<< Click to Display Table of Contents >> Navigation:  Reviewing/Editing Orders > Pending Order Review Screen > Selecting/Editing Items > Pharmacy Order Review > Pharmacy IV

Pharmacy IV items will display in the order in which they were selected by the provider on the Pending Orders screen.

 

•Items will be preceded with the Clinical Monitoring icon or required Clinical Monitoring icon if any results have populated. These may be viewed/addressed by selecting the from either the bottom of the Pending Orders screen or from the IV Medication Order Edit screen. These results must be viewed prior to the provider being able to sign the orders.

 

 

Select Order Entry > Review

 

Pending Orders

 

 

•The item will display in the following order:

•Line 1 - Any Clinical Monitoring notifications will display first, followed by the item description in bold, the Dose, Unit, Route, Frequency, and Start Date/Time.

•Line 2 - Additives will display on the second line if any are present. The name of the additive will appear along with the dose/unit. Each item may have up to 18 components/additives and each will be listed on a separate line.

•Line 3 - Line 3 - If any instructions were entered on the item, they will appear on the 3rd (last) line.

 

NOTE: If the item has multiple components, the instructions will appear after each component has been listed.

 

•To edit the item, the provider may either double-click the item in the list or select to highlight and select the Edit option. The provider may make any necessary changes to the item and then select Update to hold the changes. Once Update is selected, the provider will be returned to the Pending Orders screen.

 

 

Select Order Entry > Review > Select item > IV Medication Order Edit

 

IV Medication Order Edit

 

 

•The Item fields will populate based on the following:

▪If the item is selected from an Order Set, the predefined values will pull into the fields depending on how the item was saved in the Order Set setup.

▪If the item is selected from an Order Lists, the predefined values that were saved by the user that created the Order List will populate.

▪If the item is selected from the Departments listing, the predefined values in the Item Master will populate.

 

•The IV Medication Order Edit Screen will appear in the following order:

 

▪Medication Name: The medication name will display from the item long description. The description functions as a hyperlink and when selected it will open the Drug Monograph information screen.

▪Flowrate: If the item is not predefined from an Order Set, List or the item setup, this field will populate with options from the pharmacy flow rate table. There is also an <OTHER> option which will allow a flow rate to be entered free text if necessary.

▪Route: If the item is not predefined from an Order Set or List, the drop-down will display the predefined route for the medication set up in the Pharmacy Info table. The pharmacy route table is also available and can be accessed by selecting the binocular icon. (Note: If the Pharmacy Control table switch "Only Allow Predefined Routes in OE" has been checked, the Route look-up will not be available and the user must choose from the pre-defined frequencies for the selected medication.)

▪Frequency: If the item is not predefined from an Order Set or List, the drop-down will display the predefined frequencies set up in the Pharmacy Information screen. The pharmacy frequency table is also available and can be accessed by selecting the magnifying glass icon.

oStandard: The standard times will pull from the Pharmacy frequency table.

oNon-Standard: This option allows providers to manually enter frequency times outside of the standard times. This option will assist providers in setting the correct frequency for continued Home Medications that may have an infinite combination of frequency times. This option will be disabled if a X1 or PRN frequency have been selected in the frequency field. It will also be disabled if the frequency field is left blank.

▪Times: The times field will default if there are associated times assigned for the selected frequency.

▪Duration: This is a 2-character free text field that defines the maximum number of doses. The Stop Date/Time field will automatically populate based on the frequency and number of doses.

▪Stat: By checking this field, a STAT order will be created in addition to a Routine order.

▪First Dose Date/Time: Indicates the date and time the first dose will be given to the patient.

▪Start Date/Time: This field will default to the time the item was selected during the ordering process for IV medications. It may be changed if the medication needs to be administered at a later time within a 24-hour period. There are two fields: a drop-down calendar to select the date and a military time drop-down to select the hour of the day.

▪Stop Date/Time: If the medication has a predefined stop date and time, this field will auto-populate. This field may be addressed if the medication needs to stop at a certain time.

▪Indication: This field will default to blank initially and if it is listed in red and it will be required to address prior to Updating the item. Up to 20 pre-defined reasons may be listed in the drop-down, based on the category information associated with the medication's classification.

oThe field will display a magnifying glass lookup option to allow the users to launch the indications/reason table. If an indication is selected from the table, the field will read "OTHER - (selected indication).

oThe Indication List will use the current HLI lookup for SNOMED/ICD-10 and pull the user-defined description and association ICD-10 code.

oTo make the field required, the item itself will need to have "Indication Required" checked on pg 2 of Pharmacy Information.

 

NOTE: This is needed for Antimicrobial Stewardship, but may be set up for any medication.

 

 

Select Order Entry > Review > select medication > IV Medication Order Edit

 

IV Medication Order Edit

 

 

Indication List

 

 

▪Instructions: This is a free-text fields where up to 25 characters may be entered on each line.

▪Components: This field will display for an IV item. The predefined components that display have been setup in the Pharmacy Information screen. To change a component, the provider may double-click the component and it will open the IV Medication Order Component Edit screen.

▪Total Volume: This area shows the total volume of the IV bag (including all components).

▪Patient's Own Medication: In the instance that the patient is being given a med that the patient has brought from home, there is a box to indicate "Patient's Own Medication" which will prevent the pharmacy from filling an order of the medication, but allowing the order to show on the MedAct for administration purposes.

 

•Once the provider has completed editing the item, the options on the toolbar may be selected.

▪The blue back arrow will direct the provider back to the Search Options screen without saving any changes if it is selected first. If the changes are saved and it is then selected, it will return the provider to the Search Options screen with the saved changes on the medication.

▪The Update option will save all changes made to the medication.

▪The Save to List option will allow a provider to save an edited item to one of their Order Lists. This will open the Order List Setup screen so that the provider may add the item to one or more existing lists or create a new list for which to add the item.

 NOTE: The Dose, Unit, Route, Frequency, Stat (if selected), Protocols (if applicable), and Special Instructions fields will save to the list.

▪The Remove option will remove the medication from the Pending Orders list. When selected, the medication will be removed from the pending list and the user returned to the previous screen.

▪The Add Component option will direct the user to a lookup screen for adding additional components.  This will be present for any IV or IVPB medication orders that were built as a shell item and contain multiple components. Adding an additional component will add it to the components section of the screen and allow for editing of the new component.

▪The Address Clinical Monitoring will only be selectable if there are any clinical monitoring results. When selected, it will open a screen showing all clinical monitoring results and allowing medication orders that require Clinical Monitoring Overrides to be addressed.

•The Dose Information option will open MicroMedex to give additional information about the medication item. If an item has multiple components, the NDC of the first component listed in Predefined Info to the Rx Information Tab of order from the Pharmacy Profile will pull.