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vxBCMA User Manual - The VistA Extension Hub

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1. 1 i 4 Dent ining PRS stants Tine Hadication fraata ent VAT 2 B C Bi Pum 20 Page MALE ERES POR 5 1349 64 He We Ward 2 WARD 67 ADM PLACEMENT Pa TEST PATIENT Lase Hae DIC 31 2019414 13 24 ADMIFEION Ez Ho ADZzr cm fila ilargqies a Figure 28 Example of Medication Administration History Report for Selected Ward for 3 Selected Patients 57 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included Medication Log Displays the medication administration information for specific time frame Select Reports from menu bar Select Medication Log Enter Start Date and Stop Date Enter Start Time and Stop Time Select appropriate Detail s if applicable og FP WN P Report can be previewed or printed by Patient or ward record selected iv Note In order to run report for a specific patient you must first have the patient s selected v Note Select Patient and Click Preview or Print to run report for current Patient dui Medicati
2. 1 Dual Nursing Pharmacy Verification wecisisssssssactsesssscecnssasnsansanuanetacsnssannssannanntannacencnizatanisensaseaacssaainasasanacaes 2 Medication Administration Work eene nnn nnn nnn nnn nnn nnns 2 SIEN ON Tt 3 vXBCMA Enel dee E oic ERR 5 Virtual Due List CO 1 Menu B r TT H E 9 File Menu uiis sas va to cov aun MI EF Eu E SEE EE 9 Menu Bar View 10 Men Baie TRO S gece spend m cU M SR CE esu CO pn da RU Sor rU 11 Menu Bar DU LISL sriain AAN bx IA ES INDE EE 11 SCN Me 13 CPRS Med Order BULtOD i 13 Administering PRN Medication cscnmetacencsidsneunusassstanavecuoaessawsesciseasaaneveacssteesvennuctaneddasannaseasssasnanassuadharassanenmnce 14 Administering Continuous 18 Mark a Medication 21 Missing Dose Request to Pha
3. TIAME iti ZIZTESTPATIENT TWENTYTMINI Ward 26 S SICH 1 IP 023 PRoock Bad CHA BMEPICATION THERAPY Ti 2014B812 57 Figure 30 Medication Therapy Report for Selected Ward for 3 Selected Patients and 2 Selected Medications 65 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included Medication Variance Log Report A variance to the Medication Administration process example report listing medications given before ot after the Administration time Select Reports Select Medication Variance Log Enter Start Date and Stop Date Enter Start Time and Stop Time ao fF oO NM HM Report can be previewed or printed by Patient or ward Note In order to run report for a specific patient you must first have the patient s record selected selected v Note Select Patient and click Preview or Print to run report for current Patient Medication Variance Log x Medication Variance iat Stop Date EZEL F Slat Time ono 2400 by Patent Ward Enchase Inactive Wadi Pit byad Opio 777 7 7 7 7 ext bu en E Sot March 2014 vxBCMA User Manual 66 Note All patient data in this document is fictitious No Protected Health Information PHI is included Medication
4. 55H Acton Date Time 25 Medea ACETAMINOPHEN FEVERALL ection Sr nv Bea TAMENOPHEN 12046 RTL SP EL March 2014 vxBCMA User Manual 38 Note All patient data in this document is fictitious No Protected Health Information PHD is included To Edit Units column Right click on the Units cell you want to edit Select Edit from the drop down menu Enter new value for Units Press the lt gt key e O NM P Pee Pian SITES TPATR RT 8 Drama m E entered BCMA Edit Med Log Patient Name ZZTESTPATIENT THIRTYFIVE Admin Status J SSM ee Acton Date T ime 25 20417 54 Medicabon ACETAMINOPHEN FEVERALL rection ore ny Juries EFt erer 190 Crisrscterg Mesra Tihe Edi Medication Lag does superet PRIN required pem toret ACETAMINOPHEN 120MG RTL SUPP ot click Cancel to cancel the changes 39 vxBCMA User Manual aa Pesi ham TaN TTRI 8 ha Tm 2 ST al rT 1 ACEDABBBEGPHEHGEDVEPRRA c5 AL Tl M Note vx BCMA will not save changes to the Medication Log unt
5. EE EEE EPP HEP ICATION DUE LIST for 20 201490001 ro 20 201482900 Dare HAR ZO 201418 10 dale Type ta Cantinas OnCall OnaTima Page 1 rder Unit Figure 27 Example of Due List by Selected Ward March 2014 vxBCMA User Manual 54 Note All patient data in this document is fictitious No Protected Health Information PHD is included Medication Administration History Report Report displaying extensive medication history for 7 days or less Select Reports from the menu bat Select Medication Admin History Enter Start Date and Stop Date P Report can be previewed or printed by Patient or ward iv Note In order to run report for a specific patient you must first have the patient s record selected Note Select Patient and Click Preview or Print to run report for current Patient selected Medication Admin History Med Adnin History Dial Stop Dal F 55 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included Medication Admin History Med Admin History Start Date top Date 7 3 4 2014 3720 2014 Print Patent 6 wad 3WARD 67 ADM PLACEMENT NURS UNIT v Exclude Inactive Wands
6. March 2014 vxBCMA User Manual 42 Note All patient data in this document is fictitious No Protected Health Information PHI is included Patient Ward Administration Times PATIENT ADMINISTRATION TIMES Bun Darts 19 2014911 15 ADMINISTRATION DATE MAR 19 2014 te MAR 19 2014 Page 1 Patient ZZTESTFATIENT FOUR FEMALE DOB MAR 11 1959 55 FEMALE Ht Wt 182em 81kg Ward 3 WARD 66 INTENSIVE Pa Dx ILL Last DEC 24 20138008 00 ADMISSION Ho ADRs on file Allergies Ho Allergy SE PP PPP Date Time Self Hed Hedicatian Doge sy Rewk 5 MAR 18 2014 9 TYLEHOL Dosage zz Hc Foute PO ORAL E TYLENOL
7. EPS 112321119 1 23 92400 ur Active BALLOFEM TAH THG POJORAL FAH bcr muscis spacm skathicis 11422921143 8x24 DID E Acre C TAS SMG ALOR DUE FOR ANTHNHFLSMBMATO 31242752100 U 124057400 ub C TAS ALOR DUE 13 15 200 FOR 124225091 000 03 5254 DO E ur F TAE ALOR OH PXIH FEVEH ZT 10101500 1 7285 2400 up P POOR OH MODERATE RAMP WER DOT 5000 Lig Peas DO Adre FP ALOH MG OH SIMTH REG STARE 15HL FODRAL OHH Gl 10101500 uo Ache P CAP ORAL SOM POURS Are amaa Sate F DIPHENHTDAAMIHE INJ SOLN INT EPS 10710221500 01 2 52400 Uo Active F MLE MAGHESIA SUSPIORAL POYORAL G24H PRN CONSTIPATIDN TOv T0 0 11 DII LID P GASAPENTIN CAF ORAL SMG GH FOR AKDJETTAAGITATIQ TOT 1606 LID F HIBSCLEHS MEE SMALL AMOUN DAIL FOR MRSAJNFECTED W 10 1011 01 720274 00 Figure 8 File Menu Options File Menu option Descriptions Open Patient Record opens new patient record Open Limited Access user has Limite
8. Also called PRF or Patient Flag The Patient Record Flag alerts OMH employees to patients whose behavior or characteristics may pose a threat either to their safety the safety of other patients or compromise the delivery of quality health care A report that displays all active PRF assignments associated with a patient Applicable National Category I and Local Category flag types are displayed A message that displays when a patient s record is opened or the Unit Dose or IVP IVPB Medication Tab is viewed for the first time It indicates that the patient has had a movement type usually a transfer within the site definable parameter and the last action for the medication occurred before the movement but still within the defined timeframe An order entered by a provider through CPRS without Pharmacy personnel verifying the order The abbreviation for Patient Record Flag See definition under Patient Record Flag vxBCMA User Manual 80 Note All patient data in this document is fictitious No Protected Health Information PHI is included Acronym Term Definition PRN A report that lists PRN medications administered to a patient that needs Effectiveness Effectiveness comments List Report PRN Order The Latin abbreviation for Pro Re Nata A medication dosage given to a patient on an as needed basis Provider Another name for the Physician involved in the prescription of a medication
9. ae OD SIME Z0 US SYMPTOM HS CHLORPROMAZINE TAB SMG GIVER TILAA CHLORPROMASINE HCL Ses TAE lor anssety agiatvon worcer TH TAE ZH PAN FO 1 1020 Sera CLOHAZEFAH TAB For EB ACETAMINOPHEN TAE S5 DH PAH PO 1 1020 ERO AGI ACETAMINOPHEN 3x54 TAB MODERATE PAIN FEVER 3 TABLETS HTE 3250hM6 274 HOURS E ICE TAMIHOFHENH TAE O4H FAH GER 1 20 7201 540743 ACETAMINOPHEN xz i5 TAE 2 TABLETS HTE 3250M6 24 HOURS TLH c BH Cy CLINE HEL gre cid agus EID ES GER 1 00 7725 ROT c2 MIN OGCrYCLUME HCL MHG fee fet LI MN Figure 9 View Menu Options View Menu Option Descriptions Med Tab user can view Cover Sheet data Unit Dose data IVP IVPB and IV data by making the appropriate selection from the drop down menu Allergies displays a pop up window which contains information for documented aller gies Patient Demographics displays a pop up window containing patient demographics Flag flag option is available when the selected patient has a documented Patient flag details of the Patient flag will display March 2014 vxBCMA User Manual 10 Note All patient data in this document is fictitious No Protected Health Information PHI is included Menu Bar Reports Reports menu o
10. Active Medication Admin Time Last Action DIPHENHYDRAMINE BENADRYL CAP ORAL 50MG TID 03 10 1300 GIVEN 2 26 2014 1118 DIPHENHYDRAMINE HCL 50MG CAP For Rash Itching LORATADINE CLARITIN TAB ORAL 10MG DAILY 03 10 0900 GIVEN 2 26 2014 1120 LORATADINE 10MG TAB For allergies ACETAMINOPHEN TYLENOL TAB 650MG BID PRN GIVEN 3 10 201 40840 ACETAMINOPHEN 325MG TAB UD For Pain DIPHENHYDRAMINE BENADRYL CAP ORAL 50MG TID 03 10 0900 GIVEN 2 26 2014 1118 DIPHENHYDRAMINE HCL 50MG CAP Virtual Due List Parameters Schedule Types Start Time Stop Time Continuous OC OnCall 03 1080700 0371091300 WV PRN M One Time __ For Rash Itching AMOXICILLIN AMOXIL 250MG BID 03 10 0900 GIVEN 2 25 2014 0801 AMOXICILLIN 250MG CAP For Infection ASCORBIC ACID TAB 500MG 012H 037100900 MISSING DOSE 2 24 2014 ASCORBIC ACID 500MG AZITHROMYCIN ZITHROMAX 500MG BID 03 10 0900 GIVEN 2 25 2014 0802 AZITHROMYCIN 250MG CAP For Sinus Infection Cover Sheet Unit Dose Q Scan Medication Bar Code BCMA Clinical Reminders Count Activit 1 NURSE NE BUFFALO PC Server Time 3 10 2014 10 03 6 PES m Figure 6 Example of Virtual Due List VDL Screen showing the Unit Dose tab Note Indication and comments noted in red This is the current Medication Adminis tration Record MAR
11. PLACIHINS aT TEST Lait Hat DEC 31 2 017 14 13 24 AEmMIESIUN DRE om fila llergiss HILE Total Orders rapcorted 0 TPL dr atus Typa Hadic atieni Dosage Poute i i Order Ptarc 1 Order Prep T T amp b 1 Action i Late Data Epira EE a 0 Orders Expiring fodmy 0 4 1 Expiring Tomerraw O SSS SSS SS SS SSS SS SSS SSS SS SSS SSS SSS SSS SSS SS Ward 3 ADH PLACEHEHT 2 CONEREHEET EXPERED DC dy EXPIRING ORDERS BEPORT HAB 19 2014013 02 03 of 1 Figure 26 Example of Expired D C d Expiring Orders by Selected Ward for 2 Selected patients March 2014 vxBCMA User Manual 52 Note All patient data in this document is fictitious No Protected Health Information PHD is included Due List Report Allows user to print view medication Due List report for a specific timeframe day v Note This would be a good report to run at the beginning of your shift to plan your Select Reports from the menu bat Select Due List Enter Start Time and Stop Time Select appropriate Schedule Type s Select appropriate Order Type s 9 HL mS 2 mw FP Report can b
12. Dosage Foute 1 10 00a HALOPERIDOL HALDOL TAB Dosage LOHG Route PO ORAL 12 00m TYLENOL TAD Borage Route POsSORAL 4 00 TYLENOL Dosage 25 Route 00 ACETAMINOPHEN 1 1 Dozage SIS Pouta POJ OPRAL l2 00m TTLEHOL TAE Dosage ZENG Foute PO ORAL TTT TTT iit rrr rrr titi titer eer Titi itt iii iti co lLBSTPATIENT FOUR FEMALE Ward i 66 INTENSIVE REHAB Boom Bed Figure 23 Example of Administration Times Report by Selected Ward for 2 Selected Patients Cover Sheet Report The user can view Medication Overview PRN Overview IV Overview and Expired Dc d Expiring Orders by making the appropriate selection from menu Reports Duelist Took Help Administration Times inHistow CPRSM ani eee IV Bag Status IV Overview 43 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included Medication Overview Report Displays active expired or discontinued and future orders for current patient and by ward Select Reports Select Cover Sheet Select Medication Overview Make appropriate selection s for Order Status Make appropriate selection s for Detail og PON Report can be previewed or printed by patient ot watd record selected iv Note
13. Onder Status F Aore fe Fuhae F Expeed DCd Deal Adie Commen Wd v Enine naime wl adt Print by Options C Sat by Pater C Set bel Port Selected Wied Patients Selected 47 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included C Sort by Patient C Pint Selected Patients on Ward No Patients Selected 7 When you select a specific ward additional Print options are available to choose from Sort by Patient Sort by Room Bed and Print Selected Patients on Ward by selecting the Select Patients button v Note Multiple patients can be selected by using Control key 8 Click the OK button ECHA Prini Boy Aard Patient Selecb ian Selected Wand 3 WARD 57 ADM PLACEMENT MURS LIMIT ZZTESTPATIENT EIGHT FEMALE JAAD ADM PLSCEMEHT 22 TEST PATIENT MALE EL TWARDO ADH PLACEMEHT March 2014 vxBCMA User Manual 48 Note All patient data in this document is fictitious No Protected Health Information PHI is included 9 Click Preview preview report or Print to print report Overview V Expired DC d Wad 3 WARD ADM PLACEMENT NURS UNIT v Exclude Inactive Wards Print by Ward Sort by Patient Sot by Bed Print Selected Patients o
14. REPORT 21 lagiz au FParienr rZTESTPATIEMT TMENTYEEGHT FEHATIN 1 Dom 2 1969 45 FEHALE Hr We Ward 36 3 1 023 ILL DIC 31 1013 12 66 22 ADHITZIOMH Ba Ale om fila llargies WUT FEACHEZ LLLLLLELIZLIITIITIILLELLLILTILIILILLLLILILILITIILLLLLLILILILILLLLLLLLILIITITILLLLLLILILILILLLLLLILLILILITIILLLLLILLILIITIITILLLILLILITTIILLLLLLLILILIITILLELLLLLILIILLLLLILT Ech Date By ioh Sika Ifid Uniti nirs ed Medication amp Dosage Ordered Given Adzinistragticn ana WO RESTOR FOUND THIS FRAHI EEEEEEGERRESREREEENEGEREERSRESEREEENGNERHNRERREEEENENGEERNRERENENEEERNENEEERESRENENEEN SSS SS SSS SSS SSP SSS SSS SSCS SLPS SSS SSCS PS SSSSSSSS PSPSPS TWENTTEDGHT Ward E BICHHONP 1 023 Reca Bad CHA HIDICATI N THERAPY HAR 24 2014 MALE MEFE 3 1965 HALI Ward 124 2 RICHMO ND IP 022 WI TEE Last Hyves DEC 21 2017 22207 232 Type We ADPs on file Allargier FISM Lat con St Sch bane Ey injecrion Size Unit Units Unics of Headicatken 4 Dosage Ordered Cives Admirnistr tisrn MO HISTORY FOUND FoR
15. by Ward Options 34 C Sod by Patient C Sot be Room Bed Print Selected Patients on Ward No Patients Selected select Patents 5 When you select a specific ward additional Print options are available to choose from Sort by Patient Sort by Room Bed and Print Selected Patients on Ward by selecting the Select Patients button v Note Multiple patients can be selected by using the lt gt key 6 Click the OK button BCMA Print by Ward Patient Selection Selected Wad WARD 67 ADM PLACEMENT NURS UNIT Patient List Select patients by iggy ZZTESTPATIENT EIGHT FEMALE 4 471 335 JWARD ADM PLACEMENT ZETESTFATIENT FIVE MALE 2 WARD ADM PLACEMENT 2 TWARD ADM PLACEMENT SEVEN MALE 3 WARD b ADM PLACEMENT 5644 3 3 53 3 1 SIX FEMALE 3 WARD ADM PLACEMENT March 2014 vxBCMA User Manual 56 Note All patient data in this document is fictitious No Protected Health Information PHI is included 7 Click Preview to preview report or Print to print report Medication Admin History C Sort by Room Bed Print Selected Patients on Ward 3 Patient s Selected hat al ee Saleen History Tont Le FEN Jra Ome Tine
16. E rires Found Pulse Foursd Entries Foursd Reston Given AdmawteedEy Location FEVER 355 2 24 21 41649 FEVER NURSE 35 5 Ur s Green deo mot display in the Labis abere lor orden wath multiple dapensed drape 17 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included Administering Continuous Medication Note Be sure Virtual Due List Parameters are correct and Schedule Type 15 listed as Continuous Schedule Types Q V Continuous 004 08840 mene GT P Figure 17 Virtual Due List Parameters 1 Scan Medication Note Scanning the medication records the medication as given Code Medication Administration v3 268 72 7 File View Reports Duelist Tools EN Missing Dose MedicalionLog Medication Admin History Allegies CPAS Med Order MALE MALE 000000001 DOB 8711970 43 Height 248cm eight 90 45kg Location 3 WARD 66 INTENSIVE REHAB ALLERGIES ADRs Mo ADRs on file TEZAMIDIME Z amp HAFLEX TAB TLZAMIDIME 4MG TAB PENICILLIN v CILLIN TAB PENICILLIN VE 2S0MG TAB For Strep throat 020982700 Unit Dove OW March 2014 vxBCMA User Manual Note All patient data in this document is fict
17. Patient Ward Administration Times Start Date Stop Date 3 18 2014 3719 2014 r Erint by Patent War 3w RD 66 INTENSIVE REHAB WARD Exclude Inactive Wards Print by Ward Options Sort by Patent Sort by Room Bed LS ROSA RR BORA RDGSA B AGEG B AGER GR GGA RR G RR RR RO GR 5 When you select a specific ward additional Print options are available to choose from Sort by Patient Sort by Room Bed and Print Selected Patients on Ward by selecting the Select Patients button 41 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included iv Note Multiple patients can be selected by using the lt CTRL gt Key 6 Click the OK button Ecma Print by Ward Patient Sehection Selected Ward 3 WARD INTENSIVE REHAB MAS WARD Paari Litt Select patents Dy using the Control ZZTESTPATREHT OME MALE 3 ALE ES INTENSIVE FE AE ZZTESTPATIENT THREE FEMALE JwARD 66 INTENSIVE REHAB ZZTESTPATIENT TWO MALE 3 wARD INTENSIVE REHAB o 7 Click Preview to preview report or Print to print report Patient Ward Administration Times i Ward 3WARD 66 INTENSIVE REHAB MAS WARD Print by Ward 0 C Sort by Patient C Sot by Room Bed EE Print Selected Patients on Ward 2 Patient s Selected Select Patents
18. T vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included Column Definitions Status The Status of the medication Given Held Refused Missed Verify Nurse verification of order nurse initials will display this is done in vxCPRS HSM Hospital Self Administer Medication Type Schedule types PRN Continuous On Call OC One Time Active Medication Acttve Medications of the Due List Dosage The Dosage and the of the medication listed Route The route of the Medication listed Administration Time The date and time of medication administration Last Action Last Action performed on the medication This is a detailed display of the medication BCMA Display Order Run Date 10 2014 10 13 Page 1 BCMA Display Order Patient ZZTESTPATIENT TWENTYFIVE MALE SSN a DOB APR 4 1944 69 Sex MALE Ht lt yt Ward 45 PINEFIELD WARD 82 Bm ILL Last Mvmt DEC 31 2013823 00 55 ADMISSION ADRs No ADRs on file Allergies Know Allergies Orderable Item DIPHENHYDRAMINE BENADRYL CAP ORAL Dosage Ordered SOMG Start 02 15 2014 20 55 Stop 05 17 2014 24 00 PO ORAL CONTINUOUS Self Med NO 0900 1300 1700 Spec Inst For Rash Itching Dispense Drugs Units Inactive Date DIPHENHYDRAMINE HCL SOMG 1 Ph
19. F ACETAMINOPHEN TYLENOL 0227201401031 O3 27 2021492400 ACETAHINOPHEM 225 TAE UD Poy ORAL Tpacial Instruccions for aches and pains 1 c LACE TAHIMOFHER EZ TYLENOL 1 HISZED 2 27 2014091400 DO2 27 201481250 O3 277 202482400 ACETAHINOPHEM TAE LOOORE POs ORAL a TRILAFOM TABS HISZED Oz z8 z0l4gn g30 0272772040100 PERFHEHAZIME gt POJ ORAL Tpecial hold af bp 60 100 or Figure 24 Example of Medication Overview Report by Selected Ward for 2 Selected Patients March 2014 vxBCMA User Manual 46 Note All patient data in this document is fictitious No Protected Health Information PHI is included PRN Overview Report Displays active expired discontinued and future orders with a schedule type of PRN for the current patient and by ward Select Reports Select Cover Sheet Select PRN Overview Make appropriate selection s for Order Status Make appropriate selection s for Detail og P WN PHP Report can be previewed or printed by patient or ward Note In order to run report for specific patient you must first have the patient s record selected Note Select Patient and Click Preview or Print to run report for current Patient selected Overview x
20. vxBar Code Medication Administration User Manual March 2014 DA EHR INNOVYVATION 2014 Document Storage Systems Inc AU rights reserved Document Storage Systems DSS Inc is a privately held cor poration and has been the premier provider of health informa tion and document imaging distribution and storage systems to Veterans Affairs facilities for over seventeen years DSS 15 located at 12575 US Highway One Suite 200 Juno Beach Florida 33408 World Wide Web nww dssinc com vx VistA is a trademark of Document Storage Systems Inc Outlook Internet Explorer and Windows are trademarks of Microsoft Corporation VistA is a trademark of the Depart ment of Veterans Affairs Software Services and Computerized Patient Record System The patient data contained in this document has been generated on fictitious patients for demonstration and educational purposes There is no actual Protected Health Information PHI contained in any patient s record No portion of this manual or software may be reproduced with out the prior written consent of Document Storage Systems Inc Table of Contents Table of Contents RE EE EE Bar Code Medication Administration User nnne 1 Overview Of 1 Features T 1 24 18 M
21. Note Status column will display for Given View Reports Ouelist Took Medieshenlog Mediation Admin History Alene CPRS Med Order ZZTESTPATIENT ONE MALE MALE p Due List Parameters Schedule DOB 8 1 1870 43 Sta Time Stop Time T Contos Height 24Bcm Weight 90 459 ozmen gt 02002200 One Time Location 3 WARD 66 INTENSIVE REHAB L AD ADRs ACETAMINOPHEN TYLENOL TAB ACETAMINOPHEN 325M oo pair RD Ss ESSE ERG NEUE RISE So RINT RR FEVERALL SUFF RTL RECTAL GEH 2 6 2014 15410 ATL ALE 12016 ATL SUFF Cover Sheet di Unt Dore mee O iv Scan Medication Code March 2014 vxBCMA User Manual 16 Note All patient data in this document is fictitious No Protected Health Information PHI is included BCMA Clinical Reminders identifies medication orders needing effectiveness documentation How to Resolve 1 Click on the Number 2 Make a Selection 3 Enter Comments 4 Click the Exit button Lae Selected Administration Dsigerised Drag TR __ Date Tare Temp E rines Fours Pan E rires Found
22. Vitals Measurement Report Dispensed Drug Due List Report Electronic Signature Code Finish Frequency Given GUI March 2014 Definition A medication given continuously to a patient for the life of the order as defined by the order Start and Stop Date Time An optional tab on the VDL that provides four alternate user selectable views of medication data related to the selected patient and allows the user to drill down to view additional data The Cover Sheet displays information by order instead of by administration as is displayed on the Medication Tabs and does not allow the user to edit or take action against a patient record Computerized Patient Record System A VISTA software application that allows users to enter patient orders into different software packages from a single application All pending orders that appear in the Unit Dose and IV packages are initially entered through the CPRS package Clinicians managers quality assurance staff and researchers use this integrated record system Also called the Hot Button a direct link to CPRS for electronically ordering documenting reviewing and signing verbal and phone type STAT and medication orders that a clinician has already administered to patients This feature is particularly useful in CU type environments as it helps to streamline the workflow in such a busy setting A report that lists a patient s vitals from the Vitals package al
23. 1116 GIVEN 02 25 08 GIVEN amp NXD 02 24 18 GIVEN DIPHENHYDRAMINE BENADRY 50MG PO ORAL TID Action By Action 02 27 1446 REFUSED 02 26 1105 MISSING DO 02 25 08 GIVEN 02 2418 GIVEN 10MG PO ORAL DAILY Action By Action 02 26 112 REFUSED 02 25 08 GIVEN 02 24 08 GIVEN UD Active EF EE EH 6H UD Active C 02 15 2143 05 17 2400 UD Active C MISSED 02 27 1700 FOR SINUS INFECTION 021582143 05 1702400 E UD Active MISSED 02 28 0900 FOR RASH ITICHING 02215082143 05 17 2400 m E EH 122 UD Active C MISSED 02 27 0900 FOR ALLERGIES 02 15 2143 05 17 2400 LORATADINE CLARITIN l Future 0 Orders Expired DC d 0 Orders weaves O Cover Sheet Scan Medication Bar Code Count 0 BCMA Clinical Reminders Activit BUFFALO PC NURSE ONE 5 Figure 5 Example of Medication Overview Server Time 3 10 2014 14 18 Click on the sign and it will expand the medication and give specific details 5 vxBCMA User Manual 2 18 PM 3110 2014 March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included Column Definitions 9 9 6 9 5 a March 2014 VDL Virt
24. 2014 vxBCMA User Manual 64 Note patient data in this document 1s fictitious No Protected Health Information PHI is included Medication Thera CRE THERAPY REPORT for 20 ZO14B0D0Ll co MAR 21 202487400 Tum Dara 21 Z0l4gi2 45 JSebeduale Typeish Conzcimacus FRE nCabll OneTima d OIDERABLI ITEM SEARCH LIST AMOXICILLIN CAMEL EORATADINT CLARITIN Patient ZZTEZTRATIENT THIRTYONE MALE 398 1 _ DOR MAR 2 1955 HALE Ward 26 3 RICHMOND IP 023 Fm ELL Last vee DEC 21 1012022 08 89 Type ADHIZEION ADBr am fils Eo Known AL SSS SSS SSSSS SS SSSSS SSS SSS SS Se Eth Administration bate By Injacei n Sika Baita of Bedication i Ordered Liver 1 NO HISTORY FOUND FOR THIS TIME FRAME x SPSS SSS SSSSS SPSS SSS SSS SS SSS SS SSS SSS SSS SSS SSS SP SSS SSS SSS SS SS SSS SSS SSS SS SSS SSS SSS SS SS SSS SPSS SSS SSS SPSS SSS SSS SS SSS SSSSSSS SPSS SSSR SSS SETEESTPATIONT THIBTYONE MALE Ward 36 E RICHHOMD 1 823 Booa Bad MEDICATION
25. Eb INTENSIVE FE HAR 3 WARD INTENSIVE 45 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included 9 Click Preview preview report or Print to print report Medcication Overview Waed 3 WARD E amp INTENSIVE REHAB MAS WARD Exchide Inactive Wands int by Ward by Paten E Sort by Hoom Bed Print Selected Patients on Ward 2 Patient s Selected ehecdie alien ber EERE EEE SESE SESE PEE PPE PEPER EERE REESE ESE ECHA CO VEREHEET HEPICATION OVERVIEW REPORT rder Srarusies Future Active Expired Bt d hon Dare HAR 1 2014011 397 Acriomisz Pag Patient ZZTESTPATIENT THPEE FEMALE 34 DOB FEE 10 1984 30 Bax FEMALE Bir Wes Ward 3 WARD 66 INTENSIVE REHAB Km nw ILL Last Hees DEC 30 2013009 00 Type ADMISSION He ADRs on fila largies ORAVY FEANUT BUTTER Ordars reported 3 EL i Order Typ Haedicari ion Dosage BSehedule Here Accion Order Start Order Tab St i PPP PPP PPP EPPS ee CTIVE 3 rders 1 un
26. Expired Dc d Expiring Orders Report Displays expired and discontinued orders for the current patient and by ward Select Reports Select Cover Sheet Select Expired Dc d Expiring Orders Make appropriate selection s for Order Status Make appropriate selection s for Detail og PR ON P Report can be previewed or printed by patient ot watd record selected Note In order to report for a specific patient you must first have the patient s iv Note Select Patient and Click Preview or Print to run report for current Patient selected M Ewp red DC d Expiring Orders Expred D dE Ciders include Qeder Expeed DCd Exprmg Today perg Tomorrow ranglude Delat E Selected March 2014 vxBCMA User Manual 50 Note All patient data in this document is fictitious No Protected Health Information PHI is included Expired DC d Expiring Orders Expted DCW Expaing Orders Include Dide Status Expred DCd Exprng Include Detat oe so RICHMOND 11 023 NURS UNIT F Ewchude Inactive Wards neri Ey Patiert C Set by Hoon Bed Pint Selected Patients on Ward Patients Selected 5 Patents 7 When you select a specific ward additional Print options are available to choose from Sort by Patient Sort by Room Bed and
27. In order to run a report for a specific patient you must first have the patient s v Note Select Patient and Click Preview or Print to run report for current patient selected Medication Overview Medication Overview Include Order Stata e Acte Fume he Expeed DCd Inglude Detai Actions Erni by Patient B Exclude Inactive Wands Print bp Options Sort by Paten Pret Pait on Wid No Patents Selected March 2014 vxBCMA User Manual 44 Note All patient data in this document is fictitious No Protected Health Information PHI is included Medication Overview wed 1 v Exclude Inactive Warde Sort by Paien Sort by HoomBed 244 Port Selected Patents on Ward Patients Selected 7 When you select a specific ward additional print options are available to choose from Sort by Patient Sort by Room Bed and Print Selected Patients on Ward by selecting the Select Patients button v Note Multiple patients can be selected by using lt CTRL gt key 8 Click the OK button BCMA Print by Ward Patient Selection Selected Wand ZWAARD 66 INTENSIVE REHAB MAS WARD Hare ZZTESTPATIEMT FOLIA FEMALE SeTESTPATIENT ONE MALE _ 3 WARD 66 INTENSIVE REHAB 27 TESTPATIENT THREE FEMALE 27107198 F4 12532 TWU HALE 3 WARD
28. Log Exit 3 Select Medication s 4 Click the OK button BOMA Edit Med Log Administration Selection Patient Name ZZTESTPATIENT THIRTYFIVE MALE 109000035 Searching Date 25 2014 ACETAMINOPHEN GIVEN 754 25 2014 gt gt Cancel change date in the date field enter a valid date and press ENTER v Note Date by default medications that were administered today will display To 37 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included To Edit Dispensed Drug 1 Right click on the name cell that you want to edit 2 3 4 5 Select Edit from the drop down menu Enter a full or partial dispensed drug name and press ENTER to display list of drugs Select the appropriate drug from the list Click OK EA ac Pater Mame 22S TRATION TARATA EE Actes Stau me Acton Date Time MER 25 201 4817 54 z Medcem ACETAMNOPHEH inni To Edit Units Given 1 Right click on the Units Given cell Select Edit from drop down menu Enter the new value for Units Press the lt ENTER gt key gt NM IBLMA Lit Med Log gg ear inm E pon s ans Pabert Masse 2 TESTPATIENT THERTYFIVE Askhan
29. Unit Dose or IV to a patient Provider Hold To display a medication order grayed out on the VDL until its Stop Date Time or until it is Given Some medical centers require that a nurse mark these order types as Held although it is not necessary that they do so PSB CPRS MED The name of the security key that must be assigned to nurses who document verbal BUTTON and phone type STAT and medication orders using the CPRS Med Order Button on the VDL PSB The name of the security key that must be assigned to nursing instructors INSTRUCTOR supervising nursing students so they can access user options within V 3 0 PSB MANAGER The name of the security key that must be assigned to managers so they can access the PSB Manager options within V 3 0 PSB READ The name of the security key that must be assigned to users that can only access ONLY in Read Only mode Users who are assigned the PSB READ ONLY security key will never be able to administer medications or perform any actions against a patient s medical record The PSB READ ONLY security key overrides all other vxBCMA security keys PSB STUDENT The name of the secutity that must be assigned to nursing students supervised by nursing instructors so they can access user options with vxBCMA V 3 0 This key requires that a nursing instructor sign on to vxBCMA V 3 0 PSB UNABLE The name of the se
30. Variance Log Medication Variance Start Date 312112014 Stop Date 3 21 2014 Exclude Inacive Warde 3 WARD 66 INTENSIVE REHAB NURS UNIT Sot by RoomBed int Selected Patients on Ward No Patients Selected Select Patents mee Bm 6 When you select a specific ward additional Print options are available to choose from Sort by Patient Sort by Room Bed and Print Selected Patients on Ward by selecting the Select Patients button Note Multiple patients be selected by using lt CTRL gt key 7 Click the OK button WARD bb INTENSIVE REHAS PHURS UNIT Patent List Select multiple patents by using the Control J wARD E INTENSIVE REHAR 3wARD ES INTENSIVE REHAB 5 INTENSIVE REHAE MARAD he EHTEHSIVE ZZTESTPATIENT FOUR FEMALE ZZTESTPATEEHT OME MALE OF Cored 67 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included 8 Click Preview preview report or Print to print report Medication Variance Log Medication Variance Stat Date Stop Date avo 3721 2014 F Time 2400 C Sort by Room Bed Print Selected Patients on Ward 2 Patient s Selec
31. a nurse The status that a scanned medication marked as Given but not actually taken by a patient is changed to on the VDL The administration will display on the VDL as it appeared before it was marked as Undo Given vxBCMA notes the status change only in the Audit Trail section of the Medication Log not on the VDL A medication order given ASAP to a patient entered as a One Time order by Providers and Pharmacists This order type displays for a fixed length of time on the VDL as defined by the order Start and Stop Date Time A specific order or action dependent upon another order or action taking place before it is carried out For example Cefazolin 1gm On Call to Operating Room Since it may be unknown when the patient will be taken to the operating room the administration of the On Call Cefazolin is dependent upon that event A medication order given one time to a patient such as a STAT NOW a order This order type displays for a fixed length of time on the VDL as defined by the order Start and Stop Date Time or until it is Given A medication order given ASAP to a patient entered as a One Time order by providers and pharmacists This order type displays for a fixed length of time on the VDL as defined by the order Start and Stop Date Time A drug whose name does NOT have the strength associated with it e g Acetaminophen 325 mg The name with a strength is called the Dispensed Drug Name
32. and marked as such with an in the Status column of the VDL Reasons might include the patient being temporarily off the ward You can select and mark multiple medications as Held on the VDL using the Right Click drop down menu In the case of IV bags this status indicates that the dose was Held The only actions available for this type of IV bag are to mark the bag as Infusing or Refused or to submit a Missing Dose Request to the Pharmacy Medications that require a second signature by licensed personnel prior to administration When High Risk High Alert medications exist the witness indicator icon appears in the Witness column on all tabs Also called HSM a medication supplied to a patient by a VAMC s Pharmacy but administered by a patient Hospital supplied Self Medication A medication supplied to a patient by a medical center s Pharmacy but administered by a patient Internal Entry Number The internal entry drug number entered by Pharmacy personnel into the DRUG file 50 to identify Unit Dose and IV medications The date that a medication order is no longer active and cannot be administered to a patient This status for an IV bag indicates that the bag is actively being infused A nurse can enter a comment by right clicking on the bag If an IV bag is scanned the only allowable actions are to mark the IV bag as Stopped or Completed The flow rate at which medication fluid in an IV Bag is given to a p
33. and unintended and which occuts at doses normally used in humans for treatment diagnosis or therapy of a disease ot for modifying physiological functions including toxicity caused by overdose drug interaction drug abuse drug withdrawal significant failure of expected action food drug interaction or allergy type of Adverse Drug Reaction ADR that involves a hypersensitivity Le shortness of breath hives to a specific substance 1 food drug chemical The process that tracks the activities of nurses administering medications by recording selected types of events in the patient s Medication Log This status for an IV bag indicates that the Pharmacy has printed a bag label and the bag is either being prepared has been prepared or has been delivered to the ward for administration Multiple available bags may display for any specific IV order at any given point in time OMH personnel who administer active medication orders to patients This status for an IV bag indicates that the infusion has been completed and the bag is being taken down or replaced with a new bag No additional actions may be taken on a bag marked as Completed other than to enter comments vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included Continuous Order Cover Sheet CPRS CPRS Med Order Button Cumulative
34. display for Given March 2014 vxBCMA User Manual 20 Note All patient data in this document is fictitious No Protected Health Information PHI is included Mark Medication To Mark a Medication that is Held or Refused 1 Select medication 2 Right click and select Mark 3 Select appropriate option Bogor belt Feb Mgung cos Makamo Aden Mio Page Ta 98 1 0 0000 4 F rime 00 af 7 E or 2610 LPM uberi DF DR 1M Eu Eum n H ANUAL f ARE ME maus f Run irigita HASHATICHIBHU 1d inb ata AT TAMING PAIN LOR AT ADIRE ICLARITIN SL GA 2 72 ORE T LOFT AA WHG Fan ALLERGIES Ail Coe Order BAT TOO REFUSED DRA Ural ta Sce MORI Uratis ir 0 REFUSED 0 Siu int Pub deat Scu inb cub ONIH FON SAMUS ART CT HH 21 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Hea
35. 9 Select Drug Search Category 10 Enter Search Text 11 Click Search 12 Select Medication 13 Click Add gt The medication will move to Selected Medications list 14 Click the OK button tedicabion therapy Selection r LEJ er m LA m 1 Medecations March 2014 vxBCMA User Manual 62 Note patient data in this document is fictitious No Protected Health Information PHD is included Therapy 15 When you select a specific ward additional Print options are available to choose from Sort by Patient Sort by Room Bed and Print Selected Patients on Ward by selecting the Select Patients button 63 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included iv Multiple patients can be selected by using lt CTRL gt key 16 Click the OK button BCMA Print by Ward Patient Selection Selected Wad 355 RICHMOND 1 IP 023 NURS UNIT Patient List Select multiple patients by using the Control key ZZTESTPATIENT THIRTY FEMALE 55 RICHMOND s 5r ESTRATIENT THIRTYONE MALE 35 RICHMOND 7 IF 3b 5 RICHMOND 1 IP 023 36 5 RICHMOND 1 103 Z7 TESTPATIENT TWENTYEIGHT FEMA cz TESTPATIENT TWENTYHENE MALE Sot by Patent Sort by HoonrB ed f Prnt Selected on Ward 3 Palient s Selected March
36. A isctrarion Dace Tima Medica ion Ry Feund IPATIENT OUNE MALE EE Ward 3 66 IHNTENSIVI Focm Dad Figure 33 Example of PRN Effectiveness List by Selected Ward for 1 Selected Patient March 2014 vxBCMA User Manual 74 Note All patient data in this document is fictitious No Protected Health Information PHD is included Active Additive Administration History Report Administration Times Report ADR Adverse Drug Reaction Allergy Audits Available Clinician Completed 15 Glossary Definition When a medication has been verified it becomes active and displays on the VDL under the related Medication Tab nurse can then administer the medication to the patient Under the IV Medication Tab this information 15 listed in the Status column drug added in small amounts to an IV solution to improve strengthen or otherwise alter it for parenteral administration report in CPRS that lists the date time and orderable item of a medication selected on the CPRS Meds Tab This report is called Medication History Report in vxBCMA report that lists a patient s medications by the scheduled administration time from the eatliest to the latest Adverse Drug Reaction See definition under Adverse Drug Reaction Also called ADR any response to a drug which is noxious
37. BEC 24 Type ADHISZION JAD Re Bo ADRs on file 11 Last Sheet ttop Hs d Ecked Hadicarieon Dos heute Given Pp Pri Tima Tine ee ee ee eee Dare 20 2014 up c ACETAMINOPHEN TYLENOL Give 22680 FO ORA 1 ALES 4 ACETAHIEDPHEM x25EC DE Admin Timed 0 0 1200 1600 2000 24 on Spac Inge gt HALOPERIOOL HALDOL Give LONG DAILY L 10 28 924 00 HALOPERIDO L TAE idin Timas 1000 Spec Inst friered UD P ACETAMINOFHIM TYLEROL TAE Give 1 3 27 14 41 24 00 22550 TAB Spec Inge FOR FEVER GREATER THAN Lol SS J zZTESTPATIENT FOUR FEMALE 2 6 INTENSIVE
38. FECTION Med tory C ATHROMYCIN COTHROMAN BID PO D 031280300 REFUSED 3 11 2040 66 Musing Dose AZITHROMYCN 25646 CAP Ph FOR SINUS INFECTION March 2014 vxBCMA User Manual Note All patient data in this document is fictitious No Protected Health Information PHI is included If the medication that is unable to be scanned is PRN medication you will see this screen if not skip to step 5 3 Select a Reason 4 Select the I have reviewed the schedule and last administration of this medication check box edit ation Log Arten Heder ACETAMINDOPHEN TYLENOL TAR Date Time Temp Ho Enisa Foand Entries Entries Found No Entries Found Flan Entries Found Lact 310 20 4c 5065 PR FEWER 1 GIVEN ONE TIME 2 GIVEN PRM HEADACHE 2 2 5 20141057 GIVEN PRM PAIN 2 Unit Green do nob infe Labia abcr orders wath multipla Schedule Select fesor Lani Green 14 20h 45m age on ran 37707201 1505 Note If Pain is selected user will be prompted to enter Pain Score Note The Reason must match to Indication Documented 25 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included 5 Click the OK button If t
39. H PLACEMENT X4GREaed Figure 32 Example of Missing Medication Report by Selected Ward for 2 Selected Patients 71 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included PRN Effectiveness List Report Displays all PRN medications effectiveness that are due PRN Effectiveness is required to be entered within a specific time frame Select Reports Select PRN Effectiveness List Enter Start Date and Stop Date Enter Start Time and Stop Time o fF oO NM HM Report can be previewed or printed by Patient or ward record selected v Note In order to run report for a specific patient you must first have the patient s Note Select Patient and click Preview or Print to run report for current Patient selected PRN Effectiveness E4 PRN Effectiveness List Start Date Stop Date 2 9 2014 2 9 2014 Start Time 1 r Stop Time 0001 2400 Sort by Patient Sort by Room Bed Prnt Selected Patients on Ward No Patents Selected select Patents March 2014 vxBCMA User Manual 72 Note All patient data in this document is fictitious No Protected Health Information is included Effectiveness ist PRIN Effectiveness List Start Date Stop Date xazm 3 21 2014 Time Stop Time 2400 Exclude Inactree wads Pri
40. HAB NURS UNIT fe Exclude Inactive Wands Pant by Ward 0 by Room Bed V Print Selected Patients on Ward 2 Patient s Selected Select Patients eel Patient Medie ation Log Faport Hedicanricn TEsarment Record Detailed Leg 10 270 C Eun 21 014812120 bog Typs INDIVIDUAL PATIENT Page 1 Patient FOUR FEMALI aaa MAR LL LSS 55 Sax FEHALT inzcm gig Ward 3 64 IHTENSIVE REHAB x Du ILE Hver DEC f4 2002608 00 ARDHISSION en fila L Lame eS Wa Allergy emit euivity Gr erable Iram Action Stark beter bene ichid Reuter Ing Fite fates Tie Drug Sletten Ur rd Grease Step Data lt HEDICATIGNE FOUND FOR THIS FRAHE bog Pappret Cankiowings Dna Tima Medication Trestaeant Log VAF 10 2990 E C Bi Pun 21 2014012 21 Log INDIVIDOAL PATIINT Paga 1 Pallant ZZTESTPATIEHT ONE MELE TN ESRB SLAP PO 42 gan HALT Bard 3 WARD 6 INTENSIVE Ex x Abdominal pain Hyas DEC Type Wa ADPr on filas Allergies HA
41. Hadicerion Treamkenrt Repord VAF LoO 29070 B Bo Dara 20 20L4g085 78 1 Patient ZETESTRATIENT HINT MALE oom EAT 4 1949 464 Ser MELE ie Ward 1 WARD 67 ADE TEST Lert Aver DEC 21 20118014 12 24 Type ADMISSION Ba ADEs em file llaergiaz MILK SEATCODT arr JSuop Dara i Aisin i i i i and Tine Time i 03 14 2014 1 O3 15 2044 OS kee OTOL Gi lB Z014 1 O3 19 2044 3 20 2014 oor TE 1 0900 l 10 19 gio 15 1700 i i i IEACODYL MUGCORAM PUPP EATE i i i i BISACODTL LONG RTL i i 1 1 i 1 Give BTL 1 1 i I i REH FE i i i Oxrlff la 1 0900 1 I 311 51 474 00 I 2100 i i 4 i i i 1 CLONIDINE HEL 0 LES i i i i i i i Give 0 0487 QITH i I 1 1 FINISHED BY PHARMACIST I HAZ L2 2019811 52 Spac Inet DOSE CALLS TUE QNE HALF i i i TABLET i 1 i i AD 1 1 i 1
42. INTRAM OBEDTIME FOR TOR epp did 759 2 01712552400 iur Kum C VITAMIN D CAPORAL ORAL ONOON DUE deene izaba Lia Pa Ta uo Acre C OMEPRAZOLE EC eG POOL CH DII DUE 011712120 2 GEAD 200 1 71 705400 up C OMEPRASOLE POVORAL CSEDTIME DUE 127100 GERD Waa 100 70400 Uo Acie F HUMAOCIH 2 ONT SMALL AMOWH TID ba arp acutely flamed skim 117241 345 01 71 Bee ur F AMC CEDE 2055 ONT SMALL TID PAH bor inflamesd skin lez 1 71 Uo Agre F TEMASE CAP 1HE POVORAL OBEDTIME how T1 245 27210 11 71 Bae 060 Active F LORAZEPAM OHH SEVERE A amp DGITATEDH for 01 521 672400 up P LOAAZE PAM TAB cM OH FRH aroha ee DST 0172102400 UC Acs F ZIPFUIASIDIOIME HOL POVORAL OEH PRAH bos sciube 25 01 5271 en uo Acie ZIPFUSSIDHTIME IHTRAM O GEH T R ge d patent rel 26 0x 4060 utr C TREX ESS PoE TAS DUE Cn hix n scheduled doses mag comb _ MS 07400 uo Ache FP H RA AANE PAMEXATE Bor DCN 1 un Actwe F TFHSHEXYFHENID YTL TAB 2G POVORAL OHH
43. L This report is called Administration History Report in CPRS Also called Med Log a report that lists every action taken on a medication order within a specified 24 hour period You can choose to include exclude comments and Audits performed on the patient s medication orders The area of the VDL that displays active medication orders scheduled for administration according to the Virtual Due List Parameters and Schedule Types selected Also called Route or Med Route the method by which a patient receives medication 1 PO IV IM ID SQ and SC Each OMH site determines routes and associated abbreviations which cannot exceed five characters in length Otherwise they will not fit on bar code labels and the MAH Used to separate and view a type of active medication order 1 e Unit Dose IV Push IV Piggyback and large volume IVs that needs to be administered to a patient The Tab under which an order displays depends on how it was entered The alert light on Tab turns GREEN only when a medication order exists for the Schedule Type selected within the respective start stop date and time selected the VDL If grayed out then none exist A report in vxBCMA that provides exceptions variances to the medication administration process It also lists event information within a selected date range such as the type and number of events and the total percentage of events tha
44. LOPERIDPOL FLOR SULTA DROGE mEERRSSEREEEEEGEGHESESNEEEEEEGEGEGEGSEEEEEEENEEGNEGEEENNEEEEENGEGNEHNESNNEEEENENENEHSNNENENEEENEENEENESNNENEEENEEENENESENENENEEREENERNEESNNEENEEEWENENBENNENHHENNSEHSEHEHEHENNENSENNENENENEN Dara Orderable Iram Actin Action Start Pater eres ehid Inj fits Dat ay Drug Additicva Eolutiam cvm Gade Figure 29 Example of Medication Log Report by Selected Ward for 2 Selected Patients March 2014 vxBCMA User Manual Note All patient data in this document is fictitious No Protected Health Information PHD is included 60 Medication Therapy Report showing medication administration details of medications selected Select Reports from menu bar Select Medication Therapy Enter Start Date and Stop Date Select appropriate Schedule Type s Select Detail for Comments to be included in report Select Medication search if applicable Og Pp WON Report can be previewed or printed by Patient or ward Note In order to run report for specific patient you must first have the patient s record selected Note Select Patient and Click Preview or Print to run report for current Patient selected 8 Click the Select Medications button Medication Therapy Sant Dre Date 3 1204 61 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included
45. N 1 To Verify Five Rights select each item 2 Click the OK button Verify Five Rights Right Patient Right Medication w Right Dose Right Route March 2014 vxBCMA User Manual 28 Note All patient data in this document is fictitious No Protected Health Information PHI is included Note The Medication is given Harn Doos Medeation og Madcalon Admin Hatory PRS Med rder Sut Tere Sigo Cotes wew elm Actres Heden Adun Time Lait Acton ORAL POOL 032300 REFUSED DIPHENWYTDRAMINE HEL SOM FER FLASHATT CHENG LORATAPINE POLARI TIH ORAL naa REFUSED T1 LORATATHHE 10685 FER ALLERGIES Bib POv Cun IM AUCDICLLM POR INFECTION TAB MEESING DOSE 2 27 7204 AZTHRCOMYON 15045 CAP SINUS DIPHEHHYDPAMIHE REMADA CAF ORAL SIHD 01500900 REFUSED 2 21 2000 621 HEL SOM DIPHEHHTDRAMINE H RASHATICHIMH 29 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protecte
46. Note Refer to page 33 for CPRS Med Order Functionality 13 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included Administering PRN Medication Note Be sure Virtual Due List Parameters are correct Schedule Type of PRN should be selected Due List Parameters Schede Types 4 Start Time Stop Time Continuous OF OnCal gt fooms on0 iv PRN One Time Figure 14 Virtual Due List Parameters 1 Scan Medication MissingDose Meckcabon Log Medication Admin History Allergies GPRS Med Orde pre eae Leite MALE Virtual Due List Parameters M Schedule Types DOB A Time Stop Time z Continuous m Je EU M 7 03 Location 3 WARD 66 INTENSIVE REHAB E ll ADRs ADRs file ALLERGIES plum ACETAMINOPHEN FEVERALL B0MG RECTAL GIVER 2 6 2071 401540 ACETAMINOPHEN 120MG ATL SUPP ACETAMINOPHEN TYLENOL 3259MG 04H POO ACETAMINOPHEN 325MG TAB pain 31 Figure 15 Scan Medication Note It is good practice to review the cover sheet related to how many doses the patient has been administered in the last 24 hour period so maximum daily dose is not exceeded March 2014 vxBCMA User Manual 14 Note All pati
47. ORAL TID Headed HCL SMG CAP m 20 amp g 16 57 RASHATICHINE Note Clicking the Submit button will generate the message Missing Dose Submit ted This step sends a request to Pharmacy for the missing dose Missing Dose Request ZZTESTPATIEHT THIRTYTw O FEMALE waid 365 RICHMOND 21 024 osse va senna LORATADINE 10M MAR 11 201494652000 23 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included Unable to Scan Procedures 1 Select medication 2 Right click and select Unable to Scan Virtual Dae Lt Schedule Types St Ter Tee Dunes OF Rik Hun m Active Medication Adin Laut Acton Toa GL POA CODD MESSING DOSE 371172014 CLARITA TAB GRAL LORATADIME 10M5 TAB FOR ALLERGIES AUF TAMAN I P cmi M C DIPHENHYDRAMINE BEMADRYLICAPDRAL TID 37128040 REFUSED 3 11 20 41650 habi Lo Sean DEMENHYDRAMINE HEL SMG ba Scan Create Ws FOR RASHATICHIMO C AMCKXICLUN CAP DRAL 25 0 PO D 031580300 REFUSED 2726720140109 FOR IN
48. PRN Overview 47 Expired Dc d Expiring Orders 50 Due List Report 53 Medication Administration History Report 55 VIC CIC ATION LOB 58 Medication 61 Medication Variance Log n Rx SR ERE KY Ra uS Ras 66 Missed Medications 69 PRN Effectiveness List nennen nnn nnn nnn nnn nnn nnn nans nnns 12 OSS AE ae ce 75 2014 vxBCMA User Manual Note All patient data in this document is fictitious No Protected Health Information PHI is included Bar Code Medication Administration User Guide Overview of vxBCMA vx Bar Code Medication Administration 1s a module that will 1 Increase efficiency 2 Reduce potential medication errors 3 Provide online patient medication records vxBCMA allows users to electronically document medications at the bedside or other points of care The patient s ID is scanned to identify the patient and each medication 1 scanned to assure it is the 1 right drug 2
49. Print Selected Patients on Ward by selecting the Select Patients button iv Note Multiple patients can be selected using the lt CTRL gt key 8 Click the OK button BCMA Print by Ward Patient Selection Selected Wad 138 5 RICHMOND 11 O23 UNIT ZZTESTPATIEHT THAT FEMALE ZITESTPATENT THRTYONE MALE ri dum LN TE FEM 36 5 RICHMOND 1 IP 023 33155 36 3 RICHMOND 1 IP 123 13 1963 3 RICHMOND 1 IP 123 ull mbi ML iu 51 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included 9 Click Preview preview report or Print to print report Expired d Expiring Orders Expired DC d Expiing Orders Include Order Statue fe Expiring Today fe Expiring Tomorrow Wand 355 RICHMOND 1 023 NURS UNIT x v Exclude lnactree Wands Pant by Ward Opti Sort by Patient Sot by RoomBed v Pont Selected Patents on Ward 2 Palient z Selected Expired DC d Expiring Unders i COVEREHEET EXPER DC ds BEPORT Order Statur sz DC d Ezpitieg Teday Expiring Tomorrow Pan Date 15 2014 12 47 Include 1 d Pariente ZcZSTESTPATIEMT HIHZ MALE POR EET 5 1949 i 4 BALE Bee Ward 3 67
50. armacy Activity Log Date Feb 16 2014 11 40 50User Activity VERIFIED BY PHARMACIST Date Feb 16 2014 11 40 50User Activity VERIFIED Field Requested Start Date Old Data 3140216 09 Date Feb 16 2014 11 40 49User Activity FINISHED BY PHARMACIST Report 1 of 1 Print 10 14 AM 5 3110 2014 amp a em Figure 7 Example of Virtual Due List VDL Screen showing Unit Dose tab Electronic Medication Administra tion Record Note Administration Times vary due to the medication type Each facility will have defaults for Ward Administration times March 2014 vxBCMA User Manual 8 Note All patient data in this document is fictitious No Protected Health Information PHD is included The Menu Bar includes five menus for accessing features and options File View Reports Due List Tools and Help File Menu Options File Menu options are Open Patient Record Open Limited Access Open Read Only Close Patient Record Edit Med Log and Exit File View Reports Duelbt Took Help Schedule Types Open Aasin XE Costus ERN O F One line PD ts Me ADHs on file Ext VER R Diplay Gridines Active 31 Orders Medic stia Lord Route CFE ee Action specus Orar trae des She FP ZIPFUSSIDTIME ALP Ts 10G
51. atient To assist in rotating injection sites where applicable the Injection Site History summarizes the previous injection site for the orderable item up to 4 and all injection sites within the time frame nn specified by the vxBCMA Site Parameter Injection Site History Max Hours When the Inpatient Order Mode is selected inpatient medication orders only display on the Cover Sheet Unit Dose IVP IVPB and tabs When a patient record is open if the patient status 15 admitted the Inpatient order mode defaults A GREEN alert light indicates that active medication orders exist and or an action needs to be taken on an expired or discontinued order Also called the internal entry drug number entered by Pharmacy personnel into the DRUG file 2250 to identify Unit Dose and IV medications vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included IV IV Bag Chronology IV Bag Detail IVP IVPB Last Action Column Last Site Column Limited Access vx BCMA MAH MAR Medication Administration History Report March 2014 Definition A medication given intravenously within a vein to a patient from an IV Bag IV types include Admixture Chemotherapy Hyperal Piggyback and Syringe On the IV Medication Tab the area of the VDL that displays the components with related icons f
52. curity key that must be assigned to allow the user to run the TO SCAN Unable to Scan detailed and summary reports Read Only A mode in which vxBCMA can be accessed that provides non medication vxBCMA administering users the ability to view a patient s VDL and print reports without performing any actions against a patient s medical record Refused The status fot an IV bag or Unit Dose to indicate that the patient refused to take the dose Removed The status for a patch 1 Nitroglycerin Fentanyl or Nicotine to indicate that it has been removed from a patient Once removed the letters RM for Removed display in the Status column of the VDL 81 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included Schedule Schedule Type Schedule Type Indicator Security Keys SM Solution Start Date Time STAT Order Status Status Bar Stop Date Time Stopped Strength Unable to Scan Detailed Report March 2014 Definition The frequency at which a medication is administered to a patient For example QID QDAILY QAM Q4H Identifies the type of schedule 1 e Continuous PRN On Call and One Time for the medication being administered to a patient A GREEN alert light indicates that a medication order exists for the Schedule Type selected within the respective start stop date and t
53. d Access to patient record Open Read Only user has Read Only access to patient record Close Patient Record patient record will close Edit Med Log option to Edit Medication log 9 5 Exit exits vxBCMA program 9 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included Menu Bar View Menu View Menu options are Med Tab Allergies Patient Demographics and Flag Reports fue list Tools Help Flag r Virbuall Due List Parameters Schedule Types Saget Time Stop Time Coine gt 011061700 F ERN gt One Time GER 1257250 SS RHE DRM IAG LAP ORL DIPHE NAY DRAMINE HCL SOMG CAF EPS Rash S A hinir Prous TMG PAM GIVEN 12 4 7201 IMG TAE PS SOM LH EB F DIFHEHNHHYDESHINE INKJ SOLH EDBG Z7UL 04H INTRA AML EPS cr olhos severe allergic reactii F HILE HAGHE SLA ELSE ORAL HHL UAH FOJ O HILE 16 DAL CONSTIPATION EH F GIVER TLS Sey as IBLEPROPENM TAR FOR PAINJFEVER IALOHJZMBGOHJASIMTH REG 5 154L 04x
54. d Health Information PHI is included Invalid Medication Do Not Give This Medication Note Error message will display when an Invalid Medication is scanned Reports DuelHt Too Hee Medication Admin History PRS Medida TPATEENT TwENTYSEVEN MALE MALE 2000007 Active Admin Last Aton DIFHE CAF ORAL SMG no REFUSED 227 203 SOM FOR RASH ATI CHENG a LORATATHHE DAAL Voie Duc POA REFUSED 2 25 2031 127 LORIATADHIHE FOR ALLERGIES Ada EO OLLI DFA 250r POD 007550800 2726 7207 ae MG AMIDA FOR t AZT HER Ci CI xx MISSI O DISSE 2727 20184 AJTHRDMYUIN 25046 FOR SOW FECTION t Net FLAMINE CAPORAL TID SOM FOR RASHATICHIMWE Jr 2627 2398 dr ds E E March 2014 vxBCMA User Manual 30 Note All patient data in this document is fictitious No Protected Health Information PHD is included 31 Undo Medication That Was Administered Note Patient Spit out Medication 1 Select Medication 2 Right click and select Mark then Undo Given 4 t Gale M
55. dministration details of medications selected by user Medication Variance Log a variance to the Medication Administration process exp report listing medications given before or after the Administration time Missed Medications displays medications that were NOT GIVEN when they were due PRN Effectiveness List displays all PRN medications effectiveness that are due PRN Effectiveness is required to be entered within a specific time frame Vitals Cumulative displays patient vital signs for a specified date range This will have value in Track 2 March 2014 vxBCMA User Manual 40 Note All patient data in this document is fictitious No Protected Health Information PHD is included Administration Times Report The user can create a scheduled Administration Time Report for patient or ward 1 2 3 4 Select Reports from the menu bat Select Administration Times Enter a Start Date and a Stop Date Report can be previewed or printed by patient or ward Note In order to run a report for a specific patient you must first have the patient s record selected Note Select patient and Click Preview to preview or Print to run report for current patient selected Patient Wand Administration Tires Stat anaana Eini by v Patent Cwad Exhdelnative wands Print by Ward 5 7 Pont Selected Patients on Wed Pationts Selected
56. e box 5 Scan the bar code Note Patient Lookup dialog screen will display 6 Scan the Patient ID or enter it manually 7 Click OK Only necessary if you manually type in ID Patient Lookup Scan Patient Wristband 123 Figure 3 Patient Lookup dialog screen iv Note MRN Medical Record and in OMH that will be state ID 3 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included A Patient confirmation screen will display to verify that the correct patient has been selected 8 Ifthe correct patient information is displayed click the Yes button B Patient Confirmation z 2 hd E m nM Lv T UE Ea Figure 4 Patient Confirmation Screen lt CTRL gt O v Note If incorrect patient click Cancel and go to File menu and Select Open March 2014 vxBCMA User Manual Note patient data in this document is fictitious No Protected Health Information PHD is included vxBCMA Cover Sheet The Cover Sheet provides users with four different views of medication data related to the selected patient and allows the user to access additional data The four views Medication Overview PRN Overview IV Overview and Expired DC Expiring Orders Note Clicking the header will sort by column Bar Code Med
57. e previewed or printed by Patient or ward record selected Note order to run report for a specific patient you must first have patient s selected iv Note Select Patient and Click Preview or Print to run report for current Patient gt Patient Due List Due List Date for Report 3 20 2014 Include Order Types Unit Dose Include Future Orders Wad 1 v Exclude Inactive Wards Print by ward Opti Sort by Patient Sort by RoomBed Print Selected Patents on Ward No Patients Selected Select Patents 7 Select Ward for a complete listing of Patients a specific ward 8 Click Preview to preview report or Print to print report 53 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included Note A good report to review at the beginning of your shift to plan your Patient Dane Lint MEDICATION DUE LIST for 20 201400001 to 20 201482404 Dare HAR ZO 20140918 10 Sthedale Cenrisueas OnCall Page 1 Unit Dose Fari amp Etr ZZTESEPATIENT FUUR FEMALE BOE 11 1955 ELE FEAALE Hr We l lcn lka Hard 3 WARD 6 IHTEHMSIVE REHAE Em ILL Heme
58. ent data in this document is fictitious No Protected Health Information PHD is included 2 Select a reason Note Select Pain Score if applicable ede ation Lag Active Medicason ACETAMINOPHEN FEVERALL SUPP RTL 120MG RTL SUPP 1 T Dae Tme Temp Eris Fourd Fan Erit Erit Foursd Puls Found Erit Fourd 2 6 7201 491540 2 6 20 481300 GIVEN FEVER Unts Green do not deplag in thee table above for orders wath multiple duga Schedule Lact Green 34 1h 45m age on 2 5 20146215410 _ Figure 16 Medication Log Display 3 Check the box indicating I have reviewed the schedule and last administration of this medication 4 Click the OK button Note The Reason must match to Indication in Special Instructions Information If a patient has a fever it must match the reason in the Select a Reason box The Last Four Actions will display Last Four Actions Date Time Action Units Given 2 6 201 41540 GIVEN PRN FEVER 216 201 421300 GIVEN PRN FEVER 15 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included Note There may 6 8 PRN Effectiveness to be documented
59. he medication you are administering requires more than one unit dose this screen will appear If not skip to step 7 6 Click the Unable to Scan button March 2014 vxBCMA User Manual Note All patient data in this document is fictitious No Protected Health Information PHD is included 7 Select the Unable to Scan Reason BCMA Unable bo Scan Administration Information TYLENOL TAB Scheduled drin T ine Schedule Type PRN D ozage Infusion Rabe b Units Dose 2 Last Acton GIVEH 310 201 461 505 Bag ID Medication 150 Characters Unable to Dieternine i NOTICE Unable to Scan was selected for dispenzed Cicek OF to Continu drug ACETAMINOPHEN 325MG TAB UD OK Cancel 8 Enter Comment 9 Click the OK button 1 Hi liana ACE TYLER 24 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included Note Two options will display Verify Medication and Verify Five Rights 1 To Verify Medication type in Bar Code of the drug administered 2 Click the Submit button the heman readable number below Ehe Code of the drug being sdministered ORAL Special FOR PAI
60. ication Administration 3 28 72 7 File View Reports Due List Tools Help Missing Dose Medication Log Medication Admin History Allergies CPRS Med Order Flag ZZTESTPATIENT TWENTYSEVEN MALE MALE 123000027 DOB 3 3 1974 40 Height Weight Location 45 PINEFIELD WARD 82 Virtual Due List Parameters Start Time Stop Time 037101100 031007170010 Schedule Types Continuous PRN O 07641 O M ne Time ALLERGIES soy milk ADRs ADRs on file View Medication Dverview Display Gridlines C Active 5 Orders VDL Status Ty Order Start Date Order Stop Date 0271601935 05 17 2400 Special Instructions FOR PAIN PRN Effectiveness Headache gone Pain Sco Pain Score of 3 entered int Medication Dosage Route Schedule Nest Action ACETAMINOPHEN TYLENOL 650MG PO OR BID PRN Action By Action PRN Reason 02 27 1442 GIVEN HEADACHE NT 02 26 1057 GIVEN PAIN NT 02 26 1014 GIVEN PAIN Pain Score of 2 entered int amp NXO 02 25 08 GIVEN HEADACHE Much Better Pain Score AMOXICILLIN AMOXIL CAP ORAL 250MG PO OR BID MISSED 02 26 1700 FOR INFECTION Action By Action 02 26 0940 GIVEN 02 25 08 GIVEN 02 24 18 GIVEN 02 24 08 GIVEN AZITHROMYCIN ZITHROMAX 500MG BID Action By Action 02 27 1448 MISSING DO 02 26
61. icking on the Activity Ward Stock Unit Dose and IV medications that are stocked an ongoing basis on wards patient care areas They are packaged in a ready to use form or compounded by the medication administrator 83 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included Acronym Term Definition Witness for High An authorized witness required or recommended who must sign on before the user is Risk High Alert allowed to administer High Risk High Alert medications The witness must have valid Medications sign on credentials March 2014 vxBCMA User Manual 84 Note All patient data in this document is fictitious No Protected Health Information PHD is included
62. il Comments are Note Click the OK button to save all changes made to the patient s Medication Log Match 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included Reports Reports menu options are Administration Times Cover Sheet Due List Bag Status Medication Admin History Medication Log Medication Therapy Medication Variance Log Missed Medications PRN Effectiveness List and Vitals Cumulative EZTESTPA HAH TER OG 3 3 Heie i ALLERGIE active CLARITIN TARO TMG POVORAL DALY MESSED 22500900 Foor Abes 252 Biro MMPS EHTI Pra led te Report Descriptions Administration Times report that lists a patient s medications by scheduled adminis tration time from the earliest to the latest Cover Sheet user can view user can view Medication Overview PRN Overview IV Overview and Expired Dc d Expiring Orders by making the appropriate selection from menu Due List allows user to print view medication Due List report for a specific time frame IV Bag Status report showing IV Bag Status by date and time Medication Administration History report displaying extensive medication history for 7 days ot less Medication Log displays the medication administration information for specific time frame Medication Therapy report showing medication a
63. ime selected on the VDL If grayed out then none exist Used to access specific options within vxBCMA that are otherwise locked without the security key Only users designated as Holders may access these options Self Medication A medication supplied and administered by a patient A homogeneous mixture of two or more substances For IVs these would be liquids The date and time that a medication is scheduled for administration to a patient A medication order given immediately to a patient entered as a One Time order by providers and pharmacists This order type displays for a fixed length of time on the VDL as defined by the order Start and Stop Date Time A code used to inform a clinician about the condition or progress of a medication otder For Unit Dose and IVP IVPB orders status codes include G Given H Held R Refused M Missing and RM Removed patch removal only For IV orders status codes include I Infusing H Held R Refused S Stopped C Completed and M Missing Includes the name of the clinician s administering medications plus the name of the division and the time current Server time system time The date and time that a medication order will expire and should no longer be administered to a patient This status for an IV bag indicates that the bag was scanned as Infusing but was then stopped by a nurse An IV bag may be stopped and restarted for a variety of reasons The on
64. itious No Protected Health Information PHI is included 18 TAMIHOPHEH TAB ACETAMINDPHEH 3756 UD 2 Enter Comment why medication is being given outside of Virtual Due List parameters 3 Click fore the scheduled adminisirabion lime 19 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included Rage Lil cien KAY TLL BAT GAP mr EDD GAL He 2723 52 HEV Deiri HCL PON HASHATICHIH m AC TAMINGPHEH UO CLARITIH LAR DEAL Tour DAY LORATADINE YMG TAR POR ALLERGIES MEIG 0 FOR RASHATICHIHG AMC EMEN CAP ORAL OG 0 QAM TUO REFUSED BARL PS CAP FOR IMFECTION CAP DEAL MG ED PO LGD REFUSED 25055 FOR IMFECTION EH Pn SL AZITHR MSCIM FOR CI HROMA Pn EH dau T it Figure 18 Continuous Medication Given Outside Parameters Note Status column will
65. itsng Dose Medication Log idee Hoy Mes CFRS Med Order ZTESTPATIENT THIRTYFIVE MALE MALE VeudDue Let Type DOB 1731385 2 Stop Timer OF ne Location 36 5 RICHMOND 2 IF 24 E nms OF Be e Ver Aen Tires Latt Acton CAF ORAL GMER Loe TD HCL FOR RASHATICHING BEMADRYLICAF ORAL SHG TID GIVER 27264201 41110 DIFHENHYDFIAMIME HCL SMG I AZITHROMYCIN THROM TAB SOON BIL POA MAATE AZITHROMY LIN 250415 FOR SINLIS AINFECTEON vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included Note Status of Given is removed Madeenlog MadesenidmnHa P OO l MALE MALE Virtual Dua Lint setae DOS 1 0 1565 29 Sipp Tine oF co Hei Weight e fence Tem Location 36 5 RICHMOND 2 IP 24 BEEN 4220 ALLERGIES peas mik Eta Ver Hom Active Medkestion Flo
66. lth Information PHI is included 4 Selecta reason 5 Click the OK button Emesis Nausea Patient Refused Figure 19 Example of Refused options Note Status column will display for Refused om Admin Tima 0 TPE Oath REDI POR DIPHEHHYDORAMHINE HCL 50MG FOR RASHATICHING BENAORYA CAP ORAL SONG 1 POD GIVEN VANNANI DIPHENMYDRAMINE HCL SIMG CAP FOR RASHATICHING P ACETAMINDPHEN TYLENOL TAB GIVEN DAANEN ACETAMINOPHEN 326945 TAB UD FOR PAIN C LORATADINE KCLARITIN TAB ORAL DAILY 037160800 GEN 2 25 20 RIT L BATADINE 10 FOR ALLERGIES MIILI CAP DRAL 25045 90 REFUSED 27257548035 29M FOR INFECTION CAP DRAL 25045 80 FOU 03710800 REFUSED 2125 5403 9060 FOR INFECTION 5s C AJTHRDMYCIN 2 THROMAX TAB TMG BID POD ATIE REFUSED 3 11 20 AGIT Eb AI THROMYCIN 25046 FOR SINUSANFECTHON C AZTHR MYCIH 2 THROMA BID PAT ATEAN REFUSED 3711 22 421645 A THAOMTUIN m Pul Wa BCMA Circa servers me p ge March 2014 vxBCMA U
67. ltiple patients can be selected by using lt CTRL gt key 10 Click the OK button Selected wand pw ET ADM NURS UNIT Paien List Select patents by unng Contlkeg SOS EIGHT FEMALE ZZTESTPATIEHT FIVE MALE 3 WARD 3 WARD 67 ADM PLACEMENT TESTRATIENT MALE 3 WARD ADM Fra TESTRATIENT SEVEN MALE 7 WARD Er ADM fe TES SES FEMALE ya Sat WARD bi DM FLALDEMEMNI March 2014 vxBCMA User Manual 70 Note All patient data in this document is fictitious No Protected Health Information PHD is included 11 Click Preview to preview report or Print to print report Patient Missed Medications lez E Misting Doce Held i e nadie Sort by Room Bed Print Selected Patierts on Ward 2 Patient s Selected Select Patents Preview Cancel T545 THUEDICATICHtS for Mar i DOLE Ga ceo mar Z3 Date HAE toLlapia io crcar Active z mq A Fee ieee Dore FS Hebd Ba feed Gum mos ED o TZITRSZPATIENT SICCUCH HALE ET 1 TAR 259532 ALE Hit Pa
68. ly actions allowed on a Stopped IV bag is to mark the bag as Infusing Completed Held or Refused The degree of concentration distillation or saturation of a medication A report in vxBCMA that provides a list of scanning failures and the reasons that were provided for the scanning failures of patient wristbands and medication administrations vxBCMA User Manual 82 Note All patient data in this document is fictitious No Protected Health Information PHI is included Acronym Term Definition Unable to Scan A report in vxBCMA that provides the total number of wristbands scanned Summary wristbands bypassed medications scanned and medications bypassed Report Unique Identifier The number generated for IV and IV Piggyback medications when the Pharmacy Number prints a bar code label for an IV bag It helps to identify which IVs have been manufactured by the Pharmacy For IV Piggyback orders use the Available Bags command in the Right Click drop down menu For IV orders locate it in the Bag Chronology display area of the VDL Unit Dose A medication given to a patient such as tablets or capsules Unknown Status Ifan order created in vxBCMA CHUI Manual Medication Entry is not completed with a valid administration status the Admin Status will be stored as null blank but will display U unknown in the vxBCMA VDL Status column and Unknown in the Last Action column An Unknown administration status m
69. mentations and late PRN effectiveness entries 1 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included Dual Nursing Pharmacy Verification Medication Administration Work flow 41 Medication order is entered finished and verified electronically 2 Access BCMA software 3 Scan patient ID verifying information 4 Define order types to be displayed on the Patient Virtual Due List by checking or uncheck ing the appropriate box or boxes 5 Select bar coded medication package to be administered based on information displayed on the Virtual Due List VDL 6 Scan bar code of medication to be administered visually veritying information 7 View screen for alerts required actions and accuracy of administration documentation 8 Administer medication to the patient 9 Run the Missed Medication report after the medication pass is completed 10 Resolve discrepancies on the Missed Medications Report March 2014 vxBCMA User Manual 2 Note All patient data in this document is fictitious No Protected Health Information PHI is included Sign on 1 Double click vxBCMA icon on the desktop vxBCMA Figure 1 vxBCMA icon 2 Enter Access and Verity codes 3 Click OK Access Code 5222222 VistAExperts Verify Code m Change Verify Code Figure 2 Sign on screen 4 Click in th
70. n Ward 3 Patient s Selecte BCHA COVERSHEET OVERVIEW BEF RT Order Ztatusz er Future Active Expired DC d Pun Date 19 Z014B812 47 Include Acrion4z Paga 1 Pat isnt HALE Soe BOE HAT 5 1949 64 Sexi MALE He ee Ward 2 BARD 67 ADH PLACEMENT Dx TEST PATIENT Lage Hvet DEC 21 2013 814 12 24 Type ADMISSION He ADRS on File Allergies HILE FEAFOOD Total Ordera reported 1 VPL I Ztacus l Dosage Houta Lart Given Sinot rder Start Stop Last Civen Data i Date ACTIVE 1 Order 1 CPRE UD Active ACETAMINOPHEN TYLENOL Oz 2 201481031 O3 27 201482400 225 TAE UD 65000 POs ORAL Special Inseructi iens FUTURE 0 Orders ESFIBED DC d 10 Orders LEGEND Figure 25 Example of PRN Overview Report by Selected Ward for 3 Selected Patients 49 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included
71. nt by Ward Sort by Patient C by Room Bed int Selected Patients on Wad Patients Selected 5clect Pater L_Preview Pit 6 When you select a specific ward additional Print options are available to choose from Sort by Patient Sort by Room Bed and Print Selected Patients on Ward by selecting Select Patients button iv Note Multiple patients can be selected by using lt CTRL gt key 7 Click the OK button B LA Print by Ward Patient Selection Bb INTENSIVE NURS WNIT TESTPATIENT THREE FEMALE ZTTESTPATIENT Tw MALE JWwARD INTENSIVE REHAB Dr Cancel 73 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information is included 8 Click Preview preview report or Print to print report Effectiveness List Stop Date 3 21 2014 by Patient C Sort by Room Bed Prnt Selected Patients on W ard 1 Patient s Selected ElTextieecness List JTECTIVEHISSJ LEST for Mar 21 20149 0 01 to Ear 21 20424 00 Pan Dare Z1 200414591 Page 1 ZE TESTPATIENT ONTI MALE DOB ADE 1 1970 443 MALE Be nt f4Bcm 5 ka Ward BARD INTENSIVE Pm Abdominal pain Lert GEC 27 2010E907 27 51 Typs ALHIZSION Ho ADEs on file qian HALUFIEIDUOL PEMF SULT
72. o Protected Health Information PHD is included Unable to Scan allows the nurse to select an Unable to Scan reason Unable to Scan Create WS option is used if the unable to scan product was acquired from Floor Stock Ward Stock WS instead of the patient medication drawer Sort by options available to sort Refresh will re display the VDL March 2014 vxBCMA User Manual 12 Note All patient data in this document is fictitious No Protected Health Information PHI is included Schedule Types Schedule types are Continuous On Call PRN and One Time Selecting the appropriate type s allows the user to define which medications are displayed Schedule Types Continuous On Call O M PRN One Time Figure 12 Schedule Types Continuous medication given continuously to a patient as defined by the order Start and Stop date s On Call specific order dependent upon another order taking place before it is carried out PRN medication given to a patient on an as needed basis On Time medication given one time to a patient such as a STAT or NOW ordet CPRS Med Order Button CPRS Med Order button provides a link to vxCPRS for electronically ordering documenting and signing Verbal and Telephone medication orders Figure 13 CPRS Med Order Button also known as the Hot Button v Note CPRS Med Order button is used for STAT or Now order v
73. on Lag Stop Date 3 120714 Ske Tii 20 Prt by if Fuerit fo Fe leached inactive wards by Wied Options So by Patent P T ti on Wied Patients Selected Select March 2014 vxBCMA User Manual 58 Note All patient data in this document is fictitious No Protected Health Information PHI is included Patient Medication Log Include etai Audits Comments Erra Patent Wad 3 WARD E INTENSIVE REHAB NURS UNIT v Exclude Inactive Wards Fant by Waid Opt by Patient C by Room Bed 7 When you select specific ward additional Print options are available to choose from Sort by Patient Sort by Room Bed and Print Selected Patients on Ward by selecting the Select Patients button v Note Multiple patients can be selected by using lt CTRL gt key 8 Click the OK button BCMA Print by Ward Patient Selection SS TESTPATIENT MALE WAAC i NTEN ZZTESTPATIENT THREE FEMALE AWARD E IHTEMSIVE REHAR ZZTESTPATIENT MALE FX 3wARD E INTENSIVE REHAB 59 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included 9 Click Preview preview report or Print to print report Patient Medication Log 3 WARD 66 INTENSIVE RE
74. ong with their demographics and hospital location information A drug whose name has the strength associated with it e g Acetaminophen 325 The name without the strength 15 called the Orderable Item Name A report that provides detailed information about active and future Unit Dose and IV medication orders that are due for administering to a patient during a time frame that you specify within a 24 hour period Authorizes that you the user logged in to vxBCMA This code is site parameter setting in GUI vxBCMA The process in which the pharmacist adds the information necessary to make the order active For example dispense drug and start stop date Intervals between medication doses administered to a patient When a medication is administered to a patient it is considered to be Given and 9 marked as such with in the Status column of VDL Graphical User Interface The type of interface chosen for vxBCMA vxBCMA User Manual 76 Note All patient data in this document is fictitious No Protected Health Information PHD is included Held High Risk High Alert Medications Hospital supplied Self Medication HSM IEN Inactive Date Infusing Infusion Rate Injection Site History Inpatient Order Mode Internal Entry Number Ta Definition When a medication is not actually taken by a patient it is considered to be Held
75. or all displayable bags Ward Stock bags Provides detailed information about the actions taken on the bag or Ward Stock bag identifier currently selected in the Bag Chronology display area such as the date time clinician action and comments Also called Push a Unit Dose order with a Medication Route of IVP or PUSH Also called IV Piggyback an IV order with an IV type of Piggyback Based on the orderable item not the medication to identify to the nurse the last action that occurred on the active medication displayed On the Unit Dose and tabs of the VDL the Last Site column displays the location of the last injection site for the orderable item when applicable Applies to administrations that participate in injection site rotation i e with medication routes of Intramuscular Intradermal or Subcutaneous A mode in which vxBCMA can be accessed that provides medication administering users the ability to access the vxBCMA application without being at the patient s bed side Active discharged and deceased patient records can be opened in Limited Access mode without scanning or using Unable to Scan Medication Administration History patient report that lists a clinician s name and initials and the exact time that an action was taken on an order in a conventional MAR format Each order is listed alphabetically by the orderable item The Date column li
76. ptions are Administration Times Cover Sheet Due List Bag Status Medication Admin History Medication Log Medication Therapy Medication Variance Log Missed Medications PRN Effectiveness List Unknown Actions and Vitals Cumulative Administration Times Cover Sheet Due List IV Bag Status Medication Admin History Medication Log Medication Therapy Medication Variance Log Missed Medications Effectiveness List Vitals Cumulative Figure 10 Reports Menu Options iv Note Reports will be covered in the Reports section starting on page 40 Menu Bar Due List Due List Menu options ate Add Comment Display Order Mark Med History Missing Dose PRN Effectiveness Unable to Scan Unable to Scan Create WS Sort by and Refresh Due List Tools LATET Add Coponmiernt Display Order Help F4 Mark Med History Missing Dose PRIM Effectiveness Unable to Scan Unable to Scan Create WS Sort By Refresh Ld FS Figure 11 Due List Options 11 Due List Options 9 99 Add Comment additional information can be added Display Order order details are displayed Mark user can mark medication as Held Refused or Removed Med History displays medication entries for a date range Missing Dose allows user to submit Missing Dose request to Pharmacy vxBCMA User Manual March 2014 Note All patient data in this document is fictitious N
77. r Za MATIS 4 7 AE TOLACNEMINT TX TEST PATIEHT Dart Meet DEC OB TD013814 282 0 Tym e ADD emo AmDPs en fiis WITAMIN COINITHENHT Ow ie rome miam etc Gem dca Eo we E CS D cn Pe Oa char Prop Etat A Sa FEL fF Sola eo ACESS MOS TLD Oe FPSO 1 ee EEEE ACCKETAIUDLHOFHENEN G4TYLEHOLR TAE d or BE OOFIISZUIAgOMDD CTENGOEMIH TAE Qa ce V IDIa zcaceo ams i SERTRALINE OPDOLOFT TAE EIE 4 400 CT r AESOP ATT Lease OS Eds 20031 aco ha ee Pe ACTA CYR TAE Br OL CTL Tb aoe 4 TYLENQOIPR Qa E nam METAS ALE Cra foe 1 ZZTEGTRATIENT GEVIEM HALE Ward X WARD 67 ADM PLACEMENT Pamienr IITEETPATIENT ETIX FEMALE BEERZEEETEREEN FEE 2 1908 4255 a FEAL E Hee Ue an aum Fard Cho RED SU ADE PLACTPENMNT TEST PATI La Mumi DDEC 31 ZOLIA aS Type ADS ION Esc Bo ADT Ges dude PEAMIT Srdec ee set ret igm Dame 3 ima Medi a t il adam o icq Dar Oar ALCOHOL G20 ROS BSED ALES LEE TOE Ga Fob eo SIX FEMALE jc I Ward 3 WARD 67 AR
78. rder 33 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included Order Manager Ts Iv Int Syringe Provider DOCTOR ONE Injection Site Action Date Time FEB 10 2014 11 00 ACETAMINOPHEN 120MG RTL SUPP Scanner Medication Bar Code i Heview s5ign scan of enter the bar code you must record the order in vx CPRS Note If medication is unable to scan enter the bar code manually If you are unable to 5 Select Dosage and Schedule 6 Click Accept Order Medication Order bcma ACETAMINOPHEN FEVERALL SLIPP RTL Dosage Route Schedule ACETAMINOPHEN FEVERALL SLIPP RTL Accept Order 325MG ATL NOW zH Qu iv Note The dose can be typed in it does not have to be selected from the list March 2014 vxBCMA User Manual 34 Note All patient data in this document is fictitious No Protected Health Information PHD is included ate Read Back Verbiage Note Use Comments section to enter Indication Per your local policy enter appropti 7 Select Review Sign Rewiew Sign 8 Release to Service select appropriate value 9 Click OK Review Sign Changes Orders Orders ACETAMINOPHEN IFEVERALLI SUPP RTL 325G RTL NOW UNSIGNED l
79. right dose 3 right route 4 right patient and 5 right time patients for demonstration and educational purposes There 15 no actual Protected Y Note The patient data contained in this document has been generated on fictitious Health Information PHI contained in any patient s record Features of vxBCMA The critical nature of medication administration requires complete understanding of how vxBCMA operates in the healthcare setting vxBCMA was designed to provide an automated tool to assist the medication administration process and is intended to augment not replace the clinical judgment of the medication administrator vxBCMA Increases medication administration accuracy Provides a real time Virtual Due List of orders for medication administration 9 Allows the nurse to request a missing dose and electronically send the request to Phar macy Identifies PRN entries that require effectiveness comments Gives an avenue for improved communication between Nursing and Pharmacy staff Provides a point of care data entry retrieval system Records refused medications Reduces wasted medications Captures drug accountability data 9 5 99 Replaces the manual Medication Administration Record with a Medication Administration History MAH to provide an automatic record of a patient s medication use information Provides a list of variances that identify early or late medication docu
80. rmacy nnne 23 Unable to Scan Procedures rrr nnn ranas nuns a aa addas aaa aaa mannanna nnmnnn 24 Invalid Medication Do Not Give This Medication nnn nnn nnn nnn 30 Undo a Medication That Was 31 33 To Edit Med Ar c 37 To Edit Dispensed DUS viissccscssscavatnssscasvasvccsnsasasnnaeensuassicnnedessaacacstanssevsadsuatvonnssansaecsnsacecassuasdeiseees 38 TO Edit UNIS GIVE UR NEKSENNSA AR OE EAS THERREUZR ESAMI NAET ERG 38 TO EGU Units COMI dior eoi a 39 40 Report DCSE ed 0 So vis IER TEES 40 Administration Times 41 Cover Sheet 43 Medication Overview nnne nnn nnn nnn nnn nn nara nana 44
81. ser Manual 22 Note All patient data in this document is fictitious No Protected Health Information PHI is included Missing Dose Request to Pharmacy Select Medication Select Missing Dose Select Reason Click the Submit button View Reports Duelist Toss MesrgDssm Medesenleg MedcswenhdmnHao CPRS bed Orde THIRTY TWO FEMALE FEMALE P List Parametar r Schedis T DOS 1 3 2000 14 E ms Location 36 5 RICHMOND 2 IP 24 fur en um zi E Ime DIPHEMWYDRAMIME IBENADRELICAP URAL S TID NEII REFUSED XT1 201868T50 DHPHENHYTDRAMINE HCL Sif CAP FOR RASHATICHING DIPHEHHYDRAMIHE SOMG TID xn REFUSED 311 201 461550 DIPHEHHYTDRAHINE HCL SMG CAP FOR RASHATICHINE ACE TAMINGPHEN TYLENOL TAB BID 2 25 20 491017 325046 TAB TOR PAM o iere ZZTESTPATIENT THIRTY TWO FEMALE CAPORAL wend FOR INFECTION 2 AMCDOCILLIN CAP ORAL Died 2506 FOR INFECTION LORATADINE 1090 GI THAOM TAB AZITHRIOWYCIN 250MG CAP E FOR SINUS ANFECTION bene goin Tues a ahon 1 menn FOR SINUSANFECTION DIPHEHHYDRAMIHE
82. sts three asterisks to indicate that a medication is not due The report also lists information about when an order is placed Hold and taken Off Hold by a provider and the order Start and Stop Date Time for the medication Medication Administration Record The traditional handwritten record used for noting when a patient received a medication replaces this record with an MAH Also called MAH Medication Administration History A patient report that lists a clinician s name and initials and the exact time that an action was taken on an order in a conventional MAR format Each order 15 listed alphabetically by the orderable item The Date column lists three asterisks to indicate that a medication is not due The report also lists information about when an order is placed On Hold and taken Off Hold by a provider and the order Start and Stop Date Time for the medication vxBCMA User Manual 78 Note All patient data in this document is fictitious No Protected Health Information PHD is included Medication History Report Medication Log Report Medication Order Display Area Medication Route Medication Tab Medication Variance Log Report Missed Medications Report Missing Dose National Drug Code NDC 79 Definition A report in vxBCMA that lists the date time and orderable item of a medication selected on the VD
83. t Release to Service 6 10 Enter the Electronic Signature 11 Click OK Electronic Signature Enter your electronic signature to release these orders signature Code 35 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included Reports ue List Toce Heb _ ae Haly Alger CPRS ed tier Foc RE DDR MAE MALE T Schede 1779 008 121388 29 OF ima OF 0 54 tesis Ne ORN Fe inline 5 Ti i nas Schedule mad Ache rue hir Dn otis x 2 JDGOLUH CAP OAL DD CU Ok eto ee z UD Ace C CRPHEMHYDELUAMIME BEMADAT DMG PORA T MISSED 00 FOA Med MISSED 0 FOR Figure 22 Example of One Time Medication listed on Cover Sheet March 2014 vxBCMA User Manual 36 Note All patient data in this document is fictitious No Protected Health Information PHD is included To Edit Med Log 1 Click File 2 Select Edit Med Log Bar Code Medication Administ File View Reports Duelist Tools 7 Open Patient Record Open Read Only Edit
84. t occurred A variance preceded by a minus sign such as 24 indicates the number of minutes that a medication was given before the administration time A report that lists information about Continuous and One Time Unit Dose and IV Piggyback medications that were not administered to a patient A medication considered Missing vxBCMA automatically marks this order type with an M in the Status column of the VDL after you submit a Missing Dose Request to the Pharmacy If an IV bag displayed in the IV Bag Chronology display area of the VDL is not available for administration you may mark the IV bag as a Missing Dose using the Missing Dose button or by right clicking the bag and selecting the Missing Dose command in the Right Click drop down menu Also called NDC the number assigned by a manufacturer to each item medication administered to a patient National Drug Code The number assigned by a manufacturer to each item medication administered to a patient vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHI is included Non Nurse Verified Not Given NOW Order On Call Order One Time Order Order Orderable Item Patient Record Flag Patient Record Flag Report Patient Transfer Notification Pending Order March 2014 Definition Medication orders that are not verified by
85. ted abe Vara Log SESS ERE EDICATIOM VASTARCE LOG Data Zl 2004813252 1 Parient ZZTESTFATIEHT THERE FERAL PUB FER 10 1934 1205 FEMALE e ries eye Ward 3 WARD dd INTENSIVE xi ILE Lart Feet DEC 30 20132805 0 0 ABHIESIUN ADEF on fila llargies CRAVE PEANUT HITTER Event Var Bedicationm SETESTRATIONT THREE FEHALI Ward 3 44 HALE ecm Lak Ward 2 BARD 65 REHAE TLE Last Hae DEC 24 201 0 Type AD Be Ho AEs on Tila Allergies ZTRAMBEREIEE Event Date Time Event Eaedicetion ee SSS 7711 SETESTPATIONT TWO MALE Ward 3 VARD INTENSIVE loom Bed Figure 31 Example of Medication Variance Log Report by Selected Ward for 2 Selected Patients March 2014 vxBCMA User Manual 68 Note All patient data in this document is fictitious No Protected Health Information PHD is included Missed Medications Report Displays medications that were NOT GIVEN when they were due Select Reports Select Missed Medications En
86. ter Start Date and Stop Date Enter Start Time and Stop Time Select appropriate Order Status Select appropriate Admin Status Select Detail if comment reasons are needed 0 N Oo gm PP RP Report can be previewed or printed by Patient or ward record selected Note In order to run report for a specific patient you must first have the patient s Note Select Patient and click Preview or Print to run report for current Patient selected Patient Hieni Phe ater WLANs tie Bast Time Stop Time E Misybne W Det ast Commenit Fleaiora Ent by v 8 ay i jn cn Wend Patients Selected ir s em 69 vxBCMA User Manual March 2014 Note All patient data in this document is fictitious No Protected Health Information PHD is included Patient Missed Medications Stop Date 21 2014 li Tires EN r Step Time E Ordy Status gt F7 Expired Admin Staus M Misses Hed Reud Dotat C Faer te 9 When you select a specific ward additional Print options are available to choose from Sort by Patient Sort by Room Bed and Print Selected Patients on Ward by selecting Select Patients button Note Mu
87. ual due list Status Gives you the Status of the medication order Active Type Schedule types such as PRN Continuous On call or One Time Medication The Unit Dose medication Dosage Route The Dosage and frequency of the medication listed Schedule The Schedule of the medication listed Last Action The last action taken of the medication Special Instructions Noted for selected drugs Order Start Date The start date of the Medication Order Stop Date The end date of the Medication Note This page equates to historical MAR vxBCMA User Manual Note All patient data in this document is fictitious No Protected Health Information PHI is included Virtual Due List VDL VIRTUAL DUE LIST VDL is the functional heart of the vxBCMA software The information needed to administer active Unit Dose and IV medications to your patients is directly accessible from the VDL VDL includes all of the features and options needed to scan patient ID and medication bar codes plus record view and print patient medication related information Bar Code Medication Administration 3 28 72 7 File View Reports DueList Tools Help Missing Dose Medication Log Medication Admin Histoy CPRS MedOrder Flan ZZTESTPATIENT TWENTYFIVE MALE MALE 102000025 DOB 4 4 1944 69 Height Weight Location 45 PINEFIELD WARD 82 ALLERGIES no known allergies ADRs No ADRs on
88. ust be corrected using Edit Med Log The unknown null status can occur during Manual Medication Entry when the uset s network connection 15 broken their terminal emulator software malfunctions or if the user improperly exits out of the application VDL Virtual Due List An on line list used by clinicians when administering active medication orders 1 e Unit Dose IV Push IV Piggyback and large volume IVs to a patient This is the Main Screen in vxBCMA Verify When a nurse or a pharmacist confirms that a medication order is accurate and complete according to the information supplied by the provider Virtual Due List Also called VDL an on line list used by clinicians when administering active medication orders to a patient This is the Main Screen in vxBCMA vxBCMA Bar Code Medication Administration vx VISTA software application used in Hospitals for validating patient information and medications against active medication otders before being administered to a patient vxBCMA Clinical marquee located in the lower right hand corner of the VDL that identifies PRN Reminders medication orders needing effectiveness documentation The setting is based on the PRN Documentation site parameter and applies to current admissions to the site parameter timeframe whichever is greater A mouse over list displays when the pointer is placed over PRN Effectiveness Activity or a full list is available by double cl
89. ws Admin Time Last Action FE TID GIVER DIPHENHYT RANIME HCL SMG FOR FASH ATICHING 50M TID DAAN amp 21110 HCL SMG LIBE ELA S peel Load Lee AMCDOCILLIN 25046 FOR AZITHROMYCIN 25 45 CAP FOR SINUS INFECTION 4 Una Dore C NT F i BCMA Dirica Reminders Scan Medication Bar March 2014 vxBCMA User Manual Note All patient data in this document is fictitious No Protected Health Information PHI is included 32 CPRS Med Order Functionality CPRS Med Order button provides a link to vxCPRS for electronically ordering documenting and signing Verbal and Telephone medication orders v Note For STAT or NOW otders v Note User will be scanning patient sheet Scanner Status Ready Ente Scanner Figure 20 The Scanner is ready when it displays green Scanner Status Not Ready p Figure 21 The Scanner is not ready when it displays red 1 Click the CPRS Med Order button IL 2 Enter the Provider and Action Date Time v Note If this is not entered you cannot scan medication 3 Scan Medication 4 Click O

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