncoded Environmental: Uncoded Environment - Thunderstorm - Confirmed 4) Uncoded Food: Uncoded Food - Peanut oil - Confirmed".
- Click [Display] in the 'Allergies and Hypersensitivities' form and validate a 'Client Allergies/Hypersensitivities' report is displayed and includes all of the information entered in the 'Allergies and Hypersensitivities' form and close the report and the form.
- Open the Client Dashboard and validate the 'Client Information' banner contains "Allergies (4) 1) BASIC CARE IBUPROFEN - Confirmed 2) Uncoded Drug: Uncoded Drug- Prozatec - Confirmed 3) Uncoded Environmental: Uncoded Environment - Thunderstorm - Confirmed 4) Uncoded Food: Uncoded Food - Peanut oil - Confirmed" and click [Close].
- Access "Med Note" and click "Allergies" on the 'Facesheet' tab.
- Validate the following are displayed:
- BASIC CARE IBUPROFEN
- Uncoded Drug: Uncoded Drug - Prozatec
- Uncoded Environmental: Uncoded Environment - Thunderstorm
- Uncoded Food: Uncoded Food - Peanut oil
- Click [Reviewed with Client].
- Select the 'BedBoard' widget.
- Click the unit associated with "Client A".
- Select "Client A" under the appropriate room number.
- Validate that under 'Allergies" that the following is displayed: "BASIC CARE IBUPROFEN (Severity);Uncoded Drug (Severity);Uncoded Environmental (Severity);Uncoded Food (Severity)" and click [Cancel].
- Access the Order Entry Console.
- Validate the 'Client Information' banner contains the following: "Allergies (4)↳Allergies Reviewed=Yes (Date Reviewed) ↳1) BASIC CARE IBUPROFEN - Status ↳2) Uncoded Drug: Uncoded Drug- Prozatec - Status ↳3) Uncoded Environmental: Uncoded Environment - Thunderstorm - Status ↳4) Uncoded Food: Uncoded Food - Peanut oil - Status".
- Search for and select "BASIC CARE IBUPROFEN" in the 'New Order' field.
- Validate a warning indicator and "At least one warning has been found with this order" appears under the 'New Order' field.
- Click the link and validate the following is displayed in the 'Interactions' dialog on the 'Interactions' tab:
- Uncoded Allergies Filed Warning: The following uncoded allergies are on file for TESTA,ALLERGY (Client ID: 1468): Uncoded Drug: Uncoded Drug- Prozatec, Uncoded Environmental: Uncoded Environment - Thunderstorm, Uncoded Food: Uncoded Food - Peanut oil. These allergies will be not be screened for drug interactions. Allergy Interaction(s) Reaction Severity Filter Level being used: # Drug: BASIC CARE IBUPROFEN 100 MG ORAL TABLET, CHEWABLE Allergen: BASIC CARE IBUPROFEN Description: BASIC CARE IBUPROFEN Screening Message: A history of hypersensitivity to the following substance has been noted for this patient: BASIC CARE IBUPROFEN. There was an experienced reaction of the reactions selected (Reaction Severity: severity selected).
- Click [Close].
- Access the 'CareFabric Monitor' form.
- Select the current date in the 'From Date' and 'Through Date' fields.
- Search for and select "Client A" in the 'Client ID' field.
- Search for "allergycreated" in the 'Event/Action Search' field and select "Allergy/Created Out".
- Validate "Allergy/Created" is displayed and checked off in the 'Select Event/Actions' field.
- Click [View Activity Log].
- Validate that 4 rows are selected
- Click the 1st 'Click To View Record' link and validate that "name":"BASIC CARE IBUPROFEN" is displayed and click the 'Main Report' tab.
- Click the 2nd 'Click To View Record' link and validate that "name":"Uncoded Drug: Uncoded Drug- Prozatec" is displayed and click the 'Main Report' tab.
- Click the 3rd 'Click To View Record' link and validate that "name":"Uncoded Environmental: Uncoded Environment - Thunderstorm" is displayed and click the 'Main Report' tab.
- Click the 4th 'Click To View Record' link and validate that "name":"Uncoded Food: Uncoded Food - Peanut oil" is displayed and click [Close Report] and close form.
- Access the 'Launch OrderConnect' form.
- Click [Launch OrderConnect Prescriptions].
- Validate the 'Known Allergies' section contains: "BASIC CARE IBUPROFEN, Uncoded Drug: Uncoded Drug - Prozatec, Uncoded Environmental: Uncoded Environment - Thunderstorm, and Uncoded Food: Uncoded Food - Peanut oil" and click [Close Chart] and close form.
- Log out of the application and log back in as "User B".
- Select "Client A" and access the 'Allergies and Hypersensitivities' form.
- Click [Update] and [New Row].
- In the 5th 'Allergen/Reactant' cell search for "Uncoded" and press Tab.
- Validate a message is displayed stating: "Allergen/Reactant Code Not Found. No Allergen/Reactant code or Allergen/Reactant code description matches 'UNCODED'." and click [OK] and [Close/Cancel].
- Validate a message is displayed stating "You have made changes to the table. Are you sure you want to cancel and lose these changes?" and click [Yes] and close the form.
|
Topics
• Allergies and Hypersensitivities
|
OE NX - View 'Last Activity' - Results Document Upload
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Results Document Upload
- Order Fulfillment
Scenario 1: Results can be viewed from the 'Last Activity' dialog in the 'Order Entry Console'
Specific Setup:
- An x-ray-type order code must have "Vital Signs (21)" select in the 'Fulfillment Form' field on the 'Order Code Setup' form. (Order Code A)
- The ‘(40126) Result Status does not include actual results"’ extended attribute must be set to “No” in the Results File ‘(40123) Test Results/Observations - Result Status (HL-7 Table 0123)’ dictionary for “P - Preliminary: A verified early result is available, final results not yet obtained”.
- The '(31000) Fulfillment Status' dictionary must contains the following values:
- 1 = Initial
- 2 = Results Received
- 3 = Results Reviewed
- 4 = Complete
- The ‘(31005) Complete’ extended attribute must be set to “Yes” in the Order Entry Tabled Files ‘(31000) Fulfillment Status’ dictionary for “3 - Results Reviewed”.
- The ‘(31005) Complete’ extended attribute must be set to “Yes” in the Order Entry Tabled Files ‘(31000) Fulfillment Status’ dictionary for “4 - Complete”.
- The 'Order Fulfillment Configuration' form must be configured in the following way:
- Fulfillment Configuration section
- Initial Status = Initial
- Results Entry Status = Results Received
- Results Reviewed Status = Results Reviewed
- Discontinued Status = Complete
- Status Rules section
- Row 1 - Order Type = 9 for x-ray, Urgent = No, Current Order Status = Initial, Number of Hours in Status = 1, New Order Status = Results Received.
- Row 2 - Order Type = 9 for x-ray, Urgent = No, Current Order Status = Results Received, Number of Hours in Status = 24, New Order Status = Results Reviewed.
- Report Configuration section
- Order Type = x-ray (9), Order Code = Order Code A, Crystal Report = CWSClientAllergiesList
- Form Configuration section
- Select "Vital Signs (21) in the 'Select Form' field.
- "Order Code A" must be configured for 'Order Fulfillment' and must have results filed for it.
- Please log out of and back into the application after this configuration has been done.
- A client must be in an active inpatient 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
- Select "Client A" and access the Order Entry Console.
- Validate the 'Order grid' contains an order for "Order Code A".
- Click [View] in the 'Last Activity' column.
- Verify the 'Administration History' dialog is displayed and contains order information pertaining to "Order Code A".
- Click [Close].
- Access 'Results Document Upload' form.
- Search for and select "Client A" in the 'Patient ID' field.
- Select "Yes" in the 'Associate with OE Order' field.
- Click [Select Order] and select "Order Code A".
- Click [Upload File] and upload any file.
- Select "Preliminary" in the 'Results Status' field and click [Submit].
- Access the Order Entry Console.
- Click [View] in the 'Last Activity' column.
- Verify the 'Administration History' dialog is displayed and contains order information pertaining to "Order Code A".
OE NX - Home Medications - Reported medications
Scenario 1: OE NX - Home Medications - Reported - order description only - New Order and Edit - program not associated with an agency
Specific Setup:
- 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.
- "Client A's" program must not be mapped to an OrderConnect Agency in the 'OrderConnect Facility/Agency Definition' form.
Steps
- Select "Client A" and access the Order Entry Console.
- Access the 'Home Medications' tab.
- Create any 'Reported' medication.
- Click [View] in the 'History' column for row 1.
- Validate the 'Pharmacy Details' information is not displayed.
- Click [Close].
OE NX - Home Medications - Validate Order Actions - Pending in Order Status - New Order, Modify, Reorder, and DC
Scenario 1: OE NX - Home Medications - Validate Order Actions - New Order, Modify, Reorder, and DC
Specific Setup:
- Avatar OE 2023 Update 43 and Avatar NX Release 2023.12.00 are required in order to utilize full functionality.
- Two users must exist. One whose actions require validation and who is not associated with a practitioner (User A) and one whose actions do not require validation, who can validate others orders, and who is associated with a practitioner. (User B)
- A client must have an active inpatient episode.
- “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
- Log into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Search for and select any medication in the 'New Order' field
- Populate all required fields.
- Click [Add to Scratchpad] and [Final Review].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Select "Pending" in the 'Status' field.
- Validate the new order is displayed in the list of current orders with an 'Order Status' for "Pending (New Order)".
- Log out of the application and log back into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab and validate the pending order.
- Log out of the application and log back into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Select the medication in the list of current medications and click [Modify].
- Select a different value in the 'Frequency' field and click [Add to Scratchpad] and [Final Review].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Select "Pending" in the 'Status' field.
- Validate the new order is displayed in the list of current orders with an 'Order Status' of "Pending (Modify Order)".
- Log out of the application and log back into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab and validate the pending order.
- Log out of the application and log back into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Select the medication in the list of current medications and click [Reorder].
- Click [Add to Scratchpad] and [Final Review].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Select "Pending" in the 'Status' field.
- Validate the new order is displayed in the list of current medications with an 'Order Status' of "Pending (Reorder)".
- Log out of the application and log back into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab and validate the pending order.
- Log out of the application and log back into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Select the medication in the list of current medications and click [D/C].
- Validate the 'Discontinue Date' and 'Discontinue Time' fields are disabled and contain the current date and time.
- Select any value in the 'Discontinue Reason' field and click [Add to Scratchpad] and [Final Review].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Select "Pending" in the 'Status' field.
- Validate the new order is displayed in the list of current medications with an 'Order Status' of "Pending (Discontinue Order)".
- Log out of the application and log back into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab and validate the pending order.
OE NX - Order This Episode - View Last Activity - Reason and Comment
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- eMAR
- Frequency Code Setup
- Nutrition Orders
Scenario 1: OE NX - Order This Episode - View Last Activity - include eMAR Administration Event Reason and Comment
Specific Setup:
- The following extended attributes must be set in the eMAR Tabled Files ‘(10000) Administration Event’ dictionary: (Admin Event A)
- ‘(10002) Successful Administration’ = “Yes”
- ‘(10009) Client Refusal’ = “No”
- ‘(10018) Add Reason Dictionary To Comments’ = “Yes”
- ‘(10019) Require Comments’ = “No”
- 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 any pharmacy-type order code in the 'New Order' field.
- Populate all required field and click [Add to Scratchpad] and [Sign].
- Access 'eMAR' and click 'Scan Client'
- Select any value in the 'Please provide a reason for not scanning the Client wristband' field that does not require an additional override and click [OK].
- Select any cell under the current date and click [Administer].
- Complete the 'Order Acknowledgement' and 'Client Education'.
- Validate the 'Administration Event' dialog is displayed.
- Select "Admin Event A" in the 'Administration Event' field.
- Click [View] in the 'Comment' field.
- Select any value in the 'Reason' field, enter any value in the 'Text' field and click [Ok].
- Set the 'Med Id' to any value.
- Click [View] in the 'Warning' field and override all interactions, click [OK].
- Check the 'Accept administration information entered' checkbox and click [Ok].
- Access the Order Entry Console.
- Click [View] in the 'Last Activity' column.
- Validate the 'Activity History' dialog is displayed and contains the Reason and Comment that was entered when administering the order.
|
Topics
• Order Entry Console
• NX
|
| |