Outpatient Pharmacy Quick Orders Urban Health Programs August 2010

Learning Objectives Become familiar with the steps used to create and modify Outpatient Pharmacy Quick Orders Become familiar with the steps used to create and modify Ordering Menus Identify the various namespaces used to identify Quick Orders vs Ordering Menus Perform the steps necessary to create an Order Menu to hang Outpatient Pharmacy Quick Orders

Managing Quick Orders and Menus

Naming Convention for Quick Orders NamespaceDepartment RARadiology LRLab PSOOutpatient meds PSJInpatient (Unit dose) meds PSIVIV meds GMRCConsults ORCPRS (Nursing Orders)

Create/Modify Quick Orders Select QUICK ORDER NAME: PSOZ LISINOPRIL 10MG DAILY NAME: PSOZ LISINOPRIL 10MG DAILY Replace DISPLAY TEXT: Lisinopril 10mg DAILY Replace VERIFY ORDER: YES// DESCRIPTION: 1> ENTRY ACTION: Medication: LISINOPRIL TAB // Complex dose? NO// Dose: 10MG// Route: ORAL// Schedule: DAILY// Chronic Med? YES// Days Supply: 30// Quantity (TAB): 30// Refills (0-11): 11// Pick Up: WINDOW// Priority: ROUTINE// Comments: 1>

Medication: LISINOPRIL TAB 10MG Instructions: 10MG ORAL DAILY Sig: TAKE ONE TABLET BY MOUTH DAILY Days Supply: 30 Quantity (TAB): 30 Refills (0-11): 11 Pick Up: WINDOW Priority: ROUTINE (P)lace, (E)dit, or (C)ancel this quick order? PLACE//

Managing Quick Orders and Menus

Naming Convention for Menus NamespaceDepartment RAZMRadiology LRZMLab PSOZMOutpatient meds PSJZMInpatient (Unit dose) meds PSIVZMIV meds GMRCZMConsults ORZMCPRS (Nursing Orders)

Creating a Menu Create/Modify Order Menus Select ORDER MENU: PSOZM TEST HYPERTENSION MEDS Are you adding 'PSOZM TEST HYPERTENSION MEDS' as a new ORDER DIALOG? No// Y (Yes) Do you wish to copy an existing menu? YES// NO DISPLAY TEXT: Test Hypertension Meds DESCRIPTION: 1> COLUMN WIDTH: 40 MNEMONIC WIDTH: PATH SWITCH: y YES ENTRY ACTION: EXIT ACTION:

Order Menu Setup Actions –Add (enter row and column) –Remove –Edit –Toggle Display (what provider sees vs. actual order) –Assign to User –Order Dialogs (can create quick orders) –Select New Menu

Adding an Item Using the Add option, any quick order created can be placed on the menu. Type the row and column to place the quick order on the menu. Add: menu Menu Items ITEM: PSOZ AMOXICILLIN 250MG TID ROW: 5 COLUMN: 1 DISPLAY TEXT: MNEMONIC

Special Med Quick Orders Clinic Meds (In-House Meds) –Pick up is ADMINISTERED IN CLINIC –Status is ASAP or STAT, not DONE

Review Order Medication: CEFTRIAXONE INJ,SOLN 1GM/VIAL Instructions: 1 GRAM 1GM/VIAL INTRAMUSCULAR Q12H Days Supply: 1 Quantity (VL): 1 Pick Up: ADMINISTERED IN CLINIC Priority: STAT (P)lace, (E)dit, or (C)ancel this quick order? PLACE//

Restrictions/Guidelines

Orderable Item Name: SULFAMETHOXAZOLE/TRIMETHOPRIM Replace This Orderable Item is Formulary. This Orderable Item is marked as a Non-VA Med. Select OI-DRUG TEXT ENTRY: COTRIMOXAZOLE-RENAL DOSING// INACTIVE DATE: DAY (nD) or DOSE (nL) LIMIT: MED ROUTE: SCHEDULE TYPE: SCHEDULE: BID// PATIENT INSTRUCTIONS: FOR INFECTION TREATMENT; TAKE UNTIL FINISHED Replace Select SYNONYM: