1 / 50

The IN Group theingroup

The IN Group www.theingroup.com. Steve Botwinski 573-651-4420 office 573-651-0066 cell steve.botwinski@theingroup.com Worked Magic Hospital for 22 years Worked with The IN Group for 1 year. BLACK BOX WARNING. How do we get the information past pharmacy order entry to other users?.

maris-lambert
Download Presentation

The IN Group theingroup

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The IN Groupwww.theingroup.com • Steve Botwinski • 573-651-4420 office • 573-651-0066 cell • steve.botwinski@theingroup.com • Worked Magic Hospital for 22 years • Worked with The IN Group for 1 year.

  2. BLACK BOX WARNING How do we get the information past pharmacy order entry to other users?

  3. I guess this is one of those new drugs that has a Black Box Warning Associated with it!

  4. Getting Information to Pharmacy • 1. Set up CDS with button for BBW • 2. Set up in CDS short text box to type in short warning for pharmacists. • 3. Write Global rule that if BBW warning exists then warn pharmacists and display message. • 4. Can have rule to remind Pharmacist to print monograph to patient location.

  5. http://www.formularyproductions.com

  6. Click on Pharmacy Resources

  7. Click on Drugs With Black Box Warnings

  8. Click on Preference of LookupClass, Alpha etc,

  9. Choose Drug Searching ForIn Example Promethazine

  10. Click onDrug

  11. Now we must get the information out to other care providers • In Magic and Client Server • 1. Using PCS, POM, BMV rules • (Magic must be at least 5.6) • Will continue in Client Server 5.6 and afterwards look at other client server versions and Magic.

  12. ***Word of Warning**** • In Client Server 5.6 PCS rules and Magic MAR ADMIN must and only can be written in the line editor in the rules dictionary, you cannot write a NPR rule. • Currently several problems exist in PCS rule writing and are currently in development to fix. ( I will explain issues as we get to them)

  13. PCS RULE

  14. FILL IN PAGE 1

  15. GO TO EDITOR SCREEN

  16. TYPE: LINE

  17. IN MOST CASES YOU WANT THE BBW TO POP UP ANY TIME THE MEDICATION IS ADMINISTERED FOR THE NURSE TO SEE. • BUT IN SOME CASES SUCH AS PROMETHAZINE IF THE PATIENT IS OVER 2 YEARS OLD THERE IS NO REASON TO WASTE THE NURSES TIME.

  18. SHOW BBW ALL TIMES GO TO DATAFIELD RX MEDICATION

  19. CHOOSE rx med

  20. COMPARISON IS “EXISTS”so if medication exits activate rule

  21. FIRST PCS RULE ISSUE • *LINK • Choices are “AND” “OR” “ELSE” • CURRENTLY YOU CAN ONLY USE THE ELSE LINK FOR PCS RULES, IF YOU TRY AND USE THE AND or OR WILL NOT WORK. SO YOU CAN ONLY HAVE ONE COMPARITIVE STATEMENT

  22. BUTTONS • HAVE CHOICE OF “CLOSE” “ERASE” • OR “OVERRIDE”. • If you choose close the warning pops up and the nurse clicks on close and the box goes away with no record that nurse saw or acknowledged the warning. • If you choose override they have to choose a override comment then hit override button and that will get recorded in the order history.

  23. CREATING OVERRIDE BUTTON (MIS DICTIONARY)

  24. CREATE OVERRIDE CATEGORY

  25. CREATE OVERRIDE COMMENT AND LINK TO CATEGORY

  26. PCS RULE ISSUE 2 • When the override box appears the nurse • will hit the up or down arrow to pull up the correct response. IF THERE IS ONLY ONE OVERRIDE COMMENT IT DOES NOT WORK AND THE USER IS STUCK IN AN ENDLESS LOOP AND CANNOT ESCAPE FROM THE RULE BOX. • IN DEVELOPMENT AT MEDITECH • SO ALWAYS HAVE MORE THAN ONE COMMENT ASSOCIATED WITH A CATEGORY

  27. CREATE SECOND COMMENT

  28. ADD BUTTON AND ATTACH CORRECT CATEGORY

  29. NEXT WE ADD THE MESSAGE THE NURSE WILL SEE.THIS IS WHY IT HAS TO BE DONE IN THE LINE EDITOR BECAUSE YOU MUST PUT MESSAGE IN THE LINE EDITOR MESSAGE BOX • Best way to accomplish is to copy and paste from BBW source. Edit to the way you would like it to be seen. • YOU ARE NOT LIMITED TO THE THREE LINES YOU SEE. THE BOX WILL EXPAND SO YOU COULD PASTE A LARGE AMOUNT OF INFORMATION. • **IF IT’S GETS TO LARGE WILL THEY REALLY READ IT???**

  30. Since you can only have one comparative your LINK line will for now be ELSE

  31. AND YOUR RULE MUST END WITH THE “END” LINE WITH OUTCOME OF “OK”

  32. SO THE RULE LOOKS LIKE:

  33. AND WHEN THE NURSE ADMINISTERS THE MED:

  34. Nurse must now choose a override comment, then hit the override button to continue

  35. THERE IS A WARNING NOT TO TAKE THE DRUG IF YOUR BLOOD PRESSURE IS TOO LOW.

  36. SINCE THIS DRUG’S BBW IS FOR CHILDREN ONLY UNDER AGE 2, WHY WOULD WE WANT TO SEE IT FOR AN OLDER PATIENT. • IF YOU HAVE A SINGLE COMPARATIVE WE CAN CHANGE THE RULE TO MAKE THE RULE ONLY SHOW IF THE PATIENT IS UNDER 2 YEARS OLD. • NURSES DON’T NEED TO SEE THINGS THAT ARE NOT RELAVENT TO THEIR PATIENTS.

  37. FUTHER IDEAS • FOR DRUGS THAT THE BBW WARNS TO CHECK, SUCH AS A LAB VALUE OR RESPIRATORY RATE. • YOU CAN CREATE A ASSESMENT SO THE NURSE HAS TO ENTER THE CURRENT RESP RATE. • CREATE A LAB VIEW SO THE NURSE CAN SEE THE CURRENT LAB LEVEL THAT MIGHT BE AFFECTED AND NOTE LAB WAS CHECKED. • YOU CAN ALSO CREATE SPECIALIZED QUERIES IF YOU DESIRE. • THESE ARE ALL ATTACHED TO THE DRUG ON THE PCS TAB OF THE DRUG DICTIOANRY

  38. RULE FOR MAGIC (5.6)

  39. MAGIC MAR ADM RULE

  40. USE ALL THE POSSIBLE CLINICAL TOOLS YOU CAN SO YOU DON’T GET EXPOSED TO PROBLEMS

More Related