ER10 AdminRX Changes Scheduled for Release 04/12/2010

Override Reasons REQUIRED The ‘Override Button’ Will remain inactive until an Override Reason is chosen.

Drug Barcode Not Scanned Nurses are required to choose an override reason for medications not scanned.

Allergy Alert for Zero Orders Scanning a medication that pharmacy has not profiled AND the patient has a documented allergy for, will fire an Allergy Alert.

Allergy Override for Zero Orders

Hovering Nurses can hover over a medication to see the most recent value.

Most Recent Administration Click ‘Show all result Values’ to see all administrations for that medication.

All Administrations

IV Stock Bottles If a stock bottle is scanned without a corresponding order, the user alerted that no order is found and then is asked to continue or not.

Meds Chart Clicking ‘Meds Chart’ button in CO now takes you to ‘Meds Review’ screen. Click ‘Admin’ to launch ‘Meds Chart’

Meds Chart Now you can administer medications.

Confirming non-CPOE Orders Previously, when confirming non-CPOE medication orders only one screen appeared.

Confirming non-CPOE Orders Now, when confirming orders, two screens will appear.

Confirming Non-CPOE Orders Staff need to refer to the Placer Number to know what to check orders against. If ‘MEDS’ is in this field, verify against paper order.

History View Click ‘History View’ to see Order History.

History View

Confirming CPOE Orders Placer Numbers followed by ‘PCM’ indicate that the order was placed via CPOE”. Nurses can verify the left screen (what pharmacy entered) against right screen (what physician ordered).

CPOE History View Column on the right shows Version 1 (MD), left column shows Version 2 (RX).

Care Organizer Default View

Intra Dermal Site Field A site field is now required when documenting administration of intra dermal injections, such as a PPD.

Chart Intake in Clindoc ONLY! Why? Some nurses chart Intake in ClinDoc while others document in IV Admin. This gives the physician an inconsistent view of intake in OACIS. Nurses often inactivate IV Admin Results in ClinDoc. OACIS does not receive this inactivation leading to inaccurate I&O. ****Note: Continue to hang and end bags in IV Admin but document intake in ClinDoc*****