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Once the medication task(s) is scheduled from the ‘Add to Drug Chart’ slider and the ‘Treatments’ section is refreshed, the ‘Add to Drug Chart’ link corresponding to the medication is changed to ‘Edit Drug Chart’.
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PRN Workflow:
Creating PRN Medication from Medications module by checking PRN checkbox:
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PRN prescription reflected in Treatments section in IPD Dashboard:
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Once the medication tasks are scheduled, they are listed in the Nursing Tasks section with the corresponding name and attributes, schedule time and corresponding tag and status legend.
This section also has the feature to filter tasks based on their medication administration status.
These medication task tiles are sequenced based on their schedule time.
Updating an already administered task:
Clicking on one of these tiles, which is not updated yet, a slider opens up on the right side.
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Clicking on the ‘Done’ toggle switch and entering the Notes (optional until the Dosing window is over), and by clicking on ‘Save’ button, Nurse will be able to update a specific medication task with the administered time.
Dosing Window: A configurable time window with respect to the Schedule time of a medication, beyond which the dose administration deemed late.
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Once the task is updated with the administered time, the corresponding task gets updated as Completed and gets displayed accordingly in the Nursing Tasks section.
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Indicating skipped medication task:
When a scheduled task is skipped for some reason (it could be for reason like, e.g., patient was in operation room at that time), Nurse will be able to update the task accordingly in EMR.
Clicking on the corresponding task tile brings up the same slider on the right side
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Nurse clicks on the three dots in the slider.
‘Skip Drug’ button appears.
Clicking on the ‘Skip Drug’ button brings up the mandatory ‘Notes’ field.
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Once Notes is entered and ‘Save’ button is clicked, the corresponding task gets updated as Skipped and gets displayed accordingly in the Nursing Tasks section.
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Emergency Medication Workflow:
When an emergency condition occurs for an In-patient and if there is no prescription available to mitigate the emergency situation, then based on the situation, after consulting with the on-call Doctor, the Nurse first administers the medication to take care of the situation and then capture the administered emergency medication details in the system.
The Nurse needs to click on the ‘Add Task’ button in the ‘Nursing Tasks’ section.
A slider opens up on the right side.
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The Nurse selects the type, searches and selects the Drug Name, enters the Dose and Unit, select the Route.
Administration Date and Administration Time are defaulted with the system date and time. These fields are enabled, the Nurse can change them.
The Nurse searches and/or selects the Doctor’s name (whom the Nurse has consulted before administering the medication) in the ‘Acknowledgement Requested From’ field.
The Nurse enters a value in the mandatory ‘Notes’ field and clicks on the ‘Save’ button.
Once saved successfully, system displays a medication task with the tag ‘EMERG’ and administered time and status as Completed and displays the corresponding medication task tile in the Completed bucket in the ‘Nursing Tasks’ section.
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System also displays the medication listed in the ‘Treatments’ section:
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In the ‘Treatments’ section, the Start Date displayed is the ‘Administration Date’ selected in the slider, the corresponding Status column displays ‘Not Acknowledged’, Provider Name displays the Provider selected in the ‘Acknowledgement Requested From’ field of the slider and no link is displayed in the ‘Actions’ column.
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The Save Emergency Medication task triggers a notification which is listed in the ‘Notifications’ tab in the Clinical module when the same Provider logs in. (this is under development, will update the User Guide soon on this)
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Creating PRN Placeholder card by clicking on ‘Add PRN Tasks’ link:
Clicking on the ‘Add PRN Tasks’ link in the Action column in Treatments section brings up the ‘Add PRN Tasks’ slider
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‘Add PRN Tasks’ slider, unlike the ‘Add to Drug Chart’ slider, does not have any Schedule Times / Start Time field(s) as PRN Rx should not be scheduled as PRN is As Needed medication, rather through this step, the system creates a placeholder card which is displayed in the Nursing Tasks section.
Once saved, the PRN placeholder card is displayed in the Nursing Tasks section without any scheduled time, however no record is added in the Drug Chart yet.
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Capturing administered PRN Dose(s):
The placeholder card will remain in this shift for the Nurse to click on it to capture the details of the administered dose(s).
Nurse will be able to click on the placeholder card and capture multiple administered PRN doses.
Each instance will add a completed PRN task tile and display the same in the Nursing Tasks section under All Tasks / PRN /Completed filter.
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Once the user saves the first administered PRN dose details in the system, the system displays the details in the Drug Chart as well.
The placeholder PRN task tile, once the shift is over, will be rolled over to the next shift.
This roll over will continue till the duration of the PRN prescription.
‘Nursing Tasks’ section of the IPD Dashboard:
Once the medication tasks are scheduled, they are listed in the Nursing Tasks section with the corresponding name and attributes, schedule time and corresponding tag and status legend.
The scheduled medication tasks are displayed in the ascending order of the scheduled time.
Configuration related to scheduled tasks being displayed:
The scheduled tasks tiles for the next 30 mins are displayed in brighter green color and the scheduled tasks tiles beyond that are displayed in the lighter green color.
This ‘30 mins’ is configurable and can be changed based on the user preference.
This section also has the feature to filter tasks based on their medication administration status.
These medication task tiles are sequenced based on their schedule time.
If there are more than one medication scheduled at the same time, then the system displays the scheduled medication tasks at that particular time as a stack of tiles.
Configurable shift duration and start time:
The hospital’s shift duration and start time can be configured in the system and based on that the date and shift time are displayed in the ‘Nursing Tasks’ section.
In the following screenshot, the shift is configured as an 8 hours shift and the start time of the first shift of the day is configured as 6:00 hrs. Accordingly the following screenshot is displaying the second shift of the day.
Nurse can navigate back-n-forth using the left and right arrow to the previous and next shifts respectively. And the Nurse can come back to the current shift by clicking on the ‘Current Shift’ button.
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Editing schedules of the medication tasks:
The ‘Edit Drug Chart’ link corresponding to a medication listed in the ‘Treatments’ section is available for the Nurse to edit the already saved scheduled time, if needed.
However once the first medication task is completed, the ‘Edit Drug Chart’ link changes to ‘Stop Drug’ link.
By clicking on the ‘Edit Drug Chart’, a right side slider (named ‘Edit Drug Chart’) comes up where the Nurse can make changes in the ‘Start Time’ field / ‘Schedule Time’ fields / ‘Notes’ fields and clicks on save to update the details.
Once updated, the details will be displayed accordingly.
Updating an already administered task:
Clicking on one of these tiles, which is not updated yet, a slider opens up on the right side.
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Clicking on the ‘Done’ toggle switch and entering the Notes (optional until the Dosing window is over), and by clicking on ‘Save’ button, Nurse will be able to update a specific medication task with the administered time.
Configurable Dosing Window:
A configurable time window with respect to the Schedule time of a medication, beyond which the dose administration deemed late.
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Once the task is updated with the administered time, the corresponding task gets updated as Completed and gets displayed accordingly in the Nursing Tasks section.
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Indicating skipped medication task:
When a scheduled task is skipped for some reason (it could be for reason like, e.g., patient was in operation room at that time), Nurse will be able to update the task accordingly in EMR.
Clicking on the corresponding task tile brings up the same slider on the right side
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Nurse clicks on the three dots in the slider.
‘Skip Drug’ button appears.
Clicking on the ‘Skip Drug’ button brings up the mandatory ‘Notes’ field.
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Once Notes is entered and ‘Save’ button is clicked, the corresponding task gets updated as Skipped and gets displayed accordingly in the Nursing Tasks section.
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Emergency Medication Workflow:
When an emergency condition occurs for an In-patient and if there is no prescription available to mitigate the emergency situation, then based on the situation, after consulting with the on-call Doctor, the Nurse first administers the medication to take care of the situation and then capture the administered emergency medication details in the system.
The Nurse needs to click on the ‘Add Task’ button in the ‘Nursing Tasks’ section.
A slider opens up on the right side.
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The Nurse selects the type, searches and selects the Drug Name, enters the Dose and Unit, select the Route.
Administration Date and Administration Time are defaulted with the system date and time. These fields are enabled, the Nurse can change them.
The Nurse searches and/or selects the Doctor’s name (whom the Nurse has consulted before administering the medication) in the ‘Acknowledgement Requested From’ field.
The Nurse enters a value in the mandatory ‘Notes’ field and clicks on the ‘Save’ button.
Once saved successfully, system displays a medication task with the tag ‘EMERG’ and administered time and status as Completed and displays the corresponding medication task tile in the Completed bucket in the ‘Nursing Tasks’ section.
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System also displays the medication listed in the ‘Treatments’ section:
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In the ‘Treatments’ section, the Start Date displayed is the ‘Administration Date’ selected in the slider, the corresponding Status column displays ‘Not Acknowledged’, Provider Name displays the Provider selected in the ‘Acknowledgement Requested From’ field of the slider and no link is displayed in the ‘Actions’ column.
In the ‘Nursing Tasks’ section, the Emergency Medication task is displayed under the ‘Completed’ and ‘All Tasks’ buckets.
In the ‘Drug Chart’ section, the Emergency Medication details are displayed as well.
The Save Emergency Medication task triggers a notification which is listed in the ‘Notifications’ tab in the Clinical module when the same Provider logs in.
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Once the Provider enters the Note and clicks on the ‘Acknowledge’ button, the row disappears from this list.
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In the ‘Treatments’ section in the IPD Dashboard, in the ‘Status’ column, the system displays ‘Acknowledged’, corresponding to the Emergency Medication.
The ‘Acknowledgement Note’ is displayed in the ‘Treatments’ section, by clicking on the down arrow on the left:
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Stop Drug Workflow by the Doctor from the Medications module:
There are a few scenarios for the Stop Drug Workflow.
Doctor stopping medication even before medication tasks are scheduled by the Ward Nurse from the IPD Dashboard:
When a medication is prescribed for the IPD administration, the medication is listed in the ‘Treatments’ section in the IPD dashboard.
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Even before the medication tasks are scheduled by the Ward Nurse from the IPD Dashboard, when the Doctor decides to stop the medication from the Medications tab and indicted it from the Medications page by clicking on the ‘Stop’ button, system removes the medication from the ‘Treatments’ section in the IPD dashboard.
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Doctor stopping medication after medication tasks are scheduled, but not even a dose is administered by the Ward Nurse from the IPD Dashboard:
When a medication is prescribed for the IPD administration, the medication is listed in the ‘Treatments’ section in the IPD dashboard.
Now the corresponding medication tasks are scheduled which are displayed in the ‘Nursing Tasks’ and ‘Drug Chart’ section of the IPD Dashboard.
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However not even one of these medication tasks is administered so far.
At this stage, the Doctor decides to stop the medication from the Medications tab and indicates it from the Medications page by clicking on the ‘Stop’ button, system removes the medication details from the ‘Treatments’, ‘Nursing Tasks’ and ‘Drug Chart’ sections in the IPD dashboard.
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Doctor stopping medication after medication tasks are scheduled, and a dose is administered by the Ward Nurse from the IPD Dashboard:
Once a medication dose is administered and updated in the system, system displays the details in the ‘Nursing Tasks’ and ‘Drug Chart’ sections in the IPD Dashboard.
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The next dose looks like the following as pending dose:
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At this stage, the Doctor decides to stop the medication from the Medications tab and indicates it from the Medications page by clicking on the ‘Stop’ button. Subsequently system indicates that the medication is stopped, in the ‘Treatments’, ‘Nursing Tasks’ and ‘Drug Chart’ sections in the IPD dashboard as displayed below:
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Ward Nurse stopping medication from Treatments section of the IPD Dashboard after medication tasks are scheduled, and a dose is administered:
Once a medication dose is administered and updated in the system, system displays the details in the ‘Nursing Tasks’ and ‘Drug Chart’ sections in the IPD Dashboard.
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The next dose looks like the following as pending dose:
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Now, if needed, Nurse can stop the medication by clicking on the ‘Stop Drug’ link in the ‘Treatments’ section.
Once stopped, in the Treatments section, the medication will displayed as strikethrough, the Status column will display ‘Stopped’, the stopped medication tasks will be displayed in the Nursing Tasks section (under Stopped bucket) and in the Drug Chart section, it will display the stopped medication tasks in the right panel.
Drug Chart section of the IPD Dashboard:
Once the medication tasks are scheduled through the ‘Add to Drug Chart’ slider, the medication is listed on the left panel of the Drug Chart and the scheduled (pending) medication task(s) are displayed on the right panel of the Drug Chart.
For Emergency Medication, once the details are captured by clicking on the ‘Add Task’ button in the ‘Nursing Tasks’ section, the emergency medication details are also listed on the left panel of
the Drug Chart along with the Administered (green icon) on the right side.
The hospital’s shift duration and start time can be configured in the system and based on that the date and shift time are displayed in the ‘Drug Chart’, similar to the ‘Nursing Tasks’ section.
In the following screenshot, the shift is configured as an 8 hours shift and the start time of the first shift
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Nurse can navigate back-n-forth using the left and right arrow to the previous and next shifts respectively. And the Nurse can come back to the current shift by clicking on the corresponding button.
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Once the medication task is administered, the Drug Chart gets updated accordingly.
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of the day is configured as 6:00 hrs. Accordingly the following screenshot is displaying the second shift of the day.
Nurse can navigate back-n-forth using the left and right arrow to the previous and next shifts respectively. And the Nurse can come back to the current shift by clicking on the ‘Current Shift’ button.
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Once the medication task is administered, the Drug Chart gets updated accordingly.
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Clicking on the Note icon on the left panel of the Drug Chart displays the Instructions, Additional Instructions (if any) saved by the Provider when creating the Rx from Medications module. It also displays the Scheduling Notes (if any) captured by the Nurse. Also, for the stopped medication, it lists the Stopping Notes.
Clicking on the Note icon on the right panel of the Drug Chart displays the administered notes captured by the Nurse (if any).
Jira View of Issues with Label ipd-team
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