EHR Tips and Tricks

Order Dialog “Pop-Ups” Providers can have a variety of “messages” when ordering a medication: – Display Restrictions/Guidelines – Pop-up Messages – Comments Box Important to limit the amount of these messages Too many messages=NO Message Heard!

Display Restrictions/Guidelines:

Appearance on the GUI:

Display Restrictions/Guidelines: Where is this located within PDM? Orderable Item -> CEFPROZIL 250MG/5ML Dosage Form -> SUSP,ORAL Dispense Drugs: CEFPROZIL 250MG/5ML SUSP Are you sure you want to edit this Orderable Item? NO// YES Now editing Orderable Item: CEFPROZIL 250MG/5ML SUSP,ORAL Orderable Item Name: CEFPROZIL 250MG/5ML// Select OI-DRUG TEXT ENTRY: CEFPROZIL 15MG/KG/DAY (PHAR/TONS) INACTIVE DATE: DAY (nD) or DOSE (nL) LIMIT: MED ROUTE: SCHEDULE TYPE:

“Pop-up” Messages

CHOOSE 1-2: 1 DORZOLAMIDE 2% 10ML OPH SOLN OP *RESTRICTED TO OPTOMETRY* RESTRICTED TO LAWTON ******************************************************************************* This entry is marked for the following PHARMACY packages: Outpatient Unit Dose Non-VA Med GENERIC NAME: DORZOLAMIDE 2% 10ML OPH SOLN Replace VA CLASSIFICATION: OP109// DEA, SPECIAL HDLG: 6P// NATIONAL FORMULARY INDICATOR: YES LOCAL NON-FORMULARY: VISN NON-FORMULARY: Select DRUG TEXT ENTRY: Select FORMULARY ALTERNATIVE: Select SYNONYM: // SYNONYM: // INTENDED USE: DRUG ACCOUNTABILITY// NDC CODE: // Select SYNONYM: MESSAGE: *RESTRICTED TO OPTOMETRY* Replace

Comments Box

NAME: PSOZ OFLOXACIN 0.3% OTIC 10 DROPS BID 10DAYS Replace DISPLAY TEXT: Ofloxacin otic 10 drops bid x10d (14yo to adult) Replace VERIFY ORDER: YES// DESCRIPTION: No existing text Edit? NO// Medication: OFLOXACIN SOLN,OTIC // Complex dose? NO// Dose: 10 DROPS 0.3%// Route: OTIC// Schedule: BID// Chronic Med?NO// Days Supply: 10// 5 Quantity (ML): 20// Refills (0-11): 0// Pick Up: WINDOW// Priority: ROUTINE// Comments: FOR 14 YEAR OLDS TO ADULTS

Pre-Mix IV Solutions Many antibiotics now come as “Pre-Mixes” – Examples: Cipro 400mg in 200mL D5W Metronidazole 500mg in 100mL NS Clindamycin 300mg in 50mL D5W – How are these entered into the Drug File? IV Package? Quick Order Set-Up? Finishing Orders, etc….

Pre-Mix IV Solutions Drug Enter/Edit – Generic Name: CIPROFLOXACIN 400mg/200mL D5W (INJ) Orderable Item Orderable Item -> CIPROFLOXACIN 400MG IN 200ML D5W Dosage Form -> INJ,SOLN Dispense Drugs: CIPROFLOXACIN 400MG/200ML D5W (INJ) CIPROFLOXACIN 400MG/200ML 200 ML (S) IV Package – Marked as an IV Solution Print Name: CIPROFLOXACIN 400MG/200ML

Pre-Mix IV Solutions Quick Orders NAME: PSJIVZ CIPROFLOXACIN 400MG IVPB Q12H Replace DISPLAY TEXT: Ciprofloxacin 400mg IVPB Q12H Replace VERIFY ORDER: YES// DESCRIPTION: No existing text Edit? NO// Medication: CIPROFLOXACIN 400MG IN 200ML D5W INJ,SOLN // Complex dose? NO// Dose or Rate: 400MG/200ML PREMIXED BAG 2MG/ML Replace Route: INTRAVENOUS// Schedule: Q12H// Give First Dose NOW? NO// Priority: ROUTINE// Comments: No existing text Edit? No// (No)

Pre-Mix IV Solutions Finishing the Order Select Item(s): Next Screen// FN Finish COMPLETE THIS ORDER AS IV OR UNIT DOSE? IV// IV IV TYPE: PIGGYBACK Select ADDITIVE: Select SOLUTION: CIPROFLOXACIN 400MG/200ML 200 ML INFUSION RATE: 60 INFUSE OVER 60 MIN. WARNING, You have not defined an additive.