eMAR - 'Times/24 Hours' warning when exceeding doses in a 24 hour period.
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Frequency Code Setup
- Orders This Episode
Scenario 1: eMAR - Times per 24 hours warning - Routine
Specific Setup:
- A non-interval, routine Frequency Code must exist with 'Times Per 24 Hours' set to "2" and with no selected 'Hours of Administration'. (TWICE DAILY)
- 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
- Select "Client A" and access the Order Entry Console.
- Search for and select "ADVIL 200 MG TABLET ORAL" from the 'New Order' field.
- Select "TWICE DAILY" from the 'Freq' field.
- Set the 'Duration' field to "7" and click [Days].
- Set the 'Start Date' field to two days prior to the current date.
- Fill out all other required fields and click [Add to Scratchpad] and [Sign].
- Access the ‘eMAR’ widget.
- Scan the client wristband or complete the 'Wristband Override'.
- Select the first cell under the previous date for the "ADVIL 200 MG TABLET ORAL" order and click [Administer].
- Complete the 'Order Acknowledgement' and 'Client Education'.
- Validate the 'Administration Record - Administration Event' dialog exists.
- Set the 'Med ID' cell to the NDC of the "ADVIL 200 MG TABLET ORAL" order.
- Select "Nurse Administered" from the 'Administration Event' field.
- Set the 'Administration Date' field to the previous date.
- Set the 'Administration Time' field to "0100".
- Click the 'Accept administration information entered' checkbox and click [OK].
- Validate the first cell under the previous date contains the amount administered and the time administered for the "ADVIL 200 MG TABLET ORAL" order.
- Select the second cell under the previous date for the "ADVIL 200 MG TABLET ORAL" order and click [Administer].
- Validate the 'Administration Record - Administration Event' dialog exists.
- Set the 'Med ID' cell to the NDC of the "ADVIL 200 MG TABLET ORAL" order.
- Select "Nurse Administered" from the 'Administration Event' field.
- Set the 'Administration Date' field to the previous date.
- Set the 'Administration Time' field to "0200".
- Click the 'Accept administration information entered' checkbox and click [OK].
- Validate the second cell under the previous date contains the amount administered and the time administered for the "ADVIL 200 MG TABLET ORAL" order.
- Select the third cell under the previous date for the "ADVIL 200 MG TABLET ORAL" order and click [Administer].
- Validate the 'Administration Record - Administration Event' dialog exists.
- Set the 'Med ID' cell to the NDC of the "ADVIL 200 MG TABLET ORAL" order.
- Select "Nurse Administered" from the 'Administration Event' field.
- Set the 'Administration Date' field to the previous date.
- Set the 'Administration Time' field to "0300".
- Validate the [View - Warning] button contains a red flag.
- Click [View - Warning] and validate the 'Warning Message' field contains "Administration of this dose will exceed the 'Times/24 Hours' defined for this order (2)."
Scenario 2: eMAR - Times per 24 hours warning - PRN
Specific Setup:
- A non-interval, PRN Frequency Code must exist with 'Times Per 24 Hours' set to "2" and with no selected 'Hours of Administration'. (Every 12 Hours, PRN)
- 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
- Select "Client A" and access the Order Entry Console.
- Search for and select "ADVIL 200 MG TABLET ORAL" from the 'New Order' field.
- Select "Every 12 Hours, PRN" from the 'Freq' field.
- Set the 'Duration' field to "7" and click [Days].
- Set the 'Start Date' field to two days prior to the current date.
- Fill out all other required fields and click [Add to Scratchpad] and [Sign].
- Access the ‘eMAR’ widget.
- Scan the client wristband or complete the 'Wristband Override'.
- Select the first cell under the previous date for the "ADVIL 200 MG TABLET ORAL" order and click [Administer].
- Complete the 'Order Acknowledgement' and 'Client Education'.
- Validate the 'Administration Record - Administration Event' dialog exists.
- Set the 'Med ID' cell to the NDC of the "ADVIL 200 MG TABLET ORAL" order.
- Select "Nurse Administered" from the 'Administration Event' field.
- Set the 'Administration Date' field to the previous date.
- Set the 'Administration Time' field to "0100".
- Click the 'Accept administration information entered' checkbox and click [OK].
- Validate the first cell under the previous date contains the amount administered and the time administered for the "ADVIL 200 MG TABLET ORAL" order.
- Select the second cell under the previous date for the "ADVIL 200 MG TABLET ORAL" order and click [Administer].
- Validate the 'Administration Record - Administration Event' dialog exists.
- Set the 'Med ID' cell to the NDC of the "ADVIL 200 MG TABLET ORAL" order.
- Select "Nurse Administered" from the 'Administration Event' field.
- Set the 'Administration Date' field to the previous date.
- Set the 'Administration Time' field to "0200".
- Click the 'Accept administration information entered' checkbox and click [OK].
- Validate the second cell under the previous date contains the amount administered and the time administered for the "ADVIL 200 MG TABLET ORAL" order.
- Select the third cell under the previous date for the "ADVIL 200 MG TABLET ORAL" order and click [Administer].
- Validate the 'Administration Record - Administration Event' dialog exists.
- Set the 'Med ID' cell to the NDC of the "ADVIL 200 MG TABLET ORAL" order.
- Select "Nurse Administered" from the 'Administration Event' field.
- Set the 'Administration Date' field to the previous date.
- Set the 'Administration Time' field to "0300".
- Validate the [View - Warning] button contains a red flag.
- Click [View - Warning] and validate the 'Warning Message' field contains "Administration of this dose will exceed the 'Times/24 Hours' defined for this order (2)."
eMAR - Suppress 'Times/24 Hours' warning for Continuous Admins.
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Frequency Code Setup
- Orders This Episode
Scenario 1: eMAR - Exclude 'Times per 24 hours warning' for Continuous Administrations
Specific Setup:
- A non-interval, routine Frequency Code must exist with 'Times Per 24 Hours' set to "1" and with no selected 'Hours of Administration'. (One Time Only)
- 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
- Select "Client A" and access the Order Entry Console.
- Search for and select "Dextrose 10% Solution INTRAVENOUS" from the 'New Order' field.
- Set the 'Dose' field to "1" and 'Dose Unit' to "MG".
- Select "One Time Only" from the 'Freq' field.
- Validate the 'Route' field contains "INTRAVENOUS".
- Select "IV Piggyback" from the 'Admin Method' field.
- Set the 'Duration' field to "7" and click [Days].
- Set the 'Start Time' field to "0000".
- Fill out all other required fields and click [Add to Scratchpad] and [Sign].
- Access the ‘eMAR’ widget.
- Scan the client wristband or complete the 'Wristband Override'.
- Select the first cell under the current date for the "Dextrose 10% Solution INTRAVENOUS" order and click [Administer].
- Complete the 'Order Acknowledgement' and 'Client Education'.
- Validate the 'Administration Record - Administration Event' dialog exists.
- Set the 'Med ID' cell to the NDC of the "Dextrose 10% Solution INTRAVENOUS" order.
- Select "Bolus" from the 'Administration Event' field.
- Set the 'Administration Time' field to "0100".
- Fill out all other required fields.
- Click the 'Accept administration information entered' checkbox and click [OK].
- Validate the first cell under the current date contains the date of the administration for the "Dextrose 10% Solution INTRAVENOUS" order.
- Select the second cell under the current date for the "Dextrose 10% Solution INTRAVENOUS" order and click [Administer].
- Validate the 'Administration Record - Administration Event' dialog exists.
- Set the 'Med ID' cell to the NDC of the "Dextrose 10% Solution INTRAVENOUS" order.
- Select "Bolus" from the 'Administration Event' field.
- Set the 'Administration Time' field to "0200".
- Fill out all other required fields.
- Click the 'Accept administration information entered' checkbox and click [OK].
- Validate the second cell under the current date contains the date of the administration for the "Dextrose 10% Solution INTRAVENOUS" order.
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Topics
• Order Entry
• Order Entry Console
• Avatar eMAR
• myAvatar/myAvatar NX
• NX
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POC Results Entry - Collection Field
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Orders This Episode
- Avatar eMAR
- POC Results Entry
- View Results
- Review Results
Scenario 1: Specimen Collection in Avatar eMAR with an associated non-episodic CWS User modeled form displayed when entering a result in the 'POC Results Entry' form with table validation
Specific Setup:
- Avatar eMAR 2021 Update 23, Avatar CWS 2021 Update 90, RADplus 2021 Update 118, and myAvatar Client Update 2513-004 or 3201-002 or NX Release 2022.04.00 must be installed to make use of this functionality.
- A lab order code must exist. (COVID Rapid)
- A non-episodic CWS user modeled form must exist in the application. (COVID Details)
- An 'Observation Definition' and 'Test Definition' must exist in the 'POC Results Entry Configuration' form for "COVID Rapid" that uses the non-episodic CWS user modeled form that was imported to be displayed upon collection and "Yes" selected in the 'Include Form Data as Result Comments' field.
- 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" must have access to the non-episodic CWS user modeled form "COVID Details".
Steps
- Search for and select "Client A" and access the Order Entry Console.
- Create an order for "COVID Rapid (Unit performed) (COVIDUNIT)".
- Validate the 'Order grid' contains an order for "COVID Rapid (Unit performed).
- Validate that "Client A" is selected and access the 'eMAR' widget.
- Click the 'Lab Orders' tab.
- Select "Specimen Collect" under the current date for the "COVID Rapid (Unit Performed)" order and click [Administer].
- Validate the 'Specimen Collection' dialog is displayed and does not contain an additional non-episodic CWS user modeled form tab.
- Check the 'Accept specimen collection entered' checkbox and click [Ok].
- Validate the first cell under the current date for the "COVID Rapid" order contains the "Specimen Collection Time".
- Validate that "Client A" is selected and access the 'POC Results Entry' form.
- Validate the 'Collection' field is populated.
- Validate the 'Collection' field has the information related to the specimen collection done for this order defaulted.
- Validate the 'Add/Correct/Void' field is disabled, required and has "Add" selected by default.
- Validate the 'Collecting Staff' field is disabled and contains the staff member who completed the specimen collection.
- Validate the 'Specimen Type' field is required, disabled, and contains "Fluid".
- Validate the 'Specimen Collection Date' field is required, disabled, and contains the date that the 'Specimen Collection' took place, which in this case it is the current date.
- Validate the 'Specimen Collection Time' field is required, disabled and contains the time that the 'Specimen Collection' took place.
- Validate the 'Result Date' field is disabled, required and contains the current date.
- Validate the 'Result Time' field is required, disabled and contains the time that the 'POC Results Entry' form was accessed.
- Validate that there is a section that contains the name of the associated non-episodic CWS user modeled form. In this case it is "COVID Details".
- Validate that all fields are enabled.
- Select "Yes" in the 'Is this the first test (of any kind) the patient has had for COVID 19?' field.
- Check the 'Abott IDNOW' checkbox.
- Select "No" in the 'Is Patient symptomatic per CDC guidelines?' field.
- Select "No" in the 'Hospitalized (at time of testing, for COVID)' field.
- Select "No" in the 'ICU (at time of testing, for COVID)' field.
- Select "No" in the 'Is the patient employed in healthcare with direct patient contact?' field.
- Select "Yes" in the 'Is Resident in congregate care/living setting?' field.
- Select "Work (environment)" in the 'If Yes, select the setting' field.
- Select "Not Pregnant" in the 'Is the Patient Pregnant' field.
- Validate that there is a 'Results' section.
- Validate that the field in the 'Results' section is enabled and required.
- Select "negative" in the 'Result' field.
- Click [File].
Scenario 2: POC Results Entry - Collecting Specimen for a lab order as a user with association to a staff member - Add a Result / Correct a Result / Void a Result
Specific Setup:
- Avatar CWS 2022 Update 8 and RADplus Client Update 3201-003 are required in order to utilize full functionality.
- An 'Observation Definition' must exist where the following applies: 'Select Observation' = "Gas flow.O2 O2 delivery sys (8839-3)" - 'Observation ID Code' = "Aortic root Oxygen saturation (8839-3)" - 'Field Name' = "Gas flow.O2 O2 delivery sys" - 'Observation Value Unit' = "mg" - 'Observation Value Field Type' = "Integer" - 'Sex/Age Range' = "0+" with a Normal Reference Range of "95-100" - an abnormal Reference Range of "85-94" with an 'Abnormal Code' = "Below low normal (L)" - an abnormal Reference Range of "80-84" with an 'Abnormal Code' = "Below lower panic limits" - select any value in the 'Save as a Vital Sign' field. (Observation Definition A).
- A 'Test Definition' must exist where the following applies: 'Test Name' = "Oxygen Saturation ages 0+" - 'LOINC Code' = "Aortic root Oxygen saturation (8839-3)" - 'Order Codes' = "Complete Blood Count" and "Red Blood Cell Count" - 'Observation' = "Gas flow. O2 O2 delivery sys (8893-3)" - 'Require Observation' = "Yes" - 'Require Specimen Type' = "No" - 'Default Specimen Type' = "Blood, Whole" - 'Require Specimen Site' = "No" - 'Default Specimen Site' = no value - 'Associated Form' = "non-episodic CWS user defined form". (Test Definition A)
- Two users must exist in the application: one who is associated to a staff member (User A) and one who is not associated with any staff member (User B).
- "User A" must be logged into the application.
- 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
- Select "Client A" and access the Order Entry Console.
- Search for and select "Complete Blood Count (CBC)" in the 'New Order' field.
- Select "DAILY" in the 'Frequency' field.
- Set the 'Duration' field to "48" and click [Hours].
- Click the [Add to Scratchpad] and Click [Sign].
- Access the 'eMAR' widget.
- Click the 'Lab Orders' tab.
- Validate an order for "Complete Blood Count (CBC) (DAILY)" is displayed with "Specimen Collect" and no hours of administration under the current date.
- Complete 'Order Acknowledgement' and 'Client Education' for the "CBC" order.
- Select the "Specimen Collect" cell under the current date for the "Complete Blood Count (CBC) (DAILY)" order and click [Administer]
- Validate the 'Specimen Collection' dialog is displayed.
- Check the 'Accept specimen collection entered' check box and click [OK].
- Validate the first cell under the current date for the "Complete Blood Count (CBC) (DAILY)" orders contains the specimen collection time.
- Validate that "Client A" is selected and access the 'POC Results Entry' form.
- Validate that the 'Include Inactive Orders' is defaulted to "No".
- Select the "Complete Blood Count (CBC)" order in the 'Order' field.
- Validate the 'Collection' field contains the "Collection Date, Collection Time and the staff who collected the specimen along with the staff member's credentials".
- Validate the 'Order details' area is disabled and contains: 'Order #', 'Order Status', 'Order Type', 'Order Code', 'Frequency', 'Order Date', 'Start Date', 'Current Stop Date' and 'Discontinue Date' (if applicable).
- Validate the 'Collecting Staff' field contains the staff member associated to the user who is logged into the application and it is the staff member associated to the user who completed the specimen collection along with the staff member's credentials.
- Validate that the 'Add/Correct/Void' field is disabled, required and defaulted to "Add".
- Validate the 'Specimen Collection Date' field contains the collection date.
- Validate the 'Specimen Collection Time' field contains the collection time.
- Validate the 'Result Date' field contains the current date.
- Validate the 'Result Time' field contains the current time.
- Validate the 'Results' section is displayed.
- Set the 'Field Name' field to "117" and validate that "mg" is displayed next to it.
- Click [File].
- Create a report using the 'SYSTEM.cw_vital_signs' table and include the following fields: 'PATID', 'data_entry_date', 'data_entry_time', 'measured_unit', 'reading', 'reading_entry', 'reading_value', and 'vital_sign'.
- Filter the report by select "Client A's PATID" in the 'PATID' field
- Filter the report a second time by selecting the current date in the 'data_entry_date' field.
- Validate that the one row of data is displayed.
- Validate that the row contains "mg" in the 'measured_unit' field, "SSVSI6" in the 'reading' field, "117" in the 'reading_entry' field, "117 mg" in the 'reading_value' field and "SS Vital Signs Integer 1" in the 'vital_sign' field.
- Create a report using the 'SYSTEM.results_header' table including the following fields: 'PATID', 'data_entry_date', 'result_status_code', 'result_status_value', 'universal_svc_id_code_alt', 'universal_svc_id_val_alt', 'result_rpt_change_date', 'result_rpt_change_time', 'specimen_collection_date', 'collectors_comment' and 'specimen_collection_time'.
- Filter the report using the 'PATID' field and selecting "Client A's" PATID.
- Filter the report a second time by selecting the current date in the 'data_entry_date' field.
- Validate that one row of data exists for this client.
- Validate that the 'result_status_code' field for this row contains a "C".
- Validate that the 'result_status_value' field is populated with: Correction to results.
- Validate that the 'universal_svc_id_code_alt' field contains "CBC".
- Validate that the 'universal_svc_id_val_alt' field contains "Complete Blood Count".
- Validate that the 'result_rpt_change_date' field contains the value that was entered in the 'Result Date' field.
- Validate that the 'result_rpt_change_time' field contains the value that was entered in the 'Result Time' field.
- Validate the 'specimen_collection_date' field contains the 'Specimen Collection Date'.
- Validate that the 'collectors_comment' field contains the staff member associated to the user who completed the specimen collection along with the staff member's credentials.
- Validate the 'specimen_collection_time' field contains the 'Specimen Collection Time'.
- Select "Client A" and access the 'POC Results Entry' form.
- Validate that the 'Include Inactive Orders' is defaulted to "No".
- Select the "Complete Blood Count" order in the 'Order' field.
- Select "Yes" in the 'Include Resulted Collections' field.
- Validate the 'Collection' field contains the "Collection Date, Collection Time and the staff who collected the specimen along with the staff member's credentials".
- Validate that "Correct" is selected by default in the 'Add/Edit/Void' field.
- Validate the 'Collecting Staff' field contains the staff member associated to the user who is logged into the application and it is the staff member associated to the user who completed the specimen collection along with the staff member's credentials.
- Validate the 'Specimen Collection Time' field contains the collection time.
- Validate the 'Result Time' field contains the current time.
- Validate that the 'Field Name' field contains "117".
- Set the 'Field Name' field to "125" and click [File].
- Refresh the report created using the 'SYSTEM.cw_vital_signs' table.
- Validate that the one row of data is displayed.
- Validate that the row contains "mg" in the 'measured_unit' field, "SSVSI6" in the 'reading' field, "125" in the 'reading_entry' field, "125 mg" in the 'reading_value' field and "SS Vital Signs Integer 1" in the 'vital_sign' field.
- Refresh the report created using the 'SYSTEM.results_header' table.
- Validate that one row of data exists for this client.
- Validate that the 'result_status_code' field for this row contains a "C".
- Validate that the 'result_status_value' field is populated with: Correction to results.
- Validate that the 'universal_svc_id_code_alt' field contains "CBC".
- Validate that the 'universal_svc_id_val_alt' field contains "Complete Blood Count".
- Validate that the 'result_rpt_change_date' field contains the value that was entered in the 'Result Date' field.
- Validate that the 'result_rpt_change_time' field contains the value that was entered in the 'Result Time' field.
- Validate the 'specimen_collection_date' field contains the 'Specimen Collection Date'.
- Validate that the 'collectors_comment' field contains the staff member associated to the user who completed the specimen collection along with the staff member's credentials.
- Validate the 'specimen_collection_time' field contains the 'Specimen Collection Time'.
- Select "Client A" and access the 'POC Results Entry' form.
- Validate that the 'Include Inactive Orders' field is defaulted to "No".
- Select the "Complete Blood Count" order in the 'Order' field.
- Select "Yes" in the 'Include Resulted Collections' field.
- Validate the 'Collection' field contains the "Collection Date Collection Time and the staff who collected the specimen along with the staff member's credentials".
- Validate that "Correct" is selected by default in the 'Add/Edit/Void' field.
- Validate the 'Collecting Staff' field contains the staff member associated to the user who is logged into the application and it is the staff member associated to the user who completed the specimen collection along with the staff member's credentials.
- Select "Void" in the 'Add/Correct/Void' field.
- Enter any value in the 'Void Comments' field.
- Click [File].
- Refresh the report created using the 'SYSTEM.cw_vital_signs' table.
- Validate that the row for this result has been removed.
- Create a report using the 'SYSTEM.results_header' table including the following fields: 'PATID', 'data_entry_date', 'result_status_code', 'result_status_value', 'universal_svc_id_code_alt', 'universal_svc_id_val_alt', 'result_rpt_change_date', 'voided_date', 'voided_by', 'voided_by_user_name', 'void_note', 'collectors_comment' and 'display_type_value'.
- Filter the report using the 'PATID' field and selecting "Client A's" PATID.
- Filter the report a second time by selecting the current date in the 'data_entry_date' field.
- Validate that one row of data exists for this client.
- Validate that the 'result_status_code' field for this row contains a "C".
- Validate that the 'result_status_value' field is populated with: Correction to results.
- Validate that the 'universal_svc_id_code_alt' field contains "CBC".
- Validate that the 'universal_svc_id_val_alt' field contains "Complete Blood Count".
- Validate that the 'voided_date' field contains the current date.
- Validate the 'voided_by' field contains the username associated with the staff member who voided the result.
- Validate that the 'voided_by_user_name' field contains the username associated with the staff member who voided the result.
- Validate that the 'void_note' field contains the value that was entered in the 'Void Comments' field.
- Validate that the 'collectors_comment' field contains the staff member associated to the user who completed the specimen collection along with the staff member's credentials.
- Validate that the 'display_type_value' field contains "Voided".
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Topics
• Avatar eMAR
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