Avatar eMAR - Open-ended order with Fill details
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Avatar eMAR
- RxConnect
- eMAR widget
Scenario 1: Validate open-ended orders with fill details remain open-ended in eMAR
Specific Setup:
- myAvatar should be configured to communicate with RxConnect via Avatar HL7.
- A pharmacy-type order code must have the 'Allow Open-Ended Orders' field set to "Yes" in 'Order Code Setup'. (Order Code A)
- 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.
- Create an order for "Order Code A" and ensure the 'Stop Date' field contains no value.
- Click 'eMAR' tab and validate the 'Order Description' area 'Stop:' date field displays "** Open-Ended **".
- Access the 'Launch RxConnect' form and click [Launch RxConnect].
- Launch 'RxConnect', go to 'Rx Summary' and process the order.
- Close the 'RxConnect' application and the form.
- Validate that "Client A" is selected and access the 'eMAR' widget.
- Click [Refresh] and validate that the order for "Order Code A" still contains a 'Stop Date' of "** Open-Ended **".
Scenario 2: Create and Fill Unit Dose order - Fill Details
Specific Setup:
- The ‘(519) Allow Open-Ended Orders’ extended attribute must be set to “Yes” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Pharmacy”.
- An order code (Order Code A) must be configured to allow an open ended order.
- Please log out of the application and log back in after completing the above configuration.
- Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
- An Outbound connection must exist for "ADT" and "ORDERS".
- An Inbound connection must exist for "FILLDETAILS".
- A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
- 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.
- Create an open ended order for "Order Code A".
- Access the 'Launch RxConnect' form.
- Click [Launch RxConnect].
- Fill "Order Code A" through RxConnect.
- Select "Client A" and access the 'eMAR' widget.
- Validate an order for "Order Code A" is displayed with no hours of administration under the current date and "* Open Ended *" in the order description.
- Complete 'Order Acknowledgement' and 'Client Education' for "Order Code A".
- Administer "Order Code A".
- Validate the first cell under the current date contains the 'Dose' and the administration time.
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Topics
• Avatar eMAR
• NX
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eMAR - Incremental Scanning - improved automatic order selection
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: eMAR - Scan barcode to populate Med ID field with 'Enable Incremental Scanning' set to "0".
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting must be set to "0".
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
- 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.
- "Client A" has an active order for "ADDERALL 10 MG TABLET ORAL 1 Tablet AS NEEDED".
- A barcode must exist for "ADDERALL 10 MG TABLET ORAL".
Steps
- Select "Client A" and access the 'eMAR' widget.
- Validate an order for "Adderall 10 MG ORAL TABLET" with no hours of administration under the current date.
- Complete the 'Order Acknowledgement' and 'Client Education' for the "Adderall" order.
- Ensure the 'Enable multiple administration selection' checkbox is not checked.
- Scan the barcode for "Adderall 10 MG ORAL TABLET".
- Validate the 'Administration Event' dialog is displayed.
- Validate the 'Order' field contains "Adderall 10 MG Tablet".
- Validate the 'Med ID' field contains the "NDC" for the barcode scanned.
- Validate the 'Qty' field contains "1".
- Validate the 'Unit' field contains "Tablet".
- Click [Cancel].
- Check the 'Enable multiple administration selection' checkbox .
- Scan the barcode for "Adderall 10 MG ORAL TABLET".
- Validate the first cell under the current date is highlighted for the "Adderall" order.
- Validate that [Administer] contains "(1)".
- Click [Administer].
- Validate the 'Administration Event' dialog is displayed.
- Validate the 'Order' field contains "Adderall 10 MG Tablet".
- Validate the 'Med ID' field contains the "NDC" for the barcode scanned.
- Validate the 'Qty' field contains "1".
- Validate the 'Unit' field contains "Tablet".
- Select any successful administration in the 'Administration Event' field.
- Check the 'Accept administration information entered' checkbox and click [OK].
- Validate the first cell under the current date contains the amount administered and the time administered for the "Adderall" order.
Scenario 2: Combination Medications - Administer - over-scanning - Fill Details - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2"
Specific Setup:
- Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
- An Outbound connection must exist for "ADT" and "ORDERS".
- An Inbound connection must exist for "FILLDETAILS".
- The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
- A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load and the push of Fill Details.
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
- A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
- Client A must have an active order for "TYLENOL WITH CODEINE NO. 3 300 MG-30 MG ORAL TABLET" that has a 'Dose' and 'Dose Unit' of "2 Tablets" and a 'Frequency' of "EVERY 6 HOURS".
- The order for "TYLENOL WITH CODEINE NO. 3" has had both Order Acknowledgment and Client Education completed and has been processed in RxConnect and contains 'Fill Details' containing: Acetaminophen/Codeine Phosphate et ACETAMINOPHEN 300MG/ CODEINE 30MG 300 MG-30 MG Oral Tablet - Give 2 Tablet Every 6 Hours.
- Must have a barcode for TYLENOL WITH CODEINE NO. 3 300 MG-30 MG ORAL TABLET
Steps
- Select "Client A" and access the 'Avatar eMAR' widget.
- Validate that an order for "Acetaminophen/Codeine Phosphate et ACETAMINOPHEN 300MG/CODEINE 30MG 300 MG-30 MG Oral Tablet" is displayed.
- Validate that there are four cells under the current date with "0000", "0600", "1200" and "1800".
- Scan the bar code for "TYLENOL WITH CODEINE NO. 3 (ACETAMINOPHEN-CODEINE PHOSPHATE) 300 MG-30 MG ORAL TABLET".
- Validate the 'Order Selection' dialog contains "The system identified 1 order that matches the selected medication. Please select the order and administration time by double-clicking on the appropriate cell."
- Double Click the "1200" cell.
- Validate that the "1200" cell is highlighted yellow and contains "1 / 2 Tablet" in red font with a red triangle with a white exclamation mark in it to the right of the value.
- Scan the bar code for "TYLENOL WITH CODEINE NO. 3 (ACETAMINOPHEN-CODEINE PHOSPHATE) 300 MG-30 MG ORAL TABLET".
- Validate that the "1200" cell is highlighted yellow and contains "2 / 2 Tablet" in black font.
- Scan the bar code for "TYLENOL WITH CODEINE NO. 3 (ACETAMINOPHEN-CODEINE PHOSPHATE) 300 MG-30 MG ORAL TABLET".
- Validate that an 'Error' message is displayed containing: Total dose scanned exceeds ordered dose for Acetaminophen/Codeine Phosphate et ACETAMINOPHEN 300MG/CODEINE 30 MG 300MG-30 MG Tablet (Order #: 3551) on 08/24/2020 at 1200. Do you wish to continue with the selection?
- Click [OK]
- Validate that the "1200" cell is highlighted yellow and contains "3 / 2 Tablet" in red font with a red triangle with a white exclamation mark in it to the right of the value.
- Click [Administer].
- Validate the 'Med ID' cell contains the NDC associated to the barcode that was scanned three times separated by commas. One for each scan.
- Validate the 'Qty' cell is equal to "3".
- Validate the 'Unit' cell is equal to "TABLET".
- Select any successful administration event from the 'Administration Event' field.
- Validate the 'Warning - View' button contains a red flag.
- Click [Warning - View].
- Validate the 'Medication/Quantity' dialog contains: The order calls for 2 Tablet(s) 'ACETAMINOPHEN 300 MG - CODEINE PHOSPHATE 30 MG ORAL TABLET'. You appear to be administering 3 x 'ACETAMINOPHEN 300 MG - CODEINE PHOSPHATE 30 MG ORAL TABLET'. The order calls for 2 Tablet. The quantity being administered is indicated as being 3 TABLET.
- Set the 'Override Text' field to any value.
- Click the 'Administration Date/Time' tab.
- Validate that it contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for TYLENOL WITH CODEINE NO. 3.
- Set the 'Override Text' field to any value.
- Click [OK].
- Validate that the [Warning-View] contains a green check mark.
- Check the 'Accept administration information entered' checkbox and click [OK].
- Validate that the cell selected contains "3 TABLET" and the Administration time with a red triangle with a white exclamation point in the top right corner of the cell.
Scenario 3: Concentration Medication - Administration - no Fill Details - 'Enable Incremental Scanning/Defaulting Medication Quantity' registry setting set to "2" -Medication always administered bulk set to "Yes"
Specific Setup:
- Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
- An Outbound connection must exist for "ADT" and "ORDERS".
- An Inbound connection must exist for "FILLDETAILS".
- The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
- A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use, if applicable.
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load and the push of Fill Details.
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
- The '(10289) Medication always administered 'bulk' extended attribute off of 'Order Entry Tabled Files (10270) Dose Unit' must be set to "Yes" form "MG".
- A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
- Client A must have an active order for "CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION" that has a 'Dose' and 'Dose Unit' of "160 MG" and a 'Frequency' of "TWICE A DAY".
- The order for "CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION" has had both Order Acknowledgment and Client Education completed. This order does not have Fill Details.
- Must have a barcode for CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION
Steps
- Access 'Avatar eMAR' for "Client A"
- Validate the 'Administration Date' field contains "the current date"
- Validate the 'Enable Multiple Administration Selection' checkbox properties equal "disabled"
- Validate the 'Enable Multiple Administration Selection' checkbox properties equal "checked"
- Select "Client A" from the Client field
- Validate the 'Order Description Column' item contains the order for CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION
- Validate the 'Administration Date/Time Selection' table contains a cell for 0900 and a cell for 2100 under the current date
- Scan the 50580-0424-01 barcode.
- Verify the 'Order Selection' dialog exists
- Validate the 'Order Selection' dialog contains "The system identified 1 order that matches the selected medication. Please select the order and administration time by double-clicking on the appropriate cell."
- Double Click the 0900 cell
- Validate the 'Administration Date/Time Selection' table contains a yellow highlight on the cell
- Validate the 'Administration Date/Time Selection' table contains the scheduled administration time in the cell with the yellow highlight - 0900
- Validate the 'Administration Date/Time Selection' table contains 160 MG in black font in the cell with the yellow highlight
- Scan the 50580-0424-01 barcode.
- Validate the 'Administration Date/Time Selection' table contains a yellow highlight on the cell.
- Validate the 'Administration Date/Time Selection' table contains the Administration Hour in the cell with the yellow highlight - 0900
- Validate the 'Administration Date/Time Selection' table contains 160 MG in black font in the cell with the yellow highlight. This did not increase because it is a bulk med.
- Click [Administer]
- Verify the 'Administration Event' dialog exists
- Validate the Order cell contains "CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION"
- Validate the 'Scheduled Date' cell contains the current date
- Validate the 'Scheduled Time' cell contains the scheduled hour of administration - 0900
- Validate the 'Med ID' cell contains "50580-0424-01 which is the NDC from the barcode that was scanned"
- Validate the 'Qty' cell is equal to "160"
- Validate the 'Unit' cell contains "MG"
- Select "Nurse Administered" from the Administration Event field
- Validate the 'Warning - View' button contains a red flag
- Click [Warning - View]
- Verify the 'Administration Date/Time' dialog exists
- Validate the 'Administration Date/Time' dialog contains "This Administration Event is occurring outside the allowable administration window of 60 minutes for CHILDRENS TYLENOL."
- Set the 'Override Text' field to any value
- Click [Ok]
- Check the 'Accept administration information entered' checkbox
- Click [Ok]
- Verify the 'Administration Event' dialog does not exist
- Validate the 'Administration Date/Time Selection' table contains "160 MG and the time administered."
- Validate the 'Administration Date/Time Selection' table contains a red triangle with a white exclamation point in the top right corner of the cell
- Click [Close Form]
- Open the 'HL7 Connection Monitor' form
- Select "(Outbound) ORDERS-RXCONNECT" from the 'Select Row' field
- Click [Show Transaction Log]
- Verify the 'HL7 Outbound Transaction Log' page exists
- Validate the 'Date Sent' item contains the current date
- Validate the 'Event Type' item contains "RAS^O01"
- Validate the Name: item contains "Client A's name in the format of Last Name^First Name"
- Validate the 'Order #' item contains the Order # of the order that was administered.
- Click [View HL7 Message]
- Verify the 'View HL7 Message' page exists
- Validate that 'PID-3' contains Client A's ID#
- Validate that 'PID-5.1' contains Client A's Last Name and that PID-5.2 contains Client A's First Name
- Validate that 'ORC-1' contains "RE"
- Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
- Validate that 'ORC-3' contains the 'Filler Order Number' or 'Rx#' of the order that was administered, that was received when processing the order.
- Validate that 'RXA-6' contains the administered Qty - 160
- Validate that 'RXA-7' contains the administered Unit - MG
- Validate that 'RXA-20' contains "CP", which is for Complete
- Validate that there is one ZXA segment.
- Validate that the first 'ZXA-1' contains "1".
- Validate that 'ZXA-2.1' contains the NDC of the first barcode that was scanned - "50580-0424-01".
- Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the first barcode that was scanned - CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION
- Validate that 'ZXA-2.3' contains "NDC"
- Validate that 'ZXA-2.4'contains the "Micromedex Composite Generic ID" or (CGID) of the first medication that was scanned. (ex. 1000000083)
- Validate that 'ZXA-3' contains the amount administered - "160"
- Validate that 'ZXA-4' contains the administered drug units - "MG"
Scenario 4: Incremental Scanning - no Fill Details - scanning expected strength - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" - eMAR_barcode_audit validation
Specific Setup:
- Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
- An Outbound connection must exist for "ADT" and "ORDERS".
- An Inbound connection must exist for "FILLDETAILS".
- The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
- A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use, if applicable.
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" after the Order Code Load and the push of Fill Details.
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
- A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
- Client A must have an active order for "WARFARIN SODIUM 10 MG TABLET ORAL" that has a 'Frequency' of "Daily", a 'Dose' and 'Dose Unit' of "10 MG" and that has an administration time of "0900".
- The order for "WARFARIN SODIUM 10 MG TABLET ORAL" has had both Order Acknowledgment and Client Education completed. This order does not have Fill Details.
- Must have a barcode for WARFARIN SODIUM 10 MG TABLET ORAL
- Must have a report created using the 'eMAR.eMAR_barcode_audit' table that includes all fields.
Steps
- Access 'Avatar eMAR'
- Validate that the 'Administration Date' field contains the current date.
- Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
- Select "Client A" in the 'Client' field.
- Validate that there is an order for "WARFARIN SODIUM 10 MG TABLET ORAL".
- Validate that there is a "0900" under the current date that has a red indicator, meaning that it is not within the Administration window.
- Scan the 00093-1720-01, which is the barcode for "WARFARIN 10 MG TABLET ORAL".
- Validate that an 'Order Selection' dialog is displayed stating: The system identified 1 order that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
- Double Click the "0900" cell.
- Validate that the "0900" cell is highlighted yellow and contains "10 / 10 MG" in black font.
- Click [Administer].
- Validate that the 'Administration Event' dialog is displayed.
- Validate that 'Order' contains "WARFARIN SODIUM 10 MG TABLET".
- Validate that 'Scheduled Date' contains the current date.
- Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "0900".
- Validate that 'Med ID' contains "00093-1720-01".
- Validate that 'Qty' contains "10".
- Validate that 'Unit' contains "MG".
- Select "Nurse Administered" in 'Administration Event'.
- Validate that [Warning - View] contains a red flag.
- Click [Warning - View]
- Validate that 'Administration Date/Time' dialog contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for WARFARIN SODIUM.
- Set the 'Override Text' to any value.
- Click [OK]
- Validate that [Warning - View] contains a green checkmark.
- Check the 'Accept administration information entered' checkbox and click [OK].
- Validate that the "0900" cell contains "10 MG" and the time administered with a red triangle with a white exclamation point in the top right corner.
- Close the form.
- Access the 'HL7 Connection Monitor' form.
- Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
- Click [Show Transaction Log].
- Validate that the 'HL7 Outbound Transaction Log' report is displayed.
- Validate that 'Date Sent' contains the current date.
- Validate that 'Event Type' contains "RAS^O01".
- Validate that 'Name:' contains Client A's name in the format of Last Name^First Name.
- Validate that 'Order #' contains the Order # of the order that was administered.
- Click [View HL7 Message]
- Validate that the HL7 Message is displayed.
- Validate that 'PID-3' contains Client A's ID#.
- Validate that 'PID-5.1' contains Client A's Last Name and that 'PID-5.2' contains Client A's First Name.
- Validate that 'ORC-1' contains "RE".
- Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
- Validate that 'RXA-6' contains the 'Qty' that was administered - "10".
- Validate that 'RXA-7' contains the 'Unit' given - "MG".
- Validate that 'RXA-20' contain "CP" for Complete Administration.
- Validate that there is one 'ZXA' segment. This includes information pertaining to the scanned barcodes.
- Validate that 'ZXA-2.1' contains the NDC of the barcode that was scanned - "00093-1720-01".
- Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the barcode that was scanned - "Warfarin Sodium 10 MG Oral Tablet".
- Validate that 'ZXA-2.3' contains "NDC".
- Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the medication that was administered - "1000002623".
- Validate that 'ZXA-3' contains the amount administered - "10".
- Validate that 'ZXA-4' contains the administered Drug Units - "MG".
- Validate that 'ZXA-5' contains the Administered Drug Strength - "10".
- Validate that 'ZXA-6' contains the administered Drug Strength Unit - "MG".
- Close the report and the form.
- Refresh the report created using the 'eMAR.eMAR_barcode_audit' table.
- Filter the report using the 'PATID' column by only selecting Client A's PATID.
- Filter the report a second time using the 'order_number' field and selecting the order # that was just administered. This can be found in the 'Order Description' in Avatar eMAR.
- Filter the report a third time using the 'barcode' field and selecting the NDC of the barcode that was scanned.
- Validate that 1 row is displayed.
- Validate that the 'order_matched_count' field contains "1". This means that only one order was found that could be associated with the barcode scanned.
Scenario 5: Incremental Scanning - no Fill Details - under-scanning - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" - eMAR_barcode_audit validation
Specific Setup:
- Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
- An Outbound connection must exist for "ADT" and "ORDERS".
- An Inbound connection must exist for "FILLDETAILS".
- The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
- A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use, if applicable.
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" after the Order Code Load and push of Fill Details.
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
- A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
- Client A must have two active order for "WARFARIN SODIUM 10 MG TABLET ORAL" that have a 'Dose' and 'Dose Unit' of "10 MG" and a 'Frequency' of "Daily" with an administration time of "0900".
- One of the orders does not have Fill Details and one of them does. For the order with Fill Details it contains "Warfarin Sodium et COUMADIN 2 MG Oral Tablet Give: 10 MG Daily".
- Both orders for "WARFARIN SODIUM 10 MG TABLET ORAL" have had both Order Acknowledgment and Client Education completed. There are no Fill Details for this order.
- Must have a barcode for WARFARIN SODIUM 2.5 MG TABLET ORAL.
- Must have a report created using the 'eMAR.eMAR_barcode_audit' table that includes all fields.
Steps
- Access 'Avatar eMAR'.
- Validate that the 'Administration Date' field contains the current date.
- Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
- Select "Client A" in the 'Client' field.
- Validate that there is an order for "WARFARIN SODIUM 10 MG TABLET ORAL - Give: 10 MG EVERY DAY".
- Validate that there is a "0900" under the current date that has a red indicator, meaning that it is not within the Administration window.
- Validate that there is an order for "Warfarin Sodium et COUMADIN 2 MG Oral Tablet - Give 10 MG Daily". This is the order with Fill Details.
- Validate that there is a "0900" under the current date that has a red indicator, meaning that it is not within the Administration window.
- Scan the 55154-4696-00, which is the barcode for "WARFARIN 2.5 MG TABLET ORAL".
- Validate that an 'Order Selection' dialog is displayed stating: The system identified 2 orders that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
- Double Click the "0900" for the "WARFARIN SODIUM 10 MG TABLET" order that does not contain Fill Details.
- Validate that the "0900" cell for the "WARFARIN SODIUM 10 MG TABLET" order is highlighted yellow and contains "2.5 / 10 MG" in red font with a red triangle with a white exclamation point next to it.
- Scan the 55154-4696-00, which is the barcode for "WARFARIN 2.5 MG TABLET ORAL".
- Validate that the "0900" cell for the "WARFARIN SODIUM 10 MG TABLET" order is highlighted yellow and contains "5 / 10 MG" in red font with a red triangle with a white exclamation point next to it.
- Click [Administer].
- Validate that the 'Administration Event' dialog is displayed.
- Validate that 'Order' contains "WARFARIN SODIUM 10 MG TABLET".
- Validate that 'Scheduled Date' contains the current date.
- Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "0900".
- Validate that 'Med ID' contains "55154-4696-00" twice separated by a comma. One for each scan of the barcode.
- Validate that 'Qty' contains "5".
- Validate that 'Unit' contains "MG".
- Select "Nurse Administered" in 'Administration Event'.
- Validate that [Warning - View] contains a red flag.
- Click [Warning - View]
- Validate that the 'Medication / Quantity' dialog contains: The order calls for 'WARFARIN SODIUM 10 MG ORAL TABLET'. The medication being administered appears to be 'WARFARIN SODIUM 2.5 MG ORAL TABLET'. The order calls for 10 MG. The quantity being administered is indicated as being 5 MG.
- Set the 'Override Text' field to any value.
- Validate that the 'Administration Date/Time' dialog contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for WARFARIN SODIUM.
- Set the 'Override Text' field to any value.
- Click [Ok]
- Validate that [Warning - View] contains a green check mark.
- Check the 'Accept administration information entered' checkbox and click [OK].
- Validate that the "0900" cell for the "WARFARIN 10 MG TABLET ORAL" order contains "5 MG" and the time administered with a red triangle with a white exclamation point in the top right corner.
- Close the form.
- Access the 'HL7 Connection Monitor' form.
- Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
- Click [Show Transaction Log].
- Validate that the 'HL7 Outbound Transaction Log' report is displayed.
- Validate that 'Date Sent' contains the current date.
- Validate that 'Event Type' contains "RAS^O01".
- Validate that 'Name:' contains Client A's name in the format of Last Name^First Name.
- Validate that 'Order #' contains the Order # of the order that was administered.
- Click [View HL7 Message]
- Validate that the HL7 message is displayed.
- Validate that 'PID-3' contains Client A's ID#.
- Validate that 'PID-5.1' contains Client A's Last Name and that 'PID-5.2' contains Client A's First Name.
- Validate that 'ORC-1' contains "RE".
- Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
- Validate that 'RXA-6' contains the 'Qty' that was administered - "5".
- Validate that 'RXA-7' contains the 'Unit' given - "MG"
- Validate that 'RXA-20' contain "PA" for Partial Administration.
- Validate that there is one 'ZXA' segment.
- Validate that 'ZXA-2.1' contains the NDC of the barcode that was scanned - "55154-4696-00".
- Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the barcode that was scanned - "Warfarin Sodium 2.5 MG Oral Tablet".
- Validate that 'ZXA-2.3' contains "NDC".
- Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the medication that was administered - "1000002615".
- Validate that 'ZXA-3' contains the amount administered - "5".
- Validate that 'ZXA-4' contains the administered Drug Units - "MG".
- Validate that 'ZXA-5' contains the Administered Drug Strength - "2.5".
- Validate that 'ZXA-6' contains the administered Drug Strength Unit - "MG".
- Close the report and the form.
- Refresh the report created using the 'eMAR.eMAR_barcode_audit' table.
- Filter the report using the 'PATID' column by only selecting Client A's PATID.
- Filter the report a second time using the 'order_number' field and selecting the order # that was just administered. This can be found in the 'Order Description' in Avatar eMAR.
- Scroll down to the bottom of the report, this is where the most recent scans will be.
- Validate that there are two new rows.
- Validate that both rows contain "55154-4696-00" in the 'barcode' field. This is the NDC of the barcode that was scanned.
- Validate that the 'order_matched_count' field contains "2" for both rows. This means that two orders were found that could be associated with the barcode scanned.
Scenario 6: Incremental Scanning - Administration - No Fill Details - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2"
Specific Setup:
- The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load.
- The 'Avatar eMAR->General->Settings->->->Enable multiple administration selection' must be set to "N".
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
- 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 an inpatient episode whose program or unit are configured in the ‘External Pharmacy Setup’ form.
- "Client A" must have two active orders for "FUROSEMIDE 20 MG TABLET ORAL". One must have "Give: 1 Tablet DAILY" and the other must have "Give: 20 MG DAILY".
- Both orders for "FUROSEMIDE 20 MG TABLET ORAL" have had both Order Acknowledgment and Client Education completed. No Fill Details for both orders.
- Must have a barcode for FUROSEMIDE 20 MG TABLET ORAL.
Steps
- Select "Client A" and access the 'eMAR' widget.
- Validate that the 'Administration Date' field contains the current date.
- Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
- Validate that the following orders are displayed:
- "FUROSEMIDE 20 MG ORAL TABLET - Give: 1 Tablet DAILY" with no hours of administration under the current date.
- "FUROSEMIDE 20 MG ORAL TABLET - Give: 20 Milligram DAILY" with no hours of administration under the current date.
- Scan the barcode for "FUROSEMIDE 20 MG TABLET ORAL".
- Validate that an 'Order Selection' dialog is displayed and contains: The system identified 2 orders that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
- Double Click a cell under the current date for the "FUROSEMIDE 20 MG ORAL TABLET Give: 1 Tablet DAILY" order.
- Validate that the cell selected contains a yellow highlight and "1 / 1 Tablet" in black font.
- Scan the barcode for "FUROSEMIDE 20 MG TABLET ORAL".
- Validate that an 'Order Selection' dialog is displayed and contains: The system identified 2 orders that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
- Double Click a cell under the current date for the "FUROSEMIDE 20 MG ORAL TABLET Give: 20 Milligram DAILY" order.
- Validate that the cell selected contains a yellow highlight and "20 / 20 Milligram" in black font.
- Scan the barcode for "FUROSEMIDE 20 MG TABLET ORAL".
- Validate that an 'Order Selection' dialog is displayed and contains: The system identified 2 orders that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
- Double Click the cell under the current date with "20 / 20 Milligram"and the yellow highlight for the "FUROSEMIDE 20 MG ORAL TABLET Give: 20 Milligram DAILY" order.
- Validate that an 'Error' message is displayed that contains: "Total dose scanned exceeds ordered dose for FUROSEMIDE 20 MG TABLET (Order #: 3586). Do you wish to continue with the selection?".
- Click [Cancel]
- Validate that the cell under the current date for the "FUROSEMIDE 20 MG ORAL TABLET Give: 1 Tablet DAILY" order contains a yellow highlight and "1 / 1 Tablet" in black font.
- Validate that the cell under the current date for the "FUROSEMIDE 20 MG ORAL TABLET Give: 20 Milligram DAILY" order contains a yellow highlight and "20 / 20 Milligram" in black font.
- Click [Administer].
- Validate that the 'Administration Event' dialog is displayed.
- Validate that there are two rows.
- Validate the 'Order' cell for both rows contain "FUROSEMIDE 20 MG TABLET".
- Validate the 'Scheduled Date' cell for both rows contain the current date.
- Validate the 'Scheduled Time' cell for both rows contain "N/A" because the orders had no scheduled administration times.
- Validate the 'Med ID' cell for both rows contain "55154-5539-00".
- Validate the 'Qty' cell for the first row contains "1".
- Validate the 'Unit' cell for the first row contains "TABLET".
- Validate the 'Qty' cell for the second row contains "20".
- Validate the 'Unit' cell for the second row contains "MILLIGRAM"
- Select "Nurse Administered" in the 'Default Administration Event' field.
- Check the 'Accept administration information entered' checkbox and click [Ok].
- Validate that the cell for the "FUROSEMIDE 20 MG ORAL TABLET Give: 1 Tablet DAILY" order contains 1 TABLET and the time administered.
- Validate that the cell for the "FUROSEMIDE 20 MG ORAL TABLET Give: 20 Milligram DAILY" order contains 20 MILLIGRAM and the time administered.
Scenario 7: Incremental Barcode Scanning - Strict match on the 'Micromedex Composite Generic ID'
Specific Setup:
- The 'Avatar Order Entry->Facility Defaults->General->->->Use Netsmart Cloud-hosted Micromedex data' registry setting must be set to "N".
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting must be set to "2".
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3"
- A client must have an active episode with two active orders for the same drug but with different strengths and the same 'Route' and 'Dosage Form':
- AMBIEN 10 MG TABLET ORAL (Schedule IV) 1 Tablet EVERY DAY with an administration time within 60 minutes of the current time
- AMBIEN 5 MG TABLET ORAL (Schedule IV) 1 Tablet EVERY DAY with an Administration time within 60 minutes of the current time
- Both order must have Order Acknowledgment and Client Education completed.
- Must have a barcode for "AMBIEN 10 MG TABLET ORAL (Schedule IV)"
Steps
- Access 'Avatar eMAR' and select "Client A" in the 'Client' field.
- Validate both AMBIEN orders are displayed.
- Scan the barcode for "AMBIEN 10 MG TABLET ORAL (Schedule IV)".
- Validate a cell for the current administration window is selected with "1/1 Tablet" for the 10 MG order.
- Scan the barcode for "AMBIEN 5 MG TABLET ORAL (Schedule IV)".
- Validate a cell for the current administration window is selected with "1/1 Tablet" for the 5 MG order.
- Click [Administer].
- Populate the required fields and click [OK].
- Validate both cells selected display "1 Tablet" and the administration time.
Scenario 8: 'Prevent eMAR Administration Events' preventing administration for "Pharmacy" type orders with "Increment Barcode Scanning" enabled.
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting is set to "0".
- The 'Prevent eMAR Administration Events for the Following Order Types' field in the 'Order Entry User Definition' form must have "Pharmacy" checked.
- A Pharmacy type order code must exist (PRILOSEC 10 MG CAPSULE, DELAYED RELEASE ORAL).
- A client must have an active episode whose program and unit are not configured in the 'External Pharmacy Setup' form. (Client A)
Steps
- Select "Client A" and access the 'Order Entry Console'.
- Set the 'New Order' field to any pharmacy-type order code (PRILOSEC 10 MG CAPSULE, DELAYED RELEASE ORAL).
- Set the 'Dose' field to "1".
- Select "Capsule" in the 'Dose Unit' field.
- Select "EVERY DAY" in the 'Freq' field.
- Set the 'Duration' field to "28" and click [Days].
- Validate that the 'Start Date' field contains the current date.
- Validate that the 'Start Time' field contains the current time.
- Validate that the 'Stop Date' field contains a date that is 28 days in the future of the 'Start Date'.
- Validate that the 'Stop Time' field contains a time that is one minute prior to the 'Start Time'.
- Click [Add to Scratchpad] and [Sign].
- Validate that the 'Order grid' contains an order for "PRILOSEC 10 MG ORAL CAPSULE, DELAYED RELEASE".
- Select "HomeView".
- Validate that "Client A" is selected and access the 'eMAR' widget.
- Validate that an order for "PRILOSEC 10 MG ORAL CAPSULE, DELAYED RELEASE" is displayed and does not contain any cells under the current date with hours of administration.
- Select the cell under the current date and click [Administer].
- Validate that the 'Order Acknowledgement' dialog is displayed.
- Click [OK].
- Validate that the 'Order Acknowledgement' dialog is displayed.
- Select "Yes" in the 'Education Performed' field and click [OK].
- Validate that an 'Error' message is displayed and contains "[Username of individual logged into the application] is not allowed to administer the following 'Order Types': Pharmacy".
- Click [OK].
- Validate that the 'Administration Event' dialog is not displayed.
Scenario 9: Prevent eMAR Administration Events' preventing administration for "X-ray" type orders with "Increment Barcode Scanning" enabled
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting is set to "1".
- The 'Prevent eMAR Administration Events for the Following Order Types' field in the 'Order Entry User Definition' form must have "X-ray" checked.
- An X-ray type order code must exist. (Chest X-ray)
- A client must have an active episode. (Client A)
Steps
- Select "Client A" and access the 'Order Entry Console'.
- Set the 'New Order' field to "Chest X-Ray"
- Set the' Duration' field to "1" and click [Days].
- Click [Add to Scratchpad] and [Sign]
- Validate the 'Order grid' contains an order for "Chest X-Ray".
- Select "HomeView" and deselect "Client A" in the 'My Clients' widget.
- Access 'Avatar eMAR' form.
- Select "Client A" in the 'Client' field.
- Click the 'All Other Order Types' tab
- Validate that an order for "Chest X-Ray" is displayed and contains no hours of Administration under the current date.
- Select the cell under the current date and click [Administer].
- Validate the 'Order Acknowledgement' dialog is displayed.
- Click [OK].
- Validate the 'Client Education' dialog is displayed.
- Select "Yes"in the 'Education Performed' field.
- Click [OK].
- Validate that an 'Error' message is displayed and contains: "[Username of individual logged into the application] is not allowed to administer the following 'Order Types': x-ray.
- Click [OK].
- Validate that the 'Administration Event' dialog is not displayed.
- Close the form.
Scenario 10: Prevent eMAR Administration Events' preventing administration for "Imaging" type orders with "Increment Barcode Scanning" enabled.
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting is set to "0".
- The 'Prevent eMAR Administration Events for the Following Order Types' field in the 'Order Entry User Definition' form must have "Imaging" checked.
- An Imaging-type order code must exist. (Cat Scan)
- A client must have an active episode. (Client A)
Steps
- Select "Client A" and access the 'Order Entry Console'.
- Set the 'New Order' field to "Cat Scan".
- Set the 'Duration' field to "1" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate that the 'Order grid' contains an order for "Cat Scan".
- Select 'HomeView' and deselect "Client A".
- Access the 'Avatar eMAR' form.
- Select the 'All Other Order Types' tab.
- Select "Client A" in the 'Client' field.
- Validate that an order for "Cat Scan" is displayed with no hours of administration under the current date.
- Select the cell under the current date and click [Administer].
- Validate that the 'Order Acknowledgement' dialog is displayed.
- Click [OK].
- Validate that the 'Client Education' dialog is displayed.
- Select "Yes" in the 'Education Performed' field.
- Click [OK].
- Validate the Error dialog contains "[Username of individual logged into the application] is not allowed to administer the following 'Order Types': Imaging"
- Click [OK] and close the form.
- Validate that the 'Administration Event' dialog is not displayed.
- Close the form.
Scenario 11: 'Prevent eMAR Administration Events' preventing administration for "Lab" type orders with "Increment Barcode Scanning" enabled.
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting is set to "1".
- The 'Prevent eMAR Administration Events for the Following Order Types' field in the 'Order Entry User Definition' form must have "Lab" checked.
- A Lab-type order code must exist with a 'Specimen Type' = "Blood" and no External Lab Vendor. (Complete Blood Count)
- A client must have an active episode. (Client A)
Steps
- Select "Client A" and access the 'Order Entry Console'.
- Set the 'New Order' field to "Complete Blood Count".
- Validate that the 'Specimen Type' field is equal to "Blood".
- Set the 'Duration' field to "1" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate that the 'Order grid' contains an order for "Complete Blood Count".
- Select "HomeView" and deselect "Client A"
- Access the 'Avatar eMAR' form and select the 'Lab Orders' tab.
- Select "Client A" in the 'Client' field.
- Validate that an order for "Complete Blood Count" is displayed and contains "Specimen Collect" under the current date.
- Select the "Specimen Collect" cell under the current date and click [Administer].
- Validate that the 'Order Acknowledgement' dialog is displayed.
- Click [OK].
- Validate that the 'Client Education' dialog is displayed.
- Select "Yes" in the 'Education Performed' field.
- Click [OK].
- Validate that an 'Error' message is displayed stating: "[Username of individual logged into the application] is not allowed to administer the following 'Order Types': Lab"
- Click [OK].
- Validate that the 'Specimen Collection' dialog is not displayed
- Close the form.
Scenario 12: Prevent eMAR Administration Events' preventing administration for "Dietary" type orders with "Increment Barcode Scanning" enabled..
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->Support Nutrition Tab in eMAR' registry setting must be set to "1".
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting is set to "0".
- The 'Prevent eMAR Administration Events for the Following Order Types' field in the 'Order Entry User Definition' form must have "Dietary" checked.
- A Dietary type order code must exist. (Full Liquid diet)
- A client must have an active episode. (Client A)
Steps
- Select "Client A" and access the 'Order Entry Console'.
- Set the 'New Order' field to "Full Liquid Diet".
- Select "EVERY DAY" in the 'Frequency' field.
- Set the 'Duration' field to "3" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate that the 'Order grid' contains an order for "Full Liquid Diet".
- Validate that "Client A" is selected in the 'My Clients' widget.
- Select the 'eMAR' widget.
- Select the 'Nutrition Orders' tab.
- Select "Client A" in the 'Client' field.
- Validate that an order for "Full Liquid Diet" is displayed and does not contain an administration time under the current date.
- Select the first cell under the current date and click [Administer].
- Validate that the 'Order Acknowledgement' dialog is displayed.
- Click [OK].
- Validate that the 'Client Education' dialog is displayed.
- Select "Yes" in the 'Education Performed' field.
- Click [OK].
- Validate that an 'Error' message is displayed stating: "[Username of individual logged into the application] is not allowed to administer the following 'Order Types': Dietary"
- Click [OK].
- Validate that the 'Administration Event' dialog is not displayed
- Select "HomeView".
Scenario 13: Prevent eMAR Administration Events' preventing administration for "Dietary-oral" type orders with "Increment Barcode Scanning" enabled.
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->Support Nutrition Tab in eMAR' registry setting must be set to "1".
- The 'Avatar Order Entry->eMAR->Settings->->->Send Diet Supplements From Dietary-Oral Orders To eMAR Separately' registry setting must be set to "Y".
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting is set to "0".
- The 'Prevent eMAR Administration Events for the Following Order Types' field in the 'Order Entry User Definition' form must have "Dietary-oral" checked.
- A Dietary-oral type order code must exist. (Diabetic Diet)
- The following must be defined: Diet Restrictions, Dietary Supplements, Days of the Week, and Meal Periods.
- A client must have an active episode. (Client A)
Steps
- Select "Client A" and access the 'Order Entry Console'.
- Set the 'New Order' field to "Diabetic Diet"
- Click [Additional Order Details].
- Validate that the 'Additional Order Details' dialog is displayed.
- Select "Low Sugar" in the 'Diet Restrictions' field.
- Click [New Row].
- Select "GLUCERNA" in the 'Diet Supplement' field.
- Select all values in the 'Days of the Week' field.
- Select "Breakfast", "Lunch" and "Dinner" in the 'Meal Periods' field.
- Click [Save].
- Select "EVERY DAY" in the 'Frequency' field.
- Set the 'Duration' field to "30" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate that the 'Order grid' contains an order for "DIABETIC DIET".
- Select 'HomeView' and deselect "Client A" in the 'My Clients' widget.
- Access the 'Avatar eMAR' form.
- Select the 'Nutrition Orders' tab.
- Select "Client A" in the 'Client' field.
- Validate that an order for "DIABETIC DIET" is displayed and does not contain an administration time cell under the current date.
- Validate that an order for "GLUCERNA" which is the 'Diet Supplement' is displayed with "BREAKFAST", "LUNCH" and "DINNER" cells under the current date.
- Select the "BREAKFAST" cell under the current date for the "GLUCERNA" order and click [Administer].
- Validate that the 'Order Acknowledgement' dialog is displayed.
- Click [OK].
- Validate that the 'Client Education' dialog is displayed.
- Select "Yes" in the 'Education Performed' field.
- Click [OK].
- Validate that an 'Error' warning is displayed and contains "[Username of individual logged into the application] is not allowed to administer the following 'Order Types': Dietary-oral"
- Click [OK].
- Verify the 'Administration Event' dialog is not displayed.
- Close the form.
Scenario 14: Prevent eMAR Administration Events' preventing administration for "Dietary-Tube Feeding" type orders with "Increment Barcode Scanning" enabled.
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting is set to "1".
- The 'Prevent eMAR Administration Events for the Following Order Types' field in the 'Order Entry User Definition' form must have "Dietary-Tube Feeding" checked.
- A Dietary-Tube Feeding type order code must exist. (Dietary - Tube Feeding)
- A client must have an active episode. (Client A)
Steps
- Select "Client A" and access the 'Order Entry Console'.
- Set the 'New Order' field to "Dietary-Tube Feeding".
- Select "EVERY DAY" in the 'Frequency' field.
- Set the 'Duration' field to "3" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate that the 'Order grid' contains an order for "Dietary-Tube Feeding".
- Validate that "Client A" is selected in the 'My Clients' widget.
- Select the 'eMAR' widget.
- Select the 'Nutrition Orders' tab.
- Select "Client A" in the 'Client' field.
- Validate that an order for "Dietary-Tube Feeding" is displayed and does not contain an administration time under the current date.
- Select the first cell under the current date and click [Administer].
- Validate that the 'Order Acknowledgement' dialog is displayed.
- Click [OK].
- Validate that the 'Client Education' dialog is displayed.
- Select "Yes" in the 'Education Performed' field.
- Click [OK].
- Validate that an 'Error' message is displayed stating: "[Username of individual logged into the application] is not allowed to administer the following 'Order Types': Dietary - Tube Feeding"
- Click [OK].
- Validate that the 'Administration Event' dialog is not displayed
- Select "HomeView".
Scenario 15: Prevent eMAR Administration Events' preventing administration for "Advanced Directive" type orders with "Increment Barcode Scanning" enabled.
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting is set to "1".
- The 'Prevent eMAR Administration Events for the Following Order Types' field in the 'Order Entry User Definition' form must have "Advanced Directive" checked.
- An Advanced Directive type order code must exist (DNR - Do Not Resuscitate)
- A client must have an active episode. (Client A)
Steps
- Select "Client A" and access the 'Order Entry Console'.
- Set the 'New Order' field to "Do Not Resuscitate".
- Click [Add to Scratchpad] and [Sign].
- Validate that the 'Order grid' contains an order for "Do not Resuscitate".
- Validate that "Client A" is selected in the 'My Clients' widget.
- Select the 'eMAR' widget.
- Select the 'All Other Order Types' tab.
- Validate that an order for "Do Not Resuscitate" is displayed with no hours of administration under the current date.
- Select the cell under the current date and click [Administer].
- Validate that the 'Order Acknowledgement' dialog is displayed.
- Click [OK].
- Validate that the 'Client Education' dialog is displayed.
- Select "Yes" in the 'Education Performed' field.
- Click [OK].
- Validate the Error dialog contains "[Username of individual logged into the application] is not allowed to administer the following 'Order Types': Advanced Directive."
- Click [OK]
- Validate that the 'Administration Event' dialog is not displayed.
- Close the form.
Scenario 16: Prevent eMAR Administration Events' preventing administration for "Therapy" type orders which have an 'Order Type Category' = "Not Applicable" with "Increment Barcode Scanning" enabled.
Specific Setup:
The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting is set to "1". The 'Prevent eMAR Administration Events for the Following Order Types' field in the 'Order Entry User Definition' form must have "Therapy" checked. A Therapy type order code must exist. (Family Therapy) A client must have an active episode. (Client A)
Steps
- Select "Client A" and access the 'Order Entry Console'.
- Set the 'New Order' field to "Family Therapy".
- Select "EVERY MONDAY" in the 'Frequency' field.
- Set the 'Duration' field to "60" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate that the 'Order grid' contains an order for "Family Therapy".
- Select 'HomeView' and deselect "Client A".
- Access the 'Avatar eMAR' form.
- Select the 'All Other Order Types' tab.
- Select "Client A" in the 'Client' field.
- Validate that an order for "Family Therapy" is displayed with no hours of administration under the current date.
- Select the cell under the current date and click [Administer].
- Validate that the 'Order Acknowledgement' dialog is displayed.
- Click [OK].
- Validate that the 'Client Education' dialog is displayed.
- Select "Yes" in the 'Education Performed' field.
- Click [OK].
- Validate the Error dialog contains "[Username of individual logged into the application] is not allowed to administer the following 'Order Types': Therapy"
- Click [OK].
- Validate that the 'Administration Event' dialog is not displayed.
- Close the form.
Scenario 17: eMAR - Scan multiple medication barcodes and do multiple administrations with 'Enable Incremental Scanning' set to "No".
Specific Setup:
- Avatar eMAR 2021 Update 29 and myAvatar Client Update 2513-005 or 3201-002 are required for full functionality.
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting must be set to "0".
- The 'Avatar eMAR->General->Settings->->->Enable multiple administration selection' registry setting must be set to "N".
- 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.
- "Client A" must have the following active orders:
- "FISH OIL 1000 MG CAPSULE, LIQUID FILLED ORAL 1 Capsule Daily"
- "GEODON (ZIPRASIDONE HYDROCHLORIDE) 60 MG CAPSULE ORAL 1 Capsule As Needed"
- "VITAMIN B12 1000 MCG TABLET ORAL 1 Tablet Daily"
- Barcodes must exist for the orders above.
Steps
- Select "Client A" and access the 'eMAR' widget.
- Validate that an order for "FISH OIL 1000 MG ORAL CAPSULE, LIQUID FILLED 1 Capsule Daily" is displayed with no hours of administration under the current date.
- Validate that an order for "GEODON (ZIPRASIDONE HYROCHLORIDE) 60 MG ORAL CAPSULE 1 Capsule As Needed" is displayed with no hours of administration under the current date.
- Validate that an order for "VITAMIN B12 1000 MCG ORAL TABLET 1 Tablet Daily" is displayed with no hours of administration under the current date.
- Check the 'Enable multiple administration selection' checkbox.
- Scan the "FISH OIL" barcode and validate that the first cell under the current date is highlighted.
- Scan the "GEODON' barcode and validate that the first cell under the current date is highlighted.
- Scan the "VITAMIN B12" barcode and validate that the first cell under the current date is highlighted.
- Validate that [Administer] contains (3).
- Click [Administer].
- Validate the 'Administration Event' dialog is displayed.
- Validate that an order for "FISH OIL", "GEODON", and "VITAMIN B12" orders are displayed.
- Validate that the 'Med ID' for each order is displayed.
- Validate that the 'Qty' field contains "1" and the 'Unit' field contains "Capsule" for the "FISH OIL" order.
- Validate that the 'Qty' field contains "1" and the 'Unit' field contains "Capsule" for the "GEODON" order.
- Validate that the 'Qty' field contains "1" and the 'Unit' field contains "Tablet" for the "VITAMIN B12" order.
- Select a successful administration event in the 'Default Administration Event' field.
- Check the 'Accept administration
- Validate that the first cell under the current date for all orders contains the amount administered and the time administered.
Scenario 18: eMAR - Scan barcode to populate Med ID field with 'Enable Incremental Scanning' set to no value.
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting must be set to "0".
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
- 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.
- "Client A" has an active order for "ADDERALL 10 MG TABLET ORAL 1 Tablet AS NEEDED".
- A barcode must exist for "ADDERALL 10 MG TABLET ORAL".
Steps
- Select "Client A" and access the 'eMAR' widget.
- Validate an order for "Adderall 10 MG ORAL TABLET" with no hours of administration under the current date.
- Complete the 'Order Acknowledgement' and 'Client Education' for the "Adderall" order.
- Ensure the 'Enable multiple administration selection' checkbox is not checked.
- Scan the barcode for "Adderall 10 MG ORAL TABLET".
- Validate the 'Administration Event' dialog is displayed.
- Validate the 'Order' field contains "Adderall 10 MG Tablet".
- Validate the 'Med ID' field contains the "NDC" for the barcode scanned.
- Validate the 'Qty' field contains "1".
- Validate the 'Unit' field contains "Tablet".
- Click [Cancel].
- Check the 'Enable multiple administration selection' checkbox.
- Scan the barcode for "Adderall 10 MG ORAL TABLET".
- Validate the first cell under the current date is highlighted for the "Adderall" order.
- Validate that [Administer] contains "(1)".
- Click [Administer].
- Validate the 'Administration Event' dialog is displayed.
- Validate the 'Order' field contains "Adderall 10 MG Tablet".
- Validate the 'Med ID' field contains the "NDC" for the barcode scanned.
- Validate the 'Qty' field contains "1".
- Validate the 'Unit' field contains "Tablet".
- Select any successful administration in the 'Administration Event' field.
- Check the 'Accept administration information entered' checkbox and click [OK].
- Validate the first cell under the current date contains the amount administered and the time administered for the "Adderall" order.
Scenario 19: Combination Medications - Administer - under-scanning - no Fill Details - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2"
Specific Setup:
- The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load.
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
- A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
- Client A must have an active order for "IPRATROPIUM BROMIDE-ALBUTEROL SULFATE 3 MG/3 ML-0.5 MG/3 ML SOLUTION INHALATION" that has a 'Dose' and 'Dose Unit' of "2 Tablets" and a 'Frequency' of "EVERY 6 HOURS".
- The order for "IPRATROPIUM BROMIDE-ALBUTEROL SULFATE 3 MG/3 ML-0.5 MG/3 ML SOLUTION INHALATION" has had both Order Acknowledgment and Client Education completed and has no Fill Details.
- Must have a barcode for "IPRATROPIUM BROMIDE-ALBUTEROL SULFATE 3 MG/3 ML-0.5 MG/3 ML SOLUTION INHALATION".
Steps
- Select "Client A" and access the 'Avatar eMAR' widget.
- Validate that an order for "IPRATROPIUM BROMIDE-ALBUTEROL SULFATE 3 MG/3 ML-0.5 MG/3 ML SOLUTION INHALATION" is displayed.
- Validate that there are four cells under the current date with "0000", "0600", "1200" and "1800".
- Scan the bar code for "IPRATROPIUM BROMIDE-ALBUTEROL SULFATE 3 MG/3 ML-0.5 MG/3 ML SOLUTION INHALATION".
- Validate the 'Order Selection' dialog contains "The system identified 1 order that matches the selected medication. Please select the order and administration time by double-clicking on the appropriate cell."
- Double click the "1200" cell.
- Validate no error message appears.
- Validate that the "1200" cell is highlighted yellow and contains "1 / 2 Tablet" in red font with a red triangle with a white exclamation mark in it to the right of the value.
- Click [Administer].
- Validate the 'Med ID' cell contains the NDC associated to the barcode that was scanned.
- Validate the 'Qty' cell is equal to "1".
- Validate the 'Unit' cell is equal to "TABLET".
- Select any successful administration event in the 'Administration Event' field.
- Validate the 'Warning - View' button contains a red flag.
- Click [Warning - View].
- Validate the 'Medication/Quantity' dialog contains: The order calls for 2 Tablet. The quantity being administered is indicated as being 1 Tablet.
- Set the 'Override Text' field to any value.
- Click the 'Administration Date/Time' tab.
- Validate that it contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for "IPRATROPIUM BROMIDE-ALBUTEROL SULFATE 3 MG/3 ML-0.5 MG/3 ML SOLUTION INHALATION".
- Set the 'Override Text' field to any value.
- Click [Ok].
- Check the 'Accept administration information entered' checkbox and click [OK].
- Validate that the cell selected contains "1 TABLET" and the Administration time with a red triangle with a white exclamation point in the top right corner of the cell.
Scenario 20: eMAR - Complete multiple administrations with 'Enable Incremental Scanning' set to no value and 'Enable multiple administration selection' set to "Y"
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting must be set to "0".
- The 'Avatar eMAR->General->Settings->->->Enable multiple administration selection' registry setting must be set to "Y".
- Please log out of the application and log back in after completing the above configuration.
- 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.
- Create a pharmacy-type order. (Order A)
- Select "As Needed" from the 'Frequency' field.
- Populate remaining, required fields.
- Click [Add to Scratchpad].
- Create another pharmacy-type order. (Order B)
- Select "AS NEEDED" from the 'Frequency' field.
- Populate remaining, required fields
- Click [Add to Scratchpad] and click [Final Review].
- Validate the 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Final Review' dialog is displayed and click [Sign].
- Validate the 'Order grid' contains "Order A" and "Order B".
- Access the 'eMAR' widget.
- Validate the 'Enable multiple administration selection' checkbox is enabled and checked.
- Click the 'Click here to provide override reason' field.
- Validate the 'Wristband Scan Override' dialog exists.
- Select "Other Reason" from the 'Please provide a reason for not scanning the patient wristband' field.
- Set the 'Other Reason' field to any value.
- Click [OK].
- Validate an order for "Order A" is displayed with no hours of administration under the current date.
- Validate an order for "Order B" is displayed with no hours of administration under the current date.
- Complete 'Order Acknowledgement' and 'Client Education' for both orders.
- Select a cell under the current date for "Order A" and for "Order B" and click [Administer].
- Validate the 'Administration Event' dialog is displayed.
- Set the 'Med ID' field for "Order A" to "Test".
- Select a successful administration event in the 1st 'Administration Event' field.
- Click [Warning - View], provide an override code and click [OK].
- Set the 'Med ID' field for "Order B" to the NDC for that order code.
- Select a successful administration event in the 2nd 'Administration Event' field.
- Check the 'Accept administration information entered' checkbox and click [OK].
- Validate the first cells under the current date for "Order A" and "Order B" contain the amount administered and the time administered.
- Create a report on the 'CWSeMAR.eMAR_administration_data' SQL table and include the following fields:
- EPISODE_NUMBER
- FACILITY
- PATID
- order_number
- admin_check_override_code
- admin_check_override_value
- Validate the 'admin_check_override_code' and 'admin_check_override_value' fields only contain data for "Order A".
Scenario 21: Incremental Scanning - no Fill Details - over-scanning - eMAR_barcode_audit validation
Specific Setup:
- Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
- An Outbound connection must exist for "ADT" and "ORDERS".
- An Inbound connection must exist for "FILLDETAILS".
- The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
- A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" after the Order Code Load and the push of Fill Details.
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
- A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
- Client A must have two active order for "WARFARIN SODIUM 10 MG TABLET ORAL" that have a 'Dose' and 'Dose Unit' of "10 MG", a 'Frequency' of "Daily" that has an administration time of "0900".
- One of the orders does not have Fill Details and one of them does. For the order with Fill Details it contains "Warfarin Sodium et COUMADIN 2 MG Oral Tablet Give: 10 MG Daily".
- Both orders for "WARFARIN SODIUM 10 MG TABLET ORAL" have had both Order Acknowledgment and Client Education completed.
- Must have a barcode for WARFARIN SODIUM 10 MG TABLET ORAL and WARFARIN SODIUM 2 MG TABLET ORAL.
- Must have a report created using the 'eMAR.eMAR_barcode_audit' table that includes all fields.
Steps
- Access 'Avatar eMAR'.
- Validate that the 'Administration Date' field contains the current date.
- Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
- Select "Client A" in the 'Client' field.
- Validate that there is an order for "WARFARIN SODIUM 10 MG TABLET ORAL - Give: 10 MG EVERY DAY".
- Validate that there is a "0900" under the current date that has a red indicator, meaning that it is not within the Administration window.
- Validate that there is an order for "Warfarin Sodium et COUMADIN 2 MG Oral Tablet - Give 10 MG Daily". This is the order with Fill Details.
- Validate that there is a "0900" under the current date that has a red indicator, meaning that it is not within the Administration window.
- Scan the 00093-1720-01, which is the barcode for "WARFARIN 10 MG TABLET ORAL".
- Validate that an 'Order Selection' dialog is displayed stating: The system identified 2 orders that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
- Double Click the "0900" for the "WARFARIN SODIUM 10 MG TABLET" order that does not contain Fill Details.
- Validate that the "0900" cell for the "WARFARIN SODIUM 10 MG TABLET" order is highlighted yellow and contains "10 / 10 MG" in black font.
- Scan the 55154-4695-00, which is the barcode for "WARFARIN 2 MG TABLE ORAL"
- Validate that an 'Order Selection' dialog is displayed stating: The system identified 2 orders that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
- Validate that the "0900" cell contains a yellow highlight and "10 / 10 MG" under the current date for the "WARFARIN SODIUM 10 MG ORAL TABLET" order.
- Double Click this cell.
- Validate that an 'Error' dialog is displayed stating: Total dose scanned exceeds ordered dose for WARFARIN SODIUM 10 MG TABLET (Order #: 3566) on 08/25/2020 at 0900. Do you wish to continue with the selection?
- Click [OK].
- Validate that the "0900" cell for the "WARFARIN SODIUM 10 MG TABLET" order is highlighted yellow and contains "12 / 10 MG" in red font with a red triangle with a white exclamation point next to it.
- Click [Administer].
- Validate that the 'Administration Event' dialog is displayed.
- Validate that 'Order' contains "WARFARIN SODIUM 10 MG TABLET".
- Validate that 'Scheduled Date' contains the current date.
- Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "0900".
- Validate that 'Med ID' contains "00093-1720-01,55154-4695-00, which are for the barcodes that were scanned".
- Validate that 'Qty' contains "12".
- Validate that 'Unit' contains "MG".
- Select "Nurse Administered" in 'Administration Event'.
- Validate that [Warning - View] contains a red flag.
- Click [Warning - View]
- Validate that the 'Medication / Quantity' dialog contains: The order calls for 'WARFARIN SODIUM 10 MG ORAL TABLET'. You appear to be administering the following: 1) 1 x 'WARFARIN SODIUM 2 MG ORAL TABLET'. 2) 1 x 'WARFARIN SODIUM 10 MG ORAL TABLET'. The order calls for 10 MG. The quantity being administered is indicated as being 12 MG.
- Set the 'Override Text' field to any value.
- Validate that the 'Administration Date/Time' dialog contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for WARFARIN SODIUM.
- Set the 'Override Text' field to any value.
- Click [Ok]
- Validate that [Warning - View] contains a green check mark.
- Check the 'Accept administration information entered' checkbox and click [OK].
- Validate that the "0900" cell for the "WARFARIN 10 MG TABLET ORAL" order contains "12 MG" and the time administered with a red triangle with a white exclamation point in the top right corner.
- Close the form.
- Access the 'HL7 Connection Monitor' form.
- Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
- Click [Show Transaction Log].
- Validate that the 'HL7 Outbound Transaction Log' report is displayed.
- Validate that 'Date Sent' contains the current date.
- Validate that 'Event Type' contains "RAS^O01".
- Validate that 'Name:' contains Client A's name in the format of Last Name^First Name.
- Validate that 'Order #' contains the Order # of the order that was administered.
- Click [View HL7 Message]
- Validate that the HL7 message is displayed.
- Validate that 'PID-3' contains Client A's ID#.
- Validate that 'PID-5.1' contains Client A's Last Name and that 'PID-5.2' contains Client A's First Name.
- Validate that 'ORC-1' contains "RE".
- Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
- Validate that 'RXA-6' contains the 'Qty' that was administered - "12".
- Validate that 'RXA-7' contains the 'Unit' given - "MG"
- Validate that 'RXA-20' contain "CP" for Complete Administration
- Validate that there are two 'ZXA' segments. One for each barcode scanned. This includes information pertaining to the scanned barcodes.
- Validate that "ZXA-1" for the first segment contains "1".
- Validate that 'ZXA-2.1' for the first segment contains the NDC of the barcode that was scanned - "00093-1720-01".
- Validate that 'ZXA-2.2' for the first segment contains the "Order Description", "Strength", "Route" and "Form" of the barcode that was scanned - "WARFARIN SODIUM 10 MG ORAL TABLET".
- Validate that 'ZXA-2.3' for the first segment contains "NDC".
- Validate that 'ZXA-2.4' for the first segment contains the "Micromedex Composite Generic ID" or (CGID) of the medication that was administered - "1000002623".
- Validate that 'ZXA-3' for the first segment contains the amount administered - "10".
- Validate that 'ZXA-4' for the first segment contains the administered Drug Units - "MG".
- Validate that 'ZXA-5' for the first segment contains the Administered Drug Strength - "10".
- Validate that 'ZXA-6' for the first segment contains the administered Drug Strength Unit - "MG".
- Validate that "ZXA-1" for the second segment contains "2".
- Validate that 'ZXA-2.1' for the second segment contains the NDC of the barcode that was scanned - "55154-4695-00".
- Validate that 'ZXA-2.2' for the second segment contains the "Order Description", "Strength", "Route" and "Form" of the barcode that was scanned - "WARFARIN SODIUM 10 MG ORAL TABLET".
- Validate that 'ZXA-2.3' for the second segment contains "NDC".
- Validate that 'ZXA-2.4' for the second segment contains the "Micromedex Composite Generic ID" or (CGID) of the medication that was administered - "1000002614".
- Validate that 'ZXA-3' for the second segment contains the amount administered - "2".
- Validate that 'ZXA-4' for the second segment contains the administered Drug Units - "MG".
- Validate that 'ZXA-5' for the second segment contains the Administered Drug Strength - "2".
- Validate that 'ZXA-6' for the second segment contains the administered Drug Strength Unit - "MG".
- Close the report and the form.
- Refresh the report created using the 'eMAR.eMAR_barcode_audit' table.
- Filter the report using the 'PATID' column by only selecting Client A's PATID.
- Filter the report a second time using the 'order_number' field and selecting the order # that was just administered. This can be found in the 'Order Description' in Avatar eMAR.
- Scroll down to the bottom of the report, this is where the most recent scans will be.
- Validate that there are two new rows.
- Validate that the first new row contains "00093-1720-01" in the 'barcode' field.
- Validate that the second new row contains "55154-4695-00" in the 'barcode' field.
- Validate that the 'order_matched_count' field contains "2" for both rows. This means that two orders were found that could be associated with the barcode scanned.
Scenario 22: Incremental Scanning - Scanning a barcode for an order that has 'Enable Incremental Scanning/Defaulting Medication Quantity' is set to "1" - 'Medication always administered bulk' set to "No"
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting must be set to "1".
- The ‘(10289) Medication always administered 'bulk'' extended attribute must be set to “No” in the Order Entry Tabled Files ‘(10270) Dose Unit’ dictionary for "Tablet".
- 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’, ‘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 "LISINOPRIL 20 MG TABLET ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "Tablet" in the 'Dose Unit' field.
- Select any value in the 'Freq' field that does not have associated hours of administration.
- Fill out all remaining required fields and click [Add to Scratchpad] and [Sign].
- Validate the 'Interactions' dialog may be displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains an order for "LISINOPRIL 20 MG ORAL TABLET".
- Select the 'eMAR' widget.
- Validate an order for "LISINOPRIL 20 MG ORAL TABLET" is displayed with no hours of administration under the current date.
- Scan the barcode for "LISINOPRIL 20 MG ORAL TABLET".
- Validate that the first cell under the current date is highlighted yellow and contains "1 / 1 Tablet".
- Click [Administer].
- Validate the 'Order Acknowledgement' dialog is displayed and click [OK].
- Validate the 'Client Education' dialog is displayed.
- Select "Yes" in the 'Education Performed' field and click [OK].
- Validate the 'Administration Event' dialog is displayed.
- Select a successful administration in the 'Administration Event' field.
- Check the 'Accept administration information entered' checkbox and click [OK].
- Validate the first cell under the current date contains the amount given and the time given.
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Topics
• eMAR
• NX
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