OrderConnect Train the Trainer Guide‐ Section 1 ?· OrderConnect Train the Trainer Guide ... The severity…

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  • OrderConnect

    TraintheTrainerGuideSection1

  • OrderConnectUserGuide

    Page | 2

    WelcometoOrderConnect!Weareveryhappytohaveyouasacustomer.WewouldliketotakeamomenttoorientyoutotheOrderConnectapplication.TheOrderConnectapplicationisdesignedtoimprovetheoverallmedicationmanagementprocess,leadingtoimprovedpharmaceuticaltreatmentandpatientoutcomes.

    AbouttheOrderConnectapplication

    TheOrderConnectapplicationisasecure,confidentialWebbasedapplicationenablingclinicianstowriteandtransmitelectronicprescriptions,accessclinicalresourcesatthepointofprescribing,andreceivestandardandcustomreportstoimproveworkflowefficienciesandclinicalcare.TheApplicationinterfaceisdesignedtobeuserfriendlyandcanbeutilizedwithanoptionaltouchscreenoverlay.

    WearesureyouwillfindthattheOrderConnectapplicationwillreducethepotentialformedicationerrorsandwillenhanceyourcareteamcommunications.OfparticularinterestaretheorganizationspecificreportsthattheOrderConnectapplicationcanproduce.Theseincludeworkflowreports,prescribingpatternsreports,medicationschedulesandmedicationusage.

    OrderConnectOrientation

    ThistrainingguideisarrangedtofamiliarizeyouwiththebasicfunctionsoftheOrderConnectapplication.

    IfyouhaveanyquestionsorneedassistanceusingtheOrderConnectapplication,pleasecallyourOrderConnectLiaisonwithinyourfacility.YoumayalsocontactourMemberSupportat(888)2276130,oremailusatOrderConnectsupport@ntst.com.

    ContactMemberSupportwithanyquestions

    orconcernsat(888)2276130.MondayFriday8AM8:30PMEastern

    OryoucanemailusatInfoScribersupport@ntst.com

  • OrderConnectUserGuide

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    TableOfContents

    AccessingOrderConnect

    SingleSignon(Avatar) 5

    SingleSignon(Insight) 6

    Signon(MIS,Tier,Other) 7

    OrderConnectPrescribingEvents

    RxProfile 8

    RxProfileIcons 9

    RxLibraries 11

    CustomOrders 11

    OrderConfirmationScreen 13

    VirtualPharmacist 13

    VerbalOrder 15

    PatientPharmacySelection 15

    OrderOutputOptions 17

    ComplexDosing 17

    TitrationsandTapers 18

    Injections/OralLiquids 21

    PrescribingEvents 22

    TransmissionStatusIndicator 23

    PrintAdministration(ReprintingofaPreviousOrder)

    24

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    CloseChart 26

    AdditionalPrescribingScreenDetail

    RxLibraries 27

    CustomOrders 29

    OrderConfirmation 30

    eRxInformation 31

    PharmacyFlags 32

    OrderOutputDialogBoxes 33

    PrescriptionPreview 34

    Glossary 36

    OverviewOrderConnectisasecure,WebbasedandmedicationmanagementsystemthatintegrateswithyourEHRsolutiontoenhancepatientsafelyandincreasephysicianproductivity.Applicationuserscanordernewmedications,pharmaciesfromtheofficeorfromamobiledevice.Thesystemalsoallowsuserstocreatelabandradiologyordersandtoreceiveresultsbackelectronically.

    WithinOrderConnecttherearemultipletabsthatallowausertonavigatearoundthesolutiontoperformcertainactivitiesonceloggedin.ThefollowingsectionsareanoverviewofthetabsavailablewithinOrderConnect.Moreindepthreviewwilltakeplacelaterintheworkshop.

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    AccessingOrderConnect

    SingleSignon(Avatar)OnceloggedintoAvatar,userswillperformthefollowingstepstoopenOrderConnect/Infoscriber.

    Steps Action

    1) ClickonClinicalWorkstation(CWS)

    2) ChoosetheInfoScriberoption

    3) SelectLaunchInfoScriber

    4) IntheSelectClientwindow,entertheclientnumber,thenclickontheSelectclientName/ID#Searchbutton

    Tip:YoucanalsoentertheclientsLastName,FirstNametosearch.

    5) Selecttheclientfromthesearchresults,

    thenclickSelectTheEpisodeSelectionWindowwilldisplay

    6) SelecttheclientsepisodeandclickOK LaunchInfoScriberoptionswilldisplay

    7) SelectLaunchInfoScriberPrescriptions LaunchesOrderConnectandtakesusertoRxProfilescreen(optionmaysayLaunchOrderConnectPrescriptions)

    LaunchOrderConnectscreenshot

    (Returntotableofcontents)

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    SingleSignon(Insight)TherearetwolocationswithinInsightfromwhichausermaygainaccesstoOrderConnect.UsersmaylaunchusingtheNavigateoptiononthemenulineorfromtheEHROrderstabwithintheclinicalmodules.ItisnotnecessaryforuserstohavetheORDERStabshowingtoaccessOrderConnect.

    Steps Action

    1) FirstLoginUsermustclickonAdministrationMenu

    CreatesthelinkforsinglesignonbetweenInsightandOrderConnect.

    Note:Usermustlogoutandbackinforthelinktotakeaffect.2) ChooseChangeOrderConnectPassword

    3) EntertheOrderConnectusernameandpasswordandclickEnter.

    4) AfterloggingintoInsight,clickontheNavigateoptionatthetopofthescreen.

    [Note: If the OrderConnect option does not display, verify that the OrderConnect User ID and Password have been entered under the Administration menu option for the user]

    5) SelecttheOrderConnectoptionfromthedropdownlist.

    LaunchOption2EHROrdersTab

    1) OpentheEHROrderstab

    2) ClicktheOrderConnectbutton

    intheupperrightcorner

    (Returntotableofcontents)

  • OrderConnectUserGuide

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    Signon(MIS,Tier,Other)BeforeprescribingcanbeginausermustlogintoOrderConnect.Thebelowstepswalkauserthroughtheprocessthatwilltakethemtotheprescribersdesktop.

    Steps Action

    1) OpeninternetExplorerandgototheURL:https://orderconnect.ntst.com

    AccessestheOrderConnectapplication

    2) AttheMemberSignonScreenEntertheOrderConnectUserNameandpassword.

    Logsuserinandactivatesfacilityandclinic(Agency)selection.

    3) Selectthefacilityandclinic(agency)forwhichyouarecurrentlygeneratingmedicationorders.

    Willplacetheaddressofthespecificcliniclocationonprescriptions.

    (Returntotableofcontents)

  • OrderConnectUserGuide

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    OrderConnectPrescribingEvents

    RxProfileTheRxProfiletabistheHomePageofallclientrecords.ThistabprovidesahighleveloverviewofthepatientrecordaswellasprovidingnavigationoptiontootherareawithinOrderConnect.Thisisthescreenfromwhichmostofyourworkwilloriginate.TheCurrentMedicationProfilewilllistalldiagnosesthatareactive,basicdemographicinformation,anyknownallergies,allcurrentmedications,andiconsindicatingiftherearepossiblesuiciderisks,adversedrugtodrug/foodinteractions,orpregnancyalerts(locatedatthebottomcenterofthescreeninthealertarea).Inthefollowingstepswewillreviewthevarioussections,alerts,andiconsthatcouldbefoundontheRxProfiletab.(Returntotableofcontents)

    a) BasicdemographicinformationdisplaysacrossthetopoftheCurrentMedicationProfile.b) Currentlyprescribedmedicationswilldisplaywith3actionicons(discontinue,reorder,andchange)c) NonISCmedsareenteredthroughtheNonISCtabanddisplayinallbluewithonlythediscontinue

    actionicon.d) Itemsnotbeingcheckedforinteractionswilldisplaywithacrossedoutcheckboxicone) AllclientrecordalertsdisplaybetweentheKnownAllergiesandAddNewPrescriptionoptionsf) Alldiagnosesthatarecurrentlyactivewilldisplaytotheleftofthecurrentmedications

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    g) AllAllergiesthathavebeenenteredintoOrderConnectwilldisplayonthelowerleftoftheCurrentMedicationProfilescreen.

    RxProfileIcons(Returntotableofcontents)

    Icons Description

    1) Potentialdrugtodrug/foodinteractionswiththeprescribedmedicationarerepresentedbyexclamationpoint(s)

    Theseverityoftheinteractionwillchangethenumberofexclamationpoints(1=mild,2=moderate,3=major.Clickingontheiconwillallowausertoreviewtheinteractions.

    2) Unchecked items are indicated with a check mark crossed out in a white box.

    Iconindicatingthatdrugtodrug/food,allergy,andpregnancyandlactationalertsareNOTbeingcheckedforthisitem.

    3) MiniRxProfileisrepresentedbythedoubleheadiconlocatedinthetopleftofthescreen.

    PopupoftheRxProfilescreenthatisavailableonanytabforreview.

    4) OverdoseRisk/Suicideisrepresentedbyaskullandcrossbonesicon.

    Thisoptionisamanualsettingselectedonthepatientdemographicstoalertanyprescribersofapatientoverdosepotential.ItwillbeinthealertareaorreplacetheMiniRxProfileiconwhenactivated.

    5) MedicationAllergiesarerepresentedbyan

    AIcon.

    Thisiconrepresentsamedicationprescribedtoapatientthattheymaybeallergicto.

    6) PregnancyorLactationalertsarerepresentedbythefemailsignicon.

    Ifthepatientisfemalethepregnancy/lactationalertwillappearwhenmedicationisprescribed.

    7) AgeBasedPrescribingGuidelinealertsarerepresentedbyabirthdaycakeicon.

    Ifenabled,theseguidelineswillprovideinformationformedicationsthathaveagebasedsuggestions.

    8) LabResultsarerepresentedbyabeakericon.

    Iflabshavebeenreturnedandarewaitinginthequeuetobereviewedthisiconwill.

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    9) Refillrequestsfromthepharmacyisrepresentedbymailboxicon.

    Iftherearestillunansweredrefillrequestsinthequeue,thenthisindictorwillappearatthetopofthescreenfortheprescriberforwhomtherefillrequestwassent.

    10) Actionstodiscontinue,reorder,change,and/oradd(prescribe)medicationarerepresentedbyanX,circulatingarrows,aDeltasymbol(triangle)ortheAddNewPrescriptionbox(atthebottomofthescreen)

    ClickingontheseiconswillplaceadarksquarearoundthemoracheckmarkintheAddNewPrescriptionbox.Tip:Multipleactionscanbeperformedatthesametime.

    11) ThegreenGObuttonatthelowerrightisusedwhenallactionshavebeenselectedandtheuserisreadytobeginthe

    prescribingevent.

    Onlyusersthathavepermissiontoeitherprescribemedicationsontheirownorasanagentactingonbehalfofaprescriberatthecurrentfacilitywillseethegreengobutton.

    (Returntotableofcontents)

    PrescribingScenarios

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    EnteringaNEWMedicationOrder(Returntotableofcontents)Steps Actions

    1) FromtheRxProfilescreenclickthegreenGobutton. OpenstheRXLibrariesscreentoaddnewmedicationstotherecord.

    2) SelecttheappropriateLibraryontheleft(MyPractice,MyGroup,InfoScriberPractice,AllDrugs)

    ThedefaultlibraryselectedwillbetheMyPracticelibrary.TheAllDrugslibraryresultswilldisplayattheendoftheMyPracticeresults.

    MyPracticeWaysinwhichmedicationshavepreviouslybeenwrittenbythecurrentprescribinguserloggedintoOrderConnect.

    MyGroupWaysinwhichmedicationshavepreviouslybeenwrittenbyallprescribingusersatthefacility(excludescurrentlyloggedinprescriber).

    InfoScriberPracticeWaysinwhichmedicationordershavepreviouslybeenwrittenbyallprescribingOrderConnectusersacrosstheUS.

    AllDrugsThenamesofallmedicationsthatarecurrentlyavailablewithintheOrderConnectmedicationlisting.

    3) Inthedrugnamefieldonthelefttypeinthefirstmedicationtobeprescribed,thenclickSearch

    Returnstheresultsofyoursearchatthebottomofthepage.Tip:Itsnotnecessarytotypethewholemedicationnameinordertoreturnresults.

    4) Fromtheresultslibraryreturnedatthebottomofthescreenclickonthedesiredmedicationname

    Addsselectedmedicationtotheprescribingevent

    Tip:Repeatsteps2and3toaddmultiplemedications.Thereisnolimittothenumberofmedicationsthatcanbeorderedwithasinglepassthroughtheapplication.

    5) Onceallmedicationstobeincludedinthisorderareonthetabletontheright,clickNext

    OpenstheCustomOrdersscreenforcreatingthemedicationsig(OrderDate,StartDate,Dose,Strength,Schedule,Daysintheorder,refills,Units,andNoteToPharmacist)

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    6) Verifythemedicationyouwillbedosingfirstbylocatingthehighlightedmedicationontheright.

    7) VerifythattheOrderDateandStartDatearecorrect.Thesewilldefaulttothecurrentdatebutcanbechangedbyclickingontheappropriatewhiteboxintheupperleftcornerofthescreenandselectingadate.

    Opensacalendaroptionallowingforthedatestobeselected.Thesedateswillalwaysdefaulttothecurrentdate.

    Tip:TheOrderDateisthedateonwhichthemedicationisphysicallyordered.TheStartDateisthedatewhichthepatientisexpectedtobegintakingthemedication.Theenddate(endofsupply)dateforthemedicationorderiscalculatedusingtheStartDate.

    8) IndicateDAWifthemedicationistobeDispensedAswritten

    Note:OrdersnotselectedasDAWwillberecordedandoutputasSubstitutionsAllowed.

    9) ClickontheStrength/Form/Routedropdownmenuandselecttheappropriatestrength/form/routeforthemedicationyouareprescribing.(Ex.20mg,DRC,PO

    NOTE:Onlymedicationsandtheirdosesthatarecurrentlyavailableonthemarketwilldisplayinthedropdown.Medicationavailabilityandallinteractioninformationaswellasmedicationsleafletsareupdatedevery30days.

    10) Intheboxlabeled#/Dose,enterthequantityforeachindividual

    Tip:Ifthemedicationisnotinpillform(i.e.capsuleortablet)adropdownmenucalledUnitswillappeartoallowthefollowingdosingunits(mg,ml,units,cc,orea)

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    dose.

    11) ClickontheSchedulebox

    dropdownmenuandchoosethescheduleforthemedicationyouareprescribing.

    Standardizedschedulingabbreviationsareusedhere.However,thisismerelyforeaseofusefortheapplication.Allabbreviationsforroute,formandschedulewillbespelledoutinplainEnglishwhenappearingonanyprinteddocumentation,includingtheprescription.

    Forexample:Abilify10mgTABPO0.5eachQAMbecomesAbilify10mgTabletOral(0.5[zeropointfive])eaEachMorningwhenprintedontheprescription.

    Users may click on the ABBR link at the top right of the screen to view the abbreviations listing.

    1) Multipledosingrowsareprovidedforeachmedication.Thisallowstheusertoindicatethatamedicationmaybetakenmorethanonewaywithinthesamedosingperiod.Forexample:Abilify2mgtablet1QAM;Abilify2mgtablet2QHS.AnorderenteredinthismanneriscalledaComplexDose.Thesearepermittedforsamestrengthandformofthemedicationonly.

    Tip: If multiple strengths and forms of a medication are desired,usersmayclickonthesmallwhiteplussigntotheleftofthemedicationnameontheCustomOrdersscreentocreateanadditionalentryontheorderforthesamemedication.Eachentrywouldthenbedosedseparately.

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    12) Indicatethenumberofdaysandrefillsforthismedicationatthebottomleftofthepage.

    13) EnterthenumbertobedispensedorclickCalc(calculate)atthelowerleftofthepage.

    Tip:IftheDispenseamountisnotmanuallyenteredortheCalc(Calculate)optionselected,thedefaultcalculation(basedontheorderdetailsfornumbertobetakenperdaymultipliedbythenumberofdaysintheorder)willberecordedandoutputfortheorder.

    14) Ifappropriate,clickontheUNITSbuttontochangetheOrderConnectcalculatedpharmacydispenseamountortoindicateanysamplesorstockwillbeprovided.

    TipThetotalunitstobedispensedbythepharmacyisautomaticallycalculatedas:

    #ofdaysintheorder(x)#tobetakenperday=units

    15) Ifdesired,clickinthewhiteboxlabeledNotetoPharmacisttoprovideadditionalcommentsordirectivesforthepharmacist.

    Addsadditionaldirectivesforthepharmacistwithregardstothisorder.

    Tip:IfyouwouldliketosavetheNotestoPharmacistforfutureuseclickonthe+signnexttoNoteToPharmacist.Thiswilladdthenotetoyourlibraryforfutureusewithanymedicationforanyclient.

    ToretrieveapreviouslyenteredNotetoPharmacistentriesclickonthewordsNotetoPharmacistabovethebox.EachindividualuserhasaNotetoPharmacistlibrarythatcannotbesharedamongusers.

    ***Thisfieldhasa210characterlimit.Charactercountremainingisdisplayed.

    16) Oncedosingforthefirstmedicationinthelistingiscomplete,youmayproceedtothenextmedicationonthetabletbyclickingonthenameofthatmedication.

    TIP:Dose,Strengthandschedulemustbecompletedforeachmedicationonthelistingpriortomovingtothenextitemonthelist.Failuretocompletethedosagerowwillresultinanerrormessageremindtheusertocompletethecurrentmedicationdosing.

    TipForComplexDosing(Asinglemedicationordercontainingmultiplestrengths,schedulesordoses)SeetheComplexDosessectionofthisguideformoreinformationoncomplexdosing.

    17) ClickontheDiagnosisdropdownmenutotheleftofeachmedicationtoindicatethediagnosisfor

    Createsanassociationbetweenthemedicationbeingprescribedandtheclientdiagnosis.ThisbuildstheuserlibrariesthatareaccessiblefromtheRxLibrariesscreenaswellasmakingtheinformationavailablewithinmanyOrderConnectreports.Selectionofthediagnosisisrequired

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