SmartChart Dofetilide (Tikosyn) Order Management Effective: February 14, 2012.

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Presentation transcript:

SmartChart Dofetilide (Tikosyn) Order Management Effective: February 14, 2012

Under Favorites CPOE Cardiology 4 New Dofetilide (Tikosyn) Order Sets Click Black Arrow to expand set

*Initial Therapy Order Set Summary of Flow Checkmark appropriate orders: Admission info EKG (if not done in past 24 hrs) Nomogram (already pre-checked) Starting Tikosyn Dose based on Cr Cl Electrolyte Correction prior to therapy Lab Orders Click Enter information in Order Detail Forms that present: Nomogram Order Detail Form (enter the QTc value) Tikosyn Order Detail Form (enter Enter DEA# or License#) Sign See screen prints on next slides.

Initial Starting Dose based on Creatinine Clearance click checkbox for dose: 0.5mg, 0.25mg, or 0.125mg

Continued (Select Lab Orders)

Nomogram – Automatically Opens Provides instructions for Nursing: Physician-entered baseline QTc Interval QTc monitoring & dose adjustment instructions Electrolyte Correction prior to Initial Therapy Before Discharge Instructions See screen print on next slides.

Enter Baseline QTc interval

Nomogram (continued)

Must enter DEA# or State License#

Last Step Sign Initial Therapy Orders

If patient is Admitted on Tikosyn * Use Maintenance Therapy Order Set Enter the Dose, DEA or State License#, Est. Cr Cl See screen print on next slides.

Click Dose Dropdown Enter DEA # or State License # Enter estimated Cr Cl ___mL/min

Last Step Sign Maintenance Therapy Order

To Make a Dose Adjustment *Use Dofetilide (Tikosyn) Dose Adjustment REMINDER: Discontinue Previous Order

Last Step Sign Dose Adjustment Order

Discharge with Tikosyn Click Discharge Order 7 day Take Home Supply Pharmacy will dispense a 7 day supply so patient has time to obtain from a retail pharmacy. See screen print on next slides.

Under Directions Enter the ___mg and ___hours

Last Step Sign Discharge Orders