English French Notes Complete/Exclude Dates are inclusive. (The first date found is ** There is no data for this report, yet. ** *** NO AMIS DATA FOUND *** TOTALS => UNIT DOSE AMIS REPORT TOTAL UNITS PER UNIT UNIT DOSE PICK LIST STATS^57.6D PSGPAT( PSGAPTM( PSJSEL( ...this may take a few minutes...(you should QUEUE this report)... ACTION PROFILE If a date is entered, an action profile will print for only those patients that have at least one active order with a DATE on or date entered. Entry is not required. If neither date is entered, all patients with active orders will print (for the ward(s) chosen). Enter an up-arrow (^) to exit. If you wish to enter a date of , you must enter a TIME of day or greater. Any date after does not need time entered. If a START date is entered, only orders that stop on or after the date entered will be shown. If a start date is entered without a time, the beginning of the day is assumed. If a STOP date is entered, only orders that start on or before the stop date , and stop on or after will be shown. If a stop date is entered without a time, the end of the day is assumed. Neither the start date nor the stop date is required. If neither is entered, all orders that are currently active are shown. PLEASE NOTE that although you can enter a date range that is in the past, only those patients that are currently admitted can be shown, and that the orders will show their current information. UNIT DOSE ACTION PROFILE NO ACTIVE ORDERS FOUND FOR WARD GROUP: PATIENT(S) SELECTED A C T I V E UNIT DOSE ACTION PROFILE #1 (Continuation of VA FORM 10-1158) This form is to be used to REVIEW/RENEW/CANCEL existing active medication orders for inpatients. Review the active orders listed and beside each order circle one of the following: R - to RENEW the order D - to DISCONTINUE the order N - to take NO ACTION (the order will remain active until the stop date indicated) A new order must be written for any new medication or to make any changes in dosage or directions on an existing order. ST Start Stop Status/Info ******** THIS PATIENT HAS NON-VERIFIED ORDERS. ******** Date AND Time PROVIDER'S SIGNATURE MULTIDISCIPLINARY REVIEW (WHEN APPROPRIATE) PHARMACIST'S SIGNATURE NURSE'S SIGNATURE ADDITIONAL MEDICATION ORDERS: NF WS Date and Time No patient(s) selected. Option terminated. Sort Action Profiles by (T)eam or Treating (P)rovider? T// Print (A)ll active orders, or (E)xpiring orders only? A// ...this may take a few minutes...(you really should QUEUE this report)... Select WARD GROUP: date. If a time is not entered for the of the day is assumed and used. Enter 'T' (or press RETURN) to sort and print patients by TEAM. Enter 'P' to sort and print patients by treating PROVIDER. Enter 'A' (or press RETURN) to print ALL ACTIVE orders for the patient(s) selected. Enter 'E' to print only orders that will EXPIRE within the date range selected for the patient(s) selected. UNIT DOSE ACTION PROFILE #2 ORDERS FOUND FOR __TAKE NO ACTION __DISCONTINUE __RENEW COST/DOSE: Treating Provider: PID: Ht(cm): Wt(kg): Last Transferred: See patient's first for Allergies/Adverse Reactions No. Action ADR: No Allergy Assessmen No drug chosen, or change made. CURRENT PRICE PER DISPENSE UNIT Enter NEW COST: No new cost entered. No changes made. ...This may take a few minutes... NOT FOUND WITHIN THE DATE RANGE SPECIFIED. Enter the new cost (Price Per Dispense Unit) for the drug chosen. The cost entered here will be used in resetting the data in the cost stats file. The cost entered may be a decimal value with no trailing zeros. DATE NOT ENTERED. CHANGE TERMINATED. Enter the date of the range of dates over which the cost data is to be changed. The start and stop dates may be the same day, effectively creating a one day change, but the stop date may not come before the start date. Time is not entered. NO COST DATA FOUND TO DELETE. Enter LIMIT DATE: No date chosen, or data deleted. ...a few moments, please... No data found prior to date chosen! ALL cost data for doses dispensed on or before the date selected will be completely deleted from the computer. The earliest date found is WARNING!! THIS DATA CANNOT BE REBUILT OR RECOMPILED! UNIT DOSE COST DATA CHANGED has changed the cost data for the drug The cost was changed to PSJU MGR MEDICATIONS,UNIT DOSE *** NO TOTAL COST PER PATIENT FOUND *** TOTALS => AVG. COST/UNIT: (** = NON-FORMULARY ITEM) (DRUG NOT FOUND) `^' TO STOP COST AT DISCHARGE REPORT Admitting Date DRUG COST not selected, DRUG report terminated... Select by Ward? (Y/N): Select drugs by DISPENSE DRUG, ORDERABLE ITEM, or VA CLASS: ...Select category DISPENSED DRUG VA CLASS not selected ;2:COST;3:AMOUNT DISPENSED Sort drugs by , COST, or AMOUNT DISPENSED: ...Sort order Print all drugs costing at least? ...Cost limit Print all drugs with a dispensing amount of at least? ...Dispensing amount Display the dispense drugs Answer 'YES' and I will display the dispensed drugs associated with the or answer 'NO' and only the totals will be displayed. ...Dispense drug display Unknown ORDERABLE ITEM Enter a number (dollar amount) to be the lower limit for this report. This number may be zero (0) to include all drugs with a positive cost. A NULL response will include all drugs. Enter an '^' to terminate this report. Enter a number to be the lower dispensing limit (inclusive) for this report. This number may be zero (0) to include all drugs with a positive dispensing amount. A NULL response will include all drugs. Enter an '^' to terminate this report. Select a DRUG for which you wish to have cost data print. Enter ' ' to have this report print the drugs in order of Enter 'C' to have this report print the drugs in descending order of TOTAL COST. Enter 'A' to have this report print the drugs in descending order of the AMOUNT DISPENSED (in UNITS). Enter the category that the drugs on the report will be selected by... Enter 'D' for Dispensed Drug Enter 'O' for Orderable Item Enter 'V' for VA Class.... to include dispensing amounts and cost by ward. *** NO DRUG COST DATA FOUND *** UNIT DOSE DRUG COST REPORT (** = NON-FORMULARY ITEM) ...Dose Limit... Must have drug from formulary list. No other order found with this drug. ,ON CALL,ON-CALL,ONCALL, Dose limit invalid with this schedule Dose limit must be a whole number Print BLANK Authorized Absence/Discharge Summary forms if you want the report to print Authorized Absence/ Discharge Summary forms for patients with no orders. Otherwise, date is entered, a discharge summary will print for only those AUTHORIZED ABSENCE/DISCHARGE ORDERS OTHER MEDICATIONS: Medication: Outpatient Directions: Qty: _____ Refills: 0 1 2 3 4 5 6 7 8 9 10 11 Provider's Signature DEA # DIETARY INSTRUCTIONS: (Check One) __ NO RESTRICTIONS __ RESTRICTIONS (Specify) PHYSICAL ACTIVITY LIMITATIONS: (Check One) SPECIAL INSTRUCTIONS: (list print information, handouts, or other instructions pertinent to patient's condition) DIAGNOSES: Nurse's Signature >>>>> I HAVE RECEIVED AND UNDERSTAND <<<<< >>>>> MY DISCHARGE INSTRUCTIONS <<<<< Patient's Signature Date And Time *ORDER CONTAINS DISPENSE DRUGS Inpt Dose: * THIS IS A SCHEDULE II DRUG. A PRESCRIPTION BLANK * * (VA FORM 10-2277d) MUST BE USED TO ORDER THIS DRUG. * * THIS ITEM IS NONRENEWABLE. * * CONTACT PHARMACY IF YOU HAVE QUESTIONS. * ___ TAKE NO ACTION (PATIENT WILL NOT RECEIVE MEDICATION) Qty: _____ Refills: 0 1 2 3 4 5 Provider's AUTHORIZED ABSENCE/DISCHARGE VA FORM: 10-7978M Instructions to the physician: A. A prescription blank (VA FORM 10-2577F) must be used for: 1. all class II narcotics 2. any medications marked as 'nonrenewable' 3. any new medications in addition to those entered on this form. B. If a medication is not to be continued, mark TAKE NO ACTION C. To continue a medication, you MUST: 1. enter directions, quantity, and refills 2. sign the order, enter your DEA number, and enter the date AND time. Weight(kg): Inpt Dx: Room-bed: *** THIS PATIENT HAS NON-VERIFIED ORDERS. *** ___ AUTHORIZED ABSENCE <96 HOURS ___ AUTHORIZED ABSENCE >96 HOURS NUMBER OF DAYS: _____ (NO REFILLS allowed on AA/PASS meds) ___ REGULAR DISCHARGE ___ OPT NSC ___ SC Next scheduled clinic visit is on Cost per PATIENT CONTINUED ON NEXT PAGE... (Patient has NO active or old orders.) Select ORDER No Dispense drugs have been entered for this order. At least one Dispense drugs must be associated with an order before dispensing information may be entered. Dispense drug: **ORDER INACTIVE** **DRUG INACTIVE** THIS DRUG IS AN ATC ITEM. BUT THE ATC DEVICE CANNOT BE FOUND! Do you want to dispense extra unit through the ATC ** THE ATC MACHINE CANNOT BE FOUND! ** EXTRA UNITS TO ATC PSGP(0) This drug can be dispensed through the ATC machine. Enter 'Y' to do so now. Enter 'N' if you do not want to do so. Select the orders (by number) for which you want to enter extra units Enter Ending Date and Time: Please enter a date and time that is greater than the Start Date this may take a while...(you should QUEUE the Extra Units Dispensed report) Extra Unit Dose Dispensed (Sort) PSGWGNM;PSGSDT;PSGEDT;PSGSS;PSGIO;PSGWG;PSGWD;PSGWN;PSGTMALL;PSGTM;PSGPAT(;PSGP(;PSGIODOC Extra Unit Dose Dispensed (Print) NO DATA FOUND ON EXTRA UNITS DISPENSED TOTAL FOR Room_Bed: DISP. EXTRA UNITS DISPENSED REPORT REPORT FROM: TEAM: NO TEAMS ENTERED TO CHOOSE FROM! Do you want the instructions for auto-discontinue set-up to view the instructions for the auto-discontinue set-up. Enter to bypass the instructions. Enter to abort the set-up. Do you want the package to set-up all of your wards for auto-discontinue to have the package set-up all of your wards for auto-discontinue for you. Enter if you prefer to set-up the wards individually. Enter to abort the set-up. If you answer YES, you will still be able to add, edit and delete individual PLEASE NOTE that this is not a flag for the package, but a one-time action. If you add new wards to your WARD LOCATION file, you will need to add those wards here. Select INPATIENT USER: PSJ This user is a PROVIDER. PLEASE NOTE: Any changes made will not take effect for the corresponding users until those users completely exit and re-enter the system. You are a PLEASE NOTE: Any changes made take effect immediately. Select PRIMARY DRUG: Page: 1 of 4 Press RETURN to continue, enter '^' to end instructions: Page: 2 of 4 Page: 3 of 4 Page: 4 of 4 THIS ROOM-BED ALREADY ASSIGNED TO TEAM FOR THIS WARD! Do you want to set up your drugs for (O)ne ATC or (M)ultiple ATCs? ONE ATC NOTE: No PHARMACY ward groups are found. You will not be able to enter canister numbers for selected drugs. Enter 'M' to set up your drugs for use with multiple ATC Dispensing machines, for which you will have to enter a canister number for each ward group. Enter 'O' to set up your drugs for use with one ATC Dispensing machine , for which the ward groups will be automatically set up for each canister number. O - ONE ATC #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################