| DESCRIPTION OF ENHANCEMENTS |
This patch will address Patient Safety Issue PSPO00001088 and
at the GENERIC DRUG prompt and introduced this issue. Patch
5) This patch will also enhance the capabilities of the IV ADDITIVES
File (#52.6) and IV SOLUTIONS File (#52.7) so that a user can enter
a new additive or solution that has the same name as an existing entry.
Previously, a Fileman workaround had to be used to enter an identically
named entry. With this patch, if the user types in a name that already
exists in the file, they will first be presented with a list of available
selections. If the user scrolls through the list without selecting an
entry, they will be presented with the prompt to add a new entry.
For example - IV ADDITIVES File (#52.6)
PSS*1.0*174 will fix this problem by properly allowing the
CHOOSE 1-2: 1 PSSJI DRUG ADditives File
ADditives File
Select IV ADDITIVES PRINT NAME: TESTDRUG
Lookup: PRINT NAME
1 TESTDRUG Additive Strength: 10 MG
2 TESTDRUG Additive Strength: N/A
3 TESTDRUG Additive Strength: 5 GM
user to exit the GENERIC DRUG prompt by using the caret (^).
4 TESTDRUG Additive Strength: 12 GM
CHOOSE 1-4:
Are you adding 'TESTDRUG' as a new IV ADDITIVES (the 77TH)? No// Y
(Yes)
For example - IV SOLUTIONS File (#52.7)
Select OPTION NAME: PSSJI SOLN PRimary Solution File (IV)
PRimary Solution File (IV)
Select IV SOLUTIONS PRINT NAME: 0.9% SODIUM CHLORIDE
Lookup: PRINT NAME
1 0.9% SODIUM CHLORIDE 250 ML
2 0.9% SODIUM CHLORIDE 50 ML
3 0.9% SODIUM CHLORIDE 25 ML
CHOOSE 1-3:
2) Another issue addressed with this patch is the wording when the
Are you adding '0.9% SODIUM CHLORIDE' as
a new IV SOLUTIONS (the 32ND)? No// Y (Yes)
6) This patch will also allow the addition of identically named
IV ADDITIVES and IV SOLUTIONS from the DRUG ENTER/EDIT
[PSS DRUG ENTER/EDIT] option when linking an additive or solution
to the drug.
For example - new additive:
User is linking an IV Additive to a Generic Drug at the
AN IV ITEM? Yes// Y (Yes)
Edit Additives or Solutions:
Select one of the following:
A ADDITIVES
S SOLUTIONS
Enter response: ADDITIVES
GENERIC DRUG prompt in menu option ADditives File [PSSJI DRUG]. It was
CEFAZOLIN SOD 1GM INJ currently linked to the following IV Additives:
1. TESTDRUG Additive Strength: 10 MG
2. TESTDRUG Additive Strength: 5 GM
3. TESTDRUG Additive Strength: 12 GM
unclear which drug name was the Additive and which was the
4. TESTDRUG Additive Strength: 12.5 GM
Select 1-4 from list above or type 'NEW' to link to a new IV Additive: NEW
Select IV ADDITIVES PRINT NAME: TESTDRUG
Lookup: PRINT NAME
1 TESTDRUG Additive Strength: 10 MG
2 TESTDRUG Additive Strength: 5 GM
Generic Drug when selecting. This patch will remove the
3 TESTDRUG Additive Strength: 12 GM
4 TESTDRUG Additive Strength: 12.5 GM
CHOOSE 1-4:
Are you adding 'TESTDRUG' as a new IV ADDITIVES (the 78TH)? No// Y
(Yes)
uncertainty by clearly stating to the user which is the
For example - new solution:
AN IV ITEM? Yes// (Yes)
Edit Additives or Solutions:
Select one of the following:
A ADDITIVES
S SOLUTIONS
New Service Request (NSR) 20110308 as well as defects introduced
IV Additive and which is the Generic Drug. For example:
Enter response: SOLUTIONS
CEFAZOLIN SOD 1GM INJ currently linked to IV Solutions:
1. 0.9% SODIUM CHLORIDE 300 ML
2. 0.9% SODIUM CHLORIDE 300 ML
3. 0.9% SODIUM CHLORIDE 450 ML
4. 0.9% SODIUM CHLORIDE 254 ML
Select 1-4 from list above or type 'NEW' to link to a new IV Solution: NEW
Select IV SOLUTIONS PRINT NAME: 0.9% SODIUM CHLORIDE
Lookup: PRINT NAME
1 0.9% SODIUM CHLORIDE 250 ML
2 0.9% SODIUM CHLORIDE 50 ML
3 0.9% SODIUM CHLORIDE 25 ML
4 0.9% SODIUM CHLORIDE 10 ML
5 0.9% SODIUM CHLORIDE 1000 ML
PRINT NAME: CEFAZOLIN//
Press <RETURN> to see more, '^' to exit this list, '^^' to exit all
lists, OR
CHOOSE 1-5:
Are you adding '0.9% SODIUM CHLORIDE' as
a new IV SOLUTIONS (the 33RD)? No// Y (Yes)
GENERIC DRUG: CEFAZOLIN SOD 10GM M/D INJ// CEFAZ
** NOTE **
This patch must be installed in conjunction with the Inpatient
Medications v. 5.0 patch PSJ*5.0*289 for the full functionality
to be realized.
1 CEFAZOLIN OPTH SOLN 50MG/CC (15CC)
2 CEFAZOLIN SOD 10GM M/D INJ AM115
3 CEFAZOLIN SOD 1GM INJ AM115 N/F
CHOOSE 1-3: 3 CEFAZOLIN SOD 1GM INJ AM115 N/
You are about to change the GENERIC DRUG linked to this ADDITIVE.
by patch PSS*1.0*146.
ADDITIVE CEFAZOLIN is currently linked to
GENERIC DRUG CEFAZOLIN SOD 10GM M/D INJ.
Are you sure you want to link ADDITIVE CEFAZOLIN
to GENERIC DRUG CEFAZOLIN SOD 1GM INJ? No//
3) This patch will also serve as the overall resolution to the
issue of ambiguous IV Additive strength when a pharmacist is
finishing an IV by adding a STRENGTH (#19) field to the
IV ADDITIVES File (#52.6). The new STRENGTH (#19) field
can be populated when adding a new IV Additive or when editing
an existing IV Additive via menu option ADditives File [PSSJI DRUG].
For example:
PRINT NAME: CEFAZOLIN//
GENERIC DRUG: CEFAZOLIN SOD 10GM M/D INJ// AM115
USED IN IV FLUID ORDER ENTRY: YES//
DRUG UNIT: GM//
STRENGTH: 1// ??
1) When adding a new IV Additive to the IV ADDITIVES File (#52.6),
This field identifies the numeric amount of medication that is
provided by one unit-of-use for the identified product.
For example, if one vial contains 50 MG of medication, the
STRENGTH will be entered as '50'. The DRUG UNIT of 'MG'
is populated by the DRUG UNIT (#2) field.
Whenever a lookup is performed on the IV ADDITIVES File (#52.6), the
and the user is at the GENERIC DRUG prompt, there is no way
STRENGTH (#19) field will display next to the NAME (#.01) field
with the words "Additive Strength:" and then its value.
Additionally, the DRUG UNIT (#2) field will be appended to the
STRENGTH (#19) field. If the STRENGTH (#19) field is not
populated for the IV Additive, the text "N/A" will display, and
the DRUG UNIT (#2) field will not display.
For example:
Select IV TYPE: PIGGYBACK.
to exit from the prompt. The input does not allow the user
Select ADDITIVE: CEFAZOL
1 CEFAZOLIN Additive Strength: 1 GM
IV ROOM ONLY
2 CEFAZOLIN Additive Strength: 2 GM
3 CEFAZOLIN PREMIX Additive Strength: N/A
CHOOSE 1-3:
4) Additionally, this patch makes a small enhancement to the display
to use the caret (^) to exit. The code that was modified
of Quick Codes during the selection of an IV ADDITIVE during
order entry. When a lookup is performed on an IV ADDITIVE, if there
are QUICK CODES defined for the IV ADDITIVE, the QUICK CODE
STRENGTH (#1) field and the USUAL IV SCHEDULE (#4) field from the
QUICK CODE Subfile (#52.61) will display next to the QUICK CODE.
If the QUICK CODE STRENGTH (#1) field is null, "N/A" will be displayed.
If the USUAL IV SCHEDULE (#4) field is null, "N/A" will be displayed.
For example:
Select ADDITIVE: CEFAZ
in routine PSSVIDRG for patch PSS*1.0*146 changed the code
1 CEFAZOLIN Additive Strength: 1 GM
- CEFAZ1GM - Quick Code Strength: 1 GM Schedule: N/A
- CEFAZ2GM - Quick Code Strength: N/A Schedule: BID
2 CEFAZOLIN Additive Strength: 2 GM
IV ROOM ONLY
3 CEFAZOLIN PREMIX Additive Strength: N/A
CHOOSE 1-3:
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