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CAPSLink User Manual

1. 10 02 2014 4 10 03 2014 4 See ne ee Order Number Product Product Geet Case Size Cases Ordered Status Status Date dE Tracking Today 2512 06 HYDROmor 1mg mL 0 6mL 66647 2512 06 0 6 mL 50 1 Released to CAPS 10 02 2014 09 56 aie aati once in ocean Order Number Product Product Volume Case Size Cases Ordered Status Status Date FedEx Tracking Today 2041 94 morph Smag ml 50ml SY 66647 2041 94 50 mL 15 1 Released to CAPS 10 02 2014 09 41 3 When the Express222 web page opens click on the Sent Orders tab Find the order you would like to receive from the list and click the green checkbox to the left of the order Express222 Orders ceceno Plview Alea BN ey E arhive WER k fojo2y2024 13 14 56 sent Tracking id 14xB08102 10 02 2014 12 58 56 sent Tracking id 14XB06101 10 02 2014 12 32 52 sent Tracking id 14XB08100 DI Tal fa La SP 8 s A Aa Pe Tenelinn sl 9 Awar 54 4 When the Receiving Status window opens enter the amount of product you received in the Received Qty field Then click the Receive button FaCAPS Central Admixture Pharmacy Services Inc Receiving Status for e222 Form 14XB08102 Products ordered From Central Admixture Pharmacy Services CA Date 10 02 2014 Order Qty 15 0000 Product 66647 2041 94 Morphine 5 mg mL in NS 50 mL SY 60ml 15 0000 shipped on 2014 10 02 NDC 66647204194 RECEIVED QTY RECEIVED DATE
2. 5 Managing Orders Module Function Overview Opening an order from the Patient List Screen Home screen Order Status Saving Validating and Sending Orders to CAPS Creating New Order from Existing Orders and Refilling Orders Discontinuing Orders gt gt 2 FJ CAPS Central Admixture Pharmacy Services Inc Patient Name Area Product Prescribed Room Patient MRN Wi KG Cust Rx Bag D Grp By _ E ADULT TEST ICU 2918 25 2918 25 T MD Li me ADULT TEST Icu 2918 22 29822 T PO m E ADULT TEST ICU 2918 21 2918 21 T x e Eme o 2918 19 1 ei test patient NICU 3 00 2918 20 291820 T Figure 5 1 Patient List Current Orders view 5 1 The Patient List A list of current orders is displayed in the Patient List Home screen when you first log into CAPSLink Figure 5 1 You may filter this list by clicking on the appropriate link at the top of the page For example to list only yesterday s orders click on the Yesterdays Orders link at the top of the page You may also display a list of All Active Patients and All Inactive patients by clicking on the appropriate link To return the list of current orders click on the All Orders Link From the Patient List you may refill edit validate and discontinue orders To open an order in the Order List click anywhere on the Patient s Order When prompted click on Prescription View to open the orde
3. Commit pending changes Back to Order List 5 A red X will appear to the left of the order indicating the order has been received Ea CAPS Central Admixture Pharmacy Services Inc Receiving Status for e222 Form 14XB08102 Products ordered From Central Admixture Pharmacy Services CA Date 10 02 2014 Order Qty 15 0000 Product 66647 2041 94 Morphine 5 mg mL in NS 50 mL SY 60ml 15 0000 shipped on 2014 10 02 NDC 66647204194 RECEIVED orv RECEIVED DATE Ser Jee 10 09 hanges Back to Order List 55 Notes 56
4. 2435 Figure 4 1 Patient Lookup Dropdown 19 Patent Info Patient Hame DOE JOHN 7 Sex M Age J DOE Tareq eae there Med renter th Room Bed Weight ZU Lou Height JU cm MHH AccHt Template Name Order Status Unvalidated ADULT TPN BY ION ADULT TPN BY SALT Figure 4 2 Starting a New Prescription Patient Info Validate i Patient Name DOE JOHN Sex M Age 21 DOB 08 18 1990 Category Adult 15 65 Area ICU NORTH Room Bed EE Weight 70 Kg Height 0 cm MRN Acct Save Template ADULT TPN BY SALT Order Status Needs Validation Order Info Close Order Yolume 2000 mL E Order Overfill s0 mL Order Duration 12 Hours EE Num Units Flow Rate ml hr 83 33 s Rx Number Entered By Route of Administration e Central TEST USER y Peripheral 09 01 2011 15 12 a Not Specified Validated By Prescribed By SMITH v F To Ingredients d Select Item Quantity UOM Per Administration Instructions AMINO ACID 1000 Ord rere EE sg Delete L DEXTROSE 600 ml Order Lj UPIDs iter er Order Se New SODIUM CHLORIDE 0 lt mEq Order Edit 4 1 1 Header Field Figure 4 3 Order Entry Screen At the top of the main order window below the template name there is an editable Header field The text in this field will print at the top of the ingredient list on the product label figure 4 3 4 1 2 Entering a Volume Rate If you enter values into any two of the order
5. duration and flow rate fields CAPSLink will automatically calculate the third parameter Also if you make a change to one of these fields you will be prompted to have CAPSLink calculate one of the other two fields figure 4 4 Click the 20 button corresponding to the field you want CAPSLink to recalculate If you click the Cancel button CAPSLink will not recalculate either field Figure 4 4 Select Field Dialog 4 1 3 Volume Calculators There are two volume calculators that you may use to calculate a TPN order volume kend Penpheral ee h Figure 4 5 Order Volume Calculators The volume per kg calculator can be accessed by clicking on the first calculator icon to the right of the Order Volume field E When the Order Volume per Kg Calculator pop up appears figure 4 6 enter the order volume in mls kg and click on the OK button The Order Volume field will be populated with the calculated value 21 Figure 4 6 Order Volume Kg Calculator The 24 Hour Order Volume Kg calculator allows you to calculate a TPN order volume by entering the patient s total daily fluid requirement and subtracting any other sources of fluid the patient is receiving This calculator is accessed by clicking on the calculator icon to the right of the Order volume kg calculator Enter the appropriate volumes in each field of the 24 Hour Order Volume Kg Calculator pop up fig 4 7 and click OK The Order Volume field will be populated
6. Customer Sang Orders Entered Between 024 10 and 0824 10 Patent PATIENT MEG PATIENT NEG Fig 7 2 Wirgous Mr D201710 1190 User 1 Vaidas OUD410 1200 User 2 votdage 00240 1200 Steet Pharmac 0224 00 13 29 Steet Phamac G824 10 12 20 feet Pharmacy 082410 1229 STen Pharmac DRIADO 1331 Steet Pharmac O82M4 10 13 34 zTect Pharmac 824 00 13 32 feet Pharmac RAD 13 34 Sien Erem C8 24 00 13 35 2Test Pharmac O82410 1 37 Sien Pharmac Ob 24 00 12 08 feet Pharmac RAD 13 30 2Tect Pharmacy W240 140 Order Approval Report 38 7 5 2 TPN Statistics Report In the Other Reports section you will find the TPN Statistics Report This report generates a daily total count of TPNs ordered for the specified date range Fig 7 3 Sample Customer TPN Statistics Report From 1 1 2014 to 1 30 2014 Site Patient Type Date Cent Periph Adult Neo Peds Total Made 01 16 2014 1 0 1 0 0 1 01 17 2014 1 0 1 0 0 1 01 20 2014 1 0 1 0 0 1 01 28 2014 0 1 1 0 0 1 01 29 2014 0 1 1 0 0 1 Totals 3 2 5 0 0 5 Avg day 0 6 0 4 1 0 0 0 0 0 1 0 Fig 7 3 TPN Statistics Report 39 8 Drug Delivery The Drug Delivery module allows you to order anticipatory compounded products from your CAPS pharmacy via the Internet The items that you are able to order via CAPSLink will be determined by your CAPS Pharmacy Module Function Overview Accessing the Drug Delivery Module Placing a Drug Delivery Order Drug Delivery Order Management 8 1 Accessing th
7. Order If you want to enter orders using the Minimum Volume you must make certain that your CAPS pharmacy has set your order template to process minimum volume orders To enter a minimum volume order leave the Order Volume and Rate fields blank Enter your ingredient information and validate your order The Order Volume and Rate will appear on your sample label 2 4 4 Changing a Patient Weight If you want to edit or re submit an order that contains weight based ingredients you may need to edit the patient weight so that the order is calculated with the most current weight Any patient orders that have weight based ingredients will have the weight highlighted in red in the Patient List view see Figure 4 17 To edit the patient weight before processing an order double click on the order from the Patient List and select Patient View Edit the patient weight and click the Save Changes button The updated weight should be visible in the Patient View window Double click on the order and select Prescription View to edit and process your order Refresh Send To Caps LI Patient Name Area Room Acct H Wt KG Bag pp Order Status Si BROWN KELLYM BACK YARD 102 12345 54 43 1005 73 T Ready to Send a Li DOE JANE ICU SOUTH 70 1005 69 T Released to CAPS J Si DOE JOHN 3w 75 1005 67 T ReleasedtoCAPS j O zi PATIENT MED C 1005 70 T Ready to Send a Figure 4 17 Weight Based Order in Patient View 28
8. SY Be64 2041 94 r zE San Diego CS Hudromorpbone 1 mg mL in NS 0 6 mL Sr BEGGAZ 26130 r SI San Diego CS MAGNESIUM SULFATE 2GM IN 50 ML DSW BBE47 4444 55 4 zT est Pharmacy L O ERT 3 After you have entered all the items for your order click the Place Order button 4 When the Verify Drug Delivery Order screen appears review your order for correctness and click the Accept button to proceed with your order Ship to POH ValidOnderSeven Created 10 02 2014 By TPLEGISNDOP derivering Sptutians 4 BE aoleapars Product Product Cases Status Ordered Date Fentanyl 10 meg ml m NS 25 6664 7 2171 33 A Need Sign 10 02 2014 09 17 Hudromortpbone 1 mod mN 6664 251 2 06 1 Need Sign 10 02 2074 09 17 Total Number Units 3 51 5 A pop up message will appear indicating that your order has been placed along with the order number Your Order has been placed as PLH 99 40826 6 A window will display allowing you to either sign the controlled substance orders immediately or to wait and sign the orders later To sign the order later you will need to retrieve the order from the Order History screen 7 Atthis point another browser window will open and you will be prompted to select your signing certificate Express222 Signature Request Windows Internet Explorer i Ka S E http demo dev express222 com digsig_request php id 10010 Fie Edt JAE Select a certificate 3 Favo
9. to Admin level users See section 1 3 for more information on adding and editing User Profiles Figure 9 1 Administrative Options In the Fields Maintenance window Admin users can toggle various fields in the Patient profile to be required or optional Also some fields can be disabled or enabled in this screen as well Window Caps System Required Not Required Fields Required Fields Y S0RDER Y ES PATIENT Don t Require MAM KENAD Seager Last Hame Sia Zeg ma First Name Don t Require Birth Date SEAI Feat Age Category Require Patient ID Window Caps Customization Enabled Fields Disabled Fields Y ESPATIENT a iis ae l 7 es f Disable Height Disable Weight Kg Enable Weight Lb Disable Patent Id Disable MAN Fig 9 2 Fields Maintenance Window 44 A training manual online help and training videos Figure 9 3 can be accessed from the Help and Training link in the lower left of the Navigation pane EJCAPS Central Admixture Pharmacy Services CAPS Link Online Help Training The links below will allow you to view an online help file or download it to your computer There are also several video modules demonstrating the CAPS Link Internet order entry system If you have any questions please contact your local CAPS Pharmacy and we can answer any questions Online Help i Download Training Manual Release Notes E Training Videos le Getting S
10. 2014 sl 2918 22 01 2918 22 ADULT TEST 2134456 4456079 01 90 2014 TPN ADULT Released to CAPS 01 30 2014 ES 2018 2001 2918 25 ADULT TEST 2134456 4456879 01 30 2014 TPN ADULT Released to CAPS 01 30 2014 ee 2918 31 0 1 2918 26 MD NAME 659879 543321 01 30 2014 TPN ADULT Released to CAPS 01 30 2014 Fig 6 1 Released to CAPS window CAPS Fax 999 999 9999 Sample Customer 01 30 2014 16 06 Released To CAPS Report From 1 30 2014 to 1 30 2014 Rx Patient Name Patient Id MRN Weight Kg Area Room Bag ID Status Date 2918 21 ADULT TEST 2134456 4456879 ICU 2918 29 0 1 Released to CAPS 01 30 2014 15 59 2918 22 ADULT TEST 2134456 4456879 ICU 2918 22 0 1 Released to CAPS 01 30 2014 15 59 2918 25 ADULT TEST 2134456 4456879 ICU 2918 30 0 1 Released to CAPS 01 30 2014 15 59 2918 26 MD NAME 659879 543321 2918 31 0 1 Released to CAPS 01 30 2014 15 59 Grand Total 4 Fig 6 2 Released to CAPS Report 36 7 Reports Module Function Overview Description of CAPSLink Reports Displaying and Printing CAPS Reports Several reports are available from your CAPSLink application The reports can be displayed and printed by clicking on the Reports links in the Navigation Bar on the left hand side of the CAPSLink main screen 7 1 Released to CAPS Displays a list of orders that have been released to CAPS The date range defaults to the current day but can be changed by entering a new date range and clicking the Search button Click the P
11. 33 ml hr Rx Number 200 1 Route of Administration e Central _ Peripheral J Not Specified Prescribed By SMITH JO Ingredients pe Select Item _ AMINO ACID Quantity UOM Per 1000 5 Ord d i Delete Fig 1 6 Order Entry Screen Clinician User 1 4 3 Security Questions and Password Recovery Validate ml Send to Pharmacy ave Discontinue Close Num Units 1 Entered By Clinical User 09 01 2011 9 32 Validated By Administration Instructions On first login users will be asked to answer 2 security questions that will be stored with their user profile see figure 1 7 If a user forgets their password they can reset it by clicking a Forgot Password link at the login screen see figure 1 8 When the link is clicked the user is prompted to answer the first security question If they are unsuccessful after 5 tries they are prompted to answer the second security question If the user answers one of the security questions correctly their current password will be displayed Set Secunty Questions for Account Recovery Please select two security questions and answer them Answer the questions honestly so that you can remember them The answers will be used to recover pour password in case you forget tt Fig 1 7 Password Security Questions 3CAPS Central Admixture Pharmacy Services Inc CAPSLink Version 1 04 5 2 R Figure 1 8 Password Re
12. CAPSLink User Manual VERSION 1 06 0 eer os 8 sn pn gan pmmmm C A P 5 delivering solutions A B Braun Company Updated on October 14 2014 Table of Contents Te BEFORE YOU teuer eege Biegetegtegee 4 1 1 EECHER 4 1 2 ACCESSING CAPSLINK AND ADDING CAPSLINK TO YOUR BROWSER S FAVORITES cccceeeeeeees 4 1 3 LOGCOINGIN TOTE APPLICATION EE 5 1 4 CREATING EDITING CAPSLINK USER bport ps 6 1 4 1 EE Eege D 1 4 2 E EE 8 1 4 3 Security Questions and Password Kecouer 9 1 4 4 Editing an Existing User Profile and Resetting Poaseworde 10 1 4 5 Inactivating Reactivating a User Profile and setting an Expiration Dote Il 1 4 6 EE Il 1 4 7 POSS WOVE FDU GON ee Il 2 NAVIGATION 0 ccccccececeecececeeececeeeeeuceseeeeeeseeeususeeeueaseueususeueueuseueeeuseuseeusenees 12 2 1 NAVIGATING THE MAIN SCREEN 12 3 PATIENT MANAGEMENT ccccccececeseececeeeececeseeeeceeuseeeeeueeueeeaseueeeusenees 13 3 1 CREATING A NEW PATIENT EECHER 13 3 11 E E 13 3 1 2 Assigning Allergies lt sccaassccnsavsaseseaouesaradasensancesesaasquonanasavedeuasons duaaenanadateouiawaaeniedonnsneadaseaenaenats 14 3 1 3 SAVNE EE 15 3 1 4 Setting Required Fields and Disabling Fields cccccccccccccccssseseeeeeeeeseeeseeeeeeeeeeeaaaeaaaaaaaeeeeeees 15 SS VIEW EDIT AN EXISTING PATIENT PROFILE isnssesessessseesseerssecesseersserrsseersseresseersseresseersseresseerssere 16 3 3 INACTIVATING A PATIENT PROFILE sccscscsscocsscscsscocsscocscosscvs
13. EE 35 See VV OTS seer E IE EN AN EAE ASI AE E E T 35 52 EE 35 6 RELEASED TO CAPS WINDOW u ccccccncececscscscecencucececececeneneucenseeeneneas 36 6 1 RELEASED TO CAPS WINDOW e Se EE EE EE ee 36 To PREP ei A KEEN 3 7 1 RELCASFDTOCAPS ooreen EA E TE EEE 37 T2 MIN MAX LE VEES oeaio T E A A E A eh Geta ons 37 TA ACTE ORDER EE 37 7 4 ACINVE PATENI oea ed deed 37 Lo BERT CERN 38 ZA QTACTADDIOVALI EE 38 7 ue RE 39 8 DRUG DELIVERY tege eege 40 8 1 ACCESSING THE DRUG DELIVERY MODULE ccccccecoscceccececceccsccececceccsccsccececcsccscsscescesssceececs 40 8 2 PLACINGA DRUG DELIVERY ORDER EEN 41 8 3 DRUG DELIVERY ORDER MANAGEMENT KEEN 42 6 3 1 Order History and EE 43 9 MAINTENANCEIHEL D ENKEN KN EN ENEE ENNEN EN ENEE ENNEN EN ENER EN ENKEN 44 10 APPENDIX 1 ORDER FLOW SHEETS uu sek NN ENKEN ENKEN EN EN ENKEN EN EN EN 46 10 1 FLOW SHEET REFILLING AN UORDER 47 10 2 FLOW SHEET MODIFYING AN ORDER sssssssesesessrsseseseseseseseseseosrsrsrsescseseseseeoeososeseseseseseseseseseneoe 48 103 EB NTERING A NEW ORDER EE 49 11 APPENDIX 2 PLACING CSOS ORDERS sek ENKEN KN EN EN EN EN EN EN EN EN EN EN EN KAN 51 1 Before You Begin Welcome to CAPSLink CAPSLink is a web based system for ordering TPN and other IV solutions from your CAPS pharmacy Module Function Overview System Requirements Accessing CAPSLink and Adding CAPSLink to your Browser s Favorites Logging into CAPSLink Creating Editing CA
14. EST ICU 21354456 4408879 291825 2912 30 F i a ADULT TEST ICU Tase 4456879 Sea as ei ADULT TEST Eu 2134456 4456879 2918 22 2918 22 T Figure 3 8 Inactive Patient Link 18 Module Function Overview Creating a New Order Printing a Sample Label Processing a New Order Canceling and Discontinuing an Order 4 1 Creating a New Order 4 New Orders In the Navigation sidebar on the left side of the main screen click on the New Prescription link Select a patient name using the patient name dropdown see figure 4 1 The patients are listed by name Patient ID and MRN This allows you to find patients with duplicate names Select a template from the Template Name dropdown figure 4 1 If the patient name is not found cancel this window click on the New Patient link on the left side of the main window enter a new patient and then create the order Note New templates can only be added by contacting your local CAPS Pharmacy Patient Info Patient Name e Sex gt as ADULT TEST PtID 6546445 MAN 756465 Category Room CURRENT DAY PtID 8798778 MAN 65454 MRN NAME SAME Pt1D 11111 MRN 22222 NAME SAME PEID 55555 MRN 6BB66 TemplateName PATIENT SAME PtID 2255446 MEN 77882255 Order Status PATIENT SAME PEID 7894548 MAN 6565449 Unvalidated FOUNDING TEST Ft ID 987987 MAN 770999 TEST VALIDATION Pt ID 67987 MAN 87579 Test Testi PtID 1345 MAN
15. Order Duration 24 Hours Potassium 10 mEq Num Units Flow Rate mlhr Phosphate 0 mmole v Per 1 Rx Number Berl S Fated E SE nter y Route of Administration Central Ee a RS TEST USER Magnesium Q mEq LJ Peripheral 09 01 2011 15 31 Acetate S J Not Specified ene ec ke Gel Validated By Prescribed By SMITH e F Chloride 0 Ingredients D Select Item Q uantity UOM Per Administration Instructions E SS Piste Fig 4 14 Printing a Sample Label Alternatively you may print a sample label from the Main screen by clicking on the print icon to the left of the order see fig 4 16 Patient Name Area Room Patient MRH Wt KG Cust Rx Bag Product Prescribed Order Status ID Grp By i ADULT TEST ICU 2134456 42560075 2913 25 2913 30 T MB Released to CAPS j ADULT TEST ICU 2134456 4456879 2918 21 2913 29 T MO Released to CAPS Fig 4 16 Printing a Sample Label from the Main Screen If you are a user that does not have order validation privileges e g Technician or Clinician User you may print an Sample Label Report for an unvalidated order by clicking on the same printer icon used for printing sample labels This report will contain the order information necessary for performing a double check 4 2 Processing a New Order Orders are processed using the buttons on the right hand side of the Order Entry screen See section 5 3 for instructions on how to process your new order 4 3 Entering a Minimum Volume
16. PS Link User Profiles Inactivating User Profiles Changing a Password gt gt eH Oo 1 1 System Requirements Internet Explorer 7 0 or greater Adobe Acrobat Reader 9 0 or greater Windows 2000 XP Vista Window 7 Adobe Flash plug in version 10 or greater 100MB free memory Dual core 2GHz recommended Citrix or VMware View virtual environment supported 1 2 Accessing CAPSLink and Adding CAPSLink to your browser s Favorites To connect to CAPSLink open your Internet browser and enter the following link in the address field http www capsorders com capslink At the login screen you can add CAPSLink to your Favorites by clicking on the link located below the CAPS Icon See Fig 1 1 below F9 CAPS Central Admixture Pharmacy Services Inc CAPSLink Version 1 05 0 Release Notes and User Manual UI To view and download the information CLICK HERE Figure 1 1 Login window and Add to Favorites Link 1 3 Logging in to the Application EJCAPS Central Admixture Pharmacy Services Ine CAPSLink Version 1 05 0 Release Notes and User Manual UI To view and download the information CLICK HERE Figure 1 2 Logon Window Example At the login screen you will see two large text fields on the right entitled Important Notices and News amp Information These contain important tips and announcements regarding the CAPSLink system see Fig 1 2 In the upper left hand corner of the login screen enter you
17. ain screen of the application is displayed Figure 2 1 By default the main screen will display a list of patients with current orders This list can be filtered based on order status by clicking the Order Filters at the top of the screen For example to filter the list for orders with a status of Ready to Send click the Ready to Send link You can also retrieve a list of all active or inactive patient profiles by clicking on the appropriate filter link at the top of the screen and you can filter the order list by age category by clicking the appropriate checkbox ie Adult Pediatric or Neonate The Main Navigation Bar contains links for managing Patients Prescriptions Reports and Administrative options When these links are clicked the corresponding window will open To return to the main screen click the window s close button or click the Patient List link at the top of the Navigation Bar EJCAPS L Central Admixture Pharmacy Services Inc Product Grp Room Patient MRN ID Wt KG Cust Bai Bag 2918 21 2918 25 2918 22 2918 26 2918 28 2918 27 2918 22 2918 26 ADULT TEST ICU MD ADULT TEST ICU ADULT TEST ICU MD NAME CPOE TEST MD Order List Navigation Bar Figure 2 1 CAPSLink Main Screen 3 Patient Management Module Function Overview Creating a New Patient Profile View Edit and Existing Patie
18. ate user profiles for your staff After logging into CAPS Link select the User Management link under Administrative Options in the left hand navigation pane You will be presented with a list of user profiles that are currently in the system fig 1 4 You can filter this list for active inactive profiles by using the radio buttons at the top left of the window To edit auser double click a user ei Sctive Inactive All Add Hew User Close Hame User Code Role Active Patient TPN Order System Clinical User 2 CLINICALS Clinician Web Head Head Reports e write write Admir Appr W amings Drug Delivery Appr Criticals Jones Todd TJ NES DOP web Head Head Reports Wnte Wnte Gd Apor Warnings Drug Delivery Appr Criticals Figure 1 4 User Profile List 1 4 1 Adding a New User Click on the Add New User button at the top of the page The User Maintenance window will display fig 1 5 Enter the user s last and first names and enter a unique User ID between 6 and 10 characters in length Select a user title using the drop down see section 1 3 3 for more information on user titles After a title is selected the software automatically selects the recommended user privileges for the selected user title You may also select the user privileges manually by clicking or unclicking the checkbox next to each privilege See section 1 3 2 for more information on User Privileges The system will also assign a ran
19. bar Figure 8 6 You can also view the shipping status of your order and track the FedEx shipment by clicking on the FedEx tracking link in the left hand column of the order history 09 16 2014 09 16 2014 Se j Order Number Product Product H Tere M E Cases Ordered Status sists Date FedEx Tracking emm SAMP Vanco 617433 66647 6174 33 D mL 40 Ka 02 3 Track Shipment Order Number Product Volume JC SE Ordered Kiem Sieg FedEx Tracking Magnesium Sulfate 1gm 50ml DSW 66647 6146 00 50 mL 1 09722 2014 02 38 Track Shipment Order Number Product Product H e Cases Ordered Status Status Date FedEx Tracking Today SAMP Cal Gluc 611800 66647 6118 00 O mL 20 Shipped 09 22 2014 02 38 Track Shipment Figure 8 6 Drug Delivery Order History A list of all orders that have been released to CAPS can be displayed by clicking on the Released to CAPS link on the navigation bar Both lists can be filtered by date range by entering the desired date range in the From and To fields and clicking the Search button A printable pdf of the report can be displayed and printed by clicking on the Print button figure 8 7 10 14 20 145 1014 2014 E Figure 8 7 Released to CAPS Report 43 9 Maintenance Help Users Physicians and Patient Areas can be added removed or inactivated from the Administrative Options menu in the lower left hand portion of the Navigation pane Figure 9 1 These areas are accessible only
20. covery link 1 4 4 Editing an Existing User Profile and Resetting Passwords Click on the User Management link to display the list of users To edit an existing profile double click on the user s name After the User Maintenance window opens make your changes and click the Save button when finished You can reset a password by clicking on the Reset PW button This will reset the password which will be displayed in the password field The user can then login using this newly generated password After the user logs in the application will prompt them to change their password Passwords must be between 6 and 10 characters in length must contain at least one upper and lower case alpha character and one numeric character 10 1 4 5 Inactivating Reactivating a User Profile and setting an Expiration Date It is important to inactivate any users that no longer need access to the CAPSLink system To inactivate a user double click on the user s name After the User Maintenance window opens uncheck the box next to Active then click on the Save button To reactivate a user account you will first need to search for inactive accounts by clicking on the Inactive radio button at the top of the User Profile list Click Search Double click the user s name and after the User Maintenance window opens check the box next to Active then click on the Save button An optional expiration date can be set for a user profile by entering a da
21. dom password that conforms to the system password requirements Enter an expiration date if you want this user account to expire automatically see section 1 3 5 below Write down the user ID and new password for the user as you will not be able to retrieve the same password later Click Save after you have completed the user profile The user can log into the system with their User ID and randomly generated password After they have logged in the application will prompt them to change their password User Privileges Patient Read patient profile data viewable but not editable Write patient profile data viewable and editable TPN Order Entry Read Order data viewable but not editable Write Order data viewable and editable Can create edit save approve an order Approve Warning allows user to override a Warning level message on validation Critical allows a user to override a Critical level message on validation System Reports Reports are viewable Admin Ability to create edit user profiles read write access to Prescriber and Area Maintenance Drug Delivery Access to the Drug Delivery Anticipatory Compounded Products module on o Figure 1 5 User Maintenance Window 1 4 2 User Titles 1 4 2 1 Technician By default a Technician user can create patient profiles and TPN orders but cannot validate approve an order 1 4 2 2 Pharmacist By default a Pharmacist user can creat
22. e Drug Delivery Module You can access the Drug Delivery module either by clicking on the Drug Delivery option when first logging into CAPSLink or by clicking on the Switch to Drug Delivery Link in Administrative Option section of the navigation bar This will bring you to the main screen of the Drug Delivery module Figure 8 1 Product Name _ Magnesium Sulfate 1gm 50 ml DSW 66647 614 6 l _ magnesium sulfate 6 g 100 ml DW 66647 6149 11 0 i 1 1 0 _ Norepinephrine 4mg 250ml DSW 66647 615 6 1 0 e i 1 0 _ Oxytocin 10 units 500 ml LR 66647 613 6 0 0 _ Oxytocin 30 units 500 mL DSLR 66647 6132 44 20 0 e E d GEM op z l Figure 8 1 Main Screen Drug Delivery Module 40 To view a detailed description of a product click the checkbox to the left of the item and click the Details button at the top of the screen Figure 8 2 Note If a product name does not appear as expected contact you local CAPS Pharmacy and they can add new items to your list Magnesium sulfate Per Bag dextrose 5 water Figure 8 2 Product Detail 8 2 Placing a Drug Delivery Order To place a Drug Delivery order enter the desired quantity of each product in the Cases field on the right hand side of the main screen After you have finished entering the quantities of all the products you want to order click on the Place Order button The Verify Drug Delivery Ord
23. e patient profiles and TPN orders and can validate approve TPN orders 1 4 2 3 DOP This user has the same user privileges as a Pharmacist but can also create edit user profiles 1 4 2 4 Clinician The Clinician user is able to enter and save orders Clinician users can also open other Clinician generated orders and make changes The status of an order initiated by a Clinician user is With Clinician The clinician can run validation against the order to view the validation warnings but they cannot validate the order When the Clinician user is ready to make the order available to a Pharmacist for review and validation they must click the Send to Pharmacy button in the Order Maintenance screen see Fig 1 6 Once this is done the order status changes to Needs Validation and can only be accessed and validated by a Pharmacist or DOP user Clinician users can edit orders that were previously created by another Clinician user If a Clinician user enters and order their name will automatically appear in the Prescribed By field in the order The prescriber is also visible from the main patient list screen Patient Info Patient Name DOE JOHN Sex M Age 21 DOB 08 18 1990 Category Adult 15 65 Area ICU NORTH Room Bed Weight 70 Kg Height 0 cm MRN AccHt Template ADULT TPN BY SALT Order 1005 355 Status Order Info Order Volume 2000 mb E Order Overfill 50 mL Order Duration 24 Hours Flow Rate 83
24. eccvseccssscssceceseecescocaseesscesascnsecevees 17 3 4 RETRIEVING AN INACTIVE PATIENT sssnoseensssesseersseersseersseersseresseersseresseersseresserrsseresseersseresseerssere 18 dl NEW ORDERS ee 19 4 1 CREATING ANEW ORDER 6s ssicsvsoisisdessasdiinincciesesacedoieptechadndoadensvndgadeteassehaadeteobadsdeconedtnteedetecsiedenteokeds 19 4 1 FA ODAC E EA E eit wala elses Ce ate cA T gp TE gis ee tassel 20 4 1 2 OF TAG ae d CO TE CL EC CTC RCT MMT Tee TT NCCT MUTT tT here emer 20 4 1 3 VOLS HE DUG EE 21 4 1 4 Oe 6 em E 22 4 1 5 EE 24 4 1 6 Bee 24 4 1 7 L nterne l lec rolyleS Ee 24 4 1 8 Entering Editing Deleting Ingredients six lt atucaeshasnedoosesiuacavstonastvatoaieeacd oaueaiecsics saetexcatactsniages 25 4 1 9 EEN 26 4 1 10 Printing an Sample Label Report or Sample Joafbel 26 4 2 PRO ee yy a esate cats TRE aoa A EAE EATE 2i 4 3 ENTERING A MINIMUM VOLUME ORDER 27 4 4 CHANGING A PATIENT WEIGHT 28 5 MANAGING ORDERG 0 ccc ceecececeeeececeeeeceeeeeeeeeeseeeeseeeeeueaseeeueaseesueaseeeeenes 29 3l LEPA NT UTS Taar E AAE EA A OEE AEA EEEE 29 32 ORDER TATUS ee E EEEE E TOEA TEO TETEE EE 30 5 3 ORDER PROCE 6 SIN Gs icae sas aecte iin osteo ar ar i NNi TENANE ANRA ETENE EEO EENEN 31 5 4 SENDING ORDERS TO CAPS FROM THE PATIENT LIST 32 5 5 CALCIUM PHOSPHATE SOLUBILT RE 33 5 6 PHARMACY e DR E EI EN A EE 34 5 7 OTHER PRESCRIPTION MANAGEMENT FUNCTIONS 0cceccecceccecccccscecceccecescscsseeccscscsscscescescesens 35 SJ
25. ediately after saving your changes click the Save New Order button 3 1 4 Setting Required Fields and Disabling Fields The Last Name First Name and Age Category are hard coded as required fields However a Administrative DOP user can toggle the following fields to be either required or optional e Patient Account Number Medical Record Number DOB and Patient Weight Patient Profile Selected fields can also be enabled or disabled per customer preference e Height Weight kg Weight Ib Patient ID Medical Record Number MRN These settings can be changed by clicking on the Fields Maintenance link in the navigation pane For more details on the Fields Maintenance settings see section 9 Maintenance Help 15 3 2 View Edit an Existing Patient Profile If the patient is not currently displayed in the TPN management window click on the All Active Patients link in the upper portion of the screen see figure 3 5 You can also search for a patient by Medical Record Number by clicking the Patients by MRN link ID Grp ADULT TEST 2134455 4456879 291625 291630 T ADULT TEST 2918 21 2918 29 MD e ICU 2134456 4456879 T i ADULT TEST Cu 2134456 4456879 2918 22 2918 22 T CPOE TEST Figure 3 5 All Active Patients Link When the Patient List displays double click anywhere on the corresponding line When the Select View dialog opens click Patient View Aft
26. en you are done entering orders for the day After the confirmation has been sent the button will change to a red color requires a screen refresh If you send the Orders Confirmation and you get another late order you can re click the Orders Completed button to update the count for CAPS Important Before you re click the Orders Completed button be sure to contact your CAPS pharmacy to verify that they can fulfill your additional order 32 5 5 Calcium Phosphate Solubilty You can compare known calcium phosphate solubility curves against an open TPN order by clicking on the CaPO4 Curves link in the left navigation pane Fig 5 4 EJCAPS Central Admixture Pharmacy Services Inc Ready to Send AMINOACID a2 e amaia a Fig 5 4 Link to Calcium Phosphate Curves After clicking on the CaPO4 link a window will open that displays the current order s amino acid dextrose and lipid concentration in the graph title on the right The concentration of calcium and phosphate for the current order will be plotted on the graph as a red star Fig 5 5 Frearroe Ul dii Cece 21 Silent 29 d Frearrane Hl AR Dectoam 21 i ntemicad A IEE Fraamine lll 3 Chectone GS nteiped Sii d Frearrine Ul Si Chectoae GS lriceiead ER 250 Frearine II 1 Cectoaw DOS Fr amine DU 1 Se Tecnos 13 5 Freamine II Zi Ceepngpsg 285 Freamine II 4 Ceepnpsg 285 Fig 5 5 Calcium Phosphate Concentration Plot 33 A list of Know cu
27. er window will open Figure 8 3 Ship to Sample Customer POH Created 10 22 2013 By ZTPSAMPDOP deffvering sotuttans gt 4 EE aun Tvipas Product Product Volume Case Cases Status Ordered Date Size Ordere d 1 10 Magnesium Sulfate 1gm 50m 66647 614 6 50 mL Released To CAPS 10 22 2013 16 01 Total Number Units 10 Figure 8 3 Verify Drug Delivery Order Window 41 Click on the Accept button to verify the order and send it to your CAPS pharmacy Click on the Cancel button to cancel the order Once the order has been successfully placed an order confirmation number will display Figure 8 4 four Order has beer placed as PLH 1005 es Figure 8 4 Drug Delivery Order Confirmation After clicking the OK button a sample packing list will display You may print a copy of this packing list for your records by clicking on the the Print button 8 3 Drug Delivery Order Management The number of cases that have been previously ordered during the day is listed in the Ordered Today column on the main Drug Delivery Order screen Figure 8 5 This allows the user to determine what quantities have already been requested by CAPS to avoid duplicating orders EE Figure 8 5 Units Ordered Today 42 8 3 1 Order History and Order Tracking You may view a history of Drug Delivery Orders by clicking on the History link in the Order Management section of the main navigation
28. er making changes to the profile click the Save Changes button or click the Save New Order button if you want to save the changes and create a new order for the patient At the bottom of the Patient Profile window is a list of the patient s orders Figure 3 6 You may click on the Rx number to open the Order window Once the order is open you can click the Edit button to create a copy of the order and make any necessary changes needed for the current day s order 16 Cimetidine ReNumber Bag Status StavtDate Prescribed By 1005 275 1005 275 Needs Validation 067032011 20 00 00 E Figure 3 6 Patient Order list 3 3 Inactivating a Patient Profile After a patient is discharged or no longer receiving TPN you may want to inactivate their profile so that they no longer come up on the Active Patient List To inactivate a patient open the patient profile window and uncheck the Active checkbox Figure 3 7 DOE Figure 3 7 Active Patient Setting 17 3 4 Retrieving an Inactive Patient You can retrieve an inactive patient account by clicking on the All Inactive Patients link at the top of the patient list see figure 3 8 Once you have retrieved the list of inactive patients you can open the patient profile by double clicking anywhere on the patient record Once opened you can reactivate the account by clicking the Active checkbox and saving your changes Patient ID Kai ES ADULT T
29. ing the Unlock button or can be validated and sent to CAPS see sections below After completing an order click the Validate button to validate an order CAPSLink will screen the order for proper dosing allergies incompatibilities etc and display appropriate warnings to the user A user with appropriate privileges can override these warnings by checking the checkbox next to each warning and entering a username and password at the bottom of the validation screen and clicking the OK button figure 5 2 To cancel validation click the Cancel button After validation is complete you can send the order to CAPS by clicking the Send to CAPS button from within the order or you can send it to CAPS from the TPN Management screen see section 5 4 View Validation errors x Review and place a check mark on all errors to override Then Enter your password to validate the order Override Level Description Warning This order s CaPO4 ratio 45 exceeds the recommended Warning level wi Override User ID d Password Print Cancel Fig 5 2 Send to CAPS After validating an order it will be available for sending to CAPS Click this button to make the order available for import by your CAPS pharmacy Alternatively you can send a group of orders to CAPS from the TPN Management screen see section 5 4 31 After opening an order you can click on the Edit button to create a new order containing all
30. ns field To clear a cyclic rate from the order you can click the Clear Cyclic button 23 Order Info Order Volume gg mb EE GE ae Order Overfil o ml SE Order Duration o Hours Flow Hate CYCUC EE Clear Cyclic be Figure 4 9 Cyclic Rate Indicator To enter an infusion rate other than the default 1hr taper up and down you will have to manually calculate your infusion rates for your tapering schedule Follow the instructions above for entering the volume duration and rate Do not click the cyclic rate button Enter your cyclic rate schedule in the Administration Instructions field 4 1 5 Route of Administration You can specify a peripheral or central route of administration by clicking on the appropriate radio button If the Peripheral or Not Specified route is selected then CAPSLink will display a warning on validation if the osmolarity of the final solution is above the osmolarity threshold Contact your CAPS pharmacy if you need to establish or change an osmolarity threshold setting 4 1 6 Select Physician You can select a physician from the Prescribed By dropdown If you need to add a physician to the list click the Y button next to the Prescribed By dropdown 4 1 7 Entering Electrolytes by lon If your template is set up to order electrolytes by ion the fields for entering the amount for each ion will appear on the screen in the Base Elements section Figure 4 10 Enter in the
31. nt Profile Inactivating a Patient Profile Retrieving an Inactive Patient 3 1 Creating a New Patient Profile 3 1 1 Entering Patient Data In the Navigation sidebar on the left of the main screen click on the New Patient link to open a new patient profile window figure 3 1 Pat Acct H 8890009 MRN ggao098 oooO Save New Order Last Name First Name MI Save Changes Patent Hame SAMPLE at tts PATIENT Cancel Date ot Birth 08 18 1970 33 Age Category Adult 15 65 7 Active v Sex Male 7 Area icu e Room 5 Bed a Weight 70 00 Kg 154 32 Lb Height on cm 5 ft 10 87 in Diagnosis COPD Allergies Physician AMES wm Penicillins Ki _ Latex Sensitive Rx Number Bag Status Start Date Prescribed By Figure 3 1 Patient Profile Window Enter the appropriate information into each field The required fields are marked with an asterisk If a duplicate Patient Account number is found the Duplicate Patient Account number window will display see figure 3 2 To select the duplicate account click on the patient listed in the Duplicate Patient Account window and click Open To close the window and continue entering a new patient profile click Cancel 13 Patient Hame Birth Date Active SAMPLE PATIENT 08718 1970 Yeg Figure 3 2 Duplicate Patient Acct Number If a date of birth is entered in the DOB field CAPSLink will automatically assign the appr
32. opriate age category If the format of the DOB is incorrect CAPSLink will prompt you to enter the appropriate format field If a weight is entered in either the kg or Ib field the kg or Ib equivalent will be calculated and entered into the corresponding field Similarly if a height is entered in the cm or ft in fields the equivalent height in cm or ft in will be calculated and entered into the corresponding field 3 1 2 Assigning Allergies To enter an allergy click on hess icon next to the allergy field and select from the predefined list of allergies figure 3 4 Click the OK button and the selected drug or drug categories will be assigned to the allergy field To remove an allergy click on the icon EJ to the left of the drug or drug category in the allergy field 14 Select Allergy 11 5Alpha Reductase Inhibitors ats BHT 2 Receptor Antagonists Abacavit ACE Inhibitors Acetaminophen Acyclovir and Related Albumin Human Allergy History Mot Known ba L L L L L L LJ L Alergy Histor Refused by Patient Figure 3 4 Allergy List If a patient has a history of latex sensitivity place a check in the Latex Sensitive checkbox On validation a critical warning will appear reminding the user that the patient is latex sensitive 3 1 3 Saving Changes After you have completed your entries click the Save Changes button If you plan to create an order for this patient imm
33. ordered amounts and specify the Per option by using the dropdown on the right Acetate and Chloride can be ordered by or by milliequivalent amounts if your template is set for ordering by salts the Base Elements section will not be visible Base Elements Amount UOM Sodium 274 mEq Potassium mEq Phosphate Q E EREN S Per Calcium 0 mEq Ord e Magnesium Q mEq Acetate 100 e Chloride p x 24 Figure 4 10 Base Elements section 4 1 8 Entering Editing Deleting Ingredients To enter a quantity for an ingredient click in the quantity field and enter the appropriate number figure 4 11 You can navigate down the list of ingredients by pressing the tab An ingredient can be deleted from the order by clicking on the ingredient to select it then clicking the Delete button Ingredients Pp Delete Hew 1001 DESTROSE 70A 1000 mil Order MII 10 mil Order nee Ve CH 40 rl Order Figure 4 11 Editing an Ingredient To edit an ingredient double click on the ingredient then click the Edit button to the right of the list of ingredients The Edit New Ingredient dialog will open Figure 4 12 Make the necessary changes and click the Save button After you have made your changes click the OK button to save You can cancel any changes by clicking the Cancel button Figure 4 12 Edit Ingredient Dialog To add an ingredient click the New and select an ing
34. r CAPSLink User ID and Password Your Password is masked by asterisks as you type to prevent others from viewing To complete the logon process press Enter on your keyboard or left mouse click the Secure Login button If this is the first time logging into CAPSLink you must use the password that was assigned to you when your user profile was created The creator of your user profile will supply you with this password When you login you will be prompted to answer 2 security questions This information will be stored with your profile incase you forget your password and need to retrieve it see section below on retrieving forgotten passwords You will also be prompted to change your password after your first login Passwords must e Be between 6 and 10 characters in length e Contain at least one upper and lower case alpha character e Contain one numeric character NOTE If you do not know your User ID and Password see your Pharmacy Director When you log into the CAPSLink program you may have the option to enter the TPN Custom Rx or Drug Delivery modules Figure 1 3 Select the TPN option for processing TPN orders and other patient specific orders or Drug Delivery to order other sterile compounded products What would you like to order today TPN Custom RX Drug Delivery Figure 1 3 TPN Custom Rx or Drug Delivery Options 1 4 Creating Editing CAPSLink User Profiles If you are a user with Administrative access you can cre
35. r screen 29 5 2 Order Status The right hand column of the Order List displays the order s status This order was entered into CAPSLink yesterday The order can be opened and edited click Edit button to create a new order for the current day You can also refill the order by opening it and clicking on the Refill button The order has been entered and saved by a Clinician user The order can be reopened and edited by any Clinician user The Clinician user must click on the Send to Pharmacy button to make it available for validation by a pharmacist Order has been entered and saved but requires validation and will need to be released to CAPS before the order can be filled by your CAPS pharmacy Indicates that the order has been approved and released to CAPS for order processing Order has been received by your CAPS pharmacy and is currently being compounded Note If you need to change an order that has already been received by CAPS contact the pharmacy to let them know that you will be sending a new order Order has been validated and is ready to send to the CAPS pharmacy for compounding 30 5 3 Order Processing While entering and editing orders there are several buttons available on the right hand side of the Order maintenance screen that allow you to process an order Save The Save button allows you to save an order in its current state A saved order can be accessed later for editing by click
36. redient from the Item dropdown Enter the appropriate Quantity UOM and Per option and click OK to save see figure 4 13 Click Cancel to cancel the entry 25 Figure 4 13 Adding a New Ingredient 4 1 9 Instructions Comments After you have completed entering the ingredients you can add administration and handling instructions that will appear on the TPN label Figure 4 14 You can also add comments to an order in the Comments field Comments are for user information only and do not appear on the label If an order has an entry in the comments field the order will be flagged with a red checkmark to the right of the Order Status on the main screen Administration Instructions LEES EELER EES ZS Figure 4 14 Administration Handling Instructions and Comments 4 1 10 Printing an Sample Label Report or Sample Label 26 After entering and validating your order you may print a sample label for double checking purposes To print the sample label click on the printer icon on the right hand side of the Order Entry screen see figure 4 15 Patient Info Yalidate Patient Name DOE JOHN Sex M Age 21 DOB 08 18 1990 Category Adult 15 65 Area ICU NORTH Room Bed Nd EES Weight 70 Kg Height 0 cm MRN AcctH Save Template ADULT TPN BY ION Order Status Needs Validation Order Info Base Elements Close Order Volume mL E Amount UOM Order Overfill pn mL 7 Sodium 20 mEq
37. rint button to display a preview of the report in a printable pdf format 7 2 Min Max Levels Displays a list of Minimum and Maximum dose settings for all CAPSLink ingredients When an order is validated a warning message will display if an ingredient amount is above or below these settings 7 3 Active Orders Displays a list of active orders 7 4 Active Patients Displays a list of active patients 37 7 5 Other Reports Clicking the Other Reports link displays a window that allows you to select from several reports that can be filtered by date range Figure 7 1 Select the desired report in the report dropdown on the left edit the date range if necessary and click the Search button to display the report Click the Print button to display the report in a printable pdf format Active Ax Order Approval Report Order Caloric Report Order Error Overrides Release to CAPS Report Release to CAPS By Area Release to CAPS By PG Release to CAPS By Queued Dt Release to CAPS Patient PG BreakDown Release to CAPS PG BreakDown 09 06 2011 r Ge ei ear LEE ENERO Dm SAURA O a K T EAE Figure 7 1 Other Reports Screen 7 5 1 Order Approval Report In the Other Reports section you will find the Order Approval Report This report contains a record of which user entered approved and released each order Fig 7 2 Samus Prodect Ciroap Yesenia Ceder TPN ADULT Dateien w TPH ADULT Test
38. rites Docs K iSotrain E Gmail Express2 Wem ssuedto Issuedby Intende Friendly Expirati Location E 3 9 2016 jut Cosi San Diego Ee ETS 7935 Dunbrook Rd Ste C San Diego CA 92126 DEA RCO318712 Signer ValidOrderSeven DEA BA5210633 Ordor Pett 52 8 After selecting your signing certificate click OK At the password prompt enter your signing certificate password The system will begin processing your order for signing This may take several seconds Please be patient and wait for the system to indicate the signing status before you close the browser window 9 If your order is signed successfully the message pictured below will display CAPSLink Central Admixture Pharmacy Services fm E mere Order Signed Successfully Thank you your CSOS order was successfully signed and transmitted 10 If the message indicates that the signing was not successful or if you opted to sign the order at a later time you may access the order again through the Order History link on the left hand side of the main screen e CapsLink Central Admixtures Pharmacy Services Moco pper e Be ca CAPS Central Admixture Pharmacy Services Inc Product Name Product Units Case Cases kel MAGNESIUM SULFATE 2GM IN 50 ML DW 66647 4444 55 _ Fentanyl 10 meg mL in NS 250 mL 66647 2171 33 _ Hydromorphone 0 2mg mL in NS 30mL PCA 66647 2210 00 _ Hyd
39. romorphone 1 mg mL in NS 0 6 mL SY 66647 2512 06 _ Morphine 100 mg added to 100 mL NS 66647 2140 11 _ Morphine 5 mg mL in NS 50 mL SY 66647 2041 94 11 In the Order History screen a button will be displayed above the order on the right hand side of the screen indicating that the order still needs to be signed Click this button and you will be allowed to sign your order see step 7 10 02 2014 10 02 2014 Seach Pit Close Order Number Product Product Case Size Cases Ordered Status Status Date FedEx Tracking 2171 33 fent 10meg ml 250ml 66647 21 71 33 250 mL 12 Released to CAPS 10 02 2014 09 56 251206 HYDRO Ma mg ml 6m 88647 251206 neun RelessedtoCAPS 10 02 2014 0358 Order Number Product Product H Volume Case Size Cases Ordered Status atu FedEx Tracking Today 2041 34 morph Sma ml 50ml SY E 66647 2041 34 50 mL 15 1 Queued 10 02 2014 09 41 53 Receiving Orders 1 To receive a CSOS order in CAPSLink you must open the Order History by clicking on the History link at the left hand side of the main screen E a a CAPS Services Inc lly ai bi Product Name Product H Units Case Cases MAGNESIUM SULFATE 2GM IN 50 ML DSW 66647 4444 55 1 Har a Hydromorphone 0 2mg mL in NS 30mL PCA 66647 2210 00 25 0o d Morphine 100 mg added to 100 mL NS 66647 2140 11 24 o d 2 From the Order History window click on the CSOS Receiving button in the upper right hand corner
40. rves are available on the left hand side of the window To view a curve in the graph on the right scroll down to the appropriate curve i e the curve that most closely matches the amino acid dextrose and lipid concentration in your order and click on it The curve will appear on the calcium phosphate graph on the right Fig 5 6 Freamine 4 Dextrose 21 Intralipid 3 40C Freamine III 4 Dextrose 21 Intralipid 3 25C Freamine III 3 Dextrose 6 Intralipid 5 40C Freamine 3 Dextrose 6 Intralipid 5 25C Freamune II 1 Dextrose 10 Freamine III 1 33 Dextrose 12 5 Freamine Il 4 Dextrose 25 Fig 5 6 Calcium Phosphate Curve Sample Curve 5 6 Pharmacy Cut Off time Your CAPS pharmacy may choose to employ a Cut off time for order submissions When a user opens an order or a patient profile after the order cut off time has passed a warning message will display in the upper portion of the screen see Fig 5 7 If you need to place orders after the cut off time you will need to notify your CAPS pharmacy by phone CAPS Central Admixture Pharmacy Services Inc Room Acet tt WtKG Bann Product Group Order Status Comments E CA 547 L00022657 50 35 1543 33 T Received by CAPS a aR nee See Pe ae gt ea ee e Coon 4642 4 ee Re ceiv 2c by CAF e AER F anes yar al ah BS BET era 3 HONRADO ALECELY VD Ai j F29663305 1543 34 SM K S SNE SE i SEA E ENANZ LAS Fig 5 7 Pharmacy Cu
41. sword Send to CAPS Order Filled thank you Orders can be sent to CAPS from the order window or the main CAPS Link window Order Filled thank you Close 48 10 3 Entering a New Order Click on the New Prescription link in the left hand navigation pane ICU SOUTH 1005 69 Released to CAPS Select Patient Select Template Next page 49 Enter Order Information Rph oN Validate And Send Review Validation Messages Technician swe Review Validation Messages Enter User ID and Password Enter User ID and Password Send to CAPS Order Filled thank you Orders can be sent to CAPS from the order window or the main CAPS Link window Order Filled thank you Close 50 11 Appendix 2 Placing CSOS Orders CAPS CSOS Customers Only If your CAPSLink account has been enabled for CSOS integration you can begin signing your CSOS orders while placing orders in the CAPSLink Drug Delivery module 1 Begin by logging into CAPSLink and going to the Drug Delivery module 2 Enter the number of cases you wish to order by entering the quantity in the Cases column WW Place Order Product Name Product Units Case Ordered DEA Location Today Class Morphine 100 mg added to 100 mL NS B6647 2140 11 24 r SI Denver CS Hudromorpbone D Zeit in NS 3OmL PCA 66647 2210 00 25 i Z Denver CS Morphine 5 mg mL in NS 50 mL
42. t Off Time 34 5 7 Other Prescription Management Functions 5 7 1 Order Summary After an order is saved you can view print the order s nutritional information by clicking on the Order Summary link in the left hand navigation pane Fig 5 8 Fig 5 8 Order Summary 5 7 2 View Errors After an order has been validated you can view the messages that were previously displayed at validation by clicking on the View Errors link in the left hand navigation pane 5 7 3 Order Profile After an order is saved you may view detailed information regarding the order by clicking on the Order Profile link in the left hand navigation pane 35 6 Released to CAPS Window 6 1 Released to CAPS Window Clicking the Released to CAPS link in the left hand navigation pane will display a list of all orders that have been released to CAPS Fig 6 1 The view defaults to the current date but a different date range can be entered as needed Click on the Print button to print a Released to CAPS Report Fig 6 2 The order can be opened by double clicking an order and a sample label can be printed by clicking on the printer icon and the far left hand side of the order K POF LJ Excel Fromai 01 30 2014 H den 01 30 2014 E Search Print Close Bag Cust Hx Patient Patent ID MRH Quevued Dat Product Grow Status Status Date ES 2918 29 0 2918 21 ADULT TEST 7134456 4456879 01 30 2014 TPN ADULT Released to CAPS 01 30
43. tarted In Order Processi In Order Analysis Figure 9 3 10 Appendix 1 Order Flow Sheets The following pages contain Flow Sheets that serve as a quick easy to follow reference for various types of order processing These sheets can be copied and placed next to a computer workstation for quick reference 46 10 1 Flow Sheet Refilling an Order From the Patient List Click on the Order Open Prescription View Patient Name Area Room Acct H Wt KG Bag H PG Order Status oe DOE JANE ICU SOUTH 70 1005 69 T Releasedto CAPS E Sy DOE JOHN Iw 75 1005 67 T Released to CAPS SS Verify Order contents OR Review Validation Messages Review Validation Messages Enter User ID and Password Enter User ID and Password Order Filled thank you send to CAPS Orders can be sent to CAPS from the order window or the main CAPS Link window Order Filled thank you 47 10 2 Flow Sheet Modifying an Order From the Patient List double click on the Order At the prompt Open Prescription View E Patient Name Area Room Acct H Wt KG Bag PG Order Status ES DOE JANE ICU SOUTH 70 1005 69 T Released to CAPS ES EN DOE JOHN FW 75 1005 67 Ji Released to CAPS S Click DI Sutor Enter new Rx if needed Ga Make Changes to order Technician Rph swe or validate And Send Review Validation Messages NEE V adANON MESSAJES Enter User ID and Password Enter User ID and Pas
44. te in the expiration date field The user profile will be automatically inactivated after this date You can also re activate this user at a later time and set a new expiration date 1 4 6 Changing a Password A user can change his her password by clicking on the Change Password link in the Administrative Options section of the navigation bar on the left hand side of the main screen The user will be prompted to enter their current password and their new password Figure 1 9 Passwords must be between 6 and 10 characters in length must contain at least one upper and lower case alpha character and one numeric character Please Fill the fields below DEE ET E TT IESELEN Cancel Curent Password Kee New Password Yerfy New Password Figure 1 9 Change Password Dialog 1 4 7 Password Expiration User passwords will expire after a 90 day period When a user s password is within 14 days of expiring CAPLink will warn the user at login and give them the opportunity to change their password If the user decides not to change their password the login prompt will count down the days until the password expires If a user attempts to login after the password has expired the user will be required to change their password to gain access to the system 11 2 Navigation Module Function Overview Navigating the Main screen of CAPSLink Filtering the Order List 2 1 Navigating the Main Screen When you first log into CAPSLink the m
45. the same information as the previous order If the previous order was active it will be automatically discontinued Close To close an order and discard all changes click the Close button Refill An order from the previous day can be be repeated by clicking the Refill button This creates a copy of the order and brings the user directly to the order validation window To discontinue an order click the Discontinue button 5 4 Sending Orders to CAPS from the Patient List After you validate an order it will be ready to send to CAPS for compounding An order can either be sent to CAPS from the Order Entry window or from the Patient List screen by clicking the checkbox to the left of the order and clicking the Send to CAPS button Fig 5 3 Orders can be sent to CAPS in batches by clicking the Select All checkbox at the top of the checkbox column and then clicking the Send to CAPS button TJCAPS Central Admixture Pharmacy Services Inc Patient Name Area Room Patient MRN Wt KG Cust Rx Bag Product Prescribed Order Status ID Grp _ EZ ADULT TEST ICU 2918 21 2918 28 d i a ADULT TEST Icu 2918 25 291827 T Sei ADULT TEST ICU 2918 22 291822 T LI a MD NAME 2918 26 291826 T TODAYS DATE 2 00 Fig 5 3 Sending Orders to CAPS Patient List Screen Below the Send to CAPS button is the Orders Completed button this allows you send a notification to your CAPS pharmacy wh
46. with the calculated value Figure 4 8 24 Hour Order Volume kg Calculator 4 1 4 Cyclic Orders To enter a cyclic infusion rate enter a volume and duration for your order then press the tab key If the duration field was pre populated with a duration when you change the duration you will get a prompt to recalculate the rate volume or retain parameters as entered see below Select Retain Parameters as Entered 22 In the flow rate field change the rate to 0 ml hr Press the tab key You will once again be prompted to recalculate the volume rate or retain parameters as entered Select Retain Parameters as Entered Your flow rate should be set at 0 ml hr Click the cyclic rate icon next to the flow rate field CAPS Link will calculate a cyclic infusion rate with a one hour taper up and down at half the maintenance rate See Figure 4 8 Click OK Figure 4 8 Cyclic Flow Rate Dialog Important Note The Cyclic Flow Rate window is not intended to calculate a rate schedule other than the default 1 hour taper up and down at half rate If the numbers in the Cyclic Flow Rate window are changed the software will not recalculate the infusion rates resulting in an different order volume After the cyclic rate is saved Cyclic will appear in red text in the rate field see Figure 4 9 This cyclic rate schedule will automatically print on the TPN label in the administration instructio

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