Pharmacy Inpatient Setup
From VistApedia
Inpatient Pharmacy took a good while to set-up. Here are my notes on how I have done that. I have only done Unit Dose though. Questions: Post on the hardhats Google Group. http://groups.google.com/group/hardhats.
Contents
- 1 Prerequisites for Set-up
- 2 Printers Configuration
- 3 Schedule Set-up
- 4 Drug File Set-up
- 5 IV Room Set-up
- 6 System Parameters
- 7 Ward Parameters Set-up
- 8 Medication Distribution Set-up
- 9 Entering DEA Numbers
- 10 Entering and Configuring Pharmacy Users
- 11 Patient Medication Information Sheets Set-up
- 12 Order Set Creation
- 13 Drug File Advanced Set-up
Prerequisites for Set-up
- MAS Wards and Rooms have to be completely configured before you start configuring Inpatient Pharmacy, as Inpatient Pharmacy Parameters references them.
- Menu: PSJU MGR
- Key: PSJU MGR for access to the Supervisor Menu
- Menu: PSS MGR (No keys necessary except for entering drugs)
Printers Configuration
You can be of course a high tech place with Automatic Drawers (Pyxii or OmniCells), ATCs and BCMA. This section is for the rest of us who may need printed MARs, Pick Lists to fill the Carts, and Labels to send new medications to the Wards.
For general help setting up printers on Unix, go here: Setting up a Linux Printer. The authors (including me) don't cover how to add a printer to Unix using cups; you should find how to do that yourself. We cover how to add a Unix Printer to VISTA.
The following to help you configure the various printer types that Inpatient Pharmacy uses.
Pick Lists
Pick lists print on normal paper. Configure a printer with the following SubType: P-HPLJ4SI-P12
NAME: P-HPLJ4SI-P12 SELECTABLE AT SIGN-ON: NO RIGHT MARGIN: 96 FORM FEED: # PAGE LENGTH: 57 BACK SPACE: $C(8) OPEN EXECUTE: W $C(27,69),$C(27),"&l0O",$C(27),"(0N",$C(27),"(s0p12h0s0b4099T" ,$C(27),"&k2G" S $X=0 DESCRIPTION: HP JL4Si 12 pitch Courier
Labels
VISTA UD Package expects 15/16" high 3.5 wide labels 2 across in a dot-matrix label printer. It's hardcoded in the Mumps routines. So hardcoded that you can only change labels with difficulty. If you have Zebras, Medsphere has written code to do Zebras in OpenVista. As to what Printer SubType to use, that depends on the printer. I have an Epson FX-890 and it took me a couple of weeks of trial and error to get this SubType I made: P-EPSON-DM-P15-5L
NAME: P-EPSON-DM-P15-5L RIGHT MARGIN: 132 FORM FEED: "" PAGE LENGTH: 5 BACK SPACE: $C(8) OPEN EXECUTE: W *27,"@",*27,"g",*27,"2",*27,"C",*5,*27,"0",*27,"N",*1,*27,"k", *1,*27,"2" DESCRIPTION: Epson Dot-Matrix 15 cpi/5 lpi OPEN EXECUTE DESCRIPTION: *27,"@", Reset *27,"g", 15 cpi *27,"2", 1/6 in line spacing *27,"C",*5, Page Length = 5 * 1/6 in = 5/6 in *27,"0", 1/8 in line spacing *27,"N",*1, Bottom Margin = 1 * 1/8 = 1/8 in *27,"k",*1, Font = Sans Serif *27,"2" 1/6 in line spacing
To my disappointment, if you put anything in the close execute, it will be executed even if you do nothing in the Unit Dose package but browse a patient. This caused the labels to "jiggle". I had to remove close executes after all. The other funny thing I discovered is that the UD package does not send any form feeds to move to the next label: just an line feed. It's very unorthodox, making it difficult to write correct sequences, until I figured out that it 'guesses' the next label by doing a line feed and (after a lot of testing the disbelief from me) it works okay.
MARs
If you are not using BCMA for eMARs, you will need paper MARs. VISTA can print MARs for Paper Documentation, with Active Medications Pre-Printed. I tried printing them as Portrait; and for a while, I couldn't get to print them as Landscape until I wrote the exact correct PCL for me. My nurses prefer the Landscape version. Here are the subtypes you need for MARs:
Portrait:
NAME: P-HPLJ2-P16 SELECTABLE AT SIGN-ON: NO RIGHT MARGIN: 132 FORM FEED: # PAGE LENGTH: 80 OPEN EXECUTE: W *27,"E",*27,"(8U",*27,"(s0P",*27,"(s16H",*27,"(s9V",*27,"(s0S" ,*27,"(s-3B",*27,"(s0T",*27,"&l88P",*27,"&a255M",*27,"&k2S",*27,"&l8D",*27,"&s1C ",*27,"&k2G" CLOSE EXECUTE: W *27,"E"
Landscape:
NAME: P-HPLJ2-P16-LS SELECTABLE AT SIGN-ON: NO RIGHT MARGIN: 132 FORM FEED: # PAGE LENGTH: 80 OPEN EXECUTE: W *27,"E",*27,"&l1O",*27,"(8U",*27,"(s0P",*27,"(s16H",*27,"(s9V" ,*27,"(s0S",*27,"(s-3B",*27,"(s0T",*27,"&l88P",*27,"&l0E",*27,"&l0L",*27,"&a18L" ,*27,"&k2S",*27,"&l8D",*27,"&s1C",*27,"&k2G" CLOSE EXECUTE: W *27,"E"
Pre-Exchange Report
I found most printer types work fine here. I just use the Pick List definition.
Schedule Set-up
Find the Hospital's policy for their Administration Times, prohibited abbreviations, and whether some wards get specific administration times. In my case, the Children's Ward had different administration times. You may delete Schedules are not used.
Menu: PSS MGR > Standard Schedule Edit
My end result:
<code> ADMINISTRATION SCHEDULE List AUG 11,2011@14:41 PAGE 1 NUMBER: 51 NAME: 5/D STANDARD ADMINISTRATION TIMES: 09-12-15-18-21 FREQUENCY (IN MINUTES): 288 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: FIVE TIMES DAILY NUMBER: 42 NAME: AC STANDARD ADMINISTRATION TIMES: 07-11-16 FREQUENCY (IN MINUTES): 480 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: BEFORE MEALS NUMBER: 2 NAME: BID STANDARD ADMINISTRATION TIMES: 09-21 FREQUENCY (IN MINUTES): 720 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: TWICE A DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-20 NUMBER: 46 NAME: IMODIUM PRN FREQUENCY (IN MINUTES): 60 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: PRN OUTPATIENT EXPANSION: INITIAL 2 CAP THEN 1 CAP AFTER LS - MAX 8 NUMBER: 36 NAME: MO-WE-FR STANDARD ADMINISTRATION TIMES: 09 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS NUMBER: 47 NAME: NITRATE FREQUENCY (IN MINUTES): 300 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS NUMBER: 27 NAME: NOW PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: ONE-TIME NUMBER: 35 NAME: ONCE STANDARD ADMINISTRATION TIMES: 1600 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: ONE-TIME MAX DAYS FOR ORDERS: 1 NUMBER: 43 NAME: PC STANDARD ADMINISTRATION TIMES: 0830-1230-1830 FREQUENCY (IN MINUTES): 480 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: AFTER MEALS NUMBER: 11 NAME: Q12H STANDARD ADMINISTRATION TIMES: 09-21 FREQUENCY (IN MINUTES): 720 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 12 HOURS WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-20 NUMBER: 38 NAME: Q2H STANDARD ADMINISTRATION TIMES: 01-03-05-07-09-11-13-15-17-19-21-23 FREQUENCY (IN MINUTES): 120 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 2 HOURS NUMBER: 53 NAME: Q2WEEKS STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 20160 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: Once every 2 weeks WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 5 NAME: Q3H STANDARD ADMINISTRATION TIMES: 01-04-07-10-13-16-19-22 FREQUENCY (IN MINUTES): 180 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 3 HOURS NUMBER: 4 NAME: Q4H STANDARD ADMINISTRATION TIMES: 01-05-09-13-17-21 FREQUENCY (IN MINUTES): 240 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 4 HOURS WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 04-08-12-16-20-24 NUMBER: 50 NAME: Q5MIN FREQUENCY (IN MINUTES): 5 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: Every 5 Minutes NUMBER: 3 NAME: Q6H STANDARD ADMINISTRATION TIMES: 06-12-18-24 FREQUENCY (IN MINUTES): 360 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 6 HOURS NUMBER: 6 NAME: Q8H STANDARD ADMINISTRATION TIMES: 01-09-17 FREQUENCY (IN MINUTES): 480 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 8 HOURS WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-16-24 NUMBER: 7 NAME: QAM STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY MORNING WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 1 NAME: QDAY STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: ONCE A DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 23 NAME: QHS STANDARD ADMINISTRATION TIMES: 21 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: AT BEDTIME WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 20 NUMBER: 10 NAME: QID STANDARD ADMINISTRATION TIMES: 09-13-17-21 FREQUENCY (IN MINUTES): 360 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: FOUR TIMES A DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-12-16-20 NUMBER: 12 NAME: QOD STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 2880 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY OTHER DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 54 NAME: QPM STANDARD ADMINISTRATION TIMES: 05 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: Every Evening NUMBER: 52 NAME: QWEEKLY STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 10080 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: Once a week WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 39 NAME: STAT PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: ONE-TIME NUMBER: 9 NAME: TID STANDARD ADMINISTRATION TIMES: 09-15-21 FREQUENCY (IN MINUTES): 480 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: THREE TIMES A DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-14-20 NUMBER: 41 NAME: TODAY STANDARD ADMINISTRATION TIMES: 1230-1330 FREQUENCY (IN MINUTES): 60 PACKAGE PREFIX: PSO MAX DAYS FOR ORDERS: 1 NUMBER: 40 NAME: TOMORROW STANDARD ADMINISTRATION TIMES: 0815-0915-1015 FREQUENCY (IN MINUTES): 60 PACKAGE PREFIX: PSO TYPE OF SCHEDULE: ONE-TIME MAX DAYS FOR ORDERS: 1 </code>
Drug File Set-up
Entering Drugs
Before you do anything, you need to enter all the drugs that your pharmacy uses from your pharmacy formulary. That will take 1-3 months. Here's how: Enter a Drug. Before I started, I deleted all traces of the old drug file using this routine I wrote: http://bazaar.launchpad.net/~sam-habiel/astronaut-vista-server/enhancements/view/head:/JJIHDCLR.m
Also, I learned it may be better to configure the Schedules first before doing the drugs, as you use Schedules when you make orderable items. So I would recommend that. I didn't do that when I set-up the drug file, so I had to go back and fix some stuff after I was done.
IV Room Set-up
The next step is to set-up the IV Room. While technically not needed if you are only doing Unit Dose, it's required for some options in the UD menu to work.
Select Unit Dose Medications Option: IOE Inpatient Order Entry
Whoops ... You don't have an IV ROOM defined ...
You MUST define at least one IV ROOM before you can continue.
Select IV ROOM: NULL
Are you adding 'NULL' as a new IV ROOM (the 1ST)? No// (No) ??
Select IV ROOM: NULL ROOM
Are you adding 'NULL ROOM' as a new IV ROOM (the 1ST)? No// Y (Yes)
NAME: NULL ROOM//
LENGTH OF LABEL: 5??
Type a whole number between 12 and 66.
LENGTH OF LABEL: 12
WIDTH OF LABEL: ??
Enter the maximum allowable width of your label in number of character
s.
If you do not enter data into this field, the system will use '30' as
the default. If a line of print cannot fit within the width you define
here, it will continue on the next line of the label.
WIDTH OF LABEL: 35
LINE FEEDS BETWEEN LABELS: N??
Type a whole number between 0 and 6.
LINE FEEDS BETWEEN LABELS: 1
END OF LABEL TEXT: **ICH SOUTH**
HEADER LABEL:
SHOW BED LOCATION ON LABEL:
USE SUSPENSE FUNCTIONS:
DOSE DUE LINE:
LVP'S GOOD FOR HOW MANY DAYS: 1
HYPERAL GOOD FOR HOW MANY DAYS: 1
PB'S GOOD FOR HOW MANY DAYS: 1
SYRN'S GOOD FOR HOW MANY DAYS: 1
CHEMO'S GOOD FOR HOW MANY DAYS: 1
STOP TIME FOR ORDER:
EXPIRE ALL ORDERS ON SAME DAY:
ACTIVITY RULER:
TOTAL VOL. ON HYPERAL LABELS:
Select START OF COVERAGE: ??
Select START OF COVERAGE: 0830
Are you adding '0830' as a new START OF COVERAGE (the 1ST for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: A ADMIXTURES AND PRIMARIES
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: "0830"
Are you adding '0830' as a new START OF COVERAGE (the 2ND for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: P PIGGYBACKS
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: "0830"
Are you adding '0830' as a new START OF COVERAGE (the 3RD for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: H HYPERALS
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: "0830 ??
Select START OF COVERAGE: "0830"
Are you adding '0830' as a new START OF COVERAGE (the 4TH for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: S SYRINGE
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: "0830"
Are you adding '0830' as a new START OF COVERAGE (the 5TH for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: C CHEMOTHERAPY
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: ?
Answer with START OF COVERAGE
Choose from:
1 0830
A covering from 0830 to 1700
2 0830
P covering from 0830 to 1700
3 0830
H covering from 0830 to 1700
4 0830
S covering from 0830 to 1700
5 0830
C covering from 0830 to 1700
You may enter a new START OF COVERAGE, if you wish
Answer must be in military time (i.e., 4 NUMBERS)!
Select START OF COVERAGE:
Select DELIVERY TIME: 1500
Are you adding '1500' as a new DELIVERY TIME (the 1ST for this IV ROOM)? No//
Y (Yes)
Select DELIVERY TIME:
LABEL DEVICE: HOME// TELNET
REPORT DEVICE: HOME// TELNET
INACTIVATION DATE:
DAYS TO RETAIN IV STATS:
You are signed on under the NULL ROOM IV ROOM
Current IV LABEL device is: TELNET
Current IV REPORT device is: TELNET
System Parameters
Go to Supervisor Menu > PARameters Edit Menu > Systems Parameters Edit
Select PARameters Edit Menu Option: systems Parameters Edit
NON-FORMULARY MESSAGE:
THERE ARE NO LINES!
Edit? NO// y YES
[ WRAP ]==[INSERT ]=========< NON-FORMULARY MESSAGE [Press <F1>H for help]====
This drug is non-formulary. Please contact the Inpatient Pharmacy before
ordering.
PRINT 6 BLOCKS FOR THE PRN MAR: 1 YES ''Recommended''
PRINT DIET ABBR LABEL ON MAR: ''Don't turn on unless you use Dietetics''
MAR SORT: ?
Choose from:
0 Sort by order's Schedule Type and then Medication Names.
1 Sort by order's Medication Names.
MAR SORT: 0 Sort by order's Schedule Type and then Medication Names.
ATC SORT PARAMETER:
CALC UNITS NEEDED PRN ORDERS: ?
Enter a 1 if you would like to have the UNITS NEEDED calculated for PRN
orders on the Pick List.
Choose from:
1 YES
CALC UNITS NEEDED PRN ORDERS:
DAYS UNTIL STOP FOR ONE-TIME: 1
ROUND ATC PICK LIST UNITS:
EXPIRED IV TIME LIMIT: ?
Type the Number of Hours between 0 and 24 that continuous IV orders may be
renewed after expiring
EXPIRED IV TIME LIMIT:
PRIORITIES FOR PENDING NOTIFY: ?
Choose from:
S STAT
SA STAT/ASAP
SAN STAT/ASAP/NOW
A ASAP
AN ASAP/NOW
N NOW
SN STAT/NOW
PRIORITIES FOR PENDING NOTIFY:
PRIORITIES FOR ACTIVE NOTIFY:
Ward Parameters Set-up
To reach this menu, you need to go to Supervisor Menu > PARameters Edit Menu. What you do here is configure the parameters for how Inpatient Pharmacy will behave for the Ward (or as Americans like to call it nowadays: Unit). You need to collect the following information:
- When do Orders have to get renewed? That will you Days until stop.
- When should Orders stop when they expire? That's called the "Order Wall".
- When should the Start Date be? As soon as the med is ordered, or at the next admin time?
- Are you going to print labels when you process the orders? When?
Here's an example for one ward I configured. All my other wards look the same
Select Supervisor's Menu Option: PARameters Edit Menu
AUto-Discontinue Set-Up
IUP Inpatient User Parameters Edit
IWP Inpatient Ward Parameters Edit
Clinic Definition
Systems Parameters Edit
Select PARameters Edit Menu Option: IWP Inpatient Ward Parameters Edit
Select WARD: ?
You may enter a new INPATIENT WARD PARAMETERS, if you wish
Enter a ward for which you want to tailor the Inpatient Medication
package.
Answer with WARD LOCATION NAME
Do you want the entire 15-Entry WARD LOCATION List? Y (Yes)Choose from:
1St Floor *** INACTIVE ***
Adolescent 2L 201-213 South
to exit:
Child 2R 214-225 South
Dapa 3R 314-326
General/adult 3L 300-313 South *** INACTIVE ***
Hinniker 1R 118-129 South *** INACTIVE ***
Ichs Admissions *** INACTIVE ***
Ichs Adolescent *** INACTIVE ***
Ichs Adult *** INACTIVE ***
Ichs Beds *** INACTIVE ***
Ichs Child *** INACTIVE ***
Ichs Dapa *** INACTIVE ***
Ichs Hiniker *** INACTIVE ***
Intracare Hospital System *** INACTIVE ***
Restore 1L 101-111 South
Select WARD: RESTORE 1L 101-111 SOUTH
Are you adding 'Restore 1L 101-111 South' as
a new INPATIENT WARD PARAMETERS (the 1ST)? No// Y (Yes)
DAYS UNTIL STOP DATE/TIME: 30
DAYS UNTIL STOP FOR ONE-TIME: 1
SAME STOP DATE ON ALL ORDERS: Y YES
TIME OF DAY THAT ORDERS STOP: 2359
DEFAULT START DATE CALCULATION: ?
Enter "0" to use the closest admin time, "1" to use the next admin time,
or "2" to use "now" as the default start time for orders.
Choose from:
0 USE CLOSEST ADMIN TIME AS DEFAULT
1 USE NEXT ADMIN TIME AS DEFAULT
2 USE NOW AS DEFAULT
DEFAULT START DATE CALCULATION: 1 USE NEXT ADMIN TIME AS DEFAULT
START TIME FOR 24 HOUR MAR: 1500
LABEL FOR WARD STAFF: ?
Choose from:
0 NO LABELS
1 FIRST LABEL ON ORDER ENTRY/EDIT
2 LABEL ON ENTRY/EDIT AND VERIFICATION
3 FIRST LABEL ON NURSE VERIFICATION
LABEL FOR WARD STAFF: 0 NO LABELS
WARD LABEL PRINTER POINTER:
LABEL FOR PHARMACY: ?
Choose from:
0 NO LABELS
1 FIRST LABEL ON ORDER ENTRY/EDIT
2 LABEL ON ENTRY/EDIT AND VERIFICATION
3 FIRST LABEL ON PHARMACIST VERIFICATION
LABEL FOR PHARMACY: 3 FIRST LABEL ON PHARMACIST VERIFICATION
PHARMACY LABEL PRINTER POINTER: PHAR
1 PHAR-IP-DM Inpatient Pharmacy Dot-Matrix PHAR-IP-DM
2 PHAR-IP-LS IP Pharmacy Landscape <pipe>
CHOOSE 1-2: 1 PHAR-IP-DM Inpatient Pharmacy Dot-Matrix PHAR-IP-DM
LABEL ON AUTO-DISCONTINUE: ?
Answer 'YES' to have labels created when this ward's patients' orders are
auto-discontinued.
Choose from:
1 YES
0 NO
LABEL ON AUTO-DISCONTINUE: 0 NO
MAR HEADER LABELS: ?
Enter "YES" if MAR header labels should be generated for this ward.
Choose from:
1 YES
MAR HEADER LABELS: 1 YES
DAYS NEW LABELS LAST: ?
Enter a whole number between 0 and 35.
ANY NEW LABELS OLDER THAN THE NUMBER OF DAYS SPECIFIED HERE WILL
AUTOMATICALLY BE PURGED.
DAYS NEW LABELS LAST: ?
Enter a whole number between 0 and 35.
ANY NEW LABELS OLDER THAN THE NUMBER OF DAYS SPECIFIED HERE WILL
AUTOMATICALLY BE PURGED.
DAYS NEW LABELS LAST: 1
MAR ORDER SELECTION DEFAULT: ?
Answer must be 1-10 characters in length.
Enter the number corresponding to the type of orders to be included on
MARs printed for this ward. Multiple types (except 1) may be selected
using "-" or "," as delimiters.
Choose from:
1 - All Medications
2 - Non-IV Medications only
3 - IV Piggybacks
4 - LVPs
5 - TPNs
6 - Chemotherapy Medications (IV)
MAR ORDER SELECTION DEFAULT: 2
2 - Non-IV Medications only
PRINT PENDING ORDERS ON MAR: ?
Enter YES to include acknowledged pending orders on the MARs
Choose from:
1 YES
PRINT PENDING ORDERS ON MAR: ??
Enter YES to include the pending orders that were acknowledged by a nurs
e
on the MARs and the Medication Due Worksheet.
Choose from:
1 YES
PRINT PENDING ORDERS ON MAR:
'SELF MED' IN ORDER ENTRY:
PRE-EXCHANGE REPORT DEVICE: ?
Enter a device on which the Pre-Exchange Report may be printed.
Answer with DEVICE NAME, or LOCAL SYNONYM, or $I, or VOLUME SET(CPU), or
SIGN-ON/SYSTEM DEVICE, or FORM CURRENTLY MOUNTED
Do you want the entire DEVICE List? N (No)
PRE-EXCHANGE REPORT DEVICE: PHAR-IP-LS IP Pharmacy Landscape <pipe>
STAT NOW MAIL GROUP: ?
Answer with MAIL GROUP NAME
Do you want the entire 236-Entry MAIL GROUP List? N (No)
STAT NOW MAIL GROUP: PSJ
1 PSJ STAT NOW ACTIVE ORDER
2 PSJ STAT NOW PENDING ORDER
3 PSJ-ORDERS REINSTATED
CHOOSE 1-3: 2 PSJ STAT NOW PENDING ORDER
PRIORITIES FOR NOTIFICATION: ?
Choose from:
S STAT
SA STAT/ASAP
SAN STAT/ASAP/NOW
A ASAP
AN ASAP/NOW
N NOW
SN STAT/NOW
PRIORITIES FOR NOTIFICATION: SAN STAT/ASAP/NOW
Medication Distribution Set-up
Here we set-up the Administeration Teams (VISTA's fancy term for Medication Carts) and configure how Pick Lists will behave.
Set-up Administering Teams
Select Core Applications Option: UD Unit Dose Medications
(Inpatient Medications - Version 5.0 04/16/99)
HI, HABIEL,SAM! (PHARMACIST & PROVIDER)
Align Labels (Unit Dose)
Discontinue All of a Patient's Orders
EUP Edit Inpatient User Parameters
Hold All of a Patient's Orders
IOE Inpatient Order Entry
IPF Inpatient Profile
INQuiries Menu ...
Label Print/Reprint
Non-Verified/Pending Orders
Order Entry
PAtient Profile (Unit Dose)
Reports Menu ...
Supervisor's Menu ...
Select Unit Dose Medications Option: SUPERvisor's Menu
Administering Teams
Clinic Groups
MANagement Reports Menu ...
Non-Standard Schedule Report
Non-Standard Schedule Search
Order Set Enter/Edit
PARameters Edit Menu ...
PATient Order Purge
**> Out of order: TEMPORARILY UNAVAILABLE
PIck List Menu ...
Ward Groups
Select Supervisor's Menu Option: ADMINistering Teams
Select WARD: CHILD 2R 214-225 SOUTH
Are you adding 'Child 2R 214-225 South' as
a new MEDICATION ADMINISTERING TEAM (the 1ST)? No// Y (Yes)
Select TEAM: CHILDREN
Are you adding 'CHILDREN' as a new TEAM? No// Y (Yes)
Select ROOM-BED: 214-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '214-A-ICHS' as a new ROOM-BED (the 1ST for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 214-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '214-B-ICHS' as a new ROOM-BED (the 2ND for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 215-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '215-A-ICHS' as a new ROOM-BED (the 3RD for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 215-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '215-B-ICHS' as a new ROOM-BED (the 4TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 216-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '216-A-ICHS' as a new ROOM-BED (the 5TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 216-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '216-B-ICHS' as a new ROOM-BED (the 6TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 217-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '217-A-ICHS' as a new ROOM-BED (the 7TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 217-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '217-B-ICHS' as a new ROOM-BED (the 8TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 218-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '218-A-ICHS' as a new ROOM-BED (the 9TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 218-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '218-B-ICHS' as a new ROOM-BED (the 10TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 219-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '219-A-ICHS' as a new ROOM-BED (the 11TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 219-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '219-B-ICHS' as a new ROOM-BED (the 12TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 220-1 ??
Select ROOM-BED: 220-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '220-A-ICHS' as a new ROOM-BED (the 13TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 220-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '220-B-ICHS' as a new ROOM-BED (the 14TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 221-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '221-A-ICHS' as a new ROOM-BED (the 15TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 221-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '221-B-ICHS' as a new ROOM-BED (the 16TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 222-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '222-A-ICHS' as a new ROOM-BED (the 17TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 222-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '222-B-ICHS' as a new ROOM-BED (the 18TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 223-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '223-A-ICHS' as a new ROOM-BED (the 19TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 223-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '223-B-ICHS' as a new ROOM-BED (the 20TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 224-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '224-A-ICHS' as a new ROOM-BED (the 21ST for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 224-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '224-B-ICHS' as a new ROOM-BED (the 22ND for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 225-A-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '225-A-ICHS' as a new ROOM-BED (the 23RD for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 225-B-ICHS
WARD(S): ICHS Beds
Child 2R 214-225 South
Are you adding '225-B-ICHS' as a new ROOM-BED (the 24TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: ?
Answer with ROOM-BED
Do you want the entire 24-Entry ROOM-BED List? Y (Yes)
Choose from:
214-A-ICHS
214-B-ICHS
215-A-ICHS
215-B-ICHS
216-A-ICHS
216-B-ICHS
217-A-ICHS
217-B-ICHS
218-A-ICHS
218-B-ICHS
219-A-ICHS
219-B-ICHS
220-A-ICHS
220-B-ICHS
221-A-ICHS
221-B-ICHS
222-A-ICHS
222-B-ICHS
223-A-ICHS
223-B-ICHS
to exit:
224-A-ICHS
224-B-ICHS
225-A-ICHS
225-B-ICHS
You may enter a new ROOM-BED, if you wish
THE ROOM-BED CHOSEN MUST ALREADY BE DEFINED IN THE ROOM-BED FILE.
Answer with ROOM-BED NAME, or WARD(S) WHICH CAN ASSIGN
Do you want the entire ROOM-BED List? N (No)
Select ROOM-BED:
Select TEAM: ?
Answer with TEAM:
CHILDREN
You may enter a new TEAM, if you wish
Answer must be 3-15 characters in length.
ENTER THE NAME OF A TEAM THAT ADMINISTERS MEDICATION ON THIS WARD.
Select TEAM:
Select WARD: ADOLESCENT 2L 201-213 SOUTH
Are you adding 'Adolescent 2L 201-213 South' as
a new MEDICATION ADMINISTERING TEAM (the 2ND)? No// Y (Yes)
Select TEAM: ADOLESCENT
Are you adding 'ADOLESCENT' as a new TEAM? No// Y (Yes)
Select ROOM-BED: 201-A-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '201-A-ICHS' as a new ROOM-BED (the 1ST for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 201-B-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '201-B-ICHS' as a new ROOM-BED (the 2ND for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 202-A-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '202-A-ICHS' as a new ROOM-BED (the 3RD for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 202-B-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '202-B-ICHS' as a new ROOM-BED (the 4TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 203-A-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '203-A-ICHS' as a new ROOM-BED (the 5TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 203-B-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '203-B-ICHS' as a new ROOM-BED (the 6TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 204-A-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '204-A-ICHS' as a new ROOM-BED (the 7TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 204-B-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '204-B-ICHS' as a new ROOM-BED (the 8TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 205-A-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '205-A-ICHS' as a new ROOM-BED (the 9TH for this TEAM)? No// Y
(Yes)
Select ROOM-BED: 205-B-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '205-B-ICHS' as a new ROOM-BED (the 10TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 206-A-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '206-A-ICHS' as a new ROOM-BED (the 11TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 206-B-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '206-B-ICHS' as a new ROOM-BED (the 12TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 207-A-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '207-A-ICHS' as a new ROOM-BED (the 13TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 207-B-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '207-B-ICHS' as a new ROOM-BED (the 14TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 208-A-ICHS
WARD(S): Adolescent 2L 201-213 South
Are you adding '208-A-ICHS' as a new ROOM-BED (the 15TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 208-B-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '208-B-ICHS' as a new ROOM-BED (the 16TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 209-A-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '209-A-ICHS' as a new ROOM-BED (the 17TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 209-B-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '209-B-ICHS' as a new ROOM-BED (the 18TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 210-A-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '210-A-ICHS' as a new ROOM-BED (the 19TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 210-B-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '210-B-ICHS' as a new ROOM-BED (the 20TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 211-A-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '211-A-ICHS' as a new ROOM-BED (the 21ST for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 211-B-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '211-B-ICHS' as a new ROOM-BED (the 22ND for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 212-A-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '212-A-ICHS' as a new ROOM-BED (the 23RD for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 212-B-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '212-B-ICHS' as a new ROOM-BED (the 24TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 213-A-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '213-A-ICHS' as a new ROOM-BED (the 25TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED: 213-B-ICHS
WARD(S): ICHS Beds
Adolescent 2L 201-213 South
Are you adding '213-B-ICHS' as a new ROOM-BED (the 26TH for this TEAM)? No//
Y (Yes)
Select ROOM-BED:
Select TEAM: ADOLESCENT
TEAM: ADOLESCENT//
Select ROOM-BED: 213-B-ICHS// ??
Choose from:
201-A-ICHS
201-B-ICHS
202-A-ICHS
202-B-ICHS
203-A-ICHS
203-B-ICHS
204-A-ICHS
204-B-ICHS
205-A-ICHS
205-B-ICHS
206-A-ICHS
206-B-ICHS
207-A-ICHS
207-B-ICHS
208-A-ICHS
208-B-ICHS
209-A-ICHS
209-B-ICHS
210-A-ICHS
to exit:
210-B-ICHS
211-A-ICHS
211-B-ICHS
212-A-ICHS
212-B-ICHS
213-A-ICHS
213-B-ICHS
You may enter a new ROOM-BED, if you wish
THE ROOM-BED CHOSEN MUST ALREADY BE DEFINED IN THE ROOM-BED FILE. The ROOM-B
ED selected will be listed under the above TEAM and WARD in
PICK LISTS and MAR'S.
Select ROOM-BED: 213-B-ICHS//
Select TEAM: ?
Answer with TEAM:
ADOLESCENT
You may enter a new TEAM, if you wish
Answer must be 3-15 characters in length.
ENTER THE NAME OF A TEAM THAT ADMINISTERS MEDICATION ON THIS WARD.
Set-up Ward Groups
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Entering DEA Numbers
The DEA is a fact of life in the US and is baked into the pharmacy software. Even if you use VISTA outside of the US, you need to set-up DEA#'s/VA#'s in order to be able to order controlled substances. There are two steps: entering an institutional DEA number; then entering each Provider's DEA or VA #.
Enter Institutional DEA #'s
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Enter Providers' DEA #'s or VA #'s
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Entering and Configuring Pharmacy Users
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Patient Medication Information Sheets Set-up
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Order Set Creation
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Drug File Advanced Set-up
Auto Stop Dates for specific drugs
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Dose limits for specific drugs
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