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Avatar eMAR 2022 Update 9

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Product Requirements / Recommendations

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Product Update Form Description

Avatar eMAR is enhanced to allow the exclusion of an 'Administration Event' when checking the number of doses given in 24 hours. This is achieved via the 'Exclude from times per 24 hours warning' extended dictionary off of the 'Administration Event' dictionary (eMAR Tabled Files, data element 10000). This feature can be useful for certain types of orders where some recorded "successful" 'Administration Events' do not represent actual doses, as can be the case with continuous IVs. In addition, an issue is resolved where the 'Warning' about 'Times/24 Hours' being exceeded for a given order may either not be generated when appropriate, or may be generated when inappropriate.

Included Updates

None

Required Updates

None

Details
NEW2 CHANGED0 FIXED0
New (2)
eMAR - 'Times/24 Hours' warning when exceeding doses in a 24 hour period.
A change is made to ensure the 'Times/24 Hours' warning is displayed, when appropriate, for non-interval Frequency Codes with no set hours of administration.
Value Added: The 'Times/24 Hours' warning is displayed for PRN and Routine frequencies with no hours of administration.
Topics
• Avatar eMAR • myAvatar/myAvatar NX • Order Entry • Order Entry Console
 
eMAR - Suppress 'Times/24 Hours' warning for Continuous Admins.
An extended attribute, 'Exclude from times per 24 hours warning', is added off the 'Administration Event' dictionary to suppress the 'Times/24 Hours' warning for IV-related, continuous administration events.
Value Added: The 'Times/24 Hours' warning is suppressed for Continuous administrations to reduce the number of IV-related overrides required in eMAR.
Topics
• Avatar eMAR • myAvatar/myAvatar NX • NX • Order Entry • Order Entry Console
 
Acceptance Tests
AV-76064 Summary | Details
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:
  • eMAR widget
  • Frequency Code Setup
  • Orders This Episode
Scenario 1: eMAR - Times per 24 hours warning - Routine
Specific Setup:
  • A non-interval, routine Frequency Code must exist with 'Times Per 24 Hours' set to "2" and with no selected 'Hours of Administration'. (TWICE DAILY)
  • A client must have an active episode. (Client A)
  • “Client A” must have a ‘Date of Birth’, ‘Sex’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Allergies and Hypersensitivities’ form, ‘Diagnosis’ form, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
Steps
  1. Select "Client A" and access the Order Entry Console.
  2. Search for and select "ADVIL 200 MG TABLET ORAL" from the 'New Order' field.
  3. Select "TWICE DAILY" from the 'Freq' field.
  4. Set the 'Duration' field to "7" and click [Days].
  5. Set the 'Start Date' field to two days prior to the current date.
  6. Fill out all other required fields and click [Add to Scratchpad] and [Sign].
  7. Access the ‘eMAR’ widget.
  8. Scan the client wristband or complete the 'Wristband Override'.
  9. Select the first cell under the previous date for the "ADVIL 200 MG TABLET ORAL" order and click [Administer].
  10. Complete the 'Order Acknowledgement' and 'Client Education'.
  11. Validate the 'Administration Record - Administration Event' dialog exists.
  12. Set the 'Med ID' cell to the NDC of the "ADVIL 200 MG TABLET ORAL" order.
  13. Select "Nurse Administered" from the 'Administration Event' field.
  14. Set the 'Administration Date' field to the previous date.
  15. Set the 'Administration Time' field to "0100".
  16. Click the 'Accept administration information entered' checkbox and click [OK].
  17. Validate the first cell under the previous date contains the amount administered and the time administered for the "ADVIL 200 MG TABLET ORAL" order.
  18. Select the second cell under the previous date for the "ADVIL 200 MG TABLET ORAL" order and click [Administer].
  19. Validate the 'Administration Record - Administration Event' dialog exists.
  20. Set the 'Med ID' cell to the NDC of the "ADVIL 200 MG TABLET ORAL" order.
  21. Select "Nurse Administered" from the 'Administration Event' field.
  22. Set the 'Administration Date' field to the previous date.
  23. Set the 'Administration Time' field to "0200".
  24. Click the 'Accept administration information entered' checkbox and click [OK].
  25. Validate the second cell under the previous date contains the amount administered and the time administered for the "ADVIL 200 MG TABLET ORAL" order.
  26. Select the third cell under the previous date for the "ADVIL 200 MG TABLET ORAL" order and click [Administer].
  27. Validate the 'Administration Record - Administration Event' dialog exists.
  28. Set the 'Med ID' cell to the NDC of the "ADVIL 200 MG TABLET ORAL" order.
  29. Select "Nurse Administered" from the 'Administration Event' field.
  30. Set the 'Administration Date' field to the previous date.
  31. Set the 'Administration Time' field to "0300".
  32. Validate the [View - Warning] button contains a red flag.
  33. 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
  1. Select "Client A" and access the Order Entry Console.
  2. Search for and select "ADVIL 200 MG TABLET ORAL" from the 'New Order' field.
  3. Select "Every 12 Hours, PRN" from the 'Freq' field.
  4. Set the 'Duration' field to "7" and click [Days].
  5. Set the 'Start Date' field to two days prior to the current date.
  6. Fill out all other required fields and click [Add to Scratchpad] and [Sign].
  7. Access the ‘eMAR’ widget.
  8. Scan the client wristband or complete the 'Wristband Override'.
  9. Select the first cell under the previous date for the "ADVIL 200 MG TABLET ORAL" order and click [Administer].
  10. Complete the 'Order Acknowledgement' and 'Client Education'.
  11. Validate the 'Administration Record - Administration Event' dialog exists.
  12. Set the 'Med ID' cell to the NDC of the "ADVIL 200 MG TABLET ORAL" order.
  13. Select "Nurse Administered" from the 'Administration Event' field.
  14. Set the 'Administration Date' field to the previous date.
  15. Set the 'Administration Time' field to "0100".
  16. Click the 'Accept administration information entered' checkbox and click [OK].
  17. Validate the first cell under the previous date contains the amount administered and the time administered for the "ADVIL 200 MG TABLET ORAL" order.
  18. Select the second cell under the previous date for the "ADVIL 200 MG TABLET ORAL" order and click [Administer].
  19. Validate the 'Administration Record - Administration Event' dialog exists.
  20. Set the 'Med ID' cell to the NDC of the "ADVIL 200 MG TABLET ORAL" order.
  21. Select "Nurse Administered" from the 'Administration Event' field.
  22. Set the 'Administration Date' field to the previous date.
  23. Set the 'Administration Time' field to "0200".
  24. Click the 'Accept administration information entered' checkbox and click [OK].
  25. Validate the second cell under the previous date contains the amount administered and the time administered for the "ADVIL 200 MG TABLET ORAL" order.
  26. Select the third cell under the previous date for the "ADVIL 200 MG TABLET ORAL" order and click [Administer].
  27. Validate the 'Administration Record - Administration Event' dialog exists.
  28. Set the 'Med ID' cell to the NDC of the "ADVIL 200 MG TABLET ORAL" order.
  29. Select "Nurse Administered" from the 'Administration Event' field.
  30. Set the 'Administration Date' field to the previous date.
  31. Set the 'Administration Time' field to "0300".
  32. Validate the [View - Warning] button contains a red flag.
  33. 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)."
Topics
• Avatar eMAR • myAvatar/myAvatar NX • Order Entry • Order Entry Console
AV-77936 Summary | Details
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:
  • eMAR widget
  • Frequency Code Setup
  • Orders This Episode
Scenario 1: eMAR - Exclude 'Times per 24 hours warning' for Continuous Administrations
Specific Setup:
  • A non-interval, routine Frequency Code must exist with 'Times Per 24 Hours' set to "1" and with no selected 'Hours of Administration'. (One Time Only)
  • A client must have an active episode. (Client A)
  • “Client A” must have a ‘Date of Birth’, ‘Sex’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Allergies and Hypersensitivities’ form, ‘Diagnosis’ form, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
Steps
  1. Select "Client A" and access the Order Entry Console.
  2. Search for and select "Dextrose 10% Solution INTRAVENOUS" from the 'New Order' field.
  3. Set the 'Dose' field to "1" and 'Dose Unit' to "MG".
  4. Select "One Time Only" from the 'Freq' field.
  5. Validate the 'Route' field contains "INTRAVENOUS".
  6. Select "IV Piggyback" from the 'Admin Method' field.
  7. Set the 'Duration' field to "7" and click [Days].
  8. Set the 'Start Time' field to "0000".
  9. Fill out all other required fields and click [Add to Scratchpad] and [Sign].
  10. Access the ‘eMAR’ widget.
  11. Scan the client wristband or complete the 'Wristband Override'.
  12. Select the first cell under the current date for the "Dextrose 10% Solution INTRAVENOUS" order and click [Administer].
  13. Complete the 'Order Acknowledgement' and 'Client Education'.
  14. Validate the 'Administration Record - Administration Event' dialog exists.
  15. Set the 'Med ID' cell to the NDC of the "Dextrose 10% Solution INTRAVENOUS" order.
  16. Select "Bolus" from the 'Administration Event' field.
  17. Set the 'Administration Time' field to "0100".
  18. Fill out all other required fields.
  19. Click the 'Accept administration information entered' checkbox and click [OK].
  20. Validate the first cell under the current date contains the date of the administration for the "Dextrose 10% Solution INTRAVENOUS" order.
  21. Select the second cell under the current date for the "Dextrose 10% Solution INTRAVENOUS" order and click [Administer].
  22. Validate the 'Administration Record - Administration Event' dialog exists.
  23. Set the 'Med ID' cell to the NDC of the "Dextrose 10% Solution INTRAVENOUS" order.
  24. Select "Bolus" from the 'Administration Event' field.
  25. Set the 'Administration Time' field to "0200".
  26. Fill out all other required fields.
  27. Click the 'Accept administration information entered' checkbox and click [OK].
  28. Validate the second cell under the current date contains the date of the administration for the "Dextrose 10% Solution INTRAVENOUS" order.
Topics
• Avatar eMAR • myAvatar/myAvatar NX • NX • Order Entry • Order Entry Console

 

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