eMAR - Blood Pressure
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Vitals Entry
- Orders This Episode
Scenario 1: eMAR - 'Time Window for selection of previously entered Blood Pressure readings in eMAR' set to "Y".
Specific Setup:
- Registry setting "Avatar eMAR->General->Settings->->->Time Window for selection of previously entered Blood Glucose readings in eMAR" must be set to "120"
- Registry setting "Avatar eMAR->General->Settings->->->Time Window for selection of previously entered Blood Pressure readings in eMAR" must be set to "120"
- A client must have an active episode. (Client A)
Steps
- Access the 'Order Code Setup' form.
- Select 'Edit Existing Code' from the 'Add/Edit Order Code' field.
- Search for and select "JEVITY 1.5 CAL LIQUID ORAL " in the 'Existing Order Code.
- Add the following vitals to the 'Additional Data Elements To Include In Avatar eMAR (Administration)' and 'Additional Data Elements To Include In Avatar eMAR (Results)' 'Additional Data Elements To Require In Avatar eMAR (Administration)' and 'Additional Data Elements To Require In Avatar eMAR (Results)' fields:
- Blood Glucose
- Blood Pressure
- Heart Rate
- Oxygen
- Click [Submit].
- Validate a message is displayed "Do you wish to return to form?" and click [No].
- Access the 'Vitals Entry' form for "Client A".
- Set the 'Date' to the current date.
- Set the 'Time' field to "03:30 PM".
- Set the 'Systolic' field to "120".
- Set the 'Diastolic' field to "80".
- Select "Sitting" from the 'Position' field.
- Set the 'Blood Glucose' field to "82".
- Set the '(ft in)' field to "5 8".
- Set the '(lbs)' field to "175" and click [Submit].
- Validate a message is displayed "Do you wish to return to form?" and click [Yes].
- Set the 'Date' to the current date.
- Set the 'Time' field to "03:45 PM".
- Set the 'Systolic' field to "110".
- Set the 'Diastolic' field to "77".
- Select "Lying" from the 'Position' field.
- Set the 'Blood Glucose' field to "77".
- Click [Submit].
- Validate a message is displayed "Do you wish to return to form?" and click [Yes].
- Set the 'Date' to the current date.
- Set the 'Time' field to "03:55 PM".
- Set the 'Systolic' field to "100".
- Set the 'Diastolic' field to "77".
- Select "Standing" from the 'Position' field.
- Set the 'Blood Glucose' field to "77".
- Click [Submit].
- Validate a message is displayed "Do you wish to return to form?" and click [No].
- Access the Order Entry Console.
- Search for and select "JEVITY 1.5 CAL LIQUID ORAL" from the 'New Order' field.
- Set the 'Dose' field to "400".
- Select "mL" from the 'Dose Unit' field.
- Select "3 TIMES A DAY" from the 'Frequency' field.
- Set the 'Duration' field to "30" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate the 'Order grid' contains an order for "JEVITY 1.5 CAL ORAL LIQUID400 mL, 3 TIMES A DAY".
- Click the eMAR tab.
- Validate the 'Order Description' field is equal to "JEVITY 1.5 CAL ORAL LIQUID ↳Give: 400 mL 3 TIMES A DAY".
- Click the 'Click here to provide override reason' item.
- Select "Wristband is wet" from the 'Please provide a reason for not scanning the client wristband' field and click [OK].
- Double click a cell under the current date.
- Set the 'Med ID' cell to the med id for the order (70074-0573-33).
- Validate the 'Qty' cell is equal to "400".
- Validate the 'Unit' cell is equal to "mL".
- Select "Nurse Administered" from the 'Administration Event' field.
- Populate any warnings if they exist.
- Click the 'Additional Data (Administration)' tab.
- Validate all entries from the 'Vitals Entry' form display in the dropdown fields for 'Blood Glucose' and 'Blood Pressure'.
- Select the "82" entry from the 'Blood Glucose (mg/dL)' field.
- Select the "120/80" entry in the 'Blood Pressure (Systolic/Diastolic -mm/Hg)' field.
- Set the Heart Rate (bpm) field to "70".
- Set the Oxygen Saturation (%) field to "98".
- Click the 'Accept administration information entered' checkbox and click [OK].
- Validate the cell selected displays "400 mL" and the current time.
- Double click on the cell previously administered.
- Set the 'Result' field to "Testing".
- Click the 'Additional Data (Administration)' tab.
- Validate the 'Blood Glucose' field is equal to "82".
- Validate the 'Blood Pressure' field is equal to "120/80".
- Validate the 'Heart Rate (bpm)' field is equal to "70".
- Validate the 'Oxygen Saturation (%)' field is equal to "98".
- Click the 'Add'l Data (Results)' tab.
- Select the "110/77" entry from the 'Blood Glucose (mg/dL)' field.
- Select the "77" entry from the 'Blood Pressure (Systolic/Diastolic -mm/Hg)' field.
- Set the 'Heart Rate (bpm)' field to "70".
- Set the 'Oxygen Saturation (%)' field to "95".
- Click the 'Accept administration information entered' checkbox and click [OK].
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Topics
• Avatar eMAR
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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:
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:
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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Avatar eMAR - Specimen Collection
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Avatar eMAR
- Orders This Episode
Scenario 1: Specimen Site Tree - Orders This Episode and eMAR
Specific Setup:
- The 'Avatar CWS->CWS Utilities->Specimen->->->Enable Specimen Site Selection Tree' registry setting must be set to "Y".
- A 'Specimen Site Tree Definition' must be filed for a 'Specimen Type' "Urine"
- A lab-type order code must be configured to have a 'Specimen Type' of "Urine" and an external lab vendor. (Order Code A)
- The following extended attributes must be set in the 'Order Entry Client Information' "(10245) Specimen Type" dictionary for "Urine"
- '(10253) Specimen Site' - Required
- '(10244) Specimen Collection' - Lab Vendor Staff Will Collect
- '(10245) Specimen Site -eMAR' - Disabled
- '(10255) Disable Specimen Site if Included in Order' - Yes
- Please log out of the application and log back in after completing the above configuration.
- A client must have an active inpatient episode (Client A).
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select "Order Code A" and validate the 'Specimen Type' field contains "Urine".
- Click [Specimen Site], define a 'Specimen Site', and create the order.
- Access the 'eMAR' widget for "Client A".
- Click the 'Lab Orders' tab and validate "Order A" displays.
- Double click the 'Specimen Collect' cell and validate the 'Specimen Type' and 'Collection Site' fields are populated with the values selected at order entry and disabled.
Note: Whenever orders are placed with a 'Specimen Type' or 'Collection Site' the respective fields will be disabled in 'eMAR'. - Populate any other desired fields, click the 'Accept specimen collection entered' checkbox, and click [OK].
- Validate the selected cell displays with the specimen collection time.
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Topics
• Avatar eMAR
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Avatar eMAR - Administration Event dialog
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Orders This Episode
- eMAR widget - Administration Event dialog - Alerts
Scenario 1: eMAR Multiple Administration After Receiving a Prompt (Dose Too Close or Order Not Yet Verified by Pharmacy)
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->Prevent Administration Events For Unverified Pharmacy Orders' registry setting must be set to "4"
- The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' registry setting must be set to "1"
- The 'Avatar eMAR->General->Settings->->->Allow users to override warnings for multiple orders at one time' registry setting must be set to "Y"
- 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
- Access the 'Frequency Code Setup' form.
- Select 'Edit Existing Code' from the 'Add/Edit Frequency Code' field.
- Search for and select "AS NEEDED (PRN)" from the 'Existing Frequency Code' field.
- Set the 'eMAR Dose Too Close (Days)' field to "5" and click [Submit].
- Validate the message displays stating "Frequency Code Setup has completed. Do you wish to return to form?" and click [No].
- Select "Client A" and access the Order Entry Console.
- Search for and select "Fish Oil 500 MG CAPSULE ORAL" from the 'New Order' field.
- Set the 'Dose' field to "2".
- Select "Capsule" from the 'Dose Unit' field.
- Select "AS NEEDED" from the 'Freq' field.
- Set the 'Duration' field to "12" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Search for and select "ATIVAN 1 MG TABLET ORAL (Schedule IV)" from the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "TABLET" from the 'Dose Unit' field.
- Select "TWICE A DAY" from the 'Freq' field.
- Set the 'Duration' field to "12" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate the 'Order grid' contains orders for "ATIVAN 1 MG ORAL TABLET (Schedule IV) 1 TABLET, TWICE A DAY" and "Fish Oil 500 MG ORAL CAPSULE 2 Capsule, AS NEEDED".
- Access the 'eMAR' widget.
- Validate an order for "ATIVAN 1 MG ORAL TABLET" is displayed with hours of administration under the current date.
- Validate an order for "Fish Oil 500 MG ORAL CAPSULE" is displayed with no hours of administration under the current date.
- Perform 'Client Education' and 'Order Acknowledgement' for the two orders.
- Select a cell under the current date for the "Fish Oil" order.
- Verify a message displays stating "Order not yet verified by pharmacy".
- Set the 'Warning' field to "test" and click [Yes].
- Click [Administer].
- Set the 'Med ID' field to the NDC for the "Fish Oil" order (00904-5604-13).
- Select any successful administration event from the 'Administration Event' field.
- Check the 'Accept administration information entered' checkbox and click [OK].
- Select the next available cell under the current date for the "Fish Oil" order.
- Verify a message displays stating "Order not yet verified by pharmacy" and "The dose being administered is too close to the previously administered dose. The next dose should be administered after (5 days after the current date at the previous administration time)".
- Set the 'Warning' field to "test" and click [Yes].
- Select a cell under the current date for the "ATIVAN" order.
- Verify a message displays stating "Order not yet verified by pharmacy".
- Set the 'Warning' field to "test" and click [Yes].
- Click [Administer].
- Verify the 'Administration Event' dialog exists.
- Set the 1st 'Med ID' field to "Test".
- Select any successful administration event from the 'Administration Event' field.
- Set the 2nd 'Med ID' field to "Test".
- Select any successful administration event from the 'Administration Event' field.
- Click [Address Alerts], populate all warnings, and click [OK].
- Check the 'Accept administration information entered' checkbox and click [OK].
- Validate a cell for the "Ativan" order displays with "1 Tablet" and the administration time.
- Validate two cells under the current date for the "Fish Oil" order will contain 2 Capsule and the administration times.
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Topics
• Avatar eMAR
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Avatar eMAR - SSI Administrations- Invalid Dose Unit Warning
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Sliding Scale Insulin Template Setup
- Order Entry Console
- Orders This Episode
- Avatar eMAR
Scenario 1: Avatar eMAR - Administering SSI Order With One Column Active In The Template
Specific Setup:
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "2".
- 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
- Access the 'Sliding Scale Insulin Template Setup' form and create a variable sliding scale template with one column.
- Access the 'Order Code Setup' form and configure "Order Code A" with 'Enable Sliding Scale Insulin Instructions'.
- Create an order for "Order A" and select the variable sliding scale insulin template created.
- Note: This can only be done in Avatar NX.
- Access eMAR and launch the Administration dialog for "Order A".
- Click the SSI button, set a blood glucose within any range, press tab, and select a different value than is automatically selected.
- View the warning and validate "The order calls for 2 UNITS. The quantity being administered is indicated as being 1 UNITS.".
- Note: Be sure the units being called for is equal to the unit highlighted in step 4a and the units being administered is equal to the units actually selected in step 4a.
- Populate the warning and any other missing required fields.
- Click the 'Accept Administration Information Entered' checkbox and click [Ok].
- Validate the cell selected displays with "1 Unit and the time administered".
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Topics
• Sliding Scale Insulin
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