Pharmacy Inpatient Setup
From VistApedia
Inpatient Pharmacy took a good while to set-up. Here are my notes on how I have done that. I have only done Unit Dose though. Questions: Post on the hardhats Google Group. http://groups.google.com/group/hardhats.
Contents
- 1 Prerequisites for Set-up
- 2 Printers Configuration
- 3 Schedule Set-up
- 4 Drug File Set-up
- 5 IV Room Set-up
- 6 System Parameters
- 7 Ward Parameters Set-up
- 8 Medication Distribution Set-up
- 9 Entering DEA Numbers
- 10 Entering and Configuring Pharmacy Users
- 11 Patient Medication Information Sheets Set-up
- 12 Order Set Creation
- 13 Drug File Advanced Set-up
Prerequisites for Set-up
- MAS Wards and Rooms have to be completely configured before you start configuring Inpatient Pharmacy, as Inpatient Pharmacy Parameters references them.
- Menu: PSJU MGR
- Key: PSJU MGR for access to the Supervisor Menu
- Menu: PSS MGR (No keys necessary except for entering drugs)
Printers Configuration
You can be of course a high tech place with Automatic Drawers (Pyxii or OmniCells), ATCs and BCMA. This section is for the rest of us who may need printed MARs, Pick Lists to fill the Carts, and Labels to send new medications to the Wards.
For general help setting up printers on Unix, go here: Setting up a Linux Printer. The authors (including me) don't cover how to add a printer to Unix using cups; you should find how to do that yourself. We cover how to add a Unix Printer to VISTA.
The following to help you configure the various printer types that Inpatient Pharmacy uses.
Pick Lists
Pick lists print on normal paper. Configure a printer with the following SubType: P-HPLJ4SI-P12
NAME: P-HPLJ4SI-P12 SELECTABLE AT SIGN-ON: NO RIGHT MARGIN: 96 FORM FEED: # PAGE LENGTH: 57 BACK SPACE: $C(8) OPEN EXECUTE: W $C(27,69),$C(27),"&l0O",$C(27),"(0N",$C(27),"(s0p12h0s0b4099T" ,$C(27),"&k2G" S $X=0 DESCRIPTION: HP JL4Si 12 pitch Courier
Labels
VISTA UD Package expects 15/16" high 3.5 wide labels 2 across in a dot-matrix label printer. It's hardcoded in the Mumps routines. So hardcoded that you can only change labels with difficulty. If you have Zebras, Medsphere has written code to do Zebras in OpenVista. As to what Printer SubType to use, that depends on the printer. I have an Epson FX-890 and it took me a couple of weeks of trial and error to get this SubType I made: P-EPSON-DM-P15-5L
NAME: P-EPSON-DM-P15-5L RIGHT MARGIN: 132 FORM FEED: "" PAGE LENGTH: 5 BACK SPACE: $C(8) OPEN EXECUTE: W *27,"@",*27,"g",*27,"2",*27,"C",*5,*27,"0",*27,"N",*1,*27,"k", *1,*27,"2" DESCRIPTION: Epson Dot-Matrix 15 cpi/5 lpi OPEN EXECUTE DESCRIPTION: *27,"@", Reset *27,"g", 15 cpi *27,"2", 1/6 in line spacing *27,"C",*5, Page Length = 5 * 1/6 in = 5/6 in *27,"0", 1/8 in line spacing *27,"N",*1, Bottom Margin = 1 * 1/8 = 1/8 in *27,"k",*1, Font = Sans Serif *27,"2" 1/6 in line spacing
To my disappointment, if you put anything in the close execute, it will be executed even if you do nothing in the Unit Dose package but browse a patient. This caused the labels to "jiggle". I had to remove close executes after all. The other funny thing I discovered is that the UD package does not send any form feeds to move to the next label: just an line feed. It's very unorthodox, making it difficult to write correct sequences, until I figured out that it 'guesses' the next label by doing a line feed and (after a lot of testing the disbelief from me) it works okay.
MARs
If you are not using BCMA for eMARs, you will need paper MARs. VISTA can print MARs for Paper Documentation, with Active Medications Pre-Printed. I tried printing them as Portrait; and for a while, I couldn't get to print them as Landscape until I wrote the exact correct PCL for me. My nurses prefer the Landscape version. Here are the subtypes you need for MARs:
Portrait:
NAME: P-HPLJ2-P16 SELECTABLE AT SIGN-ON: NO RIGHT MARGIN: 132 FORM FEED: # PAGE LENGTH: 80 OPEN EXECUTE: W *27,"E",*27,"(8U",*27,"(s0P",*27,"(s16H",*27,"(s9V",*27,"(s0S" ,*27,"(s-3B",*27,"(s0T",*27,"&l88P",*27,"&a255M",*27,"&k2S",*27,"&l8D",*27,"&s1C ",*27,"&k2G" CLOSE EXECUTE: W *27,"E"
Landscape:
NAME: P-HPLJ2-P16-LS SELECTABLE AT SIGN-ON: NO RIGHT MARGIN: 132 FORM FEED: # PAGE LENGTH: 80 OPEN EXECUTE: W *27,"E",*27,"&l1O",*27,"(8U",*27,"(s0P",*27,"(s16H",*27,"(s9V" ,*27,"(s0S",*27,"(s-3B",*27,"(s0T",*27,"&l88P",*27,"&l0E",*27,"&l0L",*27,"&a18L" ,*27,"&k2S",*27,"&l8D",*27,"&s1C",*27,"&k2G" CLOSE EXECUTE: W *27,"E"
Pre-Exchange Report
I found most printer types work fine here. I just use the Pick List definition.
Schedule Set-up
Find the Hospital's policy for their Administration Times, prohibited abbreviations, and whether some wards get specific administration times. In my case, the Children's Ward had different administration times. You may delete Schedules are not used.
Menu: PSS MGR > Standard Schedule Edit
My end result:
<code> ADMINISTRATION SCHEDULE List AUG 11,2011@14:41 PAGE 1 NUMBER: 51 NAME: 5/D STANDARD ADMINISTRATION TIMES: 09-12-15-18-21 FREQUENCY (IN MINUTES): 288 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: FIVE TIMES DAILY NUMBER: 42 NAME: AC STANDARD ADMINISTRATION TIMES: 07-11-16 FREQUENCY (IN MINUTES): 480 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: BEFORE MEALS NUMBER: 2 NAME: BID STANDARD ADMINISTRATION TIMES: 09-21 FREQUENCY (IN MINUTES): 720 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: TWICE A DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-20 NUMBER: 46 NAME: IMODIUM PRN FREQUENCY (IN MINUTES): 60 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: PRN OUTPATIENT EXPANSION: INITIAL 2 CAP THEN 1 CAP AFTER LS - MAX 8 NUMBER: 36 NAME: MO-WE-FR STANDARD ADMINISTRATION TIMES: 09 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS NUMBER: 47 NAME: NITRATE FREQUENCY (IN MINUTES): 300 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS NUMBER: 27 NAME: NOW PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: ONE-TIME NUMBER: 35 NAME: ONCE STANDARD ADMINISTRATION TIMES: 1600 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: ONE-TIME MAX DAYS FOR ORDERS: 1 NUMBER: 43 NAME: PC STANDARD ADMINISTRATION TIMES: 0830-1230-1830 FREQUENCY (IN MINUTES): 480 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: AFTER MEALS NUMBER: 11 NAME: Q12H STANDARD ADMINISTRATION TIMES: 09-21 FREQUENCY (IN MINUTES): 720 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 12 HOURS WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-20 NUMBER: 38 NAME: Q2H STANDARD ADMINISTRATION TIMES: 01-03-05-07-09-11-13-15-17-19-21-23 FREQUENCY (IN MINUTES): 120 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 2 HOURS NUMBER: 53 NAME: Q2WEEKS STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 20160 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: Once every 2 weeks WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 5 NAME: Q3H STANDARD ADMINISTRATION TIMES: 01-04-07-10-13-16-19-22 FREQUENCY (IN MINUTES): 180 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 3 HOURS NUMBER: 4 NAME: Q4H STANDARD ADMINISTRATION TIMES: 01-05-09-13-17-21 FREQUENCY (IN MINUTES): 240 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 4 HOURS WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 04-08-12-16-20-24 NUMBER: 50 NAME: Q5MIN FREQUENCY (IN MINUTES): 5 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: Every 5 Minutes NUMBER: 3 NAME: Q6H STANDARD ADMINISTRATION TIMES: 06-12-18-24 FREQUENCY (IN MINUTES): 360 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 6 HOURS NUMBER: 6 NAME: Q8H STANDARD ADMINISTRATION TIMES: 01-09-17 FREQUENCY (IN MINUTES): 480 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 8 HOURS WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-16-24 NUMBER: 7 NAME: QAM STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY MORNING WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 1 NAME: QDAY STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: ONCE A DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 23 NAME: QHS STANDARD ADMINISTRATION TIMES: 21 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: AT BEDTIME WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 20 NUMBER: 10 NAME: QID STANDARD ADMINISTRATION TIMES: 09-13-17-21 FREQUENCY (IN MINUTES): 360 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: FOUR TIMES A DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-12-16-20 NUMBER: 12 NAME: QOD STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 2880 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY OTHER DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 54 NAME: QPM STANDARD ADMINISTRATION TIMES: 05 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: Every Evening NUMBER: 52 NAME: QWEEKLY STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 10080 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: Once a week WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 39 NAME: STAT PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: ONE-TIME NUMBER: 9 NAME: TID STANDARD ADMINISTRATION TIMES: 09-15-21 FREQUENCY (IN MINUTES): 480 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: THREE TIMES A DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-14-20 NUMBER: 41 NAME: TODAY STANDARD ADMINISTRATION TIMES: 1230-1330 FREQUENCY (IN MINUTES): 60 PACKAGE PREFIX: PSO MAX DAYS FOR ORDERS: 1 NUMBER: 40 NAME: TOMORROW STANDARD ADMINISTRATION TIMES: 0815-0915-1015 FREQUENCY (IN MINUTES): 60 PACKAGE PREFIX: PSO TYPE OF SCHEDULE: ONE-TIME MAX DAYS FOR ORDERS: 1 </code>
Drug File Set-up
Before you do anything, you need to enter all the drugs that your pharmacy uses from your pharmacy formulary. That will take 1-3 months. Here's how: Enter a Drug. Before I started, I deleted all traces of the old drug file using this routine I wrote: http://bazaar.launchpad.net/~sam-habiel/astronaut-vista-server/enhancements/view/head:/JJIHDCLR.m
Also, I learned it may be better to configure the Schedules first before doing the drugs, as you use Schedules when you make orderable items. So I would recommend that. I didn't do that when I set-up the drug file, so I had to go back and fix some stuff after I was done.
There's a section on advanced drug file set-up below. You don't need to that now, so I put it at the bottom.
IV Room Set-up
The next step is to set-up the IV Room. While technically not needed if you are only doing Unit Dose, it's required for some options in the UD menu to work.
Select Unit Dose Medications Option: IOE Inpatient Order Entry
Whoops ... You don't have an IV ROOM defined ...
You MUST define at least one IV ROOM before you can continue.
Select IV ROOM: NULL
Are you adding 'NULL' as a new IV ROOM (the 1ST)? No// (No) ??
Select IV ROOM: NULL ROOM
Are you adding 'NULL ROOM' as a new IV ROOM (the 1ST)? No// Y (Yes)
NAME: NULL ROOM//
LENGTH OF LABEL: 5??
Type a whole number between 12 and 66.
LENGTH OF LABEL: 12
WIDTH OF LABEL: ??
Enter the maximum allowable width of your label in number of character
s.
If you do not enter data into this field, the system will use '30' as
the default. If a line of print cannot fit within the width you define
here, it will continue on the next line of the label.
WIDTH OF LABEL: 35
LINE FEEDS BETWEEN LABELS: N??
Type a whole number between 0 and 6.
LINE FEEDS BETWEEN LABELS: 1
END OF LABEL TEXT: **ICH SOUTH**
HEADER LABEL:
SHOW BED LOCATION ON LABEL:
USE SUSPENSE FUNCTIONS:
DOSE DUE LINE:
LVP'S GOOD FOR HOW MANY DAYS: 1
HYPERAL GOOD FOR HOW MANY DAYS: 1
PB'S GOOD FOR HOW MANY DAYS: 1
SYRN'S GOOD FOR HOW MANY DAYS: 1
CHEMO'S GOOD FOR HOW MANY DAYS: 1
STOP TIME FOR ORDER:
EXPIRE ALL ORDERS ON SAME DAY:
ACTIVITY RULER:
TOTAL VOL. ON HYPERAL LABELS:
Select START OF COVERAGE: ??
Select START OF COVERAGE: 0830
Are you adding '0830' as a new START OF COVERAGE (the 1ST for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: A ADMIXTURES AND PRIMARIES
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: "0830"
Are you adding '0830' as a new START OF COVERAGE (the 2ND for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: P PIGGYBACKS
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: "0830"
Are you adding '0830' as a new START OF COVERAGE (the 3RD for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: H HYPERALS
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: "0830 ??
Select START OF COVERAGE: "0830"
Are you adding '0830' as a new START OF COVERAGE (the 4TH for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: S SYRINGE
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: "0830"
Are you adding '0830' as a new START OF COVERAGE (the 5TH for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: C CHEMOTHERAPY
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: ?
Answer with START OF COVERAGE
Choose from:
1 0830
A covering from 0830 to 1700
2 0830
P covering from 0830 to 1700
3 0830
H covering from 0830 to 1700
4 0830
S covering from 0830 to 1700
5 0830
C covering from 0830 to 1700
You may enter a new START OF COVERAGE, if you wish
Answer must be in military time (i.e., 4 NUMBERS)!
Select START OF COVERAGE:
Select DELIVERY TIME: 1500
Are you adding '1500' as a new DELIVERY TIME (the 1ST for this IV ROOM)? No//
Y (Yes)
Select DELIVERY TIME:
LABEL DEVICE: HOME// TELNET
REPORT DEVICE: HOME// TELNET
INACTIVATION DATE:
DAYS TO RETAIN IV STATS:
You are signed on under the NULL ROOM IV ROOM
Current IV LABEL device is: TELNET
Current IV REPORT device is: TELNET
System Parameters
Go to Supervisor Menu > PARameters Edit Menu > Systems Parameters Edit
Select PARameters Edit Menu Option: systems Parameters Edit
NON-FORMULARY MESSAGE:
THERE ARE NO LINES!
Edit? NO// y YES
[ WRAP ]==[INSERT ]=========< NON-FORMULARY MESSAGE [Press <F1>H for help]====
This drug is non-formulary. Please contact the Inpatient Pharmacy before
ordering.
PRINT 6 BLOCKS FOR THE PRN MAR: 1 YES ''Recommended''
PRINT DIET ABBR LABEL ON MAR: ''Don't turn on unless you use Dietetics''
MAR SORT: ?
Choose from:
0 Sort by order's Schedule Type and then Medication Names.
1 Sort by order's Medication Names.
MAR SORT: 0 Sort by order's Schedule Type and then Medication Names.
ATC SORT PARAMETER:
CALC UNITS NEEDED PRN ORDERS: ?
Enter a 1 if you would like to have the UNITS NEEDED calculated for PRN
orders on the Pick List.
Choose from:
1 YES
CALC UNITS NEEDED PRN ORDERS:
DAYS UNTIL STOP FOR ONE-TIME: 1
ROUND ATC PICK LIST UNITS:
EXPIRED IV TIME LIMIT: ?
Type the Number of Hours between 0 and 24 that continuous IV orders may be
renewed after expiring
EXPIRED IV TIME LIMIT:
PRIORITIES FOR PENDING NOTIFY: ?
Choose from:
S STAT
SA STAT/ASAP
SAN STAT/ASAP/NOW
A ASAP
AN ASAP/NOW
N NOW
SN STAT/NOW
PRIORITIES FOR PENDING NOTIFY:
PRIORITIES FOR ACTIVE NOTIFY:
Ward Parameters Set-up
To reach this menu, you need to go to Supervisor Menu > PARameters Edit Menu. What you do here is configure the parameters for how Inpatient Pharmacy will behave for the Ward (or as Americans like to call it nowadays: Unit). You need to collect the following information:
- When do Orders have to get renewed? That will you Days until stop.
- When should Orders stop when they expire? That's called the "Order Wall".
- When should the Start Date be? As soon as the med is ordered, or at the next admin time?
- Are you going to print labels when you process the orders? When?
Here's an example for one ward I configured. All my other wards look the same
Select Supervisor's Menu Option: PARameters Edit Menu
AUto-Discontinue Set-Up
IUP Inpatient User Parameters Edit
IWP Inpatient Ward Parameters Edit
Clinic Definition
Systems Parameters Edit
Select PARameters Edit Menu Option: IWP Inpatient Ward Parameters Edit
Select WARD: ?
You may enter a new INPATIENT WARD PARAMETERS, if you wish
Enter a ward for which you want to tailor the Inpatient Medication
package.
Answer with WARD LOCATION NAME
Do you want the entire 15-Entry WARD LOCATION List? Y (Yes)Choose from:
1St Floor *** INACTIVE ***
Adolescent 2L 201-213 South
to exit:
Child 2R 214-225 South
Dapa 3R 314-326
General/adult 3L 300-313 South *** INACTIVE ***
Hinniker 1R 118-129 South *** INACTIVE ***
Ichs Admissions *** INACTIVE ***
Ichs Adolescent *** INACTIVE ***
Ichs Adult *** INACTIVE ***
Ichs Beds *** INACTIVE ***
Ichs Child *** INACTIVE ***
Ichs Dapa *** INACTIVE ***
Ichs Hiniker *** INACTIVE ***
Intracare Hospital System *** INACTIVE ***
Restore 1L 101-111 South
Select WARD: RESTORE 1L 101-111 SOUTH
Are you adding 'Restore 1L 101-111 South' as
a new INPATIENT WARD PARAMETERS (the 1ST)? No// Y (Yes)
DAYS UNTIL STOP DATE/TIME: 30
DAYS UNTIL STOP FOR ONE-TIME: 1
SAME STOP DATE ON ALL ORDERS: Y YES
TIME OF DAY THAT ORDERS STOP: 2359
DEFAULT START DATE CALCULATION: ?
Enter "0" to use the closest admin time, "1" to use the next admin time,
or "2" to use "now" as the default start time for orders.
Choose from:
0 USE CLOSEST ADMIN TIME AS DEFAULT
1 USE NEXT ADMIN TIME AS DEFAULT
2 USE NOW AS DEFAULT
DEFAULT START DATE CALCULATION: 1 USE NEXT ADMIN TIME AS DEFAULT
START TIME FOR 24 HOUR MAR: 1500
LABEL FOR WARD STAFF: ?
Choose from:
0 NO LABELS
1 FIRST LABEL ON ORDER ENTRY/EDIT
2 LABEL ON ENTRY/EDIT AND [[VERIFICATION~|VERIFICATION]]
3 FIRST LABEL ON NURSE [[VERIFICATION~|VERIFICATION]]
LABEL FOR WARD STAFF: 0 NO LABELS
WARD LABEL PRINTER POINTER:
LABEL FOR PHARMACY: ?
Choose from:
0 NO LABELS
1 FIRST LABEL ON ORDER ENTRY/EDIT
2 LABEL ON ENTRY/EDIT AND [[VERIFICATION~|VERIFICATION]]
3 FIRST LABEL ON PHARMACIST [[VERIFICATION~|VERIFICATION]]
LABEL FOR PHARMACY: 3 FIRST LABEL ON PHARMACIST [[VERIFICATION~|VERIFICATION]]
PHARMACY LABEL PRINTER POINTER: PHAR
1 PHAR-IP-DM Inpatient Pharmacy Dot-Matrix PHAR-IP-DM
2 PHAR-IP-LS IP Pharmacy Landscape <pipe>
CHOOSE 1-2: 1 PHAR-IP-DM Inpatient Pharmacy Dot-Matrix PHAR-IP-DM
LABEL ON AUTO-DISCONTINUE: ?
Answer 'YES' to have labels created when this ward's patients' orders are
auto-discontinued.
Choose from:
1 YES
0 NO
LABEL ON AUTO-DISCONTINUE: 0 NO
MAR HEADER LABELS: ?
Enter "YES" if MAR header labels should be generated for this ward.
Choose from:
1 YES
MAR HEADER LABELS: 1 YES
DAYS NEW LABELS LAST: ?
Enter a whole number between 0 and 35.
ANY NEW LABELS OLDER THAN THE NUMBER OF DAYS SPECIFIED HERE WILL
AUTOMATICALLY BE PURGED.
DAYS NEW LABELS LAST: ?
Enter a whole number between 0 and 35.
ANY NEW LABELS OLDER THAN THE NUMBER OF DAYS SPECIFIED HERE WILL
AUTOMATICALLY BE PURGED.
DAYS NEW LABELS LAST: 1
MAR ORDER SELECTION DEFAULT: ?
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) may be selected
using "-" or "," as delimiters.
Choose from:
1 - All Medications
2 - Non-IV Medications only
3 - IV Piggybacks
4 - LVPs
5 - TPNs
6 - Chemotherapy Medications (IV)
MAR ORDER SELECTION DEFAULT: 2
2 - Non-IV Medications only
PRINT PENDING ORDERS ON MAR: ?
Enter YES to include acknowledged pending orders on the MARs
Choose from:
1 YES
PRINT PENDING ORDERS ON MAR: ??
Enter YES to include the pending orders that were acknowledged by a nurs
e
on the MARs and the Medication Due Worksheet.
Choose from:
1 YES
PRINT PENDING ORDERS ON MAR:
'SELF MED' IN ORDER ENTRY:
PRE-EXCHANGE REPORT DEVICE: ?
Enter a device on which the Pre-Exchange Report may be printed.
Answer with DEVICE NAME, or LOCAL SYNONYM, or $I, or VOLUME SET(CPU), or
SIGN-ON/SYSTEM DEVICE, or FORM CURRENTLY MOUNTED
Do you want the entire DEVICE List? N (No)
PRE-EXCHANGE REPORT DEVICE: PHAR-IP-LS IP Pharmacy Landscape <pipe>
STAT NOW MAIL GROUP: ?
Answer with MAIL GROUP NAME
Do you want the entire 236-Entry MAIL GROUP List? N (No)
STAT NOW MAIL GROUP: PSJ
1 PSJ STAT NOW ACTIVE ORDER
2 PSJ STAT NOW PENDING ORDER
3 PSJ-ORDERS REINSTATED
CHOOSE 1-3: 2 PSJ STAT NOW PENDING ORDER
PRIORITIES FOR NOTIFICATION: ?
Choose from:
S STAT
SA STAT/ASAP
SAN STAT/ASAP/NOW
A ASAP
AN ASAP/NOW
N NOW
SN STAT/NOW
PRIORITIES FOR NOTIFICATION: SAN STAT/ASAP/NOW
Medication Distribution Set-up
Here we set-up the Administeration Teams (VISTA's fancy term for Medication Carts) and configure how Pick Lists will behave.
Set-up Administering Teams
Administering Teams are bascially Medication Carts. For each MAS Ward, you configure each Cart Location and put the beds in that Cart Location. You can have multiple Carts for each Ward. In my case, I didn't, so you will only see only one Cart Location in my example.
Select Core [[Application~|Application]]s Option: UD Unit Dose Medications
(Inpatient Medications - Version 5.0 04/16/99)
HI, HABIEL,SAM! (PHARMACIST & PROVIDER)
Align Labels (Unit Dose)
Discontinue All of a Patient's Orders
EUP Edit Inpatient User Parameters
Hold All of a Patient's Orders
IOE Inpatient Order Entry
IPF Inpatient Profile
INQuiries Menu ...
Label Print/Reprint
Non-Verified/Pending Orders
Order Entry
PAtient Profile (Unit Dose)
Reports Menu ...
Supervisor's Menu ...
Select Unit Dose Medications Option: SUPERvisor's Menu
Administering Teams
Clinic Groups
MANagement Reports Menu ...
Non-Standard Schedule Report
Non-Standard Schedule Search
Order Set Enter/Edit
PARameters Edit Menu ...
PATient Order Purge
**> Out of order: TEMPORARILY UNAVAILABLE
PIck List Menu ...
Ward Groups
Select Supervisor's Menu Option: ADMINistering Teams
Select WARD: CHILD 2R 214-225 SOUTH
Are you adding 'Child 2R 214-225 South' as
a new MEDICATION ADMINISTERING TEAM (the 1ST)? No// Y (Yes)
Select TEAM: CHILDREN
Are you adding 'CHILDREN' as a new TEAM? No// Y (Yes)
Select ROOM-BED: 214-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '214-A-ICHS' as a new ROOM-BED (the 1ST for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 214-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '214-B-ICHS' as a new ROOM-BED (the 2ND for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 215-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '215-A-ICHS' as a new ROOM-BED (the 3RD for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 215-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '215-B-ICHS' as a new ROOM-BED (the 4TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 216-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '216-A-ICHS' as a new ROOM-BED (the 5TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 216-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '216-B-ICHS' as a new ROOM-BED (the 6TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 217-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '217-A-ICHS' as a new ROOM-BED (the 7TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 217-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '217-B-ICHS' as a new ROOM-BED (the 8TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 218-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '218-A-ICHS' as a new ROOM-BED (the 9TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 218-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '218-B-ICHS' as a new ROOM-BED (the 10TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 219-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '219-A-ICHS' as a new ROOM-BED (the 11TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 219-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '219-B-ICHS' as a new ROOM-BED (the 12TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 220-1 ??
Select ROOM-BED: 220-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '220-A-ICHS' as a new ROOM-BED (the 13TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 220-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '220-B-ICHS' as a new ROOM-BED (the 14TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 221-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '221-A-ICHS' as a new ROOM-BED (the 15TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 221-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '221-B-ICHS' as a new ROOM-BED (the 16TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 222-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '222-A-ICHS' as a new ROOM-BED (the 17TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 222-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '222-B-ICHS' as a new ROOM-BED (the 18TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 223-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '223-A-ICHS' as a new ROOM-BED (the 19TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 223-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '223-B-ICHS' as a new ROOM-BED (the 20TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 224-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '224-A-ICHS' as a new ROOM-BED (the 21ST for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 224-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '224-B-ICHS' as a new ROOM-BED (the 22ND for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 225-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '225-A-ICHS' as a new ROOM-BED (the 23RD for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 225-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '225-B-ICHS' as a new ROOM-BED (the 24TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: ?
Answer with ROOM-BED
Do you want the entire 24-Entry ROOM-BED List? Y (Yes)
Choose from:
214-A-ICHS
214-B-ICHS
215-A-ICHS
215-B-ICHS
216-A-ICHS
216-B-ICHS
217-A-ICHS
217-B-ICHS
218-A-ICHS
218-B-ICHS
219-A-ICHS
219-B-ICHS
220-A-ICHS
220-B-ICHS
221-A-ICHS
221-B-ICHS
222-A-ICHS
222-B-ICHS
223-A-ICHS
223-B-ICHS
to exit:
224-A-ICHS
224-B-ICHS
225-A-ICHS
225-B-ICHS
You may enter a new ROOM-BED, if you wish
THE ROOM-BED CHOSEN MUST ALREADY BE DEFINED IN THE ROOM-BED FILE.
Answer with ROOM-BED NAME, or WARD(S) WHICH CAN ASSIGN
Do you want the entire ROOM-BED List? N (No)
Select ROOM-BED:
Select TEAM: ?
Answer with TEAM:
CHILDREN
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.
Select TEAM:
Set-up Ward Groups
In a real world Inpatient Pharmacy that does Medication Cart Exchanges, the medication carts are filled at specific intervals (typically daily), with different sets of wards filled at different times to distribute workload. For example, if you have Ward A, B, C, D; you may fill A & B at 4pm and C & D at 2am. A ward group is a grouping of A & B or C & D together: to print the Pick List so that the medication drawers can filled and then the carts exchanged.
In the section immediately above, you configured which carts are in each Ward and which beds are in each Cart. A Ward Group will contain a collection of Wards that are filled together in a Medication Cart Exchange run.
When you print a pick list, you will be asked for which Ward Group you want to run your pick list.
Select Supervisor's Menu Option: ward Groups
Select WARD GROUP NAME: 1ST FLOOR
Are you adding '1ST FLOOR' as a new WARD GROUP (the 1ST)? No// Y (Yes)
WARD GROUP TYPE: ?
Choose from:
M MAS
P PHARMACY
WARD GROUP TYPE: ??
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.
Choose from:
M MAS
P PHARMACY
WARD GROUP TYPE: P PHARMACY
WARD GROUP ATC DEVICE POINTER:
NAME: 1ST FLOOR//
Select WARD: RESTORE 1L 101-111 SOUTH
Are you adding 'Restore 1L 101-111 South' as a new WARD? No// Y (Yes)
Select WARD:
LENGTH OF PICK LIST (in hours): 48
PICK LIST - OMIT WARD SORT: ?
Answer 'YES' (or '1') to have the pick list NOT sort by ward.
Choose from:
0 NO (SORT BY WARD)
1 YES (DO NOT SORT BY WARD)
PICK LIST - OMIT WARD SORT: ??
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.
Choose from:
0 NO (SORT BY WARD)
1 YES (DO NOT SORT BY WARD)
PICK LIST - OMIT WARD SORT: NO NO (SORT BY WARD)
PICK LIST - OMIT ROOM-BED SORT: NO NO (SORT BY ROOM-BED)
PICK LIST - ROOM/BED SORT: ROO ROOM-BED
PICK LIST - FORM FEED/PATIENT: NO NO
PICK LIST - FORM FEED/WARD: YES YES
PICK LIST - LINES ON FORM FEED: ??
This is a flag that tells the pick list to print the "FILLED BY" and t
he
"CHECKED BY" lines after each ward or patient. This is used only if eit
her
of the "PICK LIST FORM FEED/PATIENT" or "PICK LIST FORM FEED/WARD" site
parameters is turned on.
Choose from:
1 YES
0 NO
PICK LIST - LINES ON FORM FEED: 1 YES
PRINT NON-ACTIVE ORDERS FIRST: ?
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
PRINT NON-ACTIVE ORDERS FIRST: NO NO
BAXTER ATC DEVICE:
USE OLD ATC INTERFACE:
Select WARD GROUP NAME: ?
Answer with WARD GROUP NAME:
1ST FLOOR
PHARMACY
You may enter a new WARD GROUP, if you wish
Answer must be 1-20 characters in length.
Select WARD GROUP NAME: 2ND FLOOR
Are you adding '2ND FLOOR' as a new WARD GROUP (the 2ND)? No// Y (Yes)
WARD GROUP TYPE: P PHARMACY
WARD GROUP ATC DEVICE POINTER:
NAME: 2ND FLOOR//
Select WARD: ADOLESCENT 2L 201-213 SOUTH
Are you adding 'Adolescent 2L 201-213 South' as a new WARD? No// Y (Yes)
Select WARD: CHILD 2R 214-225 SOUTH
Are you adding 'Child 2R 214-225 South' as a new WARD? No// Y (Yes)
Select WARD:
LENGTH OF PICK LIST (in hours): 48
PICK LIST - OMIT WARD SORT: NO NO (SORT BY WARD)
PICK LIST - OMIT ROOM-BED SORT: NO NO (SORT BY ROOM-BED)
PICK LIST - ROOM/BED SORT: ??
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
PICK LIST - ROOM/BED SORT: 0 ROOM-BED
PICK LIST - FORM FEED/PATIENT: N NO
PICK LIST - FORM FEED/WARD: Y YES
PICK LIST - LINES ON FORM FEED: Y YES
PRINT NON-ACTIVE ORDERS FIRST: N NO
BAXTER ATC DEVICE:
USE OLD ATC INTERFACE:
Select WARD GROUP NAME: 3RD FLOOR
Are you adding '3RD FLOOR' as a new WARD GROUP (the 3RD)? No// Y (Yes)
WARD GROUP TYPE: P PHARMACY
WARD GROUP ATC DEVICE POINTER:
NAME: 3RD FLOOR//
Select WARD: GENERAL/ADULT 3L 300-313 SOUTH *** INACTIVE ***
Are you adding 'General/Adult 3L 300-313 South' as
a new WARD (the 1ST for this WARD GROUP)? No// Y (Yes)
Select WARD: DAPA 3R 314-326
Are you adding 'DAPA 3R 314-326' as a new WARD (the 2ND for this WARD GROUP)?
No// Y (Yes)
Select WARD:
LENGTH OF PICK LIST (in hours): 48
PICK LIST - OMIT WARD SORT: ^LENGTH OF PICK LIST (in hours)
LENGTH OF PICK LIST (in hours): 48// ??
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 da
te
to produce a DEFAULT stop date.
LENGTH OF PICK LIST (in hours): 48//
PICK LIST - OMIT WARD SORT: NO NO (SORT BY WARD)
PICK LIST - OMIT ROOM-BED SORT: NO NO (SORT BY ROOM-BED)
PICK LIST - ROOM/BED SORT: ROO ROOM-BED
PICK LIST - FORM FEED/PATIENT: NO NO
PICK LIST - FORM FEED/WARD: YES YES
PICK LIST - LINES ON FORM FEED: YES YES
PRINT NON-ACTIVE ORDERS FIRST: NO NO
BAXTER ATC DEVICE:
USE OLD ATC INTERFACE:
Select WARD GROUP NAME: ?
Answer with WARD GROUP NAME
Choose from:
1ST FLOOR
PHARMACY
2ND FLOOR
PHARMACY
3RD FLOOR
PHARMACY
You may enter a new WARD GROUP, if you wish
Answer must be 1-20 characters in length.
Select WARD GROUP NAME:
Entering DEA Numbers
The DEA is a fact of life in the US and is baked into the pharmacy software. Even if you use VISTA outside of the US, you need to set-up DEA#'s/VA#'s in order to be able to order controlled substances. There are two steps: entering an institutional DEA number; then entering each Provider's DEA or VA #.
DEA Logic in VISTA
For any drug that has the DEA Special Handling field that is between 2 to 5, VISTA will want either one of these two conditions for the provider to be able to order it:
EITHER: An Institutional DEA # and a Provider VA #
OR: Provider DEA #
That means that if all your providers have DEA #'s, you don't need an institutional DEA #.
Each of these set-ups follows how the DEA dictates that Hospitals allows its providers to prescribe.
Enter Institutional DEA #'s
Entering a DEA number for each institution is done through the Kernel Management Menu, as below.
Core [[Application~|Application]]s ...
Device Management ...
Menu Management ...
Programmer Options ...
Operations Management ...
Spool Management ...
Information Security Officer Menu ...
Taskman Management ...
User Management ...
FM VA FileMan ...
[[Application~|Application]] Utilities ...
Capacity Planning ...
HL7 Main Menu ...
Manage Mailman ...
MAS Parameter Entry/Edit
Select Systems Manager Menu Option: OPERations Management
System Status
Introductory text edit
CPU/Service/User/Device Stats
RJD Kill off a users' job
Alert Management ...
Alpha/Beta Test Option Usage Menu ...
Clean old Job Nodes in XUTL
Delete Old (>14 d) Alerts
Foundations Management
Kernel Management Menu ...
Post sign-in Text Edit
RPC Broker Management Menu ...
User Management Menu ...
Select Operations Management Option: KERNel Management Menu
Ask if Production Account
Edit Site IP lockout
Enter/Edit Kernel Site Parameters
Institution DEA# edit
Institution Edit
Kernel New Features Help
Kernel PKI Parameter Edit
Load Institution NPI values
NPF cleanup main menu ...
Release IP lock
Select Kernel Management Menu Option: INST
1 Institution DEA# edit
2 Institution Edit
CHOOSE 1-2: 1 Institution DEA# edit
Select INSTITUTION NAME: INTRACARE HOSPITAL SYSTEM TX MC(M) 840203
FACILITY DEA NUMBER:
Enter Providers' DEA #'s or VA #'s
To edit DEA or VA #'s for providers, you can either directly edit the entry in File 200, or use the option PSO PROVIDER EDIT. Normally, this option lives in Supervisor menu in the Outpatient Pharmacy Manager Menu, but you can copy it over to the person who is supposed to maintain credentialing.
'Edit Provider' Option name: PSO PROVIDER EDIT
This option is used to edit provider information. New providers cannot be
entered using this option.
Provider: HABIEL,SAM
AUTHORIZED TO WRITE MED ORDERS: YES
NON-VA PRESCRIBER:
TAX ID:
EXCLUSIONARY CHECK PERFORMED:
DATE EXCLUSIONARY LIST CHECKED:
ON EXCLUSIONARY LIST:
AUTHORIZED TO WRITE MED ORDERS: YES//
DEA#:
VA#:
Entering and Configuring Pharmacy Users
To create Pharmacy Users, you need to do the following:
- Create a user with access to the menu option PSJU MGR
- Pharmacists get PSJ RPHARM key to be able to verify orders.
- Anybody who runs Pick Lists should get PSJU PL key.
- Supervisors get PSJU MGR key.
Pharmacists should be added to two mail groups:
- GMRA REQUEST NEW REACTANT - Allergies that cannot be added through CPRS need to go to pharamcists or others for further investigation.
- PSJ STAT NOW PENDING ORDER - Mailgroup for Pharmacists to receive STAT orders notices.
For TIU, add to ASU Class Pharmacist.
Last, you need to set pharmacists to auto-verify when they finish an order in Inpatient Pharmacy. This needs to be done user by user:
Select Supervisor's Menu Option: PARameters Edit Menu
AUto-Discontinue Set-Up
IUP Inpatient User Parameters Edit
IWP Inpatient Ward Parameters Edit
Clinic Definition
Systems Parameters Edit
Select PARameters Edit Menu Option: IUP Inpatient User Parameters Edit
Select INPATIENT USER: XXXXX PHARMACIST
...OK? Yes// (Yes)
This user is a PHARMACIST.
ALLOW AUTO-VERIFY FOR USER: YES//
Patient Medication Information Sheets Set-up
If the complete PSN is installed, VISTA includes Patient Medication Information Sheets. They can come in handy. The option is called 'PSNPMIS PRINT'. The option uses defaults which you can set throught the Pharmacy System Parameters Edit off the Pharmacy Data Management menu.
'Print a PMI Sheet' Option name: PSNPMIS PRINT
This option will print a Patient Medication Information Sheet for
a drug selected from the local drug file. Drugs in the local drug
file must be linked to entries in the National Drug File at the
site and entries in the National Drug File must have been linked
to a GCNSEQNO thus a PMIS by the National Drug File Manager. A PMIS
can be printed in either English or Spanish.
Select Pharmacy Data Management Option: Pharmacy System Parameters Edit
PMIS PRINTER: PHAR-IP-POR-P12//
PMIS LANGUAGE: English//
WARNING LABEL SOURCE: NEW//
CMOP WARNING LABEL SOURCE:
OPAI WARNING LABEL SOURCE:
Order Set Creation
You can create order sets in Inpatient Pharmacy. These are purely optional. And they have nothing to do with order sets in CPRS. Once you have order sets in CPRS that are entered by the providers, there is no need for them in the pharmacy. As such, they are there for a pharmacy that only uses VISTA without online order entry.
Select Supervisor's Menu Option: order Set Enter/Edit
Select ORDER SET: DETOX ORDERS
Are you adding 'DETOX ORDERS' as
a new UNIT DOSE ORDER SET (the 1ST)? No// Y (Yes)
NAME: DETOX ORDERS//
Select ORDERABLE ITEM: CLONIDINE
1 CLONIDINE TAB
2 CLONIDINE PATCH
3 CLONIDINE ER TAB
CHOOSE 1-3: 1 CLONIDINE TAB
Are you adding 'CLONIDINE' as a new ORDERABLE ITEM? No// Y (Yes)
DOSAGE ORDERED: ?
Answer must be 1-60 characters in length.
DOSAGE ORDERED: ??
This is the total amount of the medication that is to be administered
as one dose, such as '500MG' or '100CC'. This cannot be a number only.
The type of unit (MG, CC, etc.) must be included.
DOSAGE ORDERED: 0.1MG
DAY (nD) OR DOSE (nL) LIMIT:
START DAY AND TIME:
MED ROUTE: PO ORAL PO
SCHEDULE TYPE: O ONE TIME
SCHEDULE: NOW
SPECIAL INSTRUCTIONS:
Select DISPENSE DRUG: CLONIDINE
1 CLONIDINE 0.1MG TAB CV490
2 CLONIDINE 0.2MG TAB CV490
3 CLONIDINE 0.3MG TAB CV490
CHOOSE 1-3: 1 CLONIDINE 0.1MG TAB CV490
Are you adding 'CLONIDINE 0.1MG TAB' as
a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y (Yes)
UNITS PER DOSE: 1
Select DISPENSE DRUG:
Select ORDERABLE ITEM: CLONIDINE PATCH ??
Select ORDERABLE ITEM: CLONIDINE CLONIDINE TAB
...OK? Yes// N (No)
CLONIDI
1 CLONIDINE PATCH
2 CLONIDINE ER TAB
CHOOSE 1-2: 1 CLONIDINE PATCH
Are you adding 'CLONIDINE' as a new ORDERABLE ITEM? No// Y (Yes)
DOSAGE ORDERED: ?
Answer must be 1-60 characters in length.
DOSAGE ORDERED: 0.2MG/WEEK
DAY (nD) OR DOSE (nL) LIMIT:
START DAY AND TIME:
MED ROUTE: po ORAL PO
SCHEDULE TYPE: C CONTINUOUS
SCHEDULE: QWEEKLY 09
SPECIAL INSTRUCTIONS:
Select DISPENSE DRUG: CLONIDI
1 CLONIDINE 0.1MG/DAY TRANSDERMAL SYS CV490
2 CLONIDINE 0.2MG/DAY TRANSDERMAL SYS CV490
3 CLONIDINE 0.3MG/DAY TRANSDERMAL SYS CV490
CHOOSE 1-3: 2 CLONIDINE 0.2MG/DAY TRANSDERMAL SYS CV490
Are you adding 'CLONIDINE 0.2MG/DAY TRANSDERMAL SYS' as
a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y (Yes)
UNITS PER DOSE: 1
Select DISPENSE DRUG:
Select ORDERABLE ITEM: PEPCID FAMOTIDINE TAB
Are you adding 'FAMOTIDINE' as a new ORDERABLE ITEM? No// Y (Yes)
DOSAGE ORDERED: 20MG
DAY (nD) OR DOSE (nL) LIMIT:
START DAY AND TIME:
MED ROUTE: PO ORAL PO
SCHEDULE TYPE: C CONTINUOUS
SCHEDULE: BID 09-21
SPECIAL INSTRUCTIONS:
Select DISPENSE DRUG: FAMOTIDINE 20MG TAB GA301
Are you adding 'FAMOTIDINE 20MG TAB' as
a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y (Yes)
UNITS PER DOSE: 1
Select DISPENSE DRUG:
Select ORDERABLE ITEM: FELDENE PIROXICAM CAP,ORAL
Are you adding 'PIROXICAM' as a new ORDERABLE ITEM? No// Y (Yes)
DOSAGE ORDERED: 20MG
DAY (nD) OR DOSE (nL) LIMIT:
START DAY AND TIME:
MED ROUTE: PO ORAL PO
SCHEDULE TYPE: C CONTINUOUS
SCHEDULE: QDAY 09
SPECIAL INSTRUCTIONS:
Select DISPENSE DRUG: FELDENE PIROXICAM 20MG CAP MS102
Are you adding 'PIROXICAM 20MG CAP' as a new DISPENSE DRUG? No// Y (Yes)
UNITS PER DOSE: 1
Select DISPENSE DRUG:
Select ORDERABLE ITEM: CLONIDINE
1 CLONIDINE TAB
2 CLONIDINE PATCH
CHOOSE 1-2: 1 CLONIDINE TAB
ORDERABLE ITEM: CLONIDINE//
DOSAGE ORDERED: 0.1MG//
DAY (nD) OR DOSE (nL) LIMIT:
START DAY AND TIME:
MED ROUTE: ORAL//
SCHEDULE TYPE: ONE TIME//
SCHEDULE: NOW//
SPECIAL INSTRUCTIONS:
Select DISPENSE DRUG: CLONIDINE 0.1MG TAB//
DISPENSE DRUG: CLONIDINE 0.1MG TAB//
UNITS PER DOSE: 1//
Select DISPENSE DRUG:
Select ORDERABLE ITEM: "CLONIDINE"
1 CLONIDINE TAB
2 CLONIDINE PATCH
3 CLONIDINE ER TAB
CHOOSE 1-3: 1 CLONIDINE TAB
Are you adding 'CLONIDINE' as a new ORDERABLE ITEM? No// Y (Yes)
DOSAGE ORDERED: 0.1MG
DAY (nD) OR DOSE (nL) LIMIT:
START DAY AND TIME:
MED ROUTE: PO ORAL PO
SCHEDULE TYPE: P PRN
SCHEDULE: Q8H 01-09-17
SPECIAL INSTRUCTIONS: FOR SBP > 150
Select DISPENSE DRUG: CLONIDINE
1 CLONIDINE 0.1MG TAB CV490
2 CLONIDINE 0.2MG TAB CV490
3 CLONIDINE 0.3MG TAB CV490
CHOOSE 1-3: 1 CLONIDINE 0.1MG TAB CV490
Are you adding 'CLONIDINE 0.1MG TAB' as
a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y (Yes)
UNITS PER DOSE: 1
Select DISPENSE DRUG:
Select ORDERABLE ITEM: LOPERAMIDE
1 LOPERAMIDE CAP,ORAL
2 LOPERAMIDE LIQUID,ORAL
CHOOSE 1-2: 1 LOPERAMIDE CAP,ORAL
Are you adding 'LOPERAMIDE' as a new ORDERABLE ITEM? No// Y (Yes)
DOSAGE ORDERED: 4MG
DAY (nD) OR DOSE (nL) LIMIT:
START DAY AND TIME:
MED ROUTE: PO ORAL PO
SCHEDULE TYPE: P PRN
SCHEDULE: Q2H PRN??
Enter the schedule for this orderable item.
SCHEDULE: Q2H 01-03-05-07-09-11-13-15-17-19-21-23
SPECIAL INSTRUCTIONS:
Select DISPENSE DRUG: ^SPECIAL INSTRUCTIONS
SPECIAL INSTRUCTIONS: MAX 10MG DAILY
Select DISPENSE DRUG: loperamide 2MG CAP GA208
Are you adding 'LOPERAMIDE 2MG CAP' as a new DISPENSE DRUG? No// y (Yes)
UNITS PER DOSE: 1
Select DISPENSE DRUG:
Select ORDERABLE ITEM: LOPERAMIDE
ORDERABLE ITEM: LOPERAMIDE//
DOSAGE ORDERED: 4MG// 2mg
DAY (nD) OR DOSE (nL) LIMIT: ^DOSAGE ORDERED
DOSAGE ORDERED: 2mg// 2MG
DAY (nD) OR DOSE (nL) LIMIT:
START DAY AND TIME:
MED ROUTE: ORAL// ^DOSE??
MED ROUTE: ORAL// ^DAY (nD) OR DOSE (nL) LIMIT
DAY (nD) OR DOSE (nL) LIMIT: 10L
START DAY AND TIME:
MED ROUTE: ORAL//
SCHEDULE TYPE: PRN//
SCHEDULE: Q2H//
SPECIAL INSTRUCTIONS: MAX 10MG DAILY//
Select DISPENSE DRUG: LOPERAMIDE 2MG CAP//
DISPENSE DRUG: LOPERAMIDE 2MG CAP//
UNITS PER DOSE: 1//
Select DISPENSE DRUG:
Select ORDERABLE ITEM: "LOPERAMIDE"
1 LOPERAMIDE CAP,ORAL
2 LOPERAMIDE LIQUID,ORAL
CHOOSE 1-2: 1 LOPERAMIDE CAP,ORAL
Are you adding 'LOPERAMIDE' as a new ORDERABLE ITEM? No// Y (Yes)
DOSAGE ORDERED: 4MG
DAY (nD) OR DOSE (nL) LIMIT:
START DAY AND TIME: ^DAY (nD) OR DOSE (nL) LIMIT
DAY (nD) OR DOSE (nL) LIMIT: 10L
START DAY AND TIME:
MED ROUTE: ^START DAY AND TIME
START DAY AND TIME: NOW??
Examples of Valid Dates:
JAN 20 1957 or 20 JAN 57 or 1/20/57 or 012057 (omitting punctuation)
T (for TODAY), T+1 (for TOMORROW), T+2, T+7, etc.
T-1 (for YESTERDAY), T-3W (for 3 WEEKS AGO), etc.
If the year is omitted, the computer uses CURRENT YEAR.
A 2-digit year means no more than 20 years in the future, or 80 years in
the past.
If the date is omitted, the current date is assumed.
Follow the date with a time, such as JAN 20@10, T@10AM, 10:30, etc.
You may enter NOON, MIDNIGHT, or NOW to indicate the time.
Time is REQUIRED to be entered.
Enter the day and time after the order is selected that this order should
start.
START DAY AND TIME: NOW??
Examples of Valid Dates:
JAN 20 1957 or 20 JAN 57 or 1/20/57 or 012057 (omitting punctuation)
T (for TODAY), T+1 (for TOMORROW), T+2, T+7, etc.
T-1 (for YESTERDAY), T-3W (for 3 WEEKS AGO), etc.
If the year is omitted, the computer uses CURRENT YEAR.
A 2-digit year means no more than 20 years in the future, or 80 years in
the past.
If the date is omitted, the current date is assumed.
Follow the date with a time, such as JAN 20@10, T@10AM, 10:30, etc.
You may enter NOON, MIDNIGHT, or NOW to indicate the time.
Time is REQUIRED to be entered.
Enter the day and time after the order is selected that this order should
start.
START DAY AND TIME:
MED ROUTE: PO ORAL PO
SCHEDULE TYPE: O ONE TIME
SCHEDULE: NOW
SPECIAL INSTRUCTIONS: MAX 10MG/DAY (5 CAPS)
Select DISPENSE DRUG: ?
You may enter a new DISPENSE DRUG, if you wish
Only dispense drugs that are marked for Unit Dose use and that are
tied to this order's ORDERABLE ITEM are selectable.
Answer with DRUG NUMBER, or GENERIC NAME, or VA PRODUCT NAME, or
NATIONAL DRUG CLASS, or NDC, or [[APPLICATION~|Application]] PACKAGES' USE, or
ATC MNEMONIC, or DRUG TEXT ENTRY, or SYNONYM
Do you want the entire DRUG List? N (No)
Select DISPENSE DRUG: LOPERAMIDE 2MG CAP GA208
Are you adding 'LOPERAMIDE 2MG CAP' as a new DISPENSE DRUG? No// Y (Yes)
UNITS PER DOSE: 2
Select DISPENSE DRUG:
Select ORDERABLE ITEM: ?
Answer with ORDERABLE ITEM
Choose from:
CLONIDINE
CLONIDINE
PIROXICAM
LOPERAMIDE
LOPERAMIDE
FAMOTIDINE
CLONIDINE
You may enter a new ORDERABLE ITEM, if you wish
Enter the orderable item to identify this medication. Each orderable
item chosen is an individual order within the order set.
Answer with PHARMACY ORDERABLE ITEM NAME, or SYNONYM, or
OI-DRUG TEXT ENTRY
Do you want the entire 408-Entry PHARMACY ORDERABLE ITEM List? N (No)
Select ORDERABLE ITEM: PHENRGAN ??
Select ORDERABLE ITEM: PROMETH
1 PROMETHAZINE TAB
2 PROMETHAZINE INJ,SOLN
3 PROMETHAZINE SUPP,RTL
CHOOSE 1-3: 1 PROMETHAZINE TAB
Are you adding 'PROMETHAZINE' as a new ORDERABLE ITEM? No// Y (Yes)
DOSAGE ORDERED: 25MG
DAY (nD) OR DOSE (nL) LIMIT:
START DAY AND TIME:
MED ROUTE: PO ORAL PO
SCHEDULE TYPE: P PRN
SCHEDULE: Q8H 01-09-17
SPECIAL INSTRUCTIONS:
Select DISPENSE DRUG: ^SPECIAL INSTRUCTIONS
SPECIAL INSTRUCTIONS: FOR N/V
Select DISPENSE DRUG: PROMETHAZINE 25MG TAB AH100
Are you adding 'PROMETHAZINE 25MG TAB' as
a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y (Yes)
UNITS PER DOSE: 1
Select DISPENSE DRUG:
Select ORDERABLE ITEM: PROMETHAZINE PROMETHAZINE TAB
...OK? Yes// (Yes)
ORDERABLE ITEM: PROMETHAZINE//
DOSAGE ORDERED: 25MG// ^
Select ORDERABLE ITEM: PROME THAZINE PROMETHAZINE TAB
...OK? Yes// N (No)
PROME
1 PROMETHAZINE INJ,SOLN
2 PROMETHAZINE SUPP,RTL
CHOOSE 1-2: 1 PROMETHAZINE INJ,SOLN
Are you adding 'PROMETHAZINE' as a new ORDERABLE ITEM? No// Y (Yes)
DOSAGE ORDERED: 25MG
DAY (nD) OR DOSE (nL) LIMIT:
START DAY AND TIME:
MED ROUTE: IM INTRAMUSCULAR IM
SCHEDULE TYPE: P PRN
SCHEDULE: Q8H 01-09-17
SPECIAL INSTRUCTIONS:
Select DISPENSE DRUG: PHENERGAN PROMETHAZINE 25MG/ML 1ML INJ AH100
Are you adding 'PROMETHAZINE 25MG/ML 1ML INJ' as
a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y (Yes)
UNITS PER DOSE: 1
Select DISPENSE DRUG:
Select ORDERABLE ITEM: LIBRIUM CHLORDIAZEPOXIDE CAP,ORAL
Are you adding 'CHLORDIAZEPOXIDE' as a new ORDERABLE ITEM? No// Y (Yes)
DOSAGE ORDERED: 25MG
DAY (nD) OR DOSE (nL) LIMIT:
START DAY AND TIME:
MED ROUTE: PO ORAL PO
SCHEDULE TYPE: P PRN
SCHEDULE: Q4H 01-05-09-13-17-21
SPECIAL INSTRUCTIONS:
Select DISPENSE DRUG: LIBRIUM,25LIBRIUM CHLORDIAZEPOXIDE 25MG CAP CN3
02
Are you adding 'CHLORDIAZEPOXIDE 25MG CAP' as
a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y (Yes)
UNITS PER DOSE: 1
Select DISPENSE DRUG:
Select ORDERABLE ITEM: "LIBRIUM" CHLORDIAZEPOXIDE CAP,ORAL
Are you adding 'CHLORDIAZEPOXIDE' as a new ORDERABLE ITEM? No// Y (Yes)
DOSAGE ORDERED: 50MG
DAY (nD) OR DOSE (nL) LIMIT:
START DAY AND TIME:
MED ROUTE: PO ORAL PO
SCHEDULE TYPE: P PRN
SCHEDULE: Q4H 01-05-09-13-17-21
SPECIAL INSTRUCTIONS:
Select DISPENSE DRUG: CHLORA,50 ??
Select DISPENSE DRUG: LIBR,50 ??
Select DISPENSE DRUG: LIBRIUM
1 LIBRIUM CHLORDIAZEPOXIDE 5MG CAP CN302
2 LIBRIUM CHLORDIAZEPOXIDE 10MG CAP CN302
3 LIBRIUM CHLORDIAZEPOXIDE 25MG CAP CN302
CHOOSE 1-3: 3 CHLORDIAZEPOXIDE 25MG CAP CN302
Are you adding 'CHLORDIAZEPOXIDE 25MG CAP' as
a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y (Yes)
UNITS PER DOSE: 2
Select DISPENSE DRUG:
Select ORDERABLE ITEM: AMBIEN ZOLPIDEM TAB
Are you adding 'ZOLPIDEM' as a new ORDERABLE ITEM? No// Y (Yes)
DOSAGE ORDERED: 10MG
DAY (nD) OR DOSE (nL) LIMIT:
START DAY AND TIME:
MED ROUTE: PO ORAL PO
SCHEDULE TYPE: P PRN
SCHEDULE: QHS 21
SPECIAL INSTRUCTIONS: FOR INSOMNIA
Select DISPENSE DRUG: AMBIEN ZOLPIDEM 10MG TAB CN309
Are you adding 'ZOLPIDEM 10MG TAB' as a new DISPENSE DRUG? No// Y (Yes)
UNITS PER DOSE: 1
Select DISPENSE DRUG:
Select ORDERABLE ITEM:
Drug File Advanced Set-up
Auto Stop Dates for specific drugs
Orderable Item -> WARFARIN
Dosage Form -> TAB
Dispense Drugs:
---------------
WARFARIN 1MG TAB N/F
WARFARIN 2.5MG TAB N/F
WARFARIN 5MG TAB N/F
Are you sure you want to edit this Orderable Item? NO// YES
Now editing Orderable Item:
WARFARIN TAB
Orderable Item Name: WARFARIN//
This Orderable Item is Non-Formulary.
This Orderable Item is marked as a Non-VA Med.
Select OI-DRUG TEXT ENTRY:
INACTIVE DATE:
DAY (nD) or DOSE (nL) LIMIT: 4D
MED ROUTE: ORAL//
SCHEDULE TYPE: FILL ON REQUEST//
SCHEDULE: QDAY//
PATIENT INSTRUCTIONS:
Select SYNONYM:
Dose limits for specific drugs
PHARMACY ORDERABLE ITEM List AUG 15,2011@10:03 PAGE 1 NAME DAY (nD) or DOSE (nL) LIMIT -------------------------------------------------------------------------------- ACETAMINOPHEN/CODEINE 4D ACETAMINOPHEN/HYDROCODONE 4D ACYCLOVIR 10D ACYCLOVIR 10D ALPRAZOLAM 4D AMOXICILLIN 10D AMOXICILLIN 10D AMOXICILLIN/CLAVULANATE 10D ATROPINE/DIPHENOXYLATE 4D AZITHROMYCIN 10D AZITHROMYCIN 10D BUPRENORPHINE 4D BUSPIRONE 60L CEFPROZIL 10D CEFTRIAXONE 10D CEPHALEXIN 10D CEPHALEXIN 10D CHLORDIAZEPOXIDE 4D CIPROFLOXACIN 10D CIPROFLOXACIN 10D CLARITHROMYCIN 10D CLINDAMYCIN 10D CLONAZEPAM 4D CLONAZEPAM 4D DEXAMETHASONE/NEOMYCIN/POLYMYXIN B 10D DIAZEPAM 4D DIAZEPAM 4D DOXYCYCLINE 10D DRONABINOL 4D ERYTHROMYCIN 10D ERYTHROMYCIN 10D FLUCONAZOLE 10D GENTAMICIN 10D GENTAMICIN 10D HYDROCORTISONE/NEOMYCIN/POLYMYXIN B 10D HYDROCORTISONE/NEOMYCIN/POLYMYXIN B 10D KETOROLAC 5D LEVOFLOXACIN 10D LOPERAMIDE 16L LORAZEPAM 4D LORAZEPAM 4D METRONIDAZOLE 10D MODAFINIL 4D NITROFURANTOIN 10D NYSTATIN 10D NYSTATIN 10D NYSTATIN 10D OSELTAMIVIR 5D PENICILLIN 10D PENICILLIN G BENZATHINE 10D PENICILLIN G PROCAINE 10D PENICILLIN VK 10D PHENOBARBITAL 4D SULFACETAMIDE 10D SULFAMETHOXAZOLE/TRIMETHOPRIM 10D SULFAMETHOXAZOLE/TRIMETHOPRIM 10D SUMATRIPTAN 12L TEMAZEPAM 4D WARFARIN 4D ZANAMIVIR 10D ZIPRASIDONE 40L ZOLMITRIPTAN 10L ZOLMITRIPTAN 10L ZOLPIDEM 4D
