Download Unit Dose Site Parameter Archivo

Unit Dose Site Parameters
Overview
Introduction
Overview: The Inpatient Pharmacy Supervisor Menu is available so you can customize your medication
filling process at the user and ward levels. This menu also includes other related unit dose
parameters. Within these options, you can designate how a pharmacist finishes inpatient medication
orders. Ward setups allow you to specify such parameters as administration times, automatic stop
date/times, default printers for printing pre-exchange reports and cart exchange schedules. This menu
contains the setup option for Ward Groups, where ward locations may be grouped together, if their
medication carts are filled and/or exchanged on the same schedule. Ward groups are the basis for the
setup of pick lists used to fill the unit dose medication carts, with parameters such as sorting the fills by
room-bed or by patient name. Inpatient automation devices may be designated. You can also establish
the settings for automatic discontinuation of medication orders (upon ward transfers, service changes,
etc.). Additionally, a variety of management reports are available.
Supervisor’s Menu [PSD MGR]
Menu Tree: Index follows on next page
Administering Teams [PSJU AT]
Clinic Groups (IMO) [PSJU ECG]
Management Reports Menu [PSJU MNGMT REPORTS]
AMIS (Cost per Ward) [PSJU AMIS]
Drug (Cost and/or Amount) [PSJU DCT]
PSD Patients on Specific Drug(s) [PSJ PDV]
Provider (Cost per) [PSJU PRVR]
Service (Total Cost per) [PSJU SCT]
Total Cost to Date (Current Patients) [PSJU TCTD]
Non-Standard Schedule Report [PSJU NSS REPORT]
Non-Standard Schedule Search [PSJU NSS SEARCH]
Order Set Enter/Edit [PSJU OSE]
Parameters Edit Menu [PSJ PARAM EDIT MENU]
Auto-Discontinuation Set-Up [PSJ AC SET-UP]
IUP – Inpatient User Parameters Edit [PSJ SEUP]
IWP – Inpatient Ward Parameters Edit [PSJ IWP EDIT]
Clinic Definitions [PSJ CD]
Systems Parameters Edit [PSJ SYS EDIT]
Pick List Menu [PSJU PL MENU]
Delete Pick List [PSJU PLDEL]
Pick List Auto Purge Set/Reset [PSJU PLAPS]
Purge Pick List [PSJU PLPRG]
Ward Groups [PSJU EWG]
1
Top Administering Teams [PSJU AT]
Select WARD:
Select TEAM:
TEAM:
Select ROOM-BED:
Clinic Groups [PSJU ECG]
NAME:
Select CLINIC:
AUTO-DC IMO ORDERS
ing to Jump to Definition
Management Reports Menu [PSJU MNGMT REPORTS]
AMIS (Cost per Ward) [PSJU
AMIS]
Service (total cost per) [PSJU
SCT]
Drug(Cost and/or
Amount) [PSJU DCT]
Total Cost to Date
(Current Patients)
[PSJU TCTD]
Patients on Specific
Drug(s) [PSJ PDV]
Provider (Cost per) [PSJU
PRVR]
Non-Standard Schedule Report [PSJU NSS REPORT]
Non-Standard Schedule
Report
Non-Standard Schedule Search [PSJU NSS SEARCH]
Non-Standard Schedule
2
Search
Order Set Enter/Edit [PSJU OSE]
Order Set Enter/Edit
Parameters Edit Menu…[PSJU PARAM EDIT MENU]
Auto-Discontinuation Set-Up [PSJ AC SET-UP]
Auto-Discontinue Set-Up
IUP – Inpatient User Parameters Edit [PSJ SEUP]
ALLOW USER TO RENEW
ORDERS:
ALLOW USER TO D/C
ORDERS:
MAY SELECT DISPENSE
DRUGS:
ORDER ENTRY PROCESS:
ALLOW AUTO-VERIFY FOR
USER:
ALLOW USER TO HOLD
ORDERS:
Index
IWP – Inpatient Ward Parameters Edit [PSJ IWP EDIT]
DAYS UNTIL STOP
DATE/TIME:
DAYS UNTIL STOP FOR ONETIME:
SAME STOP DATE ON ALL
ORDERS:
TIME OF DAY THAT ORDERS
STOP:
DEFAULT START DATE
CALCULATION: USE NOW AS
START TIME FOR 24 HOUR
MAR:
PHARMACY LABEL
PRINTER POINTER:
HOURS OF RECENTLY
DC/EXPIRED:
LABEL FOR WARD STAFF:
LABEL ON AUTODISCONTINUE:
WARD LABEL PRINTER
POINTER:
LABEL FOR PHARMACY:
DAYS NEW LABELS LAST:
PRINT PENDING ORDERS
ON MAR:
'SELF MED' IN ORDER
ENTRY:
PRE-EXCHANGE REPORT
DEVICE:
STAT NOW MAIL GROUP:
MAR ORDER SELECTION
DEFAULT:
PRIORITIES FOR
NOTIFICATION:
MAR HEADER LABELS:
DEFAULT:
Clinic Definitions [PSJ CD]
* Information from scheduling package in red as you need both for IMO*
Clinic Groups PSJU ECG]
Clinic Definition PSJ CD]
Number of days to stop
AUTO-DC IMO ORDERS
SEND TO BCMA?:
IMO DC/EXPIRED DAY
LIMIT:
IMO Inpatient
Medications to Clinic [SD
IMO EDIT]
HOSPITAL LOCATION
NAME:
ADMINISTER INPATIENT
MEDS?:
Systems Parameters Edit [PSJ SYS EDIT]
NON-FORMULARY MESSAGE:
ATC SORT PARAMETER:
PRINT DIET ABBR LABEL
ON MAR:
DAYS UNTIL STOP FOR
ONE-TIME:
MAR SORT:
EXPIRED IV TIME LIMIT:
PRIORITIES FOR PENDING
NOTIFY:
PRIORITIES FOR ACTIVE
NOTIFY:
ROUND ATC PICK LIST
UNITS:
Pick List Menu… [PSJU PL MENU]
Delete a Pick List [PSJU PLDEL]
Index
to Jump to Definition
HOURS OF RECENTLY
DC/EXPIRED:
PRINT 6 BLOCKS FOR THE
PRN MAR:
CALC UNITS NEEDED PRN
ORDERS:
Select WARD GROUP NAME:
The last Pick List was last
run for X123
by NNNNN,NNNNNNN on
05/17/10 07:57
DO YOU WANT TO DELETE
THIS PICK LIST?
3
Pick List number 64513,
for 05/17/10 13:00
through 05/18/10 12:59.
Pick List Auto Purge Set/Reset [PSJU PLAPS]
DAYS 'FILED AWAY' PICK LISTS
SHOULD LAST
Purge Pick Lists [PSJU PLPRG]
Enter PURGE STOP DATE:
Ward Groups [PSJU EWG]
Select WARD GROUP NAME
WARD GROUP TYPE
LENGTH OF PICK LIST (in
hours):
PICK LIST - FORM
FEED/PATIENT:
BAXTER ATC DEVICE:
PICK LIST - OMIT WARD
SORT:
PICK LIST – FORM
FEED/WARD:
USE OLD ATC INTERFACE:
FIELD NAME
WARD GROUP ATC DEVICE
POINTER:
PICK LIST - OMIT ROOMBED SORT:
PICK LIST - LINES ON FORM
FEED:
FIELD DEFINITION & DESCRIPTIONS
Select WARD:
PICK LIST - ROOM/BED
SORT:
PRINT NON-ACTIVE
ORDERS FIRST:
RECOMMENDED ACTION
Administering Teams [PSJU AT]
Select WARD:
HELP-PROMPT:
WARD
Choose from:
Answer with MEDICATION ADMINISTERING TEAM
DESCRIPTION: You may enter a new MEDICATION ADMINISTERING
TEAM, if you wish. Ward must already be in the 'WARD LOCATION'
file. Answer with WARD LOCATION NAME.
Select TEAM:
HELP-PROMPT: You may enter a new TEAM, if you wish
Answer must be 3-15 characters in length.
ENTER THE NAME OF A TEAM THAT ADMINISTERS MEDICATION ON
THIS WARD
Administration Teams are helpful to set
up if you have multiple med carts on
the ward, for example, East & West
wing. The Room-bed name/number is
set up for the desired Team. The
Room-bed name/number must be
active.
Select the WARD that you want set up
the Administration Team for. The
available wards can be listed
Select the name of an existing
administering team if changes are
needed.
DESCRIPTION: This is an arbitrary name for a team.
TEAM:
HELP-PROMPT: Answer must be 3-15 characters in length.
Select the name of a new administering
team.
DESCRIPTION: ENTER THE NAME OF A TEAM THAT ADMINISTERS
MEDICATION ON THIS WARD.
Select ROOM-BED:
HELP-PROMPT: You may enter a new ROOM-BED, if you wish
THE ROOM-BED CHOSEN MUST ALREADY BE DEFINED IN THE ROOMBED FILE.
Enter the room-bed(s) for the
administering team. Each room-bed
may only be associated with one team.
to Index
Choose from: XXXXX
DESCRIPTION: The ROOM-BED selected will be listed under the
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FIELD NAME
FIELD DEFINITION & DESCRIPTIONS
RECOMMENDED ACTION
above TEAM and WARD in PICK LISTS and MAR'S.
Clinic Groups (IMO) [PSJU ECG]
* Information from scheduling package in red as you need both for IMO*
Clinic Groups PSJU ECG
You may enter a new CLINIC GROUP, if you wish Enter the name of
the clinic group. This will be displayed in options such as NonVerified/Pending and will be selectable for reports.
Clinic Definition PSJ CD
You may enter a new CLINIC DEFINITION, if you wish Enter the
hospital location (clinic) for which you want to define behavior for
inpatient orders for outpatients. This will be a clinic already
established by your facility.
Number of days to stop
Type a number between 1 and 365, 0 Decimal Digits. This will be the
number of days the medication orders will be active in Inpatient
Medications for outpatients. (IMO)
AUTO-DC IMO ORDERS
Enter YES to allow IMO orders to follow the standard patient
movement definition. Enter NO to allow IMO orders to remain active.
SEND TO BCMA?:
Enter YES to make these orders available to BCMA, NO to prevent
these orders from being sent to BCMA.
IMO DC/EXPIRED DAY
LIMIT:
This field contains the number of days that DC/Expired orders will be
included in the enhanced order checks for drug interactions and
therapeutic duplications for clinic orders. If this field is left blank, a
default value of 30 days will be used.
For Inpatient Medications for Outpatients to work correctly, you
need to set up the clinic definitions and have access to this
scheduling package option.
IMO Inpatient
Medications to Clinic
[SD IMO EDIT]
Note that this option is not part of the Inpatient Medications
package.
HOSPITAL LOCATION
NAME:
Enter the name of your clinic that you want to have Inpatient orders
for outpatients.
ADMINISTER
INPATIENT MEDS?:
Enter yes to add this clinic. If you enter no the unit dose orders will
not transfer.
to Index
Management Reports Menu
AMIS (Cost per Ward)
[PSJU AMIS]
This will produce a report to show the dispensing cost of the
pharmacy by ward. Only those wards with a dispensing amount or
cost are shown. The dispense drug and quantities dispensed are
included in the report.
Drug(Cost and/or
Amount)
[PSJU DCT]
This report calculates the total cost for all or selected drugs
dispensed over a specific time frame of at least one calendar day. The
information can be sorted for optimization.
5
FIELD NAME
FIELD DEFINITION & DESCRIPTIONS
Patients on Specific
Drug(s) [PSJ PDV]
This 80 column report lists patients on specific primary drug(s),
dispense drug(s), or VA class(es) of drugs. If more than one primary
drug, dispense drug, or VA class of drug is chosen, only patients with
orders containing all the drugs or classes will be shown. The user may
choose to list all orders, only IV orders, or only Unit Dose orders.
Provider (Cost per)
[PSJU PRVR]
This prints the cost of all drugs dispensed within a user-specified
length of time, grouped together by provider.
Service (total cost per)
[PSJU SCT]
Creates a report of the total cost of dispensed medications for ward
services (medicine, surgery, etc.) over a user-specified time frame in
terms units dispensed and average cost.
Total Cost to Date
(Current Patients)
[PSJU TCTD]
This will be the total cost of unit dose medication dispensed for
patients that are currently admitted at the medical center.
RECOMMENDED ACTION
Non-Standard Schedule Report [PSJU NSS REPORT]
Non-Standard Schedule
Report
This option allows the user to print a listing of all the active orders
(during the timeframe selected) that contain problem schedules.
These are either invalid schedules or schedules with abbreviations
that Joint Commission considers dangerous.
Non-Standard Schedule Search [PSJU NSS SEARCH]
Non-Standard Schedule
Search
This option allows the user to process Inpatient Medications order for
the specified time period and identify all schedules in use. In addition,
the option will identify all schedules that are not currently in the
ADMINISTRATION SCHEDULE file (#51.1). The option will send a
mailman message to the person who initiated the routine.
Order Set Enter/Edit [PSJU OSE]
Order Set Enter/Edit
Allows the user to create and/or edit ORDER SETS for use in order
entry. An ORDER SET is one or more orders grouped together to be
entering for a patient at one time, by entered a "S." and the name of
the order set at the DRUG prompt in order entry.
As orders are entered directly into CPRS
by the providers, this option is rarely
used. However, it may be helpful to set
up order sets to use for entering orders
for training/test patients. If the order
set is set up on the production account
it would be copied with any “mirror”
accounts for training.
Parameters Edit Menu [PSJ PARAM EDIT MENU]
Auto-Discontinue Set Up [PSJ AC SET-UP]
Auto-Discontinue SetUp
Do you want the instructions for auto-discontinue set-up? Yes//
(Yes)
ORDER ACTION ON PATIENT TRANSFER
The Inpatient Medications package has changed the criteria for the
auto discontinuing of a patient's IV & Unit Dose orders whenever the
patient is transferred between wards and/or services. The decision to
d/c Inpatient orders is now determined by the site on a ward by ward
(or service by service) basis. While this new process will entail initial
extra set up on the site's part, it will allow the site almost complete
control of the auto discontinue process. The set up for this process
involves three main steps:
1. If your site wishes to have Inpatient orders d/c'd on all or most
ward transfers, you can have the package automatically set up all
This allows the site to determine if
patients' Inpatient Medications (IV and
Unit Dose) orders are d/c'd when the
patient is transferred between wards,
between services, or to authorized
absence. This determination can be
made on a ward-by-ward and/or
service-by-service basis.
(Example, when a patient movement
occurs, orders will automatically
discontinue.)
6
FIELD NAME
FIELD DEFINITION & DESCRIPTIONS
RECOMMENDED ACTION
wards as 'from' and 'to' wards for you, saving some time. If you
choose to do this, all wards currently marked as inactive will be
included. Also, if you choose to do so, you can still delete, edit, or
add 'from' and 'to' wards at any time. See step 2c for further
information.
2. Ward transfers - Select a 'from' ward. This is a ward from which a
patient may be transferred. For each 'from' ward, you can:
A. Select an 'On Pass' action. This is the action the Inpatient
Medications package will take on a patient's orders whenever the
patient is transferred
from the selected 'from' ward to authorized absence less than 96
hours (known as 'on pass'). The actions include:
1. discontinue the orders
2. place the orders on hold
3. take no action
B. Select an 'Authorized Absence' action. This is the action the
Inpatient Medications package will take on a patient's orders
whenever the patient is transferred from the selected 'from' ward to
authorized absence greater than 96 hours. The actions include:
1. discontinue the orders
The same functionality is available in
CPRS parameters. It is each site decision
whether the setup is in CPRS or
Pharmacy Auto-discontinue setup.
This is a multidisciplinary function, and
should be coordinated with your site’s
Clinical Application Coordinator.
For authorized absence, i.e., “on pass”
off of a ward, the action set up here
determines whether the orders are
discontinued, placed on hold or no
action at all. Note if the orders are to
be discontinued, it will impact the units
to be dispensed on the pick list and
updates.
Click on Heading to Return to Index
2. place the orders on hold
3. take no action
C. Select the 'To' wards. Whenever a patient is transferred from the
selected 'from' ward to any of the selected 'to' wards, the patient's IV
and Unit Dose orders will be d/c'd. For example, if '1 North' is
selected as a 'from' ward and '1 South' is selected as a 'to' ward, any
time a patient is transferred
FROM 1 North TO 1 South, the patient's Inpatient orders
will be discontinued.
This process is 'one way' only. For example, if your site also wants
orders to be d/c'd whenever a patient is transferred FROM 1 South
TO 1 North, you
will have to enter 1 South as a 'from' ward and then enter 1 North as
one of its 'to' wards. An example for when this would be useful might
be to have
orders d/c'd when patients are transferred from Medicine wards to
Surgery wards, but not d/c'd when patients are transferred from
Surgery wards to Medicine wards.
3. Service transfers - Select a 'from' service. This is a service from
which a patient may be transferred. For each 'from' service, you can:
A. Select the 'To' services. Whenever a patient is transferred from
the selected 'from' service to any of the selected 'to' services, the
patient's IV and Unit Dose orders will be d/c'd. For example, if
'Medicine' is selected as a 'from' service and 'Surgery' is selected as a
'to' service, anytime a patient is transferred FROM Medicine TO
Surgery, the patient's Inpatient orders will be discontinued.
This process is also 'one way' only. For example, if your site also
wants orders to be d/c'd whenever a patient is transferred FROM
Surgery TO Medicine, you will have to enter Surgery as a 'from'
service and then enter Medicine as one of its 'to' services. If all of
your wards are set for auto d/c, it is not necessary to enter services.
If there is a specific ward or service for which your site does not want
Inpatient orders d/c'd, you need only delete the 'to' ward or service.
Inpatient orders are always automatically d/c'd whenever the patient
7
FIELD NAME
FIELD DEFINITION & DESCRIPTIONS
RECOMMENDED ACTION
Click on Heading to Return to Index
is admitted, discharged, or transferred to unauthorized absence.
Do you want the package to set-up all of your wards for autodiscontinue? No//
If no is selected you will see the following:
Select FROM WARD:
FROM WARD:
'ON PASS' ACTION:
ACTION ON AUTHORIZED ABSENCE:
ACTION ON UNAUTHORIZED ABSENCE:
Select TO WARD:
(Action on SERVICE transfer)
Select FROM SERVICE:
FROM SERVICE:
Select TO SERVICE:
Select FROM SERVICE:
IUP Inpatient User Parameters Edit [PSJ SEUP]
ALLOW USER TO
RENEW ORDERS:
ALLOW USER TO HOLD
ORDERS:
ALLOW USER TO D/C
ORDERS:
HELP-PROMPT: If this is set to 'YES', this ward clerk/pharmacy
technician may actually renew orders for patients on this ward. If this
is set to 'NO' (or not set), this clerk/technician can only mark orders
to be renewed.
Choose from:
1
YES
0
NO
1
DESCRIPTION: Only shows for non-pharmacists
HELP-PROMPT:
If this is set to 'YES', this ward clerk/pharmacy
technician may actually place Inpatient orders on hold or take orders
off of hold. If this is set to 'NO' (or not set), this clerk/technician can
only mark orders for hold/unhold, and only a pharmacist or nurse can
hold/unhold the orders.
Choose from:
1
YES
0
NO
DESCRIPTION: Only shows for non-pharmacists
HELP-PROMPT: If this is set to 'YES', this ward clerk/pharmacy
technician may actually cancel patients' Inpatient orders. If this is set
to 'NO' (or not set), this clerk/technician can only mark orders to be
cancelled by another user.
The Inpatient User Parameters are not
applicable to users with the PSJ PHARM
key (pharmacists). These parameters
controls action using VISTA and is rarely
needed, as orders should be entered
directly by providers in CPRS.
Not applicable for pharmacists with PSJ
RPHARM key.
Not applicable for pharmacists with PSJ
RPHARM key.
Choose from:
1
YES
0
NO
MAY SELECT DISPENSE
DRUGS:
DESCRIPTION: Only shows for non-pharmacists
HELP-PROMPT: Unless the user is a pharmacist, the user can be set
up to allow Unit Dose orders to be entered by Orderable Item or
Dispense Drug. If selection is by dispense drug the order's Orderable
Item will be determined based on that dispense drug.
Not applicable for pharmacists with PSJ
RPHARM key.
Choose from:
0
NO
1
YES
DESCRIPTION: Only shows for non-pharmacists
ALLOW AUTO-VERIFY
FOR USER:
HELP-PROMPT: This is used to determine if the user can enter Unit
Dose orders as ACTIVE, allowing the user to skip the extra step of
It is recommended that pharmacist be
set to “auto-verify” orders upon
8
FIELD NAME
FIELD DEFINITION & DESCRIPTIONS
RECOMMENDED ACTION
manually verifying those orders entered by this user.
acceptance of inpatient order. Without
auto-verification, there is a chance that
the order remains unverified & will not
become available for administration in
BCMA. Remember to ensure that this
set up when setting up a new
pharmacist.
Choose from:
1
YES
0
NO
DESCRIPTION: Only shows for pharmacists
o Index
Click on Heading to Return to Index
ORDER ENTRY
PROCESS:
HELP-PROMPT: This is the type of order entry process to be used by
this user. The REGULAR order entry is the full set of prompts for the
entry of an order, after which the user is shown a full view of the
order and allowed to take immediate action on the order. The
ABBREVIATED order entry gives the user fewer prompts for the entry
of an order, after which the user is shown a full view of the order and
is allowed to take immediate action on the order. The WARD order
entry gives the user the same prompts as the ABBREVIATED order
entry, but then gives a brief view of the entered order and does not
allow immediate action to be taken on the order. No entry here is
the same as selecting REGULAR order entry.
This parameter only affects the entry of
orders using the VISTA Unit Dose Order
Entry or Inpatient Order Entry, in
situations where the order was not
entered in CPRS, for example, during a
period of extended downtime, where
orders may be been written (on paper).
Set to “REGULAR” for pharmacists.
This does not affect the entering of Inpatient Medication orders
through the Order Entry/Results Reporting (OE/RR) package. This is
only for the
entering of Unit Dose orders through the Unit Dose
Order Entry option and the Inpatient Order Entry option.
Choose from:
0
REGULAR
1
ABBREVIATED
2
WARD
IWP Inpatient Ward Parameters Edit [PSJ IWP EDIT]
Inpatient Ward
Parameters Edit
HELP-PROMPT: Allows user to edit the Inpatient Ward Parameters.
These parameters determine how the Inpatient Medications package
will react for users acting on patients who reside on the
corresponding wards.
DAYS UNTIL STOP
DATE/TIME:
HELP-PROMPT: This is the number of days a standard order should
last. The first order entered for a patient uses this number to
calculate a default value for the order's STOP DATE/TIME. This
number is also used if SAME STOP DATE has no entry, or an entry of
"NO".
The “auto-stop” date & time may be set
individually for each ward location
based on your site policies. For
example, Medical / Surgical wards may
be 28 or 30 days or Extended care units
may be 84 or 90 days.
The maximum is 100 days.
DAYS UNTIL STOP FOR
ONE-TIME:
HELP-PROMPT: Enter the number of days a one-time order should
last. The number can be from 1-100, however, it cannot exceed the
number of days that standard orders last (DAYS UNTIL STOP
DATE/TIME).
This field may be left blank if using the
default DAYS UNTIL STOP DATE/TIME
from (IWP) Inpatient Ward Parameters.
SAME STOP DATE ON
ALL ORDERS:
HELP-PROMPT: Answer 'YES' (or '1') if all of a patient's orders are to
stop on the same date/time.
Choose from:
1
YES
0
NO
Local decision.
TIME OF DAY THAT
ORDERS STOP:
HELP-PROMPT: ENTER A NUMBER BETWEEN 0001 AND 2400. THE
ZEROS ARE NEEDED.
This sets up the auto-stop TIME for
orders. For example, if the time is set
9
FIELD NAME
DEFAULT START DATE
CALCULATION: USE
NOW AS DEFAULT:
FIELD DEFINITION & DESCRIPTIONS
RECOMMENDED ACTION
DESCRIPTION: This is a time of day that, if found, will be used in
calculating the default value for the STOP DATE/TIME of patients'
orders.
as 1200, it will potentially allow
clinicians to “renew” order during the
day when the majority of the clinicians
are available.
HELP-PROMPT:
This field allows the ward to tell the package how
the default start date for orders should be calculated. The default
may use the next admin time,
the closest admin time, or the
current time (now) as the default start date for Unit Dose and IV
orders.
Choose from:
USE CLOSEST ADMIN TIME AS DEFAULT
USE NEXT ADMIN TIME AS DEFAULT
USE NOW AS DEFAULT
USE CLOSEST: This will have the order
active at closest admin time. Example –
the standard BID admin time are 1000
& 1800, the order is entered at 1100,
the calculated start will be on the same
date @1000.
USE NEXT: This will have the order
active at the next admin time. Example
– the standard BID admin time are 1000
& 1800, the order is entered at 1100,
the calculated start will be on the same
date @1800.
USE NOW: This will have the order
active based on the time the order was
signed off. The Start Date/Time will be
calculated to the first administration
time after this time. Example - the
standard DAILY admin time is 1000, an
order is entered (signed off) at 0955
(though probably finished after 1000),
the calculated start will be on the same
date @1000.
START TIME FOR 24
HOUR MAR:
HELP-PROMPT: PLEASE USE MILITARY TIME WITH LEADING AND
TRAILING ZEROS.
This is the start time for the 24 hour MAR. It is used whenever a user
enters a start date without a time when running the 24 hour MAR.
This time should be in military time format, with leading and trailing
zeros. (Entering '0001' would be seen as 1 minute after midnight.)
HOURS OF RECENTLY
DC/EXPIRED:
HELP-PROMPT: The Inpatient Meds profiles will display the recently
discontinued/expired orders that fall within the hours specified in this
field. The value defined in this field will take precedence over the
Inpatient System parameter.
LABEL FOR WARD
STAFF:
HELP-PROMPT:
Select from one of the following:
NO LABELS - Labels will not be created when ward staff (nurses,
clerks, physicians, etc.) take an action on an order.
FIRST LABEL ON ORDER ENTRY/EDIT - Labels will be created
whenever ward staff enter an order or edit a non-verified order, but
not when the nurse verifies the order.
FIRST LABEL ON NURSE VERIFICATION - Labels will not be created
for ward staff until a nurse has verified the order.
LABEL ON ENTRY/EDIT AND VERIFICATION - Labels are created
whenever the order is entered/edited and verified.
This only affects the printed (paper)
Medication Administration Record
(report) (MAR). Generally, it is set for
“0001” so the orders will display with
the administration time starting at the
“beginning” of the day, just after
midnight. This should be set up in case
the need arises to print the paper MAR
in the case that BCMA is not available.
These parameters are for labels to be
printed on the ward, used to update
the printed MAR, but is not needed
with the use of BCMA.
Labels are always created for actions taken on orders after they
are verified, unless NO LABELS is selected.
10
FIELD NAME
FIELD DEFINITION & DESCRIPTIONS
RECOMMENDED ACTION
Click on Heading to Return to Index
Choose from:
0
NO LABELS
1
FIRST LABEL ON ORDER ENTRY/EDIT
2
LABEL ON ENTRY/EDIT AND VERIFICATION
3
FIRST LABEL ON NURSE VERIFICATION
WARD LABEL PRINTER
POINTER:
HELP-PROMPT: If a device is entered here, labels created by ward
staff due to actions taken on orders will print automatically to the
device entered.
LABEL FOR PHARMACY:
HELP-PROMPT:
Select from the following:
NO LABELS - Labels will not be created when pharmacy staff
(pharmacists and pharmacy technicians) take an action on an order.
FIRST LABEL ON ORDER ENTRY/EDIT - Labels will be created
whenever pharmacy staff enter an order or edit a non-verified order,
but not when the pharmacist verifies the order.
FIRST LABEL ON VERIFICATION - Labels will not be created for
pharmacy staff until a pharmacist has verified the order.
LABEL ON ENTRY/EDIT AND VERIFICATION - Labels are created
whenever the order is entered/edited and verified.
These parameters are for labels to be
printed in the Pharmacy, used to
update the printed MAR, but is not
needed with the use of BCMA.
The following related fields are also not
necessary with the use of BCMA.
Labels are always created for actions taken on orders after they
are verified, unless NO LABELS is selected.
Choose from:
0
NO LABELS
1
FIRST LABEL ON ORDER ENTRY/EDIT
2
LABEL ON ENTRY/EDIT AND VERIFICATION
3
FIRST LABEL ON PHARMACIST VERIFICATION
PHARMACY LABEL
PRINTER POINTER:
HELP-PROMPT: If a device is entered here, labels created by
pharmacy staff due to actions taken on orders will print automatically
to the device entered.
LABEL ON AUTODISCONTINUE:
HELP-PROMPT:
Answer 'YES' to have labels created when this
ward's patients' orders are auto-discontinued.
Choose from:
1
YES
0
NO
MAR HEADER LABELS:
HELP-PROMPT:
Enter "YES" if MAR header labels should be
generated for this ward.
Choose from:
1
YES
DAYS NEW LABELS
LAST:
HELP-PROMPT:
DESCRIPTION: ANY NEW LABELS OLDER THAN THE NUMBER OF DAYS
SPECIFIED HERE WILL
AUTOMATICALLY BE PURGED.
MAR ORDER
SELECTION DEFAULT:
HELP-PROMPT:
Answer must be 1-10 characters in length.
Enter the number corresponding to the type of orders to be
included on MARs printed for this ward. Multiple types (except 1)
Although printed MAR’s are no longer
necessary, this may be set up in case it
is needed.
11
FIELD NAME
FIELD DEFINITION & DESCRIPTIONS
RECOMMENDED ACTION
may be selected using "-" or "," as delimiters.
Click on Heading to Return to Index
Choose from:
1 - All Medications
2 - Non-IV Medications only
3 - IV Piggybacks
4 - LVPs
5 - TPNs
6 - Chemotherapy Medications (IV)
PRINT PENDING
ORDERS ON MAR:
HELP-PROMPT: Enter YES to include acknowledged pending orders
on the MARs
Choose from:
1
YES
'SELF MED' IN ORDER
ENTRY:
HELP-PROMPT:
Answer 'YES' to have the prompts for patient selfmedication included in the order entry process.
Choose from:
1
YES
0
NO
If “yes”, the pharmacists will have the
option presented to mark an order as
self-medication when finishing the
order. Self-medications will not
required documentation of
administration on BCMA.
PRE-EXCHANGE
REPORT DEVICE:
HELP-PROMPT:
Enter the name of the device that will be used
most frequently to print the Pre-Exchange Report for this WARD. This
field will be shown as the default for the 'Select DEVICE for PREEXCHANGE UNITS REPORT:' prompt when printing the Pre-Exchange
Report.
Select the default printer to print the
pre-exchange report for the specific
ward. Pre-exchange reports lists the
dispense drug(s) and quantities to be
dispensed for the specific patient, to be
sent to the ward. The quantities to be
dispensed should be sufficient to cover
until the next scheduled cart exchange.
STAT NOW MAIL
GROUP:
HELP-PROMPT:
A notification will be sent to this mail group for
each new STAT and NOW order that is received from CPRS.
Remember to add users to mailman
group PSJ STAT NOW PENDING ORDER
for pharmacists to get pending orders
from CPRS and PSJ STAT NOW ACTIVE
ORDER for nursing to get finished
orders….if used.
PRIORITIES FOR
NOTIFICATION:
HELP-PROMPT:
Enter the priorities of STAT, ASAP, or the schedule
of NOW, or any combination the three to be used to send a
notification of orders with these priorities to the mail group defined
in the STAT NOW MAIL GROUP parameter.
Choose from:
S
STAT
SA
STAT/ASAP
SAN STAT/ASAP/NOW
A
ASAP
AN ASAP/NOW
N
NOW
SN
STAT/NOW
Clinic Definition [PSJ CD]
12
FIELD NAME
FIELD DEFINITION & DESCRIPTIONS
RECOMMENDED ACTION
Select CLINIC:
HELP-PROMPT: You may enter a new CLINIC DEFINITION, if you wish.
This is the clinic for which the stop date calculations are being
entered. The clinic should allow the ordering of Inpatient Medications
for Outpatients.
Used with IMO
Click on Heading to Return to Index
Systems Parameters Edit [PSJ SYS EDIT]
NON-FORMULARY
MESSAGE:
No existing text
Edit?
Enter 'YES' if you wish to go into the editor.
Enter 'NO' if you do not wish to edit at this time.
This message is displayed in CPRS to the
clinician attempting to order a
medication marked as non-formulary.
This is typically a warning and/or a
procedure the clinician must follow
before the pharmacy will dispense the
non-formulary drug. The message will
show exactly as entered here.
PRINT 6 BLOCKS FOR
THE PRN MAR:
HELP-PROMPT: Enter 1 to allow 6 blocks to be printed for the ONETIME/PRN orders on the 7/14 DAY MAR ONE-TIME/PRN SHEET.
The following fields are not necessary
with the use of BCMA. However, they
should be set up in case the need arises
to print the paper MAR.
Choose from:
1
YES
DESCRIPTION: This field is used to indicate if 4 or 6 blocks are to be
used for ONE-TIME/PRN orders on the 7/14 DAY MAR ONE-TIME/PRN
SHEET. The 7/14 DAY MAR ONE-TIME/PRN SHEET will print 4 blocks if
this field is not set to "YES".
PRINT DIET ABBR
LABEL ON MAR:
Choose from:
1
YES
HELP-PROMPT: If this field contains a 1 or Yes, the Dietetics
Abbreviated Label will be printed on the MAR
Choose from:
1
MAR SORT:
YES
HELP-PROMPT: If 0 is entered, the MAR will sort by the order's
Schedule Type* and then medication names. If 1 is entered, the MAR
will sort by the order's medication names.
DESCRIPTION: * Schedule Type is sort based on the following orders:
Continuous MAR
One-Time/PRN MAR
----------------------------------------------------------------Unit dose order:
Unit dose orders:
Continuous
One-time
Fill in Request
PRN
IV Orders:
Piggyback or Syringe type
Admixture type
Hyperal type
Chemo type
IV orders:
One-time
PRN
Acknowledged Pending
PRN orders
Acknowledged Pending orders:
Inpatient Meds
IV fluids
ATC SORT PARAMETER:
HELP-PROMPT: Enter 0 to send Pick List to ATC by drug, enter 1 for
admin time.
ATC includes other automated
dispensing machines. Site specific
depending on how cart fills are done.
13
FIELD NAME
FIELD DEFINITION & DESCRIPTIONS
RECOMMENDED ACTION
This parameter allows sending of the Pick List to the ATC machine by
ATC Mnemonic within Patient (as in versions of Inpatient Medications
thru 4.0), or else by admin time within patient.
Choose from:
Click on Heading to Return to Index
CALC UNITS NEEDED
PRN ORDERS:
0
ATC MNEMONIC
1
ADMIN TIME
HELP-PROMPT: Enter a 1 if you would like to have the UNITS NEEDED
calculated for PRN orders on the Pick List.
DESCRIPTION: This field controls whether or not UNITS NEEDED will
be calculated for orders with PRN in the schedule field. This
information will show on the Pick List if this field is set to 1.
Choose from:
1
If you send the doses for prn meds in
the cassettes, you may want to set this
up to calculate the number of doses to
be sent.
YES
DAYS UNTIL STOP FOR
ONE-TIME:
HELP-PROMPT: Type a Number between 1 and 30, indicating the
number of days a one-time order should last if there is no ward
parameter defined
This sets up the auto-stop for one-time
orders. The order will remain active on
the patient’s pharmacy profile and in
CPRS even after it has been
administered. Many sites have this set
for “1”, which equates to 24 hours.
This minimizes the appearance of
already administered one-time orders
on the profile. If the one-time order
needs to be available for more than the
auto-stop, the pharmacist can change
the stop date when finishing the order.
The order will fall off from BCMA once
it is administered, or at the auto-stop if
not administered.
ROUND ATC PICK LIST
UNITS:
HELP-PROMPT: Enter YES if you wish to round fractional doses when
sending the pick list to the ATC.
Choose from:
YES
NO
DESCRIPTION: The purpose of this field is to allow rounding of
fractional doses to be sent by the pick list to the ATC.
If set to Yes, the automated dispensing
machines (ATC & others) will dispense
whole tablets for fractional doses (halftab doses). This is useful if the nurses
are not expected to save the remainder
of the tablet.
EXPIRED IV TIME LIMIT:
HELP-PROMPT: Type the Number of Hours between 0 and 24 that
continuous IV orders may be renewed after expiring
PRIORITIES FOR
PENDING NOTIFY:
DESCRIPTION: The maximum number of hours after a continuous IV
order expires that it may still be renewed
HELP-PROMPT: Choose from:
S
STAT
SA
STAT/ASAP
SAN STAT/ASAP/NOW
A
ASAP
AN ASAP/NOW
N
NOW
SN
STAT/NOW
DESCRIPTION: Enter the priorities of STAT, ASAP, or the schedule of
NOW, or any combination of the three to be used to send a
notification of orders with these priorities to the PSJ STAT NOW
PENDING ORDER mail group. This field is also used as the default
control for field 27.1 in file 59.7, PRIORITIES FOR ACTIVE NOTIFY and
14
FIELD NAME
PRIORITIES FOR ACTIVE
NOTIFY:
FIELD DEFINITION & DESCRIPTIONS
RECOMMENDED ACTION
for field 6 in file 59.6 PRIORITIES FOR NOTIFICATION. If these two
fields are blank, then they will use the setting defined here.
HELP-PROMPT: Choose from:
S
STAT
SA
STAT/ASAP
SAN STAT/ASAP/NOW
A
ASAP
AN ASAP/NOW
N
NOW
SN
STAT/NOW
DESCRIPTION: Enter the priorities of STAT, ASAP, or the schedule of
NOW, or any combination of the three to be used to send a
notification of orders with these priorities to the PSJ STAT NOW
ACTIVE ORDER mail group.
Pick List Menu [PSJU PL MENU]
Delete Pick List [PSJU PLDEL]
Click on Heading to Return to Index
Select WARD GROUP
NAME:
HELP-PROMPT: Answer with WARD GROUP NAME.
Then this will appear:
The last Pick List was last run for X123
by NNNNN,NNNNNNN on 05/17/10 07:57
Pick List number 64513, for 05/17/10 13:00 through 05/18/10
12:59.
DO YOU WANT TO
DELETE THIS PICK LIST?
HELP-PROMPT: Enter a 'Y' to delete this Pick List. Enter an 'N' to
leave this Pick List as it is. PLEASE NOTE that deleted Pick Lists are
gone completely and are irretrievable.
Deleting a pick list is helpful if an error
was made in the end date/time on the
pick list. As a new (corrected) pick list
cannot be run if the start date/time has
passed, so the erroneous pick list must
be deleted first. Only the most recent
pick list may be deleted, so older pick
lists must be deleted in sequence.
Pick List Auto Purge Set/Reset [PSJU PLAPS]
DAYS 'FILED AWAY'
PICK LISTS SHOULD
LAST
HELP-PROMPT: If a number is found in this field by the daily
background job, the job will completely delete all PICK LISTS that
have been FILED AWAY and have been around longer than the
number of days specified in this field. Entering a number into
this field will effectively start the AUTO PURGE. DELETING this field
will effectively STOP the AUTO PURGE.
ENTER THE NUMBER (1-90) OF DAYS THAT PICK LISTS THAT ARE FILED
AWAY MAY STAY IN THE COMPUTER.
Most sites accept the 7 day default.
Purge Pick Lists [PSJU PLPRG]
Enter PURGE STOP
DATE:
HELP-PROMPT: If a date is entered here, all of the FILED AWAY PICK
LISTS that started before the entered date will be deleted.
DESCRIPTION: Allows the supervisor to start and stop the daily and
automatic deletion of PICK LISTS that have been filed away. The
supervisor may specify the number of days (1-90) the pick list may
stay in the computer, after it has been filed away.
Ward Groups [PSJU EWG]
15
FIELD NAME
Select WARD GROUP
NAME:
WARD GROUP TYPE:
FIELD DEFINITION & DESCRIPTIONS
RECOMMENDED ACTION
HELP-PROMPT: You may enter a new WARD GROUP, if you wish
Answer must be 1-20 characters in length.
DESCRIPTION:
HELP-PROMPT: Choose from:
M
MAS
P
PHARMACY
DESCRIPTION:
Differentiates between MAS ward groups and PHARMACY ward
groups. Only PHARMACY ward groups are selectable in the PICK LIST
options and no two
PHARMACY ward groups may contain the
same ward (for dose counting and tracking purposes). MAS ward
groups may be set up as desired, and are selectable (along with
PHARMACY ward groups) in all other print options.
HELP-PROMPT:
WARD GROUP ATC
DEVICE POINTER:
This is used to set up the Pharmacy
ward groups to manage the pick lists for
cart fills. Multiple ward locations may
be placed in one group if they are to be
filled and/or exchanged at the same
time.
This question only appears on the entry
of a new Ward Group.
May need programmer access to input
a new ward group?
This question only appears on the entry
of a new Ward Group.
DESCRIPTION: This is the device corresponding to the ATC dispensing
machine for which all pick lists run for this ward group will be sent.
HELP-PROMPT: You may enter a new WARD, if you wish Enter the
MAS ward(s) that are included in this ward group.
Select WARD:
LENGTH OF PICK LIST
(in hours):
PICK LIST - OMIT WARD
SORT:
DESCRIPTION:
THE WARD(S) CHOSEN MUST ALREADY BE IN THE 'WARD LOCATION'
FILE. Answer with WARD LOCATION NAME, or SERVICE, or *NSERV,
or SYNONYM
Do you want the entire XXX-Entry WARD LOCATION List?
HELP-PROMPT:
Enter the number of hours a pick list for this ward group usually lasts.
Basically, this would be 24 (hours) for
pick lists for daily cart exchanges.
DESCRIPTION: If an entry is found here when a pick list is run for this
ward group, the Unit Dose package will add the number of hours
found to the start date to produce a DEFAULT stop date.
For example, using the 24hour stop, if
the pick is to start today @0900, the
default stop time will be tomorrow
@0859.
If you have multiple ward locations in
the ward group, answer NO to have it
sort the pick list by ward.
HELP-PROMPT:
Answer 'YES' (or '1') to have the pick list NOT sort by ward.
from:
0
NO (SORT BY WARD)
1
YES (DO NOT SORT BY WARD)
Choose
DESCRIPTION: The Pick List normally sorts orders by TEAM, WARD,
ROOM-BED... To have the Pick List omit the WARD sort, answer 'YES'
here, and the Pick List will sort by TEAM, ROOM-BED (and NOT by
WARD). Any change here will NOT affect any Pick Lists that have
already been run.
PICK LIST - OMIT
ROOM-BED SORT:
HELP-PROMPT:
Answer 'YES' to have the pick list NOT sort by room-bed.
Choose from:
1
YES (DO NOT SORT BY ROOM-BED)
0
NO (SORT BY ROOM-BED)
Answer YES if you want the pick list to
be sort by the patient’s name, i.e.,
alphabetical.
DESCRIPTION: The PICK LIST normally sorts orders by ...TEAM,
WARD, ROOM-BED, PATIENT NAME... To have the pick list NOT sort
by ROOM-BED at all, answer 'YES' here. Any change here will NOT
16
FIELD NAME
FIELD DEFINITION & DESCRIPTIONS
RECOMMENDED ACTION
affect pick lists that have already been run.
PICK LIST - ROOM/BED
SORT:
HELP-PROMPT:
Enter how you want the pick list to sort the room-bed.
Enter a '1' to have the pick lists sort orders by BED-ROOM.
Choose from:
0
ROOM-BED
1
BED-ROOM
If the pick list is sorting by room-bed,
this will change the sort to bed-room if
set to “1”.
DESCRIPTION: The Pick List normally sorts patients' orders by ROOMBED. To have the Pick List sort orders by BED-ROOM, enter a '1' here.
Any change in this field will NOT affect Pick Lists already run. PLEASE
NOTE that if the pick list is flagged to NOT sort by ROOM-BED, this
flag will be ignored.
PICK LIST - FORM
FEED/PATIENT:
HELP-PROMPT:
Answer 'YES' to have the pick lists printed start a new page for each
patient. Choose from:
0
NO
1
YES
DESCRIPTION: This is a flag that tells the package to start a new page
for each patient found when printing the pick list.
This is a flag that tells the pick list to start a new page for each
ward found when printing. This flag is ignored if the "NEW PAGE PER
PATIENT" flag is turned on.
PICK LIST – FORM
FEED/WARD:
PICK LIST - LINES ON
FORM FEED:
PRINT NON-ACTIVE
ORDERS FIRST:
BAXTER ATC DEVICE:
Choose from:
1
YES
0
NO
HELP-PROMPT:
Answer 'YES' to have the "FILLED BY" lines print after each ward or
patient on the pick list.
Choose from:
1
YES
0
NO
DESCRIPTION: This is a flag that tells the pick list to print the
"FILLED BY" and the "CHECKED BY" lines after each ward or patient.
This is used only if either of the "PICK LIST FORM FEED/PATIENT" or
"PICK LIST FORM FEED/WARD" site parameters is turned on.
HELP-PROMPT:
Answer 'YES' to have expired and dc'd orders print before active
orders for each patient on the pick list.
Choose from:
1
YES
0
NO
DESCRIPTION: For each patient, a pick list will print active orders
and any orders that have expired or have been discontinued within
24 hours of the start date of the pick list. Normally, for each patient,
the patient's active orders are printed first. This will allow pick lists
run for this ward group to print each patient's expired and dc'd
orders first. This does not affect pick lists that have already been run.
HELP-PROMPT: Answer must be 1-20 characters in length.
Answer with DEVICE NAME, or LOCAL SYNONYM, or $I, or VOLUME
SET(CPU), or SIGN-ON/SYSTEM DEVICE, or FORM CURRENTLY
Enter the “device” name where bulk
oral dosages (tabs/caps) are to be
packaged (unit dose/bar coded). ATC
17
FIELD NAME
USE OLD ATC
INTERFACE:
FIELD DEFINITION & DESCRIPTIONS
RECOMMENDED ACTION
MOUNTED, or PRINT SERVER NAME OR ADDRESS
was the “original” packager.
DESCRIPTION: This is the device corresponding to the ATC
dispensing machine for which all pick lists run for this ward group will
be sent.
Be aware if you are a multi-divisional
site, and have multiple ATC machines.
HELP-PROMPT: Enter 'YES' to have the ATC interface use the old
method. Choose from:
1
YES
0
NO
DESCRIPTION: Beginning in version 3.2 of the Inpatient Medications
package, an attempt has been made to increase the speed of the
ATC/Unit Dose interface.
This new interface may not work for all sites. If your site is one
of those, answer 'YES' to have the interface use the old method.
18