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.AbouttheOrderConnectapplicationTheOrderConnectapplicationisasecure,confidentialWebbasedapplicationenablingclinicianstowriteandtransmitelectronicprescriptions,accessclinicalresourcesatthepointofprescribing,andreceivestandardandcustomreportstoimproveworkflowefficienciesandclinicalcare.TheApplicationinterfaceisdesignedtobeuserfriendlyandcanbeutilizedwithanoptionaltouchscreenoverlay.WearesureyouwillfindthattheOrderConnectapplicationwillreducethepotentialformedicationerrorsandwillenhanceyourcareteamcommunications.OfparticularinterestaretheorganizationspecificreportsthattheOrderConnectapplicationcanproduce.Theseincludeworkflowreports,prescribingpatternsreports,medicationschedulesandmedicationusage.OrderConnectOrientationThistrainingguideisarrangedtofamiliarizeyouwiththebasicfunctionsoftheOrderConnectapplication.IfyouhaveanyquestionsorneedassistanceusingtheOrderConnectapplication,pleasecallyourOrderConnectLiaisonwithinyourfacility.YoumayalsocontactourMemberSupportat(888)2276130,oremailusatOrderConnectsupport@ntst.com. ContactMemberSupportwithanyquestionsorconcernsat(888)2276130.MondayFriday8AM8:30PMEasternOryoucanemailusatInfoScribersupport@ntst.com OrderConnectUserGuide Page | 3 TableOfContents AccessingOrderConnect SingleSignon(Avatar) 5SingleSignon(Insight) 6Signon(MIS,Tier,Other) 7OrderConnectPrescribingEvents RxProfile 8RxProfileIcons 9RxLibraries 11CustomOrders 11OrderConfirmationScreen 13VirtualPharmacist 13VerbalOrder 15PatientPharmacySelection 15OrderOutputOptions 17ComplexDosing 17TitrationsandTapers 18Injections/OralLiquids 21PrescribingEvents 22TransmissionStatusIndicator 23PrintAdministration(ReprintingofaPreviousOrder)24 OrderConnectUserGuide Page | 4 CloseChart 26AdditionalPrescribingScreenDetail RxLibraries 27CustomOrders 29OrderConfirmation 30eRxInformation 31PharmacyFlags 32OrderOutputDialogBoxes 33PrescriptionPreview 34Glossary 36 OverviewOrderConnectisasecure,WebbasedandmedicationmanagementsystemthatintegrateswithyourEHRsolutiontoenhancepatientsafelyandincreasephysicianproductivity.Applicationuserscanordernewmedications,pharmaciesfromtheofficeorfromamobiledevice.Thesystemalsoallowsuserstocreatelabandradiologyordersandtoreceiveresultsbackelectronically. WithinOrderConnecttherearemultipletabsthatallowausertonavigatearoundthesolutiontoperformcertainactivitiesonceloggedin.ThefollowingsectionsareanoverviewofthetabsavailablewithinOrderConnect.Moreindepthreviewwilltakeplacelaterintheworkshop. OrderConnectUserGuide Page | 5 AccessingOrderConnectSingleSignon(Avatar)OnceloggedintoAvatar,userswillperformthefollowingstepstoopenOrderConnect/Infoscriber.Steps Action1) ClickonClinicalWorkstation(CWS)2) ChoosetheInfoScriberoption3) SelectLaunchInfoScriber4) IntheSelectClientwindow,entertheclientnumber,thenclickontheSelectclientName/ID#SearchbuttonTip:YoucanalsoentertheclientsLastName,FirstNametosearch.5) Selecttheclientfromthesearchresults,thenclickSelectTheEpisodeSelectionWindowwilldisplay6) SelecttheclientsepisodeandclickOK LaunchInfoScriberoptionswilldisplay7) SelectLaunchInfoScriberPrescriptions LaunchesOrderConnectandtakesusertoRxProfilescreen(optionmaysayLaunchOrderConnectPrescriptions)LaunchOrderConnectscreenshot(Returntotableofcontents) OrderConnectUserGuide Page | 6 SingleSignon(Insight)TherearetwolocationswithinInsightfromwhichausermaygainaccesstoOrderConnect.UsersmaylaunchusingtheNavigateoptiononthemenulineorfromtheEHROrderstabwithintheclinicalmodules.ItisnotnecessaryforuserstohavetheORDERStabshowingtoaccessOrderConnect.Steps Action1) FirstLoginUsermustclickonAdministrationMenuCreatesthelinkforsinglesignonbetweenInsightandOrderConnect.Note:Usermustlogoutandbackinforthelinktotakeaffect.2) ChooseChangeOrderConnectPassword3) 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.LaunchOption2EHROrdersTab1) OpentheEHROrderstab2) ClicktheOrderConnectbuttonintheupperrightcorner(Returntotableofcontents) OrderConnectUserGuide Page | 7 Signon(MIS,Tier,Other)BeforeprescribingcanbeginausermustlogintoOrderConnect.Thebelowstepswalkauserthroughtheprocessthatwilltakethemtotheprescribersdesktop.Steps Action1) OpeninternetExplorerandgototheURL:https://orderconnect.ntst.comAccessestheOrderConnectapplication2) AttheMemberSignonScreenEntertheOrderConnectUserNameandpassword.Logsuserinandactivatesfacilityandclinic(Agency)selection.3) Selectthefacilityandclinic(agency)forwhichyouarecurrentlygeneratingmedicationorders.Willplacetheaddressofthespecificcliniclocationonprescriptions. (Returntotableofcontents) OrderConnectUserGuide Page | 8 OrderConnectPrescribingEventsRxProfileTheRxProfiletabistheHomePageofallclientrecords.ThistabprovidesahighleveloverviewofthepatientrecordaswellasprovidingnavigationoptiontootherareawithinOrderConnect.Thisisthescreenfromwhichmostofyourworkwilloriginate.TheCurrentMedicationProfilewilllistalldiagnosesthatareactive,basicdemographicinformation,anyknownallergies,allcurrentmedications,andiconsindicatingiftherearepossiblesuiciderisks,adversedrugtodrug/foodinteractions,orpregnancyalerts(locatedatthebottomcenterofthescreeninthealertarea).Inthefollowingstepswewillreviewthevarioussections,alerts,andiconsthatcouldbefoundontheRxProfiletab.(Returntotableofcontents)a) BasicdemographicinformationdisplaysacrossthetopoftheCurrentMedicationProfile.b) Currentlyprescribedmedicationswilldisplaywith3actionicons(discontinue,reorder,andchange)c) NonISCmedsareenteredthroughtheNonISCtabanddisplayinallbluewithonlythediscontinueactionicon.d) Itemsnotbeingcheckedforinteractionswilldisplaywithacrossedoutcheckboxicone) AllclientrecordalertsdisplaybetweentheKnownAllergiesandAddNewPrescriptionoptionsf) Alldiagnosesthatarecurrentlyactivewilldisplaytotheleftofthecurrentmedications OrderConnectUserGuide Page | 9 g) AllAllergiesthathavebeenenteredintoOrderConnectwilldisplayonthelowerleftoftheCurrentMedicationProfilescreen. RxProfileIcons(Returntotableofcontents) Icons Description1) 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) MedicationAllergiesarerepresentedbyanAIcon.Thisiconrepresentsamedicationprescribedtoapatientthattheymaybeallergicto.6) PregnancyorLactationalertsarerepresentedbythefemailsignicon.Ifthepatientisfemalethepregnancy/lactationalertwillappearwhenmedicationisprescribed.7) AgeBasedPrescribingGuidelinealertsarerepresentedbyabirthdaycakeicon.Ifenabled,theseguidelineswillprovideinformationformedicationsthathaveagebasedsuggestions.8) LabResultsarerepresentedbyabeakericon.Iflabshavebeenreturnedandarewaitinginthequeuetobereviewedthisiconwill. OrderConnectUserGuide Page | 10 9) Refillrequestsfromthepharmacyisrepresentedbymailboxicon.Iftherearestillunansweredrefillrequestsinthequeue,thenthisindictorwillappearatthetopofthescreenfortheprescriberforwhomtherefillrequestwassent.10) Actionstodiscontinue,reorder,change,and/oradd(prescribe)medicationarerepresentedbyanX,circulatingarrows,aDeltasymbol(triangle)ortheAddNewPrescriptionbox(atthebottomofthescreen)ClickingontheseiconswillplaceadarksquarearoundthemoracheckmarkintheAddNewPrescriptionbox.Tip:Multipleactionscanbeperformedatthesametime.11) ThegreenGObuttonatthelowerrightisusedwhenallactionshavebeenselectedandtheuserisreadytobegintheprescribingevent. Onlyusersthathavepermissiontoeitherprescribemedicationsontheirownorasanagentactingonbehalfofaprescriberatthecurrentfacilitywillseethegreengobutton.(Returntotableofcontents)PrescribingScenarios OrderConnectUserGuide Page | 11 EnteringaNEWMedicationOrder(Returntotableofcontents)Steps Actions1) FromtheRxProfilescreenclickthegreenGobutton. OpenstheRXLibrariesscreentoaddnewmedicationstotherecord.2) SelecttheappropriateLibraryontheleft(MyPractice,MyGroup,InfoScriberPractice,AllDrugs)ThedefaultlibraryselectedwillbetheMyPracticelibrary.TheAllDrugslibraryresultswilldisplayattheendoftheMyPracticeresults.MyPracticeWaysinwhichmedicationshavepreviouslybeenwrittenbythecurrentprescribinguserloggedintoOrderConnect.MyGroupWaysinwhichmedicationshavepreviouslybeenwrittenbyallprescribingusersatthefacility(excludescurrentlyloggedinprescriber).InfoScriberPracticeWaysinwhichmedicationordershavepreviouslybeenwrittenbyallprescribingOrderConnectusersacrosstheUS.AllDrugsThenamesofallmedicationsthatarecurrentlyavailablewithintheOrderConnectmedicationlisting.3) Inthedrugnamefieldonthelefttypeinthefirstmedicationtobeprescribed,thenclickSearchReturnstheresultsofyoursearchatthebottomofthepage.Tip:Itsnotnecessarytotypethewholemedicationnameinordertoreturnresults.4) FromtheresultslibraryreturnedatthebottomofthescreenclickonthedesiredmedicationnameAddsselectedmedicationtotheprescribingeventTip:Repeatsteps2and3toaddmultiplemedications.Thereisnolimittothenumberofmedicationsthatcanbeorderedwithasinglepassthroughtheapplication.5) Onceallmedicationstobeincludedinthisorderareonthetabletontheright,clickNextOpenstheCustomOrdersscreenforcreatingthemedicationsig(OrderDate,StartDate,Dose,Strength,Schedule,Daysintheorder,refills,Units,andNoteToPharmacist) OrderConnectUserGuide Page | 12 6) Verifythemedicationyouwillbedosingfirstbylocatingthehighlightedmedicationontheright.7) VerifythattheOrderDateandStartDatearecorrect.Thesewilldefaulttothecurrentdatebutcanbechangedbyclickingontheappropriatewhiteboxintheupperleftcornerofthescreenandselectingadate.Opensacalendaroptionallowingforthedatestobeselected.Thesedateswillalwaysdefaulttothecurrentdate.Tip:TheOrderDateisthedateonwhichthemedicationisphysicallyordered.TheStartDateisthedatewhichthepatientisexpectedtobegintakingthemedication.Theenddate(endofsupply)dateforthemedicationorderiscalculatedusingtheStartDate.8) IndicateDAWifthemedicationistobeDispensedAswrittenNote:OrdersnotselectedasDAWwillberecordedandoutputasSubstitutionsAllowed.9) ClickontheStrength/Form/Routedropdownmenuandselecttheappropriatestrength/form/routeforthemedicationyouareprescribing.(Ex.20mg,DRC,PONOTE:Onlymedicationsandtheirdosesthatarecurrentlyavailableonthemarketwilldisplayinthedropdown.Medicationavailabilityandallinteractioninformationaswellasmedicationsleafletsareupdatedevery30days.10) Intheboxlabeled#/Dose,enterthequantityforeachindividualTip:Ifthemedicationisnotinpillform(i.e.capsuleortablet)adropdownmenucalledUnitswillappeartoallowthefollowingdosingunits(mg,ml,units,cc,orea) OrderConnectUserGuide Page | 13 dose.11) ClickontheScheduleboxdropdownmenuandchoosethescheduleforthemedicationyouareprescribing.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. OrderConnectUserGuide Page | 14 12) Indicatethenumberofdaysandrefillsforthismedicationatthebottomleftofthepage.13) EnterthenumbertobedispensedorclickCalc(calculate)atthelowerleftofthepage.Tip:IftheDispenseamountisnotmanuallyenteredortheCalc(Calculate)optionselected,thedefaultcalculation(basedontheorderdetailsfornumbertobetakenperdaymultipliedbythenumberofdaysintheorder)willberecordedandoutputfortheorder.14) Ifappropriate,clickontheUNITSbuttontochangetheOrderConnectcalculatedpharmacydispenseamountortoindicateanysamplesorstockwillbeprovided.TipThetotalunitstobedispensedbythepharmacyisautomaticallycalculatedas:#ofdaysintheorder(x)#tobetakenperday=units15) Ifdesired,clickinthewhiteboxlabeledNotetoPharmacisttoprovideadditionalcommentsordirectivesforthepharmacist.Addsadditionaldirectivesforthepharmacistwithregardstothisorder.Tip:IfyouwouldliketosavetheNotestoPharmacistforfutureuseclickonthe+signnexttoNoteToPharmacist.Thiswilladdthenotetoyourlibraryforfutureusewithanymedicationforanyclient.ToretrieveapreviouslyenteredNotetoPharmacistentriesclickonthewordsNotetoPharmacistabovethebox.EachindividualuserhasaNotetoPharmacistlibrarythatcannotbesharedamongusers.***Thisfieldhasa210characterlimit.Charactercountremainingisdisplayed.16) Oncedosingforthefirstmedicationinthelistingiscomplete,youmayproceedtothenextmedicationonthetabletbyclickingonthenameofthatmedication.TIP:Dose,Strengthandschedulemustbecompletedforeachmedicationonthelistingpriortomovingtothenextitemonthelist.Failuretocompletethedosagerowwillresultinanerrormessageremindtheusertocompletethecurrentmedicationdosing.TipForComplexDosing(Asinglemedicationordercontainingmultiplestrengths,schedulesordoses)SeetheComplexDosessectionofthisguideformoreinformationoncomplexdosing.17) ClickontheDiagnosisdropdownmenutotheleftofeachmedicationtoindicatethediagnosisforCreatesanassociationbetweenthemedicationbeingprescribedandtheclientdiagnosis.ThisbuildstheuserlibrariesthatareaccessiblefromtheRxLibrariesscreenaswellasmakingtheinformationavailablewithinmanyOrderConnectreports.Selectionofthediagnosisisrequired OrderConnectUserGuide Page | 15 whichthemedicationisbeingprescribed.(Ex.MajorDepressive)beforesubmittingorder.Failuretoselectadiagnosiswillresultinanerrormessagepromptingtheusertoassociateadiagnosisbeforeproceeding.OrderConnectdoesnotcheckforofflabelprescribing.Tip:Ifthemedicationbeingorderedisnotrelatedtoalisteddiagnosis,theusermayselectNoEntrytoproceedwiththeorder.18) Onceallmedicationshavebeendosed,verifyeverythinglookscorrectwithintheorder,thenclickonSubmitOrder.SubmitstheorderandtakestheusertotheOrderConfirmationScreenforfinalreviewoftheorderbeforesubmission.OntheOrderConfirmationScreen,reviewtheVirtualPharmacistlocatedontherightsideofthescreenUtilizesanyallergies,noniscmedicationsandcurrentlyprescribedmedicationaswellastheordercurrentlybeingwrittentoprovideapreviewofdruginteractions,allergyalerts,orotheralertsthatwillbepresentintherecordifthecurrentorderisaccepted.NOTE:IfyourfacilityisutilizingtheTriggers(PatientCareSuggestions)pleaselookforthesewithintheVirtualPharmacist.Thesecanbecreatedbaseduponthetypeofprescribingevent(New,ReOrder)andmaynotbepresentafterthecurrentorderisaccepted.19) Verifythattheprescriberlistedontheleftsideofthescreenisselected.Tip:Iftheuserloggedinisaprescriber,theirnamewillautomaticallyappearintheprescriberbox.Iftheuserloggedinisenteringanorderonbehalfofaprescriber,thedropdownboxmustbeusedtoselecttheprescriberonwhosebehalftheVerbalOrderisbeingwritten.Theordercannotbesubmittedwithoutavalidprescribernameintheprescriberbox.20) Ifthisorderwillbetransmittedtoapharmacy,verifythecorrectpharmacyisselectedontheleft.Ifnot,selectthepharmacyusingthesearchfunction.TIP:Afterpharmacyisselected,youmayassociateisasthepatientsPreferredPharmacybyclickingonthePreferredPharmacycheckboxtotherightofthepharmacyoption.Thewordsavedwillappearinredwhenanewpharmacyissavedasthepatientsdefault.Note:Ifthepatientspreferredpharmacycannotbelocatedinthepharmacysearch,pleasecontactyoursystemadministratorforassistance.OrderConnectsupportdoesnothaveaccesstoaddapharmacyforafacility.*NoteforinformationonthePharmacyFlags,refertothatsectionofthisguide. OrderConnectUserGuide Page | 16 21) VerifytheMedicationName,Strength,Dose,ScheduleandWrittenDatearecorrect.AlsoverifytheaccuracyofanyNotetoPharmacistthatwasplacedontheorder. Anywherewithintheapplicationthatablanknotepadiconislocated,therestheabilitytoaddacommentornotationtotheitembeingviewed.Iftherearebluelinesonthenotepad,commentsornotationshavebeenadded.InthecaseoftheOrderConfirmationpage,thenotepadsindicatetheabsenceorpresenceofNoteToPharmacist.22) VerifythattheStartDate,DispenseAmount,DAW/Substitutionstatus,numberofdays,numberofrefillsandtotalnumberofRxFillsfortheorderarecorrect.Reminder:TheStartDateisbeingusedtocalculatetheenddateofthecurrentmedicationorder.TheENDDATE(thedatetheclientwillnolongerhavemedications)fortheorderiscalculatedas:StartDate(+)#ofdaysinorder(+)refillsprovidedAnorderwillstayactiveintherecordforoneyearpasttheenddateoftheorderifnofurtheractionistakenonthemedication.23) Indicateanyadditionalmedicationoptions(LeafletandPC)LeafletApatienteducationleafletwillbeprovided.Thesearewrittenona6thgradereadinglevelandareavailableinbothEnglishandSpanish.Theyareupdatedevery30days.PCPatientConsentformsarestandardizedconsentformsthatcannotbecustomizedbythefacility.EachPatientConsentautomaticallygeneratesacopyoftheLeaflet.ThereforetheleafletoptionwillbegrayedoutwheneverPCisselected.RxGuideComplianceguideprovidedbythemanufacturerforselectmedications.Theseareprovidedinanefforttoincreasecompliancewiththemedicationregimen. OrderConnectUserGuide Page | 17 Oncealloptionsorchangeshavebeenmade,selectthedesiredOrderOutputOptions 1) (Print,Fax,eRx,None)fortheorder.PrintSendstheordertoalocalprinterusingthecomputersWindowsprintmanger.FaxSendstheorderdirectlyfromtheapplicationtothefaxnumberassociatewiththepharmacyselectedatthetopoftheOrderconfirmationpage.ThefaxoptionwillbeavailableaslongastheselectedpharmacyhasavalidfaxnumberwithintheirlistinginOrderConnect.eRxSendstheorderviaelectronicmeanstothepharmacyselectedatthetopoftheOrderConfirmationpage.eRxwillbeavailableforanorderunderthefollowingcircumstances. Theclientrecordscontainsavaliddateofbirth ThePrescriberandPharmacyarebothSurescriptscertified. TheorderdoesnotcontainacontrolledsubstanceorcomplexdosethatisprohibitedbySurescripts. 2) Selectanyadditionalitemswhichyouwouldliketooutputwiththeorder(ChartCopy,ActiveOrders,History,MedNote)ChartCopyDuplicateprescriptionlabeledasNotavalidprescription.Sometimesusedasapatientreceipt.ActiveOrdersListofallmedicationthatarenowactiveintherecord.HistoryRunninghistoryofcurrentorders.MedNoteFacilitydefinednote.Thisisntusedbymostfacilitiessinceitsanonbillableitem.(Returntotableofcontents)ComplexDosingAcomplexorderisdefinedasasinglemedicationordercontainingmorethanonedosinginstruction.WithinOrderConnect,acomplexordermayonlybewrittenwhenthestrength,formandroutearethesame.Forexample,asingleordercouldbewrittenfor:Cymbalta20mgtablet1EachMorning;Cymbalta20mgTablet2EachEveningHowever,asingleordercouldnotbewrittenfor:Cymbalta20mgTablet1EachMorning;Cymbalta40mgtablet1EachEveningWheneveramixedstrength/form/routeorderisneeded,thismustbewrittenastwoseparateorders.ForExample:Cymbalta20mgTablet1EachMorningANDaseparateorderforCymbalta40mgtablet1EachEvening OrderConnectUserGuide Page | 18 TitrationsandTapers (Returntotableofcontents) Steps Actions1) Afterselectingthemedication(s)fromtheRxLibrariesscreen,proceedtotheCustomOrdersScreentodosethemedication(s).2) Oncethemedicationyouwouldliketotitrateishighlightsonthescreen,clickthe option.OpenstheTitrationmodulethatallowstheusertoindicatethenumberofdaysineachstepoftheorder.3) TakenoteoftheNotetoPharmacistatthelowerrightofthescreen.Anautomaticnotetopharmacistwillbepostedontheorderlettingthepharmacistknowthattheorderisatitration.4) Selectwhetheryouwouldliketotaperortitratethemedication.Activatesthetitrationfeaturetotitrateortapermedicationdosage.Taperwillautomaticallydiscontinuethemedicationonthelastday(enddate)fortheorder.TitratewillallowforreorderingofthefinaldoseasaMaintenanceDosewhenthefirstdayofthelaststepisachieved. OrderConnectUserGuide Page | 19 5) BegindosingthemedicationnormallyusingtheStrength,DoseandScheduleoptionsontheleftsideofthescreen.6) Enterthenumberofdaysforthefirststepofthetitrationinthewhiteboxbelowdaysinthisstep.7) Clickthe>>(next)buttonlocatedinthetitrationstepsarea.Completesthestepandmovesontothenextstep.Tip:Ifwhilecompletingatitrationtheuserwantstocancelastep,clickontheCancelStepbutton.8) IfyouwouldliketochangetheOrderDateand/orStartDateclickontheappropriatewhiteboxintheupperleftcornerofthescreenandselectadate.Opensacalendaroptionallowingforthedatestobeselected.9) BesuretoindicateDAWforanystepthatshouldbeDispenseAsWritten10) Ifdesired,selectCustomSigatanypointinthetitration/tapertochangetheautomaticcalculatedsig. OrderConnectUserGuide Page | 20 11) RepeattheabovestepsuntilonthelaststepclicktheFinishbutton.Completesthetitration/taperforthemedication.Tip:Ifauserwantstomovebackwardsthroughthetitrationtoseeprevioussteps,clickthe OrderConnectUserGuide Page | 21 Injections/OralLiquids(Returntotableofcontents) Steps Actions1) ClickthecheckboxforAddNewPrescription,thenclickGo2) ClickontheallDrugsradiobuttonandinthesearchboxenterthemedicationtobeprescribed(ex.HaldolDecanoate)3) ClickontheCustomOrderbutton 4) SelecttheappropriateDiagnosisfromthedropdowntotheleftofthemedicationname.5) ClickthedropdownarrowforStrengthonthefirstlineandselectanoption(Ex.50mg/mL,SOLN,IM)6) Selecttheappropriate#/Dose TipBesuretoentertheappropriatenumberandtypeofunitshere.7) SelecttheUnits(mg,ml,units,cc,ea)8) Selecttheappropriateschedule. TipQ4Wisequivalentto4weeks(28days)whileQMonthcalculatesas30days.ASTATorderwillendthecurrentorderatmidnightonthecurrentdate.9) Selecttheappropriatenumberofdaysandrefills. OrderConnectUserGuide Page | 22 14) Iftherearemultiplemedicationsbeingprescribed,clickonthenameofthenextmedicationbeingprescribedanddosetheadditionalmedicationsnormally.Highlightsthemedicationtoindicatethatisthemedicationcurrentlybeingdosed.PrescribingEvents OncemedicationshavebeenorderedandappearontheRxProfilescreen,Reorders,Discontinuesandmedicationchangesmaketheorderingprocessquicker.Ausermayreorder,change,discontinueandaddnewmedicationsallwithasinglepassthroughtheapplication.Theresnolimittotheamountofprescribingeventsthatcanbecontainedinasingleorder. (Returntotableofcontents)Steps Actions1) FromtheRxProfilescreen,clickontheredXtotherightofthecurrentmedicationordertoindicatethemedicationwillbediscontinued.Onceconfirmedthiswillallowtheusertodiscontinuetheselectedmedication2) FromtheRxProfilescreen,clickonthecirculararrowstotherightofthecurrentmedicationordertoindicatethemedicationwillbereordered.OncetakentotheCustomOrdersscreen,theuserwillbeallowedtomodifyOrderDate,StartDate,etc3) FromtheRxProfilescreen,clickonthedeltasymboltotherightofthecurrentmedicationordertoindicatethemedicationorderwillbechanged.WilltakeusertotheCustomOrdersscreentochangethedetailsoftheselectedprescription4) FromtheRxProfilescreen,clickontheAddNewPrescriptionOptionatthebottomofthescreentoindicateanewmedicationorderwillbeadded.Will take the user through all pages of a prescribing event (RxLibraries, Custom Order, Order Confirmation) once the GO button is selected. 5) Onceallorderoptionshavebeenchosen,clickonthegreenGObuttonattheNote: OrderConnect will only guide you to the screens that are necessary to complete the prescribing OrderConnectUserGuide Page | 23 bottomofthescreentobegintheprescribingevent.event(s) indicated prior to clicking on GO. TransmissionStatusIndicatorIfatransmissionisinapendingorfailedstatusfortheusercurrentlyloggedin,theuserwillseeaTransmissionStatusindicatoratthetopoftheCurrentMedicationProfileofallrecords.Clickingonthislinkprovidestheusertheopportunitytoreviewalltransmissionsthathavenotyetcompletedandtoresendanyprescriptionsthathaveafailedstatusdirectlyfromwithintheoption.Toobtainmoredetailregardingwhichtransmissionsarependingorfailed,justclickonthebuttonintheupperportionofthescreen. (Returntotableofcontents) WhenyouclickontheTransmissionStatusoptionanewscreenwillappearandwillshowyouthestatusofthetransmission.Ifthetransmissionsshowafailedstatus,aresendbuttonwillappearontherightsideofthescreen.Ifthetransmissionisinpendingstatus,theresendbuttonwillnotappear. OrderConnectUserGuide Page | 24 PrintAdministration (Returntotableofcontents)ThePrintAdministration screen isaccessedviaaPRINT linkat the top rightof theRxProfile screenand isahistorical log of all prescribing events. This screen allows you to print and/or fax additional copies of anyconfirmedordersorprintadditionalmedicationnotesassociatedwithorders.Eachorder is identifiedby thedateandtimeoftheprescribingevent.Youcanselecttoprintachartcopyand/oraprescriptioncopy,aswellasamedicationnoteifoneisavailable.Medicationnotesinthissectionoftheapplicationareonlyavailableforprintingifthepatientwasselectedtobeinthesurveypool(refertoPrescriberReasoningAssessmentssection).Ifamedicationnoteisnotavailable,aredlinewillappearthroughthenoteiconindicatingyoucannotprintthenote.OtherprogressnotesmaybeavailablebyclickingontheNotestab.Steps Actions1) VerifythatyouarereprintingthecorrectRxbyclickingonthecameraicontotheleftofthescript.AnOrderDetailwillappear,lettingtheuserviewtheorder2) SelecttheappropriateoutputfortheOrder(print,Fax,eRx)usingthedropdownatthetopofthescreen.3) Chosethescripttoreprint/resendbyclickingintheappropriatewhitebox.Acheckmarkwillappear.Note:Youcanclickonmultipleboxes.4) ClicktheGobutton Youwillalsohavetheoptiontochoosefaxfromthedropdownmenu.IfyouchoosefaxbeforeclickingGO,youwillgetascreenthatgivesyoutheoptiontochangethepharmacytowhichyouarefaxing.ChartCopyReports:Facilitiesalsohave theoptionofprinting twoprescriptionrelatedreportsalongwith theactualprescriptions.ThefirstreportiscalledActiveOrders.Thisreportshowsthepatientsactivemedicationsatthetimetheprescriptioniswritten.ThesecondreportiscalledtheOrdersHistory.ThisreportshowsthehistoryoforderswrittenforthepatientNOTE:WhenaskedbyOrderConnectsupporttoprovideanORDERID,thisisthebestplacefromwhichtoobtainthatinformation.ThenumberlocatedtotheleftofthescreenisthemedicationOrderID. OrderConnectUserGuide Page | 25 PrintTab OrderDetailsReFaxPrescription OrderConnectUserGuide Page | 26 CloseChartOnceapatientsprescribingeventhasbeencompletedandtheuserhasreturnedtotheCurrentMedicationProfile,therewillbetwooptionsfromwhichtochooseinordertoleavethecurrentrecord.TheCloseChartandLogOffoptionsarelocatedatthetoprighthandsideofthescreen. SelectingCloseChartwillclosethechartforthecurrentpatient.ThiswilltaketheuserbacktothePrescribersDesktoptoselectanewpatientrecord.Forusersofsinglesignon(AvatarandInsight)theclosechartoption,returntheusertotheEHRfromwhichtheylaunched(AvatarorInsight). SelectingLogOffwillreturntheusertotheOrderConnectloginscreen.Forusersofsinglesignon(AvatarandInsight)thelogoffoptionisnotavailable. (Returntotableofcontents) OrderConnectUserGuide Page | 27 AdditionalPrescribingScreenDetail RxLibrariesTheRxLibrariesscreenwillbeseenanytimeauserclicksonthewordsAddNewPrescriptionandclicksonGOfromtheRxProfileScreen.TheRxLibrariesallowsuserstoselectmedicationsusingfourlibraries:MyPractice(Allorderspreviouslywrittenbytheprescribinguserthatsloggedin),MyGroup(Allorderspreviouslywrittenbyallprescribingusersatthefacility,excludingtheuserloggedin),InfoScriberPractice(AllorderspreviouslywrittenbyallOrderConnectprescribingusersacrosstheUS),andAllDrugs(Allmedicationscurrentlyavailableonthemarket).TheselibrariesarecreatedautomaticallybaseduponthevaryingwaysthatOrderConnectprescribersordermedications.ThisincludestheDose,Strength,ScheduleandAssociatedDiagnosis.UserswillseethisscreenwheneverNEWmedicationsarebeingaddedtotheclientrecord.TheRxLibrarieswillalsoprovideanopportunityfortheprescribertocheckthemedicationlistingagainstthepatientsinsuranceformularywhenthepatientspayerisknown.OptionOverview(RxLibraries) (Returntotableofcontents)Steps Actions1) SelectAddNewPrescriptionandclickonthegreenGobuttonontheRxProfilescreen.PutsacheckmarkintheboxandnavigatesusertotheRxLibrariestab.2) ClickontheMyPracticeradiobuttonWhenselectedandamedicationordiagnosisisindicatedinthesearchoption,theapplicationwillpresentalistcontainingallofthewaysthecurrentprescriberhaswrittenthemedication(strength,route,schedule,etc.).Theentriesarecumulative,withthemostcommonprescribingmethodbeingthetopleftoptionandtheleastcommonbeingonthelowerright.3) ClickontheMyGroupradiobutton Whenselectedandamedicationordiagnosisisindicatedinthesearchoption,theapplicationwillpresentalistcontainingallofthewaysprescribersatthefacility(excludingtheprescribercurrentlyloggedin)havewrittentheindicatedmedication(strength,route,schedule,etc.).Theentriesarecumulative,withthemostcommonprescribingmethodbeingthetopleftoptionandtheleastcommonbeingonthelowerright.4) ClickontheInfoScriberPracticeradiobutton.Whenselectedandamedicationordiagnosisisindicatedinthesearchoption,theapplicationwillpresentalistcontainingallofthewaysprescribersacrosstheUnitedStates(excludingtheprescribercurrentlyloggedin)havewrittentheindicatedmedication(strength,route,schedule,etc.).Theentriesarecumulative,withthemostcommonprescribingmethodbeingthetopleftoptionandtheleastcommonbeingonthelowerright. OrderConnectUserGuide Page | 28 5) ClickontheAllDrugsradiobutton. WhenselectedandadrugissearcheditwillsearchallmedicationcurrentlyapprovedbytheFDA.Thislibraryalsoappearsautomaticallyattheendofeachoftheotherlibrariesonthisscreen. RxLibraries Tip:ThebluecheckmarktotheleftoftheCancelOrderbuttonallowsuserstocheckforpossibleDrug/FoodtoDruginteractionsbaseduponwhatiscurrentlybeingorderedforthispatientfromtheVirtualPharmacist.UsingtheMyPractice,MyGroup,andInfoScriberPracticelibrariesOnceamedicationhasbeenorderedbytheprescriberloggedin,anotherprescriberatthesamefacility,oranyprescriberusingtheOrderConnectsystem,thesigforthatorderisrememberedbytheapplicationandbecomespartoftheMyPractice,MyGrouporInfoScriberPracticeLibrary.Thisincludesthestrength,route,dosage,andscheduleoftheorders.Theselibrariesallowforafastandefficientwaytoordermedicationforyourpatient.Steps Actions1) OntheRxLibrariestab,clickonthelibrarybuttonyouwouldliketouseforyoursearch.Then,enterthefirstfewlettersofthedrugnameyouwouldliketosearchintheDrugNameboxandclickSearchSearchesforthedrugbasedoncriteriawithresultsappearinginthelowerquadrantofthescreen.Tip:ifyouwanttosearchbytheDxaswellclickonthedropdownmenubelowthedrugnametochoosethepatientsdiagnosisforwhichthedrugisbeingprescribed.2) Clickonceonthedesireddosingoptionatthebottomofthescreen.Addsdrugtotheprescriptionpadonthetoprightofthescreen.3) Repeattheabovestepstoselectallthedrugstobeprescribed,thenclicktheSubmitOrderbuttonSubmitsorderandtakesusertoOrderConfirmationscreen OrderConnectUserGuide Page | 29 CustomOrders TheCustomOrdersscreen isusedtocreatealldetailsof thesig (strength,dose,schedule,orderdate,startdate,daysandrefillsandnumbertobedispensed)foreachmedication.Auserwillbetakentothisscreenforallprescribingevents.AdditionallythisscreenhaslinkstotheAllergy,RxHx,EditDx,andNonISCpages.Whenselectingoneof these links apopupwindowwill appear so theuser canupdate those screens asneededwithout losingthework thathasbeendoneonthecurrentprescribingevent. The Abbr linkonthisscreenprovidesthedefinitionforallDosingforms(i.e.TAB=tablet,CAP=capsule)andRoutes(i.e.PO=Oral). OptionOverview(CustomOrder) (Returntotableofcontents)Features DescriptionTitrationWizardAllowsuserstoeitherTitrate(achieveamaintenancedose)orTaper(autoDC)amedicationorderoverthecourseofasetperiodoftime.NoteToPharmacistAllowsuserstoenterspecificnotesregardingeachmedication.CheckDrugInteractions(VirtualPharmacist)Linktopagethatshowsifthereisandrugtodrug/foodinteraction,pregnancy/lactation,oragebasedmedicalalerts.Order/StartDateAllowsuserstochangetheorderdateorstartdateoftheprescription.Thiscancomeinhandytodelaymedicationfillingtopreventoverlap. OrderConnectUserGuide Page | 30 OrderConfirmation The Order Confirmation screen is the final screen of any prescribing event and is used to complete theprescribingevent.Itisonthisscreenthatthenumberofdaysaprescriptionisintendedtolast,aswellasthenumberof refills, canbe entered/ changed. TheOrderConfirmation screenwill allowusers to indicate thenumberofunitsforthemedicationsshouldcomefromthepharmacy,sample,orstock.Usersmayalsoindicatewhetherornotamedication istobedispensedaswritten(DAW). Thisscreenwill listthepharmacies inyourareaandwilldefaulttothepatientspharmacyofchoiceas indicated intheirdemographicscreen. TheOrderConfirmation screen provides users the ability to edit and/or accept the order and print and/or fax aprescription.UserswillbetakentotheOrderConfirmationScreenwhetherreordering,changing,and/oraddinganewmedication.Additionally, this screen is equipped with a Virtual Pharmacist that provides information related to druginteractions,allergyreactions,andpregnancyalertspriortosubmittingthecurrentorder. OptionOverview(OrderConfirmation) (Returntotableofcontents)Features DescriptionVirtualPharmacistDisplaysinteractions,allergyreactions,alerts,orcaresuggestionsthattheprescribershouldbeawareof.OrderOverview Detailstheprescription.Includestheabilitytoselectaformulary,obtainaLeafletorPatientConsent,andinsertNoteToPharmacistaswellastoconfirmalldetailsoftheorder.OutputOutput:Choicesforhowaprescriptionwillbedelivered.ReportsAdditionalitemsthataprescribercanhaveprintedoutwiththeprescriptionChartchartcopyoftheprescriptionActivepatientscurrentactivemedicationsHistMostrecentordersthathavebeenwrittenforpatient OrderConnectUserGuide Page | 31 Notmedicationprogressnotehasbeenchosenbyadministrator.PharmacySearchboxthatallowsuserfindapharmacyandselectapreferredpharmacyforpatient.Toremoveapharmacyatanytime,ausermayremovethetextfromthepharmacybox;clickSearch,thenChosenByPatient.ThiswillreturntherecordtothedefaultofChosenbyPatient.Tochangetoanewpharmacy,simplyrepeattheprocessabove.PrescriberDropdownthatdefaultstouserloggedin,butcanbeusedtoselectadifferentprescriberforVerbalOrders.eRxInformation ItemsthatarecheckedbeforeallowingtheeRxoptiontodisplayontheOrderConfirmationPage1. Dateofbirthmustbepresentintherecord2. ThePrescribermustbeSurescriptsenabled.AnSPIwillbevisibleintheprovidersregistration.3. ThePharmacymustbeSurescriptsenabled.ThepharmacymusthavebeenselectedfromtheOrderConnectPharmacieslistwhenbeingaddedonthePharmaciestabintheadmintool.NOCUSTOMPHARMACIESAREELIGIBLEFORTHEeRXOPTION.4. TheMedicationScheduleforallmedicationcontainedintheorder.NomedicationsthatareschedulesIIthroughVcancurrentlybesentviaeRx.5. SomeComplexdosesmaybeexcludedforeRx(seethecomplexdosessectionofthisguide). (Returntotableofcontents) OrderConnectUserGuide Page | 32 SearchingforPharmacyFlagsintheMainApplication(OptionalFeature) Ifauserwishestolocateapharmacywithaspecificflag,hecandosooneithertheOrderConfirmationscreenand/orthePatientDemographicscreen. (Returntotableofcontents)Steps Actions1) ClicktheChangebuttonnexttothePharmacyfieldOpensupthepharmacyscreen2) ClickthelinklabeledFilerbyPharmacyFlags3) IndicatetheflagorflagsforwhichyouaresearchingandclicktheSearchbutton 4) Returnsresultsmeetingcriteriatoselectfrom OrderConnectUserGuide Page | 33 OrderOutputDialogBoxes WhenacceptinganorderfromtheOrderConfirmationPage,thedialogboxesthatappearonthescreenwillbedependentuponwhatoptionswereselectedandtheoutputoptionchosenontheOrderConfirmation. WhenelectingtoPRINTtheprescription,usersmayseedifferentscreensbasedontheprescriptiontemplatechosenattheirfacility. IftheDefaultprescriptiontemplatehasbeenselectedbyyourfacilityadministratorastheprescriptiontemplatetheprescriptionwillbeoutputatthesametimeasanyotheritemschosenforprintingwiththeprescription.(chartcopy,history,leaflet,PC,etc)theprinterconfirmationscreenwillappearrequestingconfirmationforwhichprintershouldbeusedtoprinttheprescriptionwhenAcceptisselectedontheOrderConfirmationscreen. **Note:Ifyourfacilityisutilizingoneofourcustomsecurityprescriptiontemplatesinadditiontotheprintadministrationscreenforyouradditionalitems(imageabove)theimageoftheprescriptionwillappearonthescreeninaPDFformat.Thisallowstheusertooutputtheprescriptionasaseparateprintjobtoadifferentprinterorprinterdrawerthatmaycontainspecialpaper.Printmustthenbeselectedfromwithintheimageoncetheuserisreadytoprinttheprescription.TheimagesbelowarerepresentativeofOrderConnectPDFprescriptionsandmaynotlookliketheoneyourfacilityisusing (Returntotableofcontents) OrderConnectUserGuide Page | 34 OrderOutputDialogBoxesPrescriptionPreview IndianaTemplate(Returntotableofcontents) OrderConnectUserGuide Page | 35 SecurityTemplate Thisscreenpromptdoesnotindicateasuccessfulcompletionofthefaxtothepharmacybutratherasuccessfulcreationofthefaxandtransfertoourfaxingservicefortransmissiontothepharmacy.AnemailwillbegeneratedtothefirstemaillistedwithintheOrderConnectregistrationoftheuserenteringtheorderiftheordershouldfailtocompletetothepharmacyafter5transmissionattempts.Successfultransmissionsdonogenerateanemail. PleaseutilizetheTransmissionLoglocatedinthereportssectionoftheapplicationtoverifythatanorderhascompletedtothepharmacy.Onceanorderissubmitted,theapplicationwillautomaticallyredirecttotheCurrentMedicationProfile(RxProfile)screen.TheapplicationwilldisplaythestatusofapendingorfailedfaxtransmissionoreRxtransmissionatthetopofCurrentMedicationProfilescreen.AnorderthatwasjustsubmittedviafaxoreRxshouldnowshowasapendingtransactionatthetopoftherecord.Inadditiontotheorderjustentered,allothertransmissionsthatcurrentlyhaveatransmissionstatusoffailedorpendingwillappearontheCurrentMedicationProfilescreensforallpatientrecordsfortheloggedinuserregardlessofthepatientforwhichthetransmissionoccurred.Inotherwords,ifthetransmissionfailedforapatient you saw 30 minutes ago, it will show up on the Current Medication Profile screen of the patient you are currently seeing. OrderConnectUserGuide Page | 36 GlossaryUserTypeOrderConnecthasthefollowingusertypesavailableonthePrescriberRegistrationPage.TheseusertypedesignationsdonotdisplayonanydocumentationoutputfromOrderConnect.Theyareusedforthepurposesofdetermininguserpermissionsonly.Thepermissionsassociatedwitheachusertypeareintendedtoaddressthelegalabilitiesoftheusertypesinmoststatesanddonotimplyequalpermissionsinallstates.Pleasereferyourstatesindividualpermissionswhenassigningausertype. (Returntotableofcontents) Type DescriptionAdmin(Supervisory): Abilitytomerge/deleterecords,strikeitemsfromaclientchart,andupdatecertainpiecesofclientdatathatotheruserswouldnot.DataConversion(PrescriberAgent) ThisusercanenterordersonbehalfofaPrescriberbutCANNOTprintalegalcopyofthescript.Allordersgeneratedwillindicatetheyareaverbalorder.Thistypeofuseraccountisbestforinitialprescriptiondataentryandongoingdataentrywheretheuserdoesnothaveaneedforalegalcopyoftheprescription.DataEntry(PrescriberAgent) ThisusercanenterordersonbehalfofaPrescriberandCANprintalegalcopyofthescript.Allordersgeneratedwillindicatetheyareaverbalorder.Thisusertypeisbestusedforagenerictypeofuserthatmayhavetogenerateanoriginallegalcopyofaprescription.DentalAssistant(PrescriberAgent) ThisusercanenterordersonbehalfofaPrescriberusertypeandCANprintalegalcopyofthescript.Allordersgeneratewillindicateitwasaverbalorder.DentalHygienist(NonPrescribingUser) TheusercanenterallinformationintothesystemwiththeexceptionofhavingtheabilitytoenteramedicationorderDentist(Prescriber) AbletogenerateanorderundertheirownDEADOOther(Prescriber) AbletogenerateanorderundertheirownDEADOPsychiatrist(Prescriber) AbletogenerateanorderundertheirownDEAGuest Thisusercanenterallinformationintothesystemwiththeexceptionofhavingtheabilitytoenteramedicationorder.MDOther(Prescriber) AbletogenerateanorderundertheirownDEAMDPsychiatrist(Prescriber) AbletogenerateanorderundertheirownDEAMPMedicalPsychologist(Prescriber) Psychologist(CurrentlyinthestateofLouisianaonly)whoisabletolegallyprescribeundertheirownDEANonPhysicianPrescriberClinicalNursePractitioner(Prescriber)AbletogenerateanorderundertheirownDEANonPhysicianPrescriberNursePractitioner(Prescriber)AbletogenerateanorderundertheirownDEANonPhysicianPrescriber:Other(Prescriber) AbletogenerateanorderundertheirownDEA OrderConnectUserGuide Page | 37 NonPhysicianPrescriber:PharmD(Prescriber) AbletogenerateanorderundertheirownDEANonPhysicianPrescriber:PhysicianAssistant(Prescriber)AbletogenerateanorderundertheirownDEANonPrescribingUser Thisusercanenterallinformationintothesystemwiththeexceptionofhavingtheabilitytoenteramedicationorder.Nurse:RN(PrescriberAgent) ThisusercanenterordersonbehalfofaPrescriberusertype.Allordersgeneratewillindicateitwasaverbalorder.Nursing:Other(PrescriberAgent) ThisusercanenterordersonbehalfofaPrescriberusertype.Allordersgeneratewillindicateitwasaverbalorder.PharmacistThisusercanenterallinformationintothesystemwiththeexceptionofhavingtheabilitytoenteramedicationorder.SystemAdministrator(PrescriberAgent) ThisusercanenterordersonbehalfofaPrescriberusertype.Allordersgeneratewillindicateitwasaverbalorder. (Returntotableofcontents)