Order Entry & Calculation Software

COUNT ON ABACUS SOFTWARE FOR EASY TPN CALCULATION AND SAFE COMPOUNDING AT THE TOUCH OF A FINGER

DESIGNED BY HOSPITAL PHARMACISTS, ABACUS promotes dose safety and reduces the opportunity for user error in the prescribing, calculating and mixing of parenteral nutrition and other multi-ingredient solutions. The Windows® based order entry and calculation software offers built-in safety features and user customization to match individual facility’s forms and procedures. From a touchscreen or keyboard, its graphical user interface and drop-down menus make the program easy-to-use and facilitate pharmacy staff training.

From calcium and phosphate solubility curve analysis to customizable warning limits, ABACUS Software provides users with information to support clinical decisions.

• Bar codes load formula to automated compounder

• Electronic pharmacist order approval

• Energy, ion and salt-based order entry models

• User security, activity audits and workflow management

• Customizable labels, formulary and order entry templates

KEY FEATURES INCLUDE

ABACUS SOFTWARE WORKFLOWFIVE STEPS FROM ORDER ENTRY THROUGH LABELING AND DISTRIBUTION

4 SOLUTIONS MIXED • Optional manual additions • Labels applied

1 ORDER ENTRY

2 PHARMACIST CHECK

3 SOLUTION LABEL PRINTED

PATIENT FORMULA SENT TO COMPOUNDER

5 PHARMACIST CHECK

AND

TECHNOLOGY THAT HANDLES SIMPLE TO COMPLEX OPERATIONS WITH EASE

ABACUS CE SOFTWARECalculation Edition single workstation

Stand-alone software version that calculates the patient formula and prints a label, to support manual additions to a solution bagwithout interfacing with automated compounders. Software includes warning limit capability, drag-and-drop CaPhos curve utility and other features to address individual facility protocols.

The ABACUS Software complements EXACTAMIX Compounders for a complete state-of-the-art system for automated compounding. Multiple versions label compounded solutions whether prepared manually or using automation. Available in three versions that operate on or off a facility network and send orders from single or multiple computers directly to automated compounders. Barcoded patient labels select the right formula to prepare.

ABACUS ME SOFTWAREMulti-workstation Edition

This version offers the same features as SE, but is configured on the facility network and allows order entry from multiple workstations simultaneously.

ABACUS SE SOFTWARE Single-workstation Edition

This version offers the same features as CE, but also generates a patient file to drive EXACTAMIX Automated Compounders. This version is typically set up in a peer-to-peer network configuration, but can be loaded onto the facility network. Network

Label

Network

Warning limits screenSystem warning limits help prevent catastrophic errors, while customizable warning limits accommodate facility-specific practices.

Dosing rulesFacility template-driven rules based on age / weight / gestational age dosing, minimizing order entry errors and drive efficient workflows.

FEATURES AND BENEFITS

Reports Detailed user activity audits and standard reports promote workflow management and system efficiency.

Order entry screenOrder screen layout and menu- driven commands facilitate ease of entry and may help reduce order processing time.

TPN Patient Therapy ReportExample Hospital

72500TPN Order #:Template: Adult Patient - Premix w/lytes - 3-in-1

2/22/2012 8:00:00 PMHang Time:Bag Number: 3

Weight: 70 kgUnit:Room/Bed: 123

Patient InfoOrdered Volume: 1,929.18 mL

Duration: 24 hourRate: 67 mL/hour

Period: 24 hour

Ordered Electrolytes

Calcium 4.5 mEq/LAcetate 70.85 mEq/LChloride 16.67 mEq/LMagnesium 5 mEq/LPhosphate 15 mMol/LPotassium 30 mEq/LSodium 35 mEq/L

Ordered Items

Premix AA5%/Dex15% 1,608 mLLipid 20% 250 mLMV Adult 10 mLAdult Trace Conc 1 mL

1929.18ml of ordered solution deliverscontains1929.18ml of ordered solutionIn 24 hour period,

CHO KCal Lipid KCal Pro KCal Total KCal1,641.68

gm Protein gm N KCal/gm NKCal/day KCal/PatKg/day gm Pro/day

Carbo% Lipid% Protein%20

80.4 13.28870.08 450 321.6

2753

1,641.68 23.45 80.4 123.6

Patient Notes on Bag

DateTime UserName Bag# Note2/22/2012 2:00:03 PM 72500Tim Kingsford

----Warning Limit Override----Limit Name: MaxDilutionLimit Warning Level: YellowLimit Substance/Attribute: Dilutional ErrorLimit Value: 0.10 percentActual Value: 19.97 percentInstructions: Check for dilutional errorOverride Rationale: Clinimix

IV Site:Osmolarity Concentration: 1,191.99 mOsm\L

72499TPN Order #:Template: Adult Patient - Premix w/lytes - 3-in-1

2/22/2012 8:00:00 PMHang Time:Bag Number: 2

Weight: 70 kgUnit:Room/Bed: 123

Patient InfoOrdered Volume: 1,851.5 mL

Duration: 24 hourRate: 75 mL/hour

Period: 24 hour

Ordered Electrolytes

Calcium 4.5 mEq/LAcetate 121.52 mEq/LChloride 37.92 mEq/LMagnesium 5 mEq/LPhosphate 15 mMol/LPotassium 30 mEq/LSodium 80 mEq/L

Ordered Items

Premix AA5/Dex20 Lytes 1,800 mLMV Adult 10 mLAdult Trace Conc 1 mL

IV Site: CentralOsmolarity Concentration: 1,691.6 mOsm\L

5/21/2012 2:21:22 PM Page 3 of 13Printed On: Knox, Shaun

TPN Patient Therapy ReportExample Hospital

72500TPN Order #:Template: Adult Patient - Premix w/lytes - 3-in-1

2/22/2012 8:00:00 PMHang Time:Bag Number: 3

Weight: 70 kgUnit:Room/Bed: 123

Patient InfoOrdered Volume: 1,929.18 mL

Duration: 24 hourRate: 67 mL/hour

Period: 24 hour

Ordered Electrolytes

Calcium 4.5 mEq/LAcetate 70.85 mEq/LChloride 16.67 mEq/LMagnesium 5 mEq/LPhosphate 15 mMol/LPotassium 30 mEq/LSodium 35 mEq/L

Ordered Items

Premix AA5%/Dex15% 1,608 mLLipid 20% 250 mLMV Adult 10 mLAdult Trace Conc 1 mL

1929.18ml of ordered solution deliverscontains1929.18ml of ordered solutionIn 24 hour period,

CHO KCal Lipid KCal Pro KCal Total KCal1,641.68

gm Protein gm N KCal/gm NKCal/day KCal/PatKg/day gm Pro/day

Carbo% Lipid% Protein%20

80.4 13.28870.08 450 321.6

2753

1,641.68 23.45 80.4 123.6

Patient Notes on Bag

DateTime UserName Bag# Note2/22/2012 2:00:03 PM 72500Tim Kingsford

----Warning Limit Override----Limit Name: MaxDilutionLimit Warning Level: YellowLimit Substance/Attribute: Dilutional ErrorLimit Value: 0.10 percentActual Value: 19.97 percentInstructions: Check for dilutional errorOverride Rationale: Clinimix

IV Site:Osmolarity Concentration: 1,191.99 mOsm\L

72499TPN Order #:Template: Adult Patient - Premix w/lytes - 3-in-1

2/22/2012 8:00:00 PMHang Time:Bag Number: 2

Weight: 70 kgUnit:Room/Bed: 123

Patient InfoOrdered Volume: 1,851.5 mL

Duration: 24 hourRate: 75 mL/hour

Period: 24 hour

Ordered Electrolytes

Calcium 4.5 mEq/LAcetate 121.52 mEq/LChloride 37.92 mEq/LMagnesium 5 mEq/LPhosphate 15 mMol/LPotassium 30 mEq/LSodium 80 mEq/L

Ordered Items

Premix AA5/Dex20 Lytes 1,800 mLMV Adult 10 mLAdult Trace Conc 1 mL

IV Site: CentralOsmolarity Concentration: 1,691.6 mOsm\L

5/21/2012 2:21:22 PM Page 3 of 13Printed On: Knox, Shaun

For more details, contact your Baxter representative or call 888.229.0001 for more information.

SUPPORT TOOLS

• On-demand electronic help and printable users’ manual

• 24/7 technical support

• Medical information

• Customization services available

• Comprehensive implementation support

Calcium / phosphate solubility curvesAnalysis and graphing of calcium / phosphate curves provide alerts and feedback for formula solubility comparisons.

TPN labeling and workflowBag labels provide complete formula information and are customizable for facility-specific formats.

32121-May-12

Location:Order Volume: 100.8 mL

Acct :

/123

2:28 PM

Patient Bag Number: 1

Compound Volume: 200.8 mLOrder No: 72525

PATIENT, TEST BABY

%AminoAcid 10% 3%Dextrose 11mEq/KgSodium 10mEq/KgPotassium 2mEq/KgCalcium 1

mMol/KgPhosphate 0.5mEq/KgMagnesium 0.25mL/dayMV Inj Peds 3.25mL/KgPedtrace-4 0.2mcg/KgZinc 1000mcg/ml 200

** Approximate Electrolyte Totals **SodiumPotassiumCalciumMagnesium

PhosphateAcetateChlorideAluminum 304.44

119.0523.81

11.92.98

5.9581.1681.16

mEq/LmEq/LmEq/LmEq/L

mMol/LmEq/LmEq/Lmcg/L

CarbohydratesTotal

ProteinNitrogen

Total KCals / Nitrogen

Non-Protein0

106,236.56

80,430.11

37.70Lipid

25,806.45Protein KCals / NitrogenNon-Protein KCals / NitrogenProtein KCals / Non-Protein KCalsLipid KCals / Total KCals

0.320

gram

Osmolarity concentration 1,118 mOsm/L

*** CENTRAL LINE ONLY ***

KCal37.749.8KCal

12.1 KCalKCalKCal

Flow Rate: 100.8 mL at 4.2 mL/hr for 24 hoursBAG EXPIRES 48 HOURS AFTER MIXEDBAG EXPIRES 24 HOURS AFTER SPIKING

Serial Number: 72525

Bag Hung At:___________ By:___________RN

32121-May-12

Location:Order Volume: 100.8 mL

Acct :

/123

2:38 PM

Patient Bag Number: 1

Compound Volume: 200.8 mLOrder No: 72525

PATIENT, TEST BABY

***SOLUTION FORMULA ***Ingredient mL Ingredient mLMgSO4 4mEq/ml 0.15 KCl 2mEq/ml 1.51NaCl 4mEq/ml 3.32 NaAcetate 2mEq/ml 5.32Pedtrace-4 0.48 Ca Gluconate10% 5.14Dextrose 70% 31.55 Water for Inj 85.74K Phos 3mM/ml 0.4 AminoAcid 10% 60.24Zinc 1000mcg/ml 0.48 MV Pediatric 6.47

Prepared by: ________________Checked by: ________________

Use 250 ml bag (137)

Double-check compounder screen andMix-Check® Report for manual additions!!!

Serial Number: 72525

Bag Hung At:___________ By:___________RN

Rx Only. For safe and proper use of the devices referenced herein, refer to their Operators Manuals.

Baxter, Abacus, Clinimix E and ExactaMix are trademarks of Baxter International Inc., or its subsidiaries.

All other trademarks and product names appearing herein are the property of their respective owners.

Baxter Healthcare Corporation 9540 S Maroon Circle, Suite 400 Englewood, CO 80112

www.baxter.com 801508 1K 6/ 12