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2Q93 Pages 1 & 2

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IBM BASED PHARMACY April 1993 6th Edition
Written by Bruce Clutcher and Faith Thompson
Edited by Bruce Clutcher Distrib. by Faith Thompson

Sliding Scale Insulin

Tom Campbell has implemented a work-around for getting sliding scale insulin data on the MAR at Taylor Hospital in Philadelphia. The Complex Med pathway is used, but only the first ingredient line is a true drug (insulin); the remaining 5 ingredient lines are used to reflect the sliding scale directions.

Five "dummy" services are set up in the Service Master with service description: "IF BLOOD SUGAR IS TO , GIVE UNITS". The Complex Med path is then customized with "T" fields that allow user input to 'fill in the blanks' for blood sugar range and corresponding insulin units. Combined fields and TCLs ultimately combine the user input and "dummy" description, so that the final ingredient description lines (C1293#03 through C1293#07) reflect the sliding scale directions - such as "IF BLOOD SUGAR IS 150 TO 175 GIVE 4 UNITS".

If more than 6 lines are needed, the 3 direction lines (C1286, C1287, C1288) on the enter order review screen can also be utilized. Tom set up a hospital profile and a "sig aux" screen to allow the user to select codes to value the direction lines, instead of typing them in.

Charging is handled separately from the complex med order; when insulin is dispensed, a one time order is placed for which the charge is generated.

If you need more detail on this process, please contact Tom directly. Thanks, Tom, for this innovative idea.

New INVISION Pharmacy Product Planner

Welcome to Doug Kent, RPH, MBA, who recently joined the INVISION Patient Care Product Planning Group as a Senior Product Analyst. Doug brings over 20 years of pharmacy experience to the group. Prior to joining SMS, he was the Director of Pharmacy at Holy Spirit Hospital near Harrisburg, PA. Doug was instrumental in Holy Spirit's successful INVISION Pharmacy install; he has also worked at Hanover General Hospital and Elizabethtown Hospital.

Doug began his new position

on February 22 of this year, and is currently working in tandem with Joyce Spindler-Fox. He is being assigned a number of INVISION Pharmacy priority projects, and would love to hear input from the field regarding ideas and improvements. You can reach him via Voicemail (12367) or drop a note via inter-office mail to mail code J04.

Welcome again, Doug - it's great to have you on board!

Welcome, Don Driggers

Don (Clarkson) Driggers is another pharmacist to recently join SMS. Don is working out of the Atlanta office, and is currently involved in several INVISION Pharmacy installs.

Display Summary MAR/IVAR

Hamot Medical Center has completed testing this new

INVISION Pharmacy feature. The Display Summary MAR/IVAR will be available for clients who have purchased the automated Med/IV charting application. The Model display is set up to look the same as the retrospective printed report, but can be customized via the OAS screen builder. For instance, if the client is not yet LIVE on charting they could modify this display to show a patient profile. General availability has not yet been determined. 1.93 SUP Enhancement

A new % field is now available which gives you control over whether the system concatenates IV Method Type with Primary Additive name in the IV order entry pathway.

%RXNOCAT = 1 (do NOT concatenate) should be added to your hospital level PCI path if you want to retain your PCI descriptive name that was set up during PCI maintenance.

%RXNOCAT is not valued in model pathways; if it is equal to 0 or unvalued, the system does the concatenation. See Customer Memo #488 for more details.

4.93 SUP MAR Fix

Two Model bugs which affect the MAR are being fixed via changes to the MAR programs on the 4.93 SUP.

The first has to do with route of administration for IV orders that print on the MAR (if the client has PRRXP set up to print Push, Piggyback, Irrigation or Enterals on the MAR). The IV orders were picking up the route from the preceding Med order, instead of printing the true route of administration for that IV order.

The second bug caused PRN Complex Meds to print ingredient lines from a preceding (ie: above it on the report) routine Complex Med or IV order.

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