Pharmacy Inpatient Setup
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
Prerequisites for Set-up
- MAS Wards and Rooms have to be completely configured before you start configuring Inpatient Pharmacy, as Inpatient Pharmacy Parameters reference 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 Enter/Edit
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.
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 3 FIRST LABEL ON NURSE 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 3 FIRST LABEL ON PHARMACIST VERIFICATION LABEL FOR PHARMACY: 3 FIRST LABEL ON PHARMACIST 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
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