Pharmacy Inpatient Setup
From VistApedia
Inpatient Pharmacy took a good while to set-up. Here are my notes on how I have done that. I have only done Unit Dose though. Questions: Post on the hardhats Google Group. http://groups.google.com/group/hardhats.
Contents
Prerequisites for Set-up
- MAS Wards and Rooms have to be completely configured before you start configuring Inpatient Pharmacy, as Inpatient Pharmacy Parameters reference them.
- Menu: PSJU MGR
- Key: PSJU MGR for access to the Supervisor Menu
- Menu: PSS MGR (No keys necessary except for entering drugs)
Schedule Set-up
Find the Hospital's policy for their Administration Times, prohibited abbreviations, and whether some wards get specific administration times. In my case, the Children's Ward had different administration times. You may delete Schedules are not used.
Menu: PSS MGR > Standard Schedule Edit
My end result:
ADMINISTRATION SCHEDULE List AUG 11,2011@14:41 PAGE 1 -------------------------------------------------------------------------------- NUMBER: 51 NAME: 5/D STANDARD ADMINISTRATION TIMES: 09-12-15-18-21 FREQUENCY (IN MINUTES): 288 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: FIVE TIMES DAILY NUMBER: 42 NAME: AC STANDARD ADMINISTRATION TIMES: 07-11-16 FREQUENCY (IN MINUTES): 480 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: BEFORE MEALS NUMBER: 2 NAME: BID STANDARD ADMINISTRATION TIMES: 09-21 FREQUENCY (IN MINUTES): 720 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: TWICE A DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-20 NUMBER: 46 NAME: IMODIUM PRN FREQUENCY (IN MINUTES): 60 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: PRN OUTPATIENT EXPANSION: INITIAL 2 CAP THEN 1 CAP AFTER LS - MAX 8 NUMBER: 36 NAME: MO-WE-FR STANDARD ADMINISTRATION TIMES: 09 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS NUMBER: 47 NAME: NITRATE FREQUENCY (IN MINUTES): 300 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS NUMBER: 27 NAME: NOW PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: ONE-TIME NUMBER: 35 NAME: ONCE STANDARD ADMINISTRATION TIMES: 1600 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: ONE-TIME MAX DAYS FOR ORDERS: 1 NUMBER: 43 NAME: PC STANDARD ADMINISTRATION TIMES: 0830-1230-1830 FREQUENCY (IN MINUTES): 480 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: AFTER MEALS NUMBER: 11 NAME: Q12H STANDARD ADMINISTRATION TIMES: 09-21 FREQUENCY (IN MINUTES): 720 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 12 HOURS WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-20 NUMBER: 38 NAME: Q2H STANDARD ADMINISTRATION TIMES: 01-03-05-07-09-11-13-15-17-19-21-23 FREQUENCY (IN MINUTES): 120 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 2 HOURS NUMBER: 53 NAME: Q2WEEKS STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 20160 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: Once every 2 weeks WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 5 NAME: Q3H STANDARD ADMINISTRATION TIMES: 01-04-07-10-13-16-19-22 FREQUENCY (IN MINUTES): 180 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 3 HOURS NUMBER: 4 NAME: Q4H STANDARD ADMINISTRATION TIMES: 01-05-09-13-17-21 FREQUENCY (IN MINUTES): 240 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 4 HOURS WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 04-08-12-16-20-24 NUMBER: 50 NAME: Q5MIN FREQUENCY (IN MINUTES): 5 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: Every 5 Minutes NUMBER: 3 NAME: Q6H STANDARD ADMINISTRATION TIMES: 06-12-18-24 FREQUENCY (IN MINUTES): 360 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 6 HOURS NUMBER: 6 NAME: Q8H STANDARD ADMINISTRATION TIMES: 01-09-17 FREQUENCY (IN MINUTES): 480 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY 8 HOURS WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-16-24 NUMBER: 7 NAME: QAM STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY MORNING WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 1 NAME: QDAY STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: ONCE A DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 23 NAME: QHS STANDARD ADMINISTRATION TIMES: 21 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: AT BEDTIME WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 20 NUMBER: 10 NAME: QID STANDARD ADMINISTRATION TIMES: 09-13-17-21 FREQUENCY (IN MINUTES): 360 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: FOUR TIMES A DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-12-16-20 NUMBER: 12 NAME: QOD STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 2880 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: EVERY OTHER DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 54 NAME: QPM STANDARD ADMINISTRATION TIMES: 05 FREQUENCY (IN MINUTES): 1440 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: Every Evening NUMBER: 52 NAME: QWEEKLY STANDARD ADMINISTRATION TIMES: 09 FREQUENCY (IN MINUTES): 10080 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: Once a week WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08 NUMBER: 39 NAME: STAT PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: ONE-TIME NUMBER: 9 NAME: TID STANDARD ADMINISTRATION TIMES: 09-15-21 FREQUENCY (IN MINUTES): 480 PACKAGE PREFIX: PSJ TYPE OF SCHEDULE: CONTINUOUS OUTPATIENT EXPANSION: THREE TIMES A DAY WARD: Child 2R 214-225 South WARD ADMINISTRATION TIMES: 08-14-20 NUMBER: 41 NAME: TODAY STANDARD ADMINISTRATION TIMES: 1230-1330 FREQUENCY (IN MINUTES): 60 PACKAGE PREFIX: PSO MAX DAYS FOR ORDERS: 1 NUMBER: 40 NAME: TOMORROW STANDARD ADMINISTRATION TIMES: 0815-0915-1015 FREQUENCY (IN MINUTES): 60 PACKAGE PREFIX: PSO TYPE OF SCHEDULE: ONE-TIME MAX DAYS FOR ORDERS: 1
Drug Enter/Edit
Before you do anything, you need to enter all the drugs that your pharmacy uses from your pharmacy formulary. That will take 1-3 months. Here's how: Enter a Drug. Before I started, I deleted all traces of the old drug file using this routine I wrote: http://bazaar.launchpad.net/~sam-habiel/astronaut-vista-server/enhancements/view/head:/JJIHDCLR.m
Also, I learned it may be better to configure the Schedules first before doing the drugs, as you use Schedules when you make orderable items. So I would recommend that.
IV Room Set-up
The next step is to set-up the IV Room. While technically not needed if you are only doing Unit Dose, it's required for some options in the UD menu to work.
Select Unit Dose Medications Option: IOE Inpatient Order Entry
Whoops ... You don't have an IV ROOM defined ...
You MUST define at least one IV ROOM before you can continue.
Select IV ROOM: NULL
Are you adding 'NULL' as a new IV ROOM (the 1ST)? No// (No) ??
Select IV ROOM: NULL ROOM
Are you adding 'NULL ROOM' as a new IV ROOM (the 1ST)? No// Y (Yes)
NAME: NULL ROOM//
LENGTH OF LABEL: 5??
Type a whole number between 12 and 66.
LENGTH OF LABEL: 12
WIDTH OF LABEL: ??
Enter the maximum allowable width of your label in number of character
s.
If you do not enter data into this field, the system will use '30' as
the default. If a line of print cannot fit within the width you define
here, it will continue on the next line of the label.
WIDTH OF LABEL: 35
LINE FEEDS BETWEEN LABELS: N??
Type a whole number between 0 and 6.
LINE FEEDS BETWEEN LABELS: 1
END OF LABEL TEXT: **ICH SOUTH**
HEADER LABEL:
SHOW BED LOCATION ON LABEL:
USE SUSPENSE FUNCTIONS:
DOSE DUE LINE:
LVP'S GOOD FOR HOW MANY DAYS: 1
HYPERAL GOOD FOR HOW MANY DAYS: 1
PB'S GOOD FOR HOW MANY DAYS: 1
SYRN'S GOOD FOR HOW MANY DAYS: 1
CHEMO'S GOOD FOR HOW MANY DAYS: 1
STOP TIME FOR ORDER:
EXPIRE ALL ORDERS ON SAME DAY:
ACTIVITY RULER:
TOTAL VOL. ON HYPERAL LABELS:
Select START OF COVERAGE: ??
Select START OF COVERAGE: 0830
Are you adding '0830' as a new START OF COVERAGE (the 1ST for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: A ADMIXTURES AND PRIMARIES
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: "0830"
Are you adding '0830' as a new START OF COVERAGE (the 2ND for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: P PIGGYBACKS
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: "0830"
Are you adding '0830' as a new START OF COVERAGE (the 3RD for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: H HYPERALS
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: "0830 ??
Select START OF COVERAGE: "0830"
Are you adding '0830' as a new START OF COVERAGE (the 4TH for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: S SYRINGE
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: "0830"
Are you adding '0830' as a new START OF COVERAGE (the 5TH for this IV ROOM)?
No// Y (Yes)
END OF COVERAGE: 1700
TYPE: C CHEMOTHERAPY
MANUFACTURING TIME: 1200
DESCRIPTION: 0830 to 1700//
Select START OF COVERAGE: ?
Answer with START OF COVERAGE
Choose from:
1 0830
A covering from 0830 to 1700
2 0830
P covering from 0830 to 1700
3 0830
H covering from 0830 to 1700
4 0830
S covering from 0830 to 1700
5 0830
C covering from 0830 to 1700
You may enter a new START OF COVERAGE, if you wish
Answer must be in military time (i.e., 4 NUMBERS)!
Select START OF COVERAGE:
Select DELIVERY TIME: 1500
Are you adding '1500' as a new DELIVERY TIME (the 1ST for this IV ROOM)? No//
Y (Yes)
Select DELIVERY TIME:
LABEL DEVICE: HOME// TELNET
REPORT DEVICE: HOME// TELNET
INACTIVATION DATE:
DAYS TO RETAIN IV STATS:
You are signed on under the NULL ROOM IV ROOM
Current IV LABEL device is: TELNET
Current IV REPORT device is: TELNET
System Parameters
Go to Supervisor Menu > PARameters Edit Menu > Systems Parameters Edit
Select PARameters Edit Menu Option: systems Parameters Edit
NON-FORMULARY MESSAGE:
THERE ARE NO LINES!
Edit? NO// y YES
[ WRAP ]==[INSERT ]=========< NON-FORMULARY MESSAGE [Press <F1>H for help]====
This drug is non-formulary. Please contact the Inpatient Pharmacy before
ordering.
PRINT 6 BLOCKS FOR THE PRN MAR: 1 YES ''Recommended''
PRINT DIET ABBR LABEL ON MAR: ''Don't turn on unless you use Dietetics''
MAR SORT: ?
Choose from:
0 Sort by order's Schedule Type and then Medication Names.
1 Sort by order's Medication Names.
MAR SORT: 0 Sort by order's Schedule Type and then Medication Names.
ATC SORT PARAMETER:
CALC UNITS NEEDED PRN ORDERS: ?
Enter a 1 if you would like to have the UNITS NEEDED calculated for PRN
orders on the Pick List.
Choose from:
1 YES
CALC UNITS NEEDED PRN ORDERS:
DAYS UNTIL STOP FOR ONE-TIME: 1
ROUND ATC PICK LIST UNITS:
EXPIRED IV TIME LIMIT: ?
Type the Number of Hours between 0 and 24 that continuous IV orders may be
renewed after expiring
EXPIRED IV TIME LIMIT:
PRIORITIES FOR PENDING NOTIFY: ?
Choose from:
S STAT
SA STAT/ASAP
SAN STAT/ASAP/NOW
A ASAP
AN ASAP/NOW
N NOW
SN STAT/NOW
PRIORITIES FOR PENDING NOTIFY:
PRIORITIES FOR ACTIVE NOTIFY:
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