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EHR Tips and Tricks

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!.

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EHR Tips and Tricks

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  1. EHR Tips and Tricks

  2. 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!

  3. Display Restrictions/Guidelines:

  4. Appearance on the GUI:

  5. 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:

  6. “Pop-up” Messages

  7. CHOOSE 1-2: 1 DORZOLAMIDE 2% 10ML OPH SOLN OP109 -991 *RESTRICTED TO OPTOMETRY* RESTRICTED TO 61314-0019-10 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: 061314001910// SYNONYM: 061314001910// INTENDED USE: DRUG ACCOUNTABILITY// NDC CODE: 061314-0019-10// Select SYNONYM: MESSAGE: *RESTRICTED TO OPTOMETRY* Replace

  8. Comments Box

  9. 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

  10. 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….

  11. 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

  12. Pre-Mix IV Solutions 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) • Quick Orders

  13. 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.

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