EHR Tips and TricksEHR 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,ORALDispense Drugs:---------------CEFPROZIL 250MG/5ML SUSPAre you sure you want to edit this Orderable Item? NO// YES Now editing Orderable Item: CEFPROZIL 250MG/5ML SUSP,ORALOrderable 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 OP109 -991 *RESTRICTED TO OPTOMETRY* RESTRICTED TO 61314-0019-10 LAWTON*******************************************************************************This entry is marked for the following PHARMACY packages:OutpatientUnit DoseNon-VA MedGENERIC NAME: DORZOLAMIDE 2% 10ML OPH SOLN ReplaceVA CLASSIFICATION: OP109//DEA, SPECIAL HDLG: 6P//NATIONAL FORMULARY INDICATOR: YESLOCAL 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

Comments Box

NAME: PSOZ OFLOXACIN 0.3% OTIC 10 DROPS BID 10DAYS ReplaceDISPLAY TEXT: Ofloxacin otic 10 drops bid x10d (14yo to adult) ReplaceVERIFY 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//5Quantity (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,SOLNDispense 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 OrdersNAME: PSJIVZ CIPROFLOXACIN 400MG IVPB Q12H ReplaceDISPLAY TEXT: Ciprofloxacin 400mg IVPB Q12H ReplaceVERIFY 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 ReplaceRoute: INTRAVENOUS//Schedule: Q12H//Give First Dose NOW? NO//Priority: ROUTINE//Comments: No existing text Edit? No// (No)

Pre-Mix IV Solutions

• Finishing the OrderSelect Item(s): Next Screen// FN FinishCOMPLETE THIS ORDER AS IV OR UNIT DOSE? IV// IVIV TYPE: PIGGYBACKSelect ADDITIVE:Select SOLUTION: CIPROFLOXACIN 400MG/200ML 200 MLINFUSION RATE: 60 INFUSE OVER 60 MIN.

WARNING, You have not defined an additive.