MedPoint MedAdmin Self Study Guide 3'4

1
MedPoint - MedAdmin Self Study Guide 3.4
2
Introducing MedPoint

• What is MedPoint MedAdmin?
• A clinical decision support tool.
• Clinical decisions should not be based solely on
  information viewed on MedPoint.
• A patient safety mechanism that incorporates the
  Five Rights of medication administration
• A system that utilizes barcode technology at the
  point of care

3
Introducing MedPoint

• Using MedPoint is easy
• Scan your ID and enter a password
• Scan the patient wrist band barcode
• Scan the medication

4
FYI

• In all instances throughout this guide the term
  select can be accomplished by
• Touching the screen if you have touch screen
  computers.
• Using the left mouse button.
• Double tapping on a touch pad mouse.
• Using the tab key and enter key.

5
Log In

• Scan the barcode on your employee ID

• If you do not have your ID badge you can type in
  your ID

6
Log In

• Type in your password
• Select the enter key or use your mouse to
  select login

7
Identify Patient

• There are 3 ways to identify a patient and access
  their record.
• Scan the patient wrist band barcode
• Type in the patient account number
• Select a patients name from a drop down menu
• Of these, only scanning the patients wrist band
  barcode does not require a second level patient
  identification.

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Identify Patient
Method 1

• Scan the barcode on the patient wrist band

• Scanning the patient ID is considered a
  positive identification and will save time

9
Identify Patient
Method 2

• Type the patient account number in the Patient
  ID field
• This allows viewing of information only. A
  second step will be necessary to do anything
  besides viewing information

10
Identify Patient
Method 3

• Select the patient from a drop down list
• The patients names are available on the list
  only after you have previously accessed the
  patient record
• Selecting a patient from the list requires a
  another step before you are allowed to do
  anything in the record

11
Identify Patient

• If the patient record was accessed by Method 2 or
  3, this warning appears when trying to do
  anything other than view information.
• To go any further the patient ID must be verified
  by either scanning the wrist band OR typing the
  account number.

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Scanning the Patient

• REMEMBER - Scanning the patient bar code
• Is time saving
• Is accurate
• Is a positive patient identification the 1st
  time

13
More MedPoint Information

• The Bridge MedPoint Medication Management System
  receives patient order information from the
  pharmacy order entry system.
• Ensuring that the pharmacy receives orders as
  quickly as possible will help the orders to
  display on the bedside device in a timely
  fashion.
• Once the patient wrist band barcode has been
  scanned, one of 2 screens will appear. If there
  are no new orders, the patients medication
  profile will be displayed. If there are new
  orders to be confirmed the Orders screen will
  display (Order Confirmation is covered in
  detail later in this program).

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Up Next Navigating the Screens
15
Navigating the Screen

• The screen is divided into 3 sections
• Blue section
• Patient demographics
• Green section
• Task or Menu Bar
• Function section
• Where the activity takes place

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Blue SectionPatient Information

• The blue section contains patient demographic
  information and has
• Patient name
• Diagnosis
• Allergies
• Room and bed
• Age and gender
• Physician

17
Green SectionTask or Menu Bar

• The green section is the Task or Menu Bar
• User identification
• Time date
• New Patient button
• Logout button
• Activity options
• Medications
• MAR View (Medication Administration Record)
• Orders
• Special Features
• The depressed button alerts you to the task
  selected (in this case the Medications button)

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Main SectionFunction Area

• This is the function area of the screen. The
  selected task determines the information and
  activities displayed.
• The selected task appears by an icon in the upper
  left corner of this section.
• The depressed tab indicates the area of the
  function you are viewing (here it is the
  Scheduled tab)

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Medication Order Display

• On all screens, medication orders display using
  the same display rules
• Line 1 Medication Name
• Generic (Brand)
• Line 2 Dose, Route Frequency
• Line 3 Comments

20
Medications Function Screen

• There are six tabs to choose from when you select
  the Medications task button. Think of them as
  pages

• Scheduled medications
• PRN medications
• IV medications

• All
• Floor stock
• Formulary

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Scheduled Medications Tab

• Scheduled medications are listed according to
  when they are due.
• Last Given column shows the last time the med
  was administered.
• LATE medications PINK
• (and show a clock next to the due time)
• CURRENTLY due medications YELLOW
• FUTURE due medications have no highlight

22
PRN Medications Tab

• PRN meds are listed in alphabetical order
• Last Given column shows the last time the med
  was given.
• When only the time is showing (no date) it means
  the current date otherwise both the date time
  are shown.

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IV Tab

• The IV tab lists orders for continuous IV orders
• Only IV that infuse continuously show here
• IVs are listed in alphabetical order
• Last Given column shows the last time the IV
  was given (generally meaning hung)

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All Tab

• ALL tab lists all orders that are
• Active
• Future
• On Hold
• D/Cd (display for 24 hrs)
• Expired (display for 24 hrs)
• Meds are listed in alphabetical order
• Last Given time displays
• Order Status displays
• Order Type displays

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Floorstock Formulary Tabs

• Special Note

• When to use the Formulary or Floorstock Tabs
• These options were created for instances when
• The patient needs the medication administered
  before the order has been entered
• AND
• The medication being administered DOES NOT HAVE A
  BARCODE
• If the medication HAS A BARCODE - SCAN IT. There
  is no need to access the Floorstock or Formulary
  tab.

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Floorstock Tab

• The meds that are hospital approved for
  administration prior to pharmacy order entry are
  listed on the Floorstock Tab
• The floorstock list is unit specific
• Two ways to find a med
• Type in the first few letters of the med name and
  Search
• Scroll through the list
• The meds are listed alphabetically

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Formulary Tab

• If the medication has NO BARCODE you cant find
  it on Floorstock, go to the Formulary Tab.
• All medications available in the hospital are
  listed on the Formulary Tab
• Two ways to find a medication
• Type in the first few letters of the brand or
  generic med name and Search
• See the entire list by leaving the Search For
  blank clicking Search

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When Administering a Med Prior to Pharmacy Order
Entry

• REMEMBER If the order has not been entered into
  the pharmacy system, chances are the pharmacist
  has not had the opportunity to review the
  medication order. In this situation it is the
  nurse who is responsible for making sure that the
  appropriate checks are done prior to
  administering the medication.
• If the medication you want to administer has a
  barcode, scan it. There is no need to access the
  floorstock or formulary lists.
• It should be the RARE occasion that requires the
  nurse to go to the formulary list. Not all
  medications on this list are approved for the
  nurse to administer without pharmacy approval of
  the order.

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Administering Medications With MedPointThe
BASICS
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Scanning Meds to Administer

• Scan the med

• The medication will move from the due list to the
  Meds Selected list.
• If a medication does not have a barcode or the
  barcode can not be read, select the medication
  from the list.

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Finish Selecting Medications

• Select the Finish button once all selections
  have been made.
• If multiple selections were made, the last
  scanned item will always be in the first
  position. Click on drop down arrow to view the
  entire list.

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Completing Transaction

• REVIEW information for accuracy BEFORE applying
  your electronic signature.
• Closed circles shows the dose has a Given
  status
• Select the Confirm All button to complete the
  transaction and affix your electronic signature

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Quick Review

• Basic Steps
• Scan ID badge and enter password
• Scan the patient wristband barcode
• Scan the medications to administer
• Select Finish button
• Review the medication administration information
  on the Confirm screen
• Select Confirm All button to document the
  administrations and affix electronic signature
• Adding a concept
• Dose detail screen

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ConceptDose Detail Screen

• aka The Edit Screen

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Dose Detail Screen

• What is it and what does it do?
• Allows information or detail of the
  administration of that particular dose to be
  changed or edited.
• Allows edits at the time of administration or
  after the transaction has been recorded.

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Dose Detail Screen

• Where to find the screen?
• Appears automatically when
• No order in system for the drug being given.
• Need more information about the dose being
  administered i.e. a rate for an IV or a dose in
  the case of a sliding scale, etc.
• Can choose to go to it (by selecting the med)
  from these screens
• Confirm or Finish screen
• MAR View screen

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Dose Detail ScreenWhat it looks like
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Dose Detail ScreenWhat it does

• Allows changes to any field
• Dose
• Route
• Add comments
• Time
• Date
• Given by

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Dose Detail ScreenHow to Use the Fields
Number fields (dose) Enter numbers and decimals
Drop down menu (route or site) Select from
choices on the list
Comment field Type in brief free text comments
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Dose Detail ScreenCan Do More

• Allows the dose to be changed from Given to
  Not Given
• Allows the dose to be Unlinked (more on that
  later)

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Dose Detail ScreenSaving Edits

• Select OK when done editing to save the changes
  
• NOTE Selecting Cancel does not save changes

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ConceptNot Giving a Medication

• aka Not Given

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Not Giving a Medication

• What is Not Given?
• A method of documenting that a dose of medication
  was not administered to the patient.
• A reason that the dose was not administered is
  selected and documented
• Two methods
• Select the button next to the medication on the
  scheduled medications tab
• Use the Special Features button (more on that
  later)

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Not Given Button

• Not Given button located next to each dose
• Select the Not Given button when the dose is
  not going to be given to the patient

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Not Given Select a Reason

• A screen appears, notice the Not Given status
• Select a reason from the drop down list. (any
  additional comments should be typed in the
  Comments field)
• Select OK when done, then the Finish button

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Not GivenTelling the Difference

• After selecting Finish, the Confirm All screen
  appears
• Open circles indicate that dose as Not Given

47
ConceptUnlinking a Dose or Order
48
Unlinking

• Two ways to UNLINK
• Unlink DOSE
• Unlink ORDER

49
Unlink Dose

• Unlink Dose allows the user to document the
  administration of a dose for which there is an
  order but not a dose listed as due.
• Example The patient is admitted at 10 AM and
  has an order for Lasix 40mg PO BID. The bedside
  device displays the 8 PM dose but not the 8 AM
  dose since the order was entered after the dose
  time had passed.

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Unlink Order

• Unlink Order allows the user to administer a
  newly ordered dose of medication, for which there
  is an existing order in the system, prior to
  pharmacy order entry.
• Example Give an additional dose of Lasix 40 mg
  PO STAT. This could be a STAT or additional dose
  of a medication for which there is currently
  another order in the system. If the dose or order
  is not the one you wish this administration to be
  charted against select Unlink Order

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Steps to Unlinking

• After scanning or selecting the med from the
  screen, a warning is presented.
• Note the Unlink button.
• Select the Unlink button.

52
Steps to Unlinking

• After selecting the Unlink button, the user is
  presented the choice to
• Unlink Dose
• Unlink Order
• Choose the option that meets your needs

53
ConceptWarnings and Alerts
54
Warnings and Alerts

• Warnings or Alerts may be generated with certain
  activities.
• OK continue on with activity
• Cancel Stop, return to last screen
• Unlink start the Unlink sequence (this button
  is not on every warning screen)
• If a drop down menu to select a reason is
  present select the most appropriate reason for
  the situation at hand. Remember free text
  reasons are not allowed and do not get saved.

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Warnings and Alerts More to See
56
New ConceptMultiple Order Match
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Multiple Order Match

• What is Multiple Order Match?
• Sometimes patients have 2 orders for the same
  medication. An example, a scheduled order and
  a PRN order for the same medication such as
  Insulin or Potassium
• When the medication is scanned, MedPoint knows
  that a match exists and presents you the
  opportunity to select which order the dose you
  are giving should be documented against

58
Multiple Order Match

• An alert that a match exists appears and shows
  the available options
• Select the order to associate with make sure
  the small circle on the left is marked
• Select OK

59
ConceptCo-Signature
60
Co-Signature

• What is Co-Signature why do we have it?
• Co-signature is a second witness to a drug
  administration.
• Drugs There are particular drugs, such as
  insulin or chemotherapy that are considered high
  risk might need a co-signature prior to
  administration.
• Person - Certain people such as nursing students
  may be required to obtain co-signatures before
  administering drugs.
• Places - Certain units (oncology) might have a
  policy that requires co-signature for all
  medication administrations.

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Co-Signature - Required

• When a specific drug requires a co-signature, the
  pharmacy may use a comment to alert you.
• After scanning the medication barcode, the dose
  detail screen will appear.

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Co-Signature - Required

• In any of the situations (drug, person or place)
  that require a co-signature the dose detail
  screen appears and there is a notice of
  required next to the co-signature field.

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Co-Signature - Required

• A user who can be a co-signer would then need to
  scan their ID badge while the cursor is in the
  co-signature field.

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Co-Signature - Required

• The co-signer then enters their password into the
  password field on the Co-Sign Confirmation
  window.
• Then select OK.

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Co-Signature - Required

• A user can never co-sign their own
  administrations. A warning appears, alerting the
  user to this situation.

• A user who attempts to co-sign but does not have
  that privilege will receive this warning.

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Co-Signature MAR View

• On the MAR View the initials of both the
  administrator (1st initials) the co-signer (2nd
  initials) show.

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ConceptAllergy Alert
68
Allergy Alerts

• What are Allergy Alerts?
• Allergy alerts tell the nurse something about the
  allergy status of the patient.
• Types of Allergy Alerts
• No allergy information has been received.
• New allergy information has been received.
• Possible allergy or cross-sensitivity to the
  medication being given has been detected.

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Allergy Alerts

• This alert is triggered when MedAdmin has not
  received any allergy information from the other
  system. This alert is seen each time the patient
  is selected until allergy information is received
  by MedAdmin (even NKA).

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Allergy Alerts

• This alert is seen when new allergy information
  has been received by MedAdmin. This alert is
  seen only the first time the patient is selected
  after new allergy information has been received.

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Allergy Alerts

• This warning displays when an allergy is detected
  during
• Order Confirmation
• OR
• Med administration

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Allergy Alerts

• The nurse has 2 choices
• Cancel button which stops the transaction.
• Select a reason to continue and then the OK
  button. NOTE MedAdmin requires a reason to
  override the warning.

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MAR View Taking a Closer Look
74
MAR ViewMedication Administration Record
(On-Line View)

• What is the on-line medication administration
  record?
• All administration activity is displayed here.
• The place to change documentation on previously
  documented medications
• Dose details
• Dose status

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MAR ViewGetting There
Select the MAR button from the green Menu Bar View
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Viewing the On-line MAR

• The meds are shown in reverse chronological order
  (most recent is first)
• What the symbols mean
• Given
• Not Given
• Omitted dose
• Unknown status

77
Viewing the On-line MAR

• To view the administrations of a specific
  medication, touch the drop down arrow
• Select the med from the list
• Only administrations pertaining to the selected
  med will display

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On-line MARChanging Docuementaion

• To change the documentation
• Select the administration that you want to edit
  the documentation
• Dose Detail Screen appears
• Change, add to, edit any of the fields. See
  earlier slide on Dose Detail Screen)

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ConceptConfirming Orders

• aka Signing Off Orders

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Confirming OrdersThe PROCESS

• All new orders entered by pharmacy will display
  on the bedside device and the nurse will use
  MedPoint to confirm them.
• The process of confirming orders creates the
  doses which display on the Medications screen.
• ALL ORDERS, whether active, discontinued, future,
  on hold, or resumed will need to be confirmed in
  this manner.
• If there are new orders to be confirmed, the
  Orders screen will display first after scanning
  the patients wristband barcode.

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Confirming OrdersGetting there

• Automatically appears when accessing a patient
  record IF there are new orders to confirm
• (otherwise the system takes you right to the
  Medications screens)

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Confirming OrdersNavigating the screen
Order start and stop time/date
Order status
Order information 1st Line Medication name 2nd
Line Dose, route and frequency 3rd Line Order
comments
Options
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Confirming Orders What does it all mean?

• Order Information - review this for accuracy
  against the written order in the chart
• Order Start Time/date indicates the time that
  doses will begin to be created for Active or
  Resumed orders
• Special Note In the case of a DISCONTINUED
  order this time/date indicates when the doses
  will be removed from the screen. If the D/C
  order has doses in the LATE (pink) status, they
  will NOT be removed, remove or not give these
  doses according to hospital policy.
• Order Stop Time/date indicates the time that
  was entered for that medication to be D/Cd or to
  expire. Doses will not be created beyond this
  time.

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Confirming Orders More what does it all mean?

• Order Status only one order status is assigned
  to an order. An order can be
• ? Active ? Hold
• ? Discontinued ? Resumed
• ? Future ? Invalid
• Confirm or Clarify Select one of these 2
  actions for each order.
• Confirm when you confirm an order, you are
  agreeing with all the order information as well
  as the order start/stop time.
• Clarify when there is a discrepancy between the
  order on the screen and the written order, you
  put it into clarify state until you have
  contacted pharmacy and the matter is resolved.

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Confirming Orders

• After you have followed your hospitals order
  confirmation procedure touch the Confirm
  button.
• The medication will be transcribed to the
  Scheduled, PRN or IV medication list. Check to be
  sure the medication appears on the tab as
  indicated.

86
Confirming OrdersThings to remember

• When an order is Discontinued, check the
  Scheduled Med screen to ensure that no doses are
  left behind.
• Doses that are left on the Scheduled Med screen
  after the
• Start Time will need to be REMOVED or NOT GIVEN
• according to hospital policy.

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Confirming OrdersThings to Remember Start Time

• The Start Time of an order is important. It is
  used to
• Create doses for NEW or RESUME or Updates to an
  existing order.
• Eliminate futures doses for DISCONTINUE or HOLD
  orders. Please note - doses that are created up
  until the Start time of the D/C order, will NOT
  BE REMOVED.
• ALWAYS check the doses on the scheduled meds
  listing to ensure doses are listed as expected.
• REMEMBER After confirming a D/C or HOLD check
  to see that no doses are left behind. If there
  are, Remove or Not Give those doses according
  to hospital policy.

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Clarifying an Order

• Putting an order into the clarify state
  indicates to others that you are questioning the
  order.
• To do this simply select the CLARIFY button

89
Clarifying an Order

• After selecting the Clarify button a reason
  list appears
• Select a reason from the drop down list

Remember Select only from the list, no free
text is allowed or saved
90
Clarifying an Order

• Note that the clarify order is now highlighted
  blue. The reason selected also appears.
• IMPORTANT Notify pharmacy immediately of the
  need to clarify the order. MedPoint DOES NOT
  communicate to the Pharmacist or the pharmacy
  system !

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Clarifying an Order

• Once an order has been put into a clarify
  state, it can only be confirmed.
• If the order is found to be correct, confirm it.
  
• If the order is INCORRECT, it will need to be
  D/Cd by the pharmacy.

92
Invalid Orders

• INVALID orders appear when MedPoint does not have
  the information to display the order correctly
  (i.e. invalid route, invalid frequency, etc.)
• MedPoint displays the reason the order is
  Invalid. The reason appears after the
  medication name in parenthesis.
• Notify pharmacy, they will have to correct the
  invalid component resend the order. Then the
  invalid order will no longer display
• Invalid orders CAN NOT be confirmed or clarified

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Linking Administrations

• If a medication was administered prior to order
  processing AND an Unlink Order was done,
  MedPoint will give you the chance to Link that
  medication administration with the order during
  the confirmation process
• Select Confirm

94
Linking Administrations

• An alert that an Unlinked Order administration
  matches the order
• Select the circle next to the medication name
• Select OK the administration is then Linked
  to that medication
• NOTE Linking the dose here DOES NOT remove any
  doses created when the order was confirmed

95
Linking AdministrationsThings to Remember

• Link medication administrations to appropriate
  orders. This ensures the documentation on the
  printed version of the eMAR is accurate.
  Administrations linked to an order are documented
  along side that order.
• Medications that are administered Unlinked or
  prior to order entry will be documented in the
  Other Med category on the eMAR.
• Please REMEMBER
• Linking to an order DOES NOT LINK IT to a
  SPECIFIC DOSE.
• If you are linking a scheduled med to an order
  MAKE SURE that the DOSES that are listed as due
  are accurate.
• Always check to be sure that any previously
  administered doses (prior to confirming the
  order) are NOT LISTED as needing to be
  administered. Remove any doses that should not
  be administered.

96
Confirming OrdersA Review

• Order Confirmation Information Review
• The initials of the user who confirmed the order
  will display on the printed MARs and other
  reports.
• Once an order is confirmed it may not be
  unconfirmed
• Once an order is put into a clarify status it can
  only be confirmed.
• Only the pharmacy system has the ability to
  change the order.
• Users may not confirm orders while in the process
  of administering medications. If an Unconfirmed
  Order warning is received the user must confirm
  or delete medications selected in order to access
  the Order Confirmation functionality.
• Invalid Orders can never be confirmed.
• Only one order may be confirmed at a time. You
  cannot select multiple orders to confirm in a
  single transaction.
• All orders should be confirmed in the order in
  which they were received the oldest order is
  at the top of the list. A warning is triggered
  if the user tries to confirms updates out of
  sequence.

97
Confirming OrdersA Review

• Start Time reminders
• All orders display a start time that will
  display.
• Doses are CREATED based on order start time
• Doses are ELIMINATED based on start time for D/C
  or Hold orders.
• If the start time is in the past MedPoint creates
  the doses from the start time and display as late
  or currently due based on dose due time windows
• The UNLINK DOSE function allows the nurse to
  administer a dose before the first dose without
  stealing a future dose
• Stop Time reminders
• Not all orders will have a stop time.
• If a stop time is entered, dose will not be
  created after that time.
• Linking a med to an order does just that, it
  links it to the ORDER. It DOES NOT LINK the med
  to a specific DOSE.

98
ConceptSpecial Features
99
Special FeaturesWhats it all about?

• What is Special Features?
• It is the 4th task button on the green Menu Bar.
• The place to Not Give several doses at the same
  time and attach the same Not Give reason to all
  of them. Handy if the patient was off the unit
  for awhile and many doses were Not Given in
  their absence.
• This is also the only place to Remove doses.
  The removed doses are given the unknown
  status on the MAR View.

100
Special FeaturesGetting There
Select the Special Features tab from the Menu
Bar
101
Special FeaturesSelecting Doses
Method 1 Select each dose individually by using
the cursor to place a ? in the box to the
left of the dose.
Method 2 Use the Select All Late Doses button
which puts the ? in all the late dose boxes.
Then select or deselect individual doses as
needed. Note the Deselect All Late Doses
takes the ? out of the previously selected
doses.
102
Special FeaturesNot Given

• Note that the Time Due is shown so that the
  correct doses can be selected.
• Select the doses to Not Give by using either
  the Select All Late button /or use the cursor
  to place a ? in the box to the left of the
  doses.
• Select Not Given button.

103
Special FeaturesNot Given

• Select the Reason Not Given from the drop down
  list that appears.
• Remember the selected reason will be documented
  for all doses selected as Not Given.

104
Special FeaturesRemove Doses

• Most hospitals have specific policies about when
  Remove Doses is used always follow hospital
  policy.
• Note the Time Due is shown so that the correct
  doses are selected.
• Select the doses to Remove by using either the
  Select All Late button /or use the cursor to
  place a ? in the box to the left of the
  doses.
• Select Remove Doses button.

105
ConceptLogging Out
106
Logging Out

• If you simply want to bring up a different
  patients record, select the New Patient
  button.
• If you are done using MedPoint, select Logout

107
ConceptChanging Passwords
108
Changing Passwords

• A few words about passwords
• Try to make your password something you will
  remember
• Change your password frequently recommend every
  60 90 days
• REMEMBER KEEP IT TO YOURSELF Your log-in ID and
  password used together create your electronic
  SIGNATURE.

109
Changing Passwords

• Log in to MedPoint
• Select the Change Password button from the Menu
  Bar

110
Changing Passwords

• Type in your OLD password
• Type in your NEW password
• Type in the NEW password again
• Select Change

111
Reminders to Change Passwords

• You will be prompted to change your password
  every x days, before it expires, based on your
  hospitals chosen password duration time.

112
MedPoint - MedAdmin Self Study Guide 3.4.2
Update
113
Introducing MedPoint 3.4.2

• Look at what is new
• Display of Height Weight and Body Surface Area
• Confirm All changed to Document All
• Enhanced Clarified Orders information display
• More information on the All Orders tab
• Option to require the selection of a reason when
  a warning is given
• Enhanced Dose Checking
• Disable No Warning in System warning
• Password Aging
• Expanded MAR view
• Clinical Observations

114
Height Weight and BSA Display

• The blue section - patient demographic now
  displays
• Height,
• Weight
• Body Surface Area

115
Document All

• The Confirm All button has a new label
• Document All
• Selecting the Document All will continue
  complete the transaction and affix your
  electronic signature

116
All Tab

• There is now additional information displayed for
  each order on the All Tab. The following is a
  list of the new information being displayed
• Start time - the date and start time of the order
  are displayed on the first line under the Order
  Status.
• Update time if an order has an update at some
  point this information regarding the date and
  time of the update will display..
• Stop time if the order has a stop date and time
  this information will be displayed..

117
Dose Detail Field Changes

• Notice that there are 2 dose fields allowing the
  user to specify the dose either in mg or in
  tabs.
• Changing the dose in one field will automatically
  update the change to the dose in the other field.
  

118
Require the Selection of a Reason from a Warning

• Your hospital now has the ability to require that
  a reason be selected from the drop down list when
  a warning is presented.

119
Expanded On-line MAR View

• Specify the time range for online administration
  display
• Today
• Last 2 days
• Last 3 days
• Last week

120
Order Start and Stop Time

• Note that the order in clarify retains the
  display of the order start and stop time

121
New ConceptEnhanced Dose Checking does a check
on the order or dose to be administered is out of
range
122
Enhanced Dose Checking

• Three ways for Dose Checking to occur
• 1. Ordered Dose Checking occurs on order
  confirmation
• 2. Max Daily Dose Checking on Medication
  Administration
• 3. Stand alone Dose Checking application

123
Dose Checking on Order Confirmation

• Dose Checking Indicator (red check mark) on the
  Order Confirmation Screen for dose checking that
  WILL occur at confirmation

124
Dose Checking on Order Confirmation

• Evaluates dose and frequency based on age and
  weight
• Warning presented when dose is out of range
• Not for specific disease states or compromised
  renal/hepatic function

Total Dose/Day
Total of doses/Day (Frequency)
125
Max Daily Dose Checking on Medication
Administration

• Max Daily Dose Checking
• Always Requires Age
• Requires Weight when appropriate
• Occurs on Medication Administration
• MAXIMUM Dose Checking Indicator (red check) on
  Document All Screen shows Maximum Daily Dose
  Checking HAS occurred.

126
Stand Alone Dose Checking

• Can use Stand Alone Dose Checking when pharmacy
  is closed and Ordered dose checking is therefore
  unavailable or just to double check an ordered
  dose
• Must have the following information
• Drug to be Checked
• Age of patient
• Weight of Patient

Stand Alone Dose Check
127
Stand Alone Dose Checking

• Select Drug to be checked using Search field
  and/or drop down list
• Enter Age and Wt of patient and Select Check Dose
  Button
• Presents Loading Dose and Maintenance Dose
  Information

128
Disable No Order in System Warning

• System Manager Setting for No Order in System
  Warning Display
•  
•  

129
Point of Care Device Start-up Screen

• Point of Care Device Start Up Screen to All Meds
  (All Tab)

130
New ConceptClinical Observations
131
Admin Detail Screen
Allows for capture of specific discrete data
Vital signs, Pain Level (adult or
pedi) Blood glucose Free text
132
Document All View
Discrete data entered is summarized in a text
line on the screen prior to documentation. Can
add or edit data at this point.
133
Observations View
When Observations button is selected, view
displays last 72 hours of observations User can
REVIEW previous observations, ADD new
observations or EDIT an existing observations
134
Add/Edit Observations
If tied to a med administration, an observation
can be ADDED TO or EDITED Select the med
from the MAR view OR directly from the
Observation tab EDIT or ADD the observation
135
MAR View
Medication related observations will display as
part of the administration detail. If follow up
observations exist, the most current observation
data will be placed at the beginning of the
detail information within a drop down
136
Most Recent
The most recently recorded observation data set
will display as part of the demographic (blue)
header, regardless of the type of observation,
med related (pill icon) or patient related (stick
figure)
137
The End

• Congratulations!!
• You have just completed the MedPoint MedAdmin
  3.4.2 Self Study Guide. If Applicable, please
  complete the post-test located in the back of
  this packet. Bring the completed post-test with
  you to your scheduled class.
• Thank you!