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CAPSLink User Manual

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1. Freamine Ill 4 Dextrose 212z Intralipid 3 40C Freamine Ill 4 Dextrose 21 Intralipid 3 25C Freamine Ill 3 Dextrose 6 Intralipid 5 40C E Freamine Ill 3 Dextrose 6 Intralipid 5 25C Freamine Ill 1 Dextrose 10 Freamine Ill 1 33 Dextrose 12 5 p Freamine Ill 2 Dextrose 20 B Freamine Ill 4 Dextrose 25 Test Curve Fig 5 5 Calcium Phosphate Concentration Plot 30 A list of Know curves are available on the left hand side of the window To view a curve in the graph on the right scroll down to the appropriate curve i e the curve that most closely matches the amino acid dextrose and lipid concentration in your order and click on it The curve will appear on the calcium phosphate graph on the right Fig 5 6 Calcium Phosphate Solubility Curve Freamine IIl 4 Dextrose 212z Intralipid 3 25C Freamine lll 4 Dextrose 212 3 400 x AA 5 2 Dex 29 1 Lip 0 Freamine IIl 3 Dextrose 6 Intralipid 5 40C Freamine IIl 3 Dextrose 6 Intralipid 5 25C Freamine Ill 1 Dextrose 10 4 e Freamine Ill 1 33 Dextrose 12 5 Freamine 2 Dextrose 20 Se Test Curve Re n xu M a Freamine Ill 4 Dextrose 25 f Amino Freamine 4 00 Dextrose Dextrose 25 00 10 Additive Notes 18 hr at 325 C then 30 min at 37 Am J Hosp Pharm 1982 39 49 53 0 10 20 30 40 50 Phosphate mmole L Freamine Ill 4 Dextrose 25 CRx
2. 25 4 3 ENTERING A MINIMUM VOLUME 25 4 4 CHANGING A PATIENT WRIGHT irinin ira 25 95 MANAGING ORDERS etapa sce ree aa aa aaa 26 5 1 THEPATENTTISE A E EE EEEE R 26 5 2 ORDER e E 26 5 3 ORDER PROCESS 27 5 4 SENDING ORDERS TO CAPS FROM THE PATIENT LIST sscccecesscceceseccceescccceeeccceuseceeaeecesaeeees 29 5 5 CALCIUM PHOSPHATE SOLUBILTY tes Ee ree UAE a aes 30 5 6 PHARMACY CUT OFF TIME i 31 9 7 OTHER PRESCRIPTION MANAGEMENT FUNCTIONS 02ceccecceccecccccccecceccecescscssctcescscescscescescusens 32 Dod OLEATE Ee D HL IM LL ME LI E IDEE See V OS sears 32 S o Ode UON c Mu CEDE M uM M I IE LM CI I E 32 6 RELEASED TO CAPS WINDOWYMN een rmn 33 6 1 RELEASED 1O CA PS WINDOW Sese teu ome OD t eee de 33 fo cmt Rr 34 7 1 RELEASED TO CAPS RETE 34 T2 MIN MAX LE VEES 34 LS ACTIVE ORDER UK ET 34 7 4 ACIVE PATENI rin cease ren cea ie as doe eU 34 OTHER ISEPORTS qu exusta cd ene ni Teo Ee 35 Aul Order Approval REPOT eda VR ERNEUT UE DR EN inu ee 35 8 DRUG DELIVERY 2 kUsaRn 36
3. 8890098 Save New Order Hame First Name Save Changes Patient Mame SAMPLE PATIENT Cancel Date of Birth 08 18 1970 Age Category Adult 15 65 Active v Sex Area Icu Room 5 Weight 70 00 Kg 154 32 Lb Height 150 cm 5 ft 1087 im Diagnosis Allergies Physician AMES F Penicillinis r _ Latex Sensitive Hx Number Bag Status Start Date Prescribed Figure 3 1 Patient Profile Window Enter the appropriate information into each field The required fields are marked with an asterisk If a duplicate Patient Account number is found the Duplicate Patient Account number window will display see figure 3 2 To select the duplicate account click on the patient listed in the Duplicate Patient Account window and click Open To close the window and continue entering a new patient profile click Cancel 12 Patient Hame Birth Date Active SAMPLE PATIENT 08718 1970 Figure 3 2 Duplicate Patient Acct Number If a date of birth is entered in the DOB field CAPSLink will automatically assign the appropriate age category If the format of the DOB is incorrect CAPSLink will prompt you to enter the appropriate format Date of birth is not in a valid format Correct Format is 0 field If a weight is entered in either the kg Ib field the kg Ib eq
4. 4 1 2 Entering a Volume Rate If you enter values into any two of the order duration and flow rate fields CAPSLink will automatically calculate the third parameter Also if you make a change to one of these fields you will be prompted to have CAPSLink calculate one of the other two fields figure 4 3 Click the button corresponding to the field you want CAPSLink to recalculate If you click the Cancel button CAPSLink will not recalculate either field Figure 4 3 Select Field Dialog 19 4 1 3 Volume Kg Calculator You may also enter a volume using the milliliter per kg calculator by clicking on the calculator icon 4 to the right of the Order Volume field When the Order Volume per Kg Calculator pop up appears figure 4 4 enter the order volume in mls kg and click on the OK button The Order Volume field will be populated with the calculated value Figure 4 4 Order Vol Per Kg Calculator 4 1 4 Cyclic Orders To enter a cyclic infusion rate enter a volume and duration Then click the cyclic rate icon Q next to the flow rate field CAPS Link will calculate a cyclic infusion rate with a one hour taper up and down at half the maintenance rate See Figure 4 5 Figure 4 5 Cyclic Flow Rate Dialog At the modified values warning message click Yes Fig 4 6 20 E E 9 The modified values do not match the orders Do you want to continue Fig 4 6 After the cyclic rate is saved Cyclic w
5. in Administrative Option section of the navigation bar This will bring you to the main screen of the Drug Delivery module Figure 8 1 5 iit Central Admixture Pharmacy Services Inc Details Refresh Drug Delivery Product Name Product Code NDC Units Case Cases Ordered Today J magnesium sulfate 6 g 100 ml DSW 66647 6149 11 1 0 0 LA oxytocin 10 units 1000 ml D5LR 66647 6129 58 1 0 m Oxytocin 10 units 500 ml LR 66647 6136 44 1 0 0 L FENTANYL 25MCG ML 50ML SYRINGE 66647 2002 94 1 o 0 CJ L FENTANYL 5MCG ML 30ML SYRINGE 66647 2000 73 1 0 e 0 C i Figure 8 1 Main Screen Drug Delivery Module To view a detailed description of a product click the checkbox to the left of the item and click the Details button at the top of the screen Figure 8 2 Note If a product name does not appear as expected contact you local CAPS Pharmacy and they can add new items to your list 36 Figure 8 2 Product Detail 8 2 Placing a Drug Delivery Order To place a Drug Delivery order enter the desired quantity of each product in the Cases field on the right hand side of the main screen After you have finished entering the quantities of all the products you want to order click on the Place Order button The Verify Drug Delivery Order window will open Figure 8 3 Ship to POH 123456 Sample Customer Created 09 06 2011 By TESTUSER Remember to place your e 222 Baias aliu a
6. 100MB free memory Dual core 2GHz recommended Citrix or VMware View virtual environment supported 1 2 Accessing CAPSLink and Adding CAPSLink to your browser s Favorites To connect to CAPSLink open your Internet browser and enter the following link in the address field http www capspharmacy com weblink Note The URL for the CAPSLink site may change depending on which version you intend to utilize If you are unsure check with your CAPS pharmacy for the most current URL At the login screen you can add CAPSLink to your Favorites by clicking on link located below the CAPS Icon See Fig 1 1 below F3CAPS Central Admixture Pharmacy Services Inc A new version of CAPSLink has been deployed Check NEWS for changes or visit www capspharmacy com capslinktraining for a printable version CAPSLink version 1 03 Release Notes TPN Management Window wu A new filter titled 5 Ordersl has been added to the top of the TPN Management window Clicking on this link will display deliveri ng solutions orders created and validated on the current day A B Braun Com A printer icon has been added to the left of each of the orders listed in the TPN Management window Orders must be validated before the icon will display Figure 1 1 Login window and Add to Favorites Link 1 3 Logging in to the Application F3CAPS Admixture Pharmacy Services Inc A new version of CAPSLink has been deployed Check NEWS
7. 2 1 NAVIGATING THE MAIN SCREEN sssccccsssccceessccceesececescceeeseccceusececeeseceseneccesueceseeeccesueecesaueeeeees 11 3 PATIENT MANAGEMENT csdsccicecicnideccicncdscciccedecticaciedwdenttveieueteveieucadeeaeeeneeds 12 3 1 CREATING ANEW PATIENT PROFILE o TEATE AEREE timers 12 3 1 1 EWI T Ane Doors CT 12 3 1 2 A E EE 13 3 1 3 NV Ou a 14 3 1 4 CLI T TU IA Sait cna 14 3 2 Vibw EDIT AN EXISTING PATIENT PROFILE etos dev onpcinndevundennedialmsestyoiassenedivadvadinewcchedessnateres 15 3 3 INACTIVATING A PATIENT PROFILE 16 3 4 RETRIEVING AN INACTIVE PATIENT OEO O 17 NEW ORDERS ee 18 4 1 CREATING A NEW ORDER c 18 4 1 1 THOU TCV E EE EEA A EA AA AAE AA 19 4 1 2 Literine iron cup tcc mures E SE s RE EAS EDE ESK REEE 19 4 1 3 Volnme K E CGC ON 20 4 1 4 CVG ITS ER EE E AE HK EEE cela 20 4 1 5 Roule OF Admini Sra OT ET NEE OEE 21 4 1 6 T E E EEE E E AA A 21 4 1 7 Entering Electrolytes DY ION siasssevctnossaperssorasstienssieioeeousmnuiwansusdeusisbenssieisaesusmesaceuvsetunsenansiersiessees 21 4 1 8 Entering Editing Deleting Ingredients eese eene 22 4 1 9 23 4110 Printing an Order Profile Report or Sample Label 24 4 2 PROCESSING A NEW ORDER
8. 32 6 Released to CAPS Window 6 1 Released to CAPS Window Clicking the Released to CAPS link in the left hand navigation pane will display a list of all orders that have been released to CAPS Fig 6 1 The view defaults to the current date but a different date range can be entered as needed Click on the Print button to print a Released to CAPS Report The order can be opened by clicking on the Bag link and a sample label can be printed by clicking on the printer icon to the left of the order a PDF Excel From 11 21 2011 d Te 11 21 2011 33 Search Prnt Close Bag Lust Hx Patient Queued Date Product Group Status Status Date 1489 1 63 0 1 1489 1763 BOYER GERALDINE 11 21 2011 TPN ADULT Hecerved by CAPE 11 21 2011 ial 1483 1 741 0 1 1483 1741 DEVORE BABY GIRL 11 21 2011 TPNH NEONATE Received by CAPE 11 21 2011 1489 1 7422 0 1 1489 1742 DEVORE BAB T GIRL 1172172011 VIAL Hecerved by CAPE 11 21 2011 X 1483 1 766 0 1 1483 1755 GIBBONS JOSEPH 11 21 2011 TPH ADULT Heceived by 11 21 2011 1489 1 762 0 1 1489 1762 MARSHALL JUDITH Fl 11721 2011 TPN ADULT Receiwed by CAPE 11 21 2011 Fig 6 1 Released to CAPS window 33 7 Reports Module Function Overview Description of CAPSLink Reports Displaying and Printing CAPS Reports Several reports are available from your CAPSLink application The reports can be displayed and printed by clicking on the Reports links in
9. 1005 67 11 Released to 5 EN Click Button Enter new Rx if needed d Make Changes to order Technician Rph swe or validate And Send Review Validation Messages Enter User ID and Password Enter User ID and Password Send to CAPS Order Filled thank vou Orders can be sent to CAPS from the order window or the main CAPS Link window Order Filled thank vou Close 42 10 3 Entering New Order Click on the New Prescription link in the left hand navigation pane ICU SOUTH 1005 69 Released to CAPS Select Patient Select Template Next page 43 Enter Order Information oN Validate And Send Review Validation Messages Technician swe Review Validation Messages Enter User ID and Password Enter User ID and Password Send to CAPS Order Filled thank you Orders can be sent to CAPS from the order window or the main CAPS Link window Order Filled thank you Close 44 45
10. an Order Profile report for an unvalidated order by clicking on the same printer icon used for printing sample labels This report will contain the order information necessary for performing a double check 4 2 Processing a New Order Orders are processed using the buttons on the right hand side of the Order Entry screen See section 5 3 for instructions on how to process your new order 4 3 Entering a Minimum Volume Order If you want to enter orders using the Minimum Volume you must make certain that your CAPS pharmacy has set your order template to process minimum volume orders To enter a minimum volume order leave the Order Volume and Rate fields blank Enter your ingredient information and validate your order The Order Volume and Rate will appear on your sample label 4 4 Changing a Patient Weight If you want to edit or re submit an order that contains weight based ingredients you may need to edit the patient weight so that the order is calculated with the most current weight Any patient orders that have weight based ingredients will have the weight highlighted in red in the Patient List view see Figure 4 15 To edit the patient weight before processing an order double click on the order from the Patient List and select Patient View Edit the patient weight and click the Save Changes button The updated weight should be visible in the Patient View window Double click on the order and select Prescription View to edit and proces
11. and All Inactive patients by clicking on the appropriate link To return the list of current orders click on the All Orders Link From the Patient List you may refill edit validate and discontinue orders To open an order in the Order List click anywhere on the Patient s Order When prompted click on Prescription View to open the order screen 5 2 Order Status The right hand column of the Order List displays the order s status 26 Yesterdays Order JE This order was entered into CAPSLink yesterday The order can be opened and edited click Edit button to create a new order for the current day You can also refill the order by opening it and clicking on the Refill button With Clinician The order has been entered saved by a Clinician user The order can be reopened and edited by any Clinician user The Clinician user must click on the Send to Pharmacy button to make it available for validation by a pharmacist Needs Validation m Order has been entered and saved but requires validation and will need to be released to CAPS before the order can be filled by your CAPS pharmacy Releasedto CAPS P Indicates that the order has been approved and released to CAPS for order processing Received by CAPS M Order has been received by your CAPS pharmacy and is currently being compounded Note If you need to change an order that has already been received by CAPS contact the pharmacy to let them know t
12. for changes or visit www capspharmacy com capslinktraining for a printable version CAPSLink version 1 03 Release Notes nma mH mE smmmgumumu ss se BERR TPN Management Window 7 e A P new filter titled 5 Ordersl has been added to the of the TPN Management window Clicking on this link will display Jeliver ing solutions orders created and validated on the current day A B Braun Compan A printer icon has been added to the left of each of the orders listed in the TPN Management window Orders must be validated before the icon will display Figure 1 2 Logon Window Example At the login screen you will see two large text fields the right entitled Important Notices and News amp Information These contain important tips and announcements regarding the CAPSLink system see Fig 1 2 In the upper left hand corner of the login screen enter your CAPSLink User ID and Password Your Password is masked by asterisks as you type to prevent others from viewing To complete the logon process press Enter on your keyboard or left mouse click the Secure Login button If this is the first time logging into CAPSLink you must use the password that was assigned to you when your user profile was created The creator of your user profile will supply you with this password You will be prompted to change your password after your first login Passwords must e between 10 characters in length
13. 1005 377 Fig 5 6 Calcium Phosphate Curve Sample Curve 5 6 Pharmacy Cut Off time Your CAPS pharmacy may choose to employ a Cut off time for order submissions When a user opens an order or a patient profile after the order cut off time has passed a warning message will display in the upper portion of the screen see Fig 5 7 If you need to place orders after the cut off time you will need to notify your CAPS pharmacy by phone 3CAPS Central Admixture Pharmacy Services Inc Patient Name Room 50 CAIN THERESAA R5 547 100022657 Lu m HONRADO GLECELYN G 341 F29663309 Area Bag it 50 35 68 494 Fig 5 7 Pharmacy Cut Off Time Product Group Status 1543 33 T Received by CAPS 1543 34 T Re d by C APS Comments 31 5 7 Other Prescription Management Functions 5 7 1 Order Summary After an order is saved you can view the order s nutritional information by clicking on the Order Summary link in the left hand navigation pane Fig 5 8 Fig 5 8 Order Summary 5 7 2 View Errors After an order has been validated you can view the messages that were previously displayed at validation by clicking on the View Errors link in the left hand navigation pane 5 7 3 Order Profile After an order is saved you may view detailed information regarding the order by clicking on the Order Profile link in the left hand navigation pane
14. 8 1 ACCESSING THE DRUG DELIVERY MODULE 0cccecceccecccsccccccccecceccsscscocccecesccsscsscsscoscesceses 36 8 2 PLACING DRUG DELIVERY ORDER rores e EE E MEAN t VOLETE a eid ot Meo Gd aeu aaa UE 37 8 3 DRUG DELIVERY ORDER MANAGEMENT n arise cece lea Ee Vectra e EATUR ates OR eio Eee tuu 38 6 3 1 ODP LOT TAU SLOT e diet a met rd O Dua om nod Seas tr reb pde eas lau bau Cease tabla Gees Nera beets 38 9 MAINTENANCE HELP eere nnne nennen nnn 39 10 APPENDIX ORDER FLOW SHEETS eere nnn 40 10 1 FLOW SHEET REFILLING AN ORDER cccccecoscosccececceccscecesceccsccscescecceccscecescescscesceecesseseseeeees 41 10 2 FLOW SHEET MODIFYING AN ORDER ccceccecoscsececceccsccscscecceccscescsccsccscscsscecceccscescecescescesens 42 10 5 BNTERINGO NEW ORDER 43 1 Before You Begin Welcome to CAPSLink CAPSLink is a web based system for ordering TPN and other IV solutions from your CAPS pharmacy Module Function Overview System Requirements Accessing CAPSLink and Adding CAPSLink to your Browser s Favorites Logging into CAPSLink Creating Editing CAPS Link User Profiles Inactivating User Profiles Changing a Password 9 9 9 9 9 1 1 System Requirements Internet Explorer 7 0 or greater Adobe Acrobat Reader 9 0 or greater Windows 2000 XP Vista Window 7 Adobe Flash plug in version 10 or greater
15. CAPSLink User Manual VERSION 1 04 NENNEN Enn HEN EE mc ZEEE Hee ee ZEEE BEN HEN EEE Ean ZEEE Beene ZEEE SEE EE A P 5 delivering solutions A Subsidiary of B Braun Medical Inc Updated on February 1 2012 Table of Contents 1 BEFORE YOU 4 1 1 SYSTEM REQUIREMENTS 4 1 2 ACCESSING CAPSLINK AND ADDING CAPSLINK TO YOUR BROWSER S 4 1 3 LOGGING IN TO THE APPLICATION ccccsseccccssecccessecccassccccunececussececueccesseecesuusecesaeeceesuecesaneeeesaness 5 1 4 CREATING EDITING CAPSLINK USER PROFILES ccccccsseecceeceseecceceeeeccecseeecceeauseecceeaueeeceesaueeses 6 1 4 1 Adding NEC H 7 1 4 2 E 8 1 4 3 Editing an Existing User Profile and Resetting Passwords eese 9 1 4 4 Inactivating Reactivating a User Profile and setting an Expiration 9 1 4 5 Changing a 10 1 4 6 Password Expiration 10 2 NAVIGA TON m 11
16. K to save see figure 4 11 Click Cancel to cancel the entry Figure 4 11 Adding a New Ingredient 4 1 9 Instructions Comments After you have completed entering the ingredients you can add administration and handling instructions that will appear on the TPN label Figure 4 12 You can also add comments to an order in the Comments field Comments are for user information only and do not appear on the label If an order has an entry in the comments field the order will be flagged with a red checkmark to the right of the Order Status on the main screen 23 KEEF REFRIGERATED 7 Figure 4 12 Administration Handling Instructions and Comments 4 1 10 Printing an Order Profile Report or Sample Label After entering and validating your order you may print a sample label for double checking purposes To print the sample label click on the printer icon on the right hand side of the Order Entry screen see figure 4 13 Fig 4 13 Printing a Sample Label Alternatively you may print a sample label from the Main screen by clicking on the print icon to the left of the order see fig 4 14 24 Patient Name Area Room Acct i Wt KG Bag PG Order Status DOE JOHN ICU NORTH 70 1005 356 T Ready to Send i ay DOE JOHN ICU NORTH 70 1005 355 T With Clinician NE Fig 4 14 Printing a Sample Label from the Main Screen If you are a user that does not have order validation privileges e g Technician User you may print
17. e 1 4 User Profile List 1 4 4 Adding a New User Click on the Add New User button at the top of the page The User Maintenance window will display fig 1 5 Enter the user s last and first names and enter a unique User ID between 6 and 10 characters in length Select a user title using the drop down see section 1 3 3 for more information on user titles After a title is selected the software automatically selects the recommended user privileges for the selected user title You may also select the user privileges manually by clicking or unclicking the checkbox next to each privilege see section 1 3 2 for more information on User Privileges The system will also assign a random password that conforms to the system password requirements Enter an expiration date if you want this user account to expire automatically see section 1 3 5 below Write down the user ID and new password for the user as you will not be able to retrieve the same password later Click Save after you have completed the user profile The user can log into the system with their User ID and randomly generated password After they have logged in the application will prompt them to change their password User Privileges Patient Read patient profile data viewable but not editable Write patient profile data viewable and editable TPN Order Entry Read Order data viewable but not editable Write Order data viewable and editable Can create ed
18. e Contain at least one upper and lower case alpha character e Contain one numeric character NOTE If you do not know your User ID and Password see your Pharmacy Director When you log into the CAPSLink program you may have the option to enter the TPN or Drug Delivery modules Figure 1 3 Select the TPN option for processing TPN orders or Drug Delivery to order other sterile compounded products What would you like to order today TPN Drug Delivery Figure 1 3 TPN or Drug Delivery Options 1 4 Creating Editing CAPSLink User Profiles If you are a user with Administrative access you can create user profiles for your staff After logging into CAPSLink select the User Management link under Administrative Options in the left hand navigation pane You will be presented with a list of user profiles that are currently in the system fig 1 4 You can filter this list for active inactive profiles by using the radio buttons at the top of the Screen To edit a user select the user only one user a time and click the EDIT button to edit it Active j Inactive All Edit User Add New User Close Select Name A User Code Role Active Patient TPN Order System Jones Todd TJONES DOP Web Read Read Reports T Write Write Admin Appr Warnings Drug Delivery Appr Criticals Pendergast Michael PENDMIUS DOP Web Read Read Reports Write Write Admin Appr Warnings Drug Delivery Appr Criticals Figur
19. e button 5 4 Sending Orders to CAPS from the Patient List After you validate an order it will be ready to send to CAPS for compounding An order can either be sent to CAPS from the Order Entry window or from the Patient List screen by clicking the checkbox to the left of the order and clicking the Send to CAPS button Fig 5 3 Orders can be sent to CAPS in batches by clicking the Select All checkbox at the top of the checkbox column and then clicking the Send to CAPS button 1CAPS Central Admixture Pharmacy Services Inc Send To Caps ivi Patient Name Room Acct Wt KG Bag PG Order Status DOE 38878787 75 1005 378 T Ready to Send EI v DOE JOHN ICU NORTH 70 1005 374 1 Ready to Send S PATIENT SAMP PACU 1005 377 T Ready to Send BI Fig 5 3 Sending Orders to CAPS Patient List Screen 29 5 5 Calcium Phosphate Solubilty You can compare known calcium phosphate solubility curves against an open TPN order by clicking on the CaPO4 Curves link in the left navigation pane Fig 5 4 ha CAPS Central Admixture Pharmacy Services Inc Fig 5 4 Link to Calcium Phosphate Curves After clicking on the CaPO4 link a window will open that displays the current order s amino acid dextrose and lipid concentration in the graph title on the right The concentration of calcium and phosphate for the current order will be plotted on the graph as a red star Fig 5 5
20. eased to CAPS can be displayed by clicking on the Released to CAPS link on the navigation bar Both lists can be filtered by date range by entering the desired date range in the From and To fields and clicking the Search button A printable pdf of the report can be displayed and printed by clicking on the Print button 11 15 2011 28 11 21 2011 Ex Search Print Close Order Number Product ProductCode NDC Status Date PIP TAZO 4 5GM BATCH SYR Released To CAPS 11 21 2011 10 40 n VANCOMYCIN 1GM BATCH SYR 20 mL 25 8 Released To CAPS 11 21 2011 10 40 HIGH K Induction CARDIO 830 mL 1 8 Released To CAPS 11 21 2011 10 40 PIP TAZO 3 375 GM BATCH SYR 225 Released CAPS 11 21 2011 10 40 Figure 8 6 Drug Delivery Order History 38 9 Maintenance Help Users Physicians and Patient Areas can added removed or inactivated from the Administrative Options menu in the lower left hand portion of the Navigation pane Figure 9 1 See section 1 3 for more information on adding and editing User Profiles Figure 9 1 A training manual online help and training videos Figure 9 2 can be accessed from the Help and Training link in the lower left of the Navigation pane La CAPS Central Admixture Pharmacy Services CAPS Link Online Help Training The links below will allow you to view an online help file or download it to your computer There are also several vide
21. ed by another Clinician user pue c MM Patient Name DOE JOHN Sex M Age 21 DOB 08 18 1330 mE Category Adult 15 65 Area ICU NORTH Room Bed RULE Weight 70 Kg Height 0 cm MRN ave L Template ADULT TPN BY SALT Order 1005 355 Status Discontinue Order Info Close Order 2000 mL E Order O verfill 50 mL Duration 24 Hours Num Units Flow Rate 8333 ml hr Q r Rx Number 200 x Number 200 1 Entered By Route of Administration Central Clinical User _ Peripheral 09 01 2011 9 32 Not Specified Validated By Prescribed By SMITH v Ingredients e Select Item Quantity Per Administration Instructions AMINO ACID 1000 5 Ord LI M jan Delete Fig 1 6 Order Entry Screen Clinician User 1 4 8 Editing an Existing User Profile and Resetting Passwords Click on the User Management link to display the list of users To edit an existing profile click on checkbox to the left of the user s name and then click the Edit User button at the top of the screen After the User Maintenance window opens make your changes and click the Save button when finished You can reset a password by clicking on the Reset PW button This will reset the password which will be displayed in the password field The user can then login using this newly generated password After the user logs in the application will prompt them to change th
22. eir password Passwords must be between 6 and 10 characters in length must contain at least one upper and lower case alpha character and one numeric character 1 4 4 Inactivating Reactivating a User Profile and setting an Expiration Date It is important to inactivate any users that no longer need access to the CAPSLink system To inactivate a user click on the icon to the left of the users name 8 After the User Maintenance window opens uncheck the box next to Active then click on the Save button To reactivate a user account you will first need to search for inactive accounts by clicking on the Inactive radio button at the top of the User Profile list Click Search Click on the checkbox to the left of the user s name and click the Edit User button the top of the screen After the User Maintenance window opens check the box next to Active then click on the Save button An optional expiration date can be set for a user profile by entering a date in the expiration date field The user profile will be automatically inactivated after this date You can also re activate this user at a later time and set a new expiration date 1 4 5 Changing a Password A user can change his her password by clicking on the Change Password link in the Administrative Options section of the navigation bar on the left hand side of the main screen The user will be prompted to enter their current password and their new password Figure 1 7 Pas
23. hat you will be sending a new order Ready to Send m Order has been validated and is ready to send to the CAPS pharmacy for compounding 5 3 Order Processing While entering and editing orders there are several buttons available on the right hand side of the Order maintenance screen that allow you to process an order Lave The Save button allows you to save an order in its current state A saved order can be accessed later for editing by clicking the Unlock button or can be validated and sent to CAPS see sections below 27 Validate After completing an order click the Validate button to validate an order CAPSLink will screen the order for proper dosing allergies incompatibilities etc and display appropriate warnings to the user A user with appropriate privileges can override these warnings by checking the checkbox next to each warning and entering a username and password at the bottom of the validation screen and clicking the OK button figure 5 2 To cancel validation click the Cancel button After validation is complete you can send the order to CAPS by clicking the Send to CAPS button from within the order or you can send it to CAPS from the TPN Management screen see section 5 4 View Validation errors x Review and place a check mark on all errors to override Then Enter your password to validate the order Override Level Description Warning This order s 4 ratio 45 exceeds t
24. he recommended Warning level Override User ID ia Password Print i Fig 5 2 Send to CAPS After validating an order it will be available for sending to CAPS Click this button to make the order available for import by your CAPS pharmacy Alternatively you can send a group of orders to CAPS from the TPN Management screen see section 5 4 Edit After opening an order you can click on the Edit button to create a new order containing all the same information as the previous order If the previous order was active it will be automatically discontinued Close To close an order and discard all changes click the Close button Unlock After an order has been saved all editable fields will become locked and the Unlock button will be enabled To unlock the fields and make them editable click the Unlock button Note An order is saved after clicking the Save button or after the following operations are performed printing a sample label running the Order Summary report viewing Calcium Phosphate Curves 28 or viewing the Order Profile The order must be unlocked in order to make any changes to the existing order Refill An order from the previous day can be be repeated by clicking the Refill button This creates a copy of the order and brings the user directly to the order validation window Discontinue To discontinue an order click the Discontinu
25. ill appear in red text in the rate field see Figure 4 7 This cyclic rate schedule will automatically print on the TPN label To clear the cyclic rate click the Clear Cyclic button Order Info Order Volume 2000 mb Ed Order 5o mL p Order Duration 12 Hours Uu Flow Rate CYCLIC Clear Cyclic Rx Number m Figure 4 7 Cyclic Rate Indicator Note The only cyclic schedule that CAPSLink can automatically calculate is the one hour taper up and down at half the maintenance rate Any other rate schedules must be calculated manually and then the rate schedule must be entered into the Administration Instructions field in order for the cyclic instructions to appear on the label 4 1 5 Route of Administration You can specify a peripheral or central route of administration by clicking on the appropriate radio button If the Peripheral or Not Specified route is selected then CAPSLink will display a warning on validation if the osmolarity of the final solution is above the osmolarity threshold Contact your CAPS pharmacy if you need to establish or change an osmolarity threshold setting 4 1 6 Select Physician You can select a physician from the Prescribed By dropdown If you need to add a physician to the list click the Y button next to the Prescribed By dropdown 4 1 7 Entering Electrolytes by lon If your template is set up to order electrolytes by ion the fields for entering the amount fo
26. it save approve an order Approve Warning allows user to override a Warning level message on validation Critical allows a user to override a Critical level message on validation system Reports Reports are viewable Admin Ability to create edit user profiles read write access to Prescriber and Area Maintenance Drug Delivery Access to the Drug Delivery Anticipatory Compounded Products module TT Figure 1 5 User Maintenance Window 1 4 2 User Titles 1 4 2 1 Technician By default a Technician user can create patient profiles and TPN orders but cannot validate approve an order 1 4 2 2 Pharmacist By default a Pharmacist user can create patient profiles and TPN orders and can validate approve TPN orders 1 4 2 3 DOP This user has the same user privileges as a Pharmacist but can also create edit user profiles 1 4 2 4 Clinician The Clinician user is able to enter and save orders Clinician users can also open other Clinician generated orders and make changes The status of an order initiated by a Clinician user is With Clinician When the Clinician user is ready to make the order available to a Pharmacist for review and validation they must click the Send to Pharmacy button in the Order Maintenance screen see Fig 1 6 Once this is done the order can only be accessed and validated by a Pharmacist or DOP user Clinician users can edit orders that were previously creat
27. ive DOP user can toggle the following fields to be either required or optional e Patient Account Number Medical Record Number DOB and Patient Weight Patient Profile e Hosptial Rx Number Order Entry To change the setting click on the Required Fields link in the left hand navigation pane When the Required fields window opens you can expand the list by clicking the arrow to the left of the area folder You can enable disable the required status by clicking on the Enable Disable button next to each field description When you are finished making your changes click on the Save button 14 Window Caps System Required Ren ees Availabl scel Required Fields Figure 3 5 Setting Required Fields 3 2 View Edit an Existing Patient Profile If the patient is not currently displayed in the TPN management window click on the All Active Patients link in the upper portion of the screen see figure 3 5 Patient Name Area Room j Order Status wj DOE JOHN ICU NORTH 70 1005 355 T With Clinician EJ 5 DE 10 N CU N 0 iT x lt i B D Clic i IL 5 35 Needs Validation dej PATIENT TEST ICU NORTH 5 98798778 70 1005 353 Needs Validation IE es E Figure 3 5 Active Patients Link When the Patient List displays double click anywhere on the corresponding line When the Select View dialog opens click Patient View After making changes to the profi
28. le click the Save Changes button or click the Save New button if you want to save the changes and create a new order for the patient At the bottom of the Patient Profile window is a list of the patient s orders Figure 3 6 You may click on the Rx number to open the Order window Once the order is open you can click the Edit button to create a copy of the order and make any necessary changes needed for the current day s order 15 Cimetidine Ry Number Date 1005 275 1005 275 Needs Validation 08 03 2011 20 00 00 1005 294 1005 295 Yesterdays Order 08 11 2011 20 00 00 Figure 3 6 Patient Order list 3 3 Inactivating a Patient Profile After a patient is discharged or no longer receiving TPN you may want to inactivate their profile so that they no longer come up on the Active Patient List To inactivate a patient open the patient profile window and uncheck the Active checkbox Figure 3 7 Figure 3 7 Active Patient Setting 16 3 4 Retrieving an Inactive Patient You can retrieve an inactive patient account by clicking on the All Inactive Patients link at the top of the patient list see figure 3 8 Once you have retrieved the list of inactive patients you can open the patient profile by double clicking anywhere on the patient record Once opened you can reactivate the account by clicking the Active checkbox and saving you
29. n Product Product Volume Status Date Code NDC magnesium sulfate 69 100 ml 66647 6149 11 Released To CAPS 03 06 2011 13 41 oxytocin 10 units 1000 ml 050 66647 6129 58 1000mL Released To H 09 06 2011 13 41 Total Number Units 25 Figure 8 3 Verify Drug Delivery Order Window Click the Accept button to verify the order and send it to your CAPS pharmacy Click on the Cancel button to cancel the order Once the order has been successfully placed an order confirmation number will display Figure 8 4 37 Figure 8 4 Drug Delivery Order Confirmation After clicking the OK button a sample packing list will display You may print a copy of this packing list for your records by clicking on the the Print button 8 3 Drug Delivery Order Management The number of cases that have been previously ordered during the day is listed in the Ordered Today column on the main Drug Delivery Order screen Figure 8 5 This allows the user to determine what quantities have already been requested by CAPS to avoid duplicating orders oid magnesium sulfate 6 100 05 6647 149 1 ik x d TEDES i reb Figure 8 5 Units Ordered Today 8 3 1 Order History You may view a history of Drug Delivery Orders by clicking on the History link in the Order Management section of the main navigation bar Figure 8 6 A list of all orders that have been rel
30. o modules demonstrating the CAPS Link Internet order entry system If you have any questions please contact your local CAPS Pharmacy and we can answer any questions Online Help Download Training Manual Release Notes Training Videos l Getting Started lI Order Processi l Order Analysis Figure 9 2 39 10 Appendix Order Sheets The following pages contain Flow Sheets that serve as a quick easy to follow reference for various types of order processing These sheets can be copied and placed next to a computer workstation for quick reference 40 10 1 Flow Sheet Refilling an Order From the Patient List Click on the Order Open Prescription View Patient Name Area Room Acct H Wt KG Bag PG Order Status e JANE ICU SOUTH 70 1005 69 T Releasedto CAPS E DOE JOHN Iw 75 1005 67 T Released to CAPS ES Verify Order contents LO 07x OR Review Validation Messages Review Validation Messages Enter User ID and Password Enter User ID and Password Order Filled thank you send to CAPS Orders can be sent to CAPS from the order window or the main CAPS Link window Order Filled thank you 41 10 2 Flow Sheet Modifying an Order From the Patient List Click on the Order Open Prescription View Patient Name Area Room Acct H Wt KG Bag PG Order Status ET DOE JANE ICU SOUTH 70 1005 69 T Released to CAPS x DOE JOHN FW 75
31. r changes Refresh Send To Caps _ Patient Name Area Room Acct tt wt KG Bag PG Order Status jo DOE JOHN ICU NORTH With Clinician ES ET D CI i i Needs Validation E 5 PATIENT TEST ICU NORTH 5 ouble ck 1005 353 T Needs Validation ES Figure 3 8 Inactive Patient Link 17 4 New Orders Module Function Overview Creating a New Order Printing a Sample Label Processing a New Order Canceling and Discontinuing an Order 4 1 Creating a New Order In the Navigation sidebar on the left side of the main screen click on the New Prescription link Select a patient name using the patient name dropdown and select a template from the Template Name dropdown figure 4 1 If the patient name is not found cancel this window click on the New Patient link on the left side of the main window enter a new patient and then create the order Note New templates can only be added by contacting your local CAPS Pharmacy Weight fall Kg Height 0 cm Template Mame Unvalidated ADULT TPM ION ADULT TPN Er SALT Figure 4 1 Starting a New Prescription 18 Figure 4 2 Order Entry Screen 4 1 1 Header Field At the top of the main order window below the template name there is an editable Header field The text in this field will print at the top of the ingredient list on the product label figure 4 2
32. r each ion will appear on the screen in the Base Elements section Figure 4 8 Enter in the ordered amounts and specify the Per option by using the dropdown on the right Acetate and Chloride can be ordered by 96 or by milliequivalent amounts if your template is set for ordering by salts the Base Elements section will not be visible 21 Figure 4 8 Base Elements section 4 1 8 Entering Editing Deleting Ingredients To enter a quantity for an ingredient click in the quantity field and enter the appropriate number figure 4 9 You can navigate down the list of ingredients by pressing the tab key twice An ingredient can be deleted from the order by clicking on the checkbox to the left of the ingredient and clicking the Delete button to the right of the ingredient list Figure 4 9 Editing an Ingredient To edit an ingredient click the checkbox to the left of the ingredient and then click the Edit button to the right of the list of ingredients The Edit New Ingredient dialog will open Figure 4 10 Make the necessary changes and click the Save button After you have made your changes click the OK button to save You can cancel any changes by clicking the Cancel button 22 Figure 4 10 Edit Ingredient Dialog To add an ingredient click the New button at the right of the list of ingredients Select an ingredient in the Item dropdown and enter the appropriate Quantity UOM and Per option and click O
33. r link at the top of the screen The Main Navigation Bar contains links for managing Patients Prescriptions Reports and Administrative options When these links are clicked the corresponding window will open To return to the main screen click the window s close button or click the Patient List link at the top of the Navigation Bar EM 17 UU luser 1 3 m A 3 E Xs AN I A 1 iz d j x AS i a iz A S i1 S f LANLUE WEB E 4 m gt y ni 3 WE 9 M m y a E ku LH t i m iS TAN ROS x eing E de A De Ta 4 3 xi t ia bo N Central Admixture Pharmacy Services Inc Send To Caps TA Patient Name Area Room Acct it Order DOE JOHN ICU NORTH 1005 355 With Clinician DOE JOHN ICU NORTH 1005 352 T Needs Validation PATIENT TEST ICU NORTH 38738778 1005 353 T Needs Validation Order List Navigation Bar Figure 2 1 CAPSLink Main Screen 11 3 Patient Management Module Function Overview Creating a New Patient Profile View Edit and Existing Patient Profile Inactivating a Patient Profile Retrieving an Inactive Patient 3 1 Creating a New Patient Profile 3 1 1 Entering Patient Data In the Navigation sidebar on the left of the main screen click on the New Patient link to open a new patient profile window figure 3 1 Pat Acct 8890009
34. reen 7 5 1 Order Approval Report In the Other Reports section you will find the Order Approval Report This report contains a record of which user entered approved and released each order Fig 7 2 Samus Product Croup Yeotardays Ceder ADULT Discontinued TPM ADULT Test Customer B312010 Orders Entered Between 03 24 10 and DB 24 10 Patient DOE PATIENT NEG PATIENT Fig 7 2 Windows Mr 11256 User Validas 08 24 10 12 00 Uer 2 Validatic 0824710 12 00 1329 zTestPhamae OR2410 13 20 zTect Pharmacy 08 2410 1326 STen Pharmac 13 31 Test Pharmac 082410 13 31 zTeci Pharmac OR 240 13 32 zTect Pharmac 0824 10 13 34 STen Phan 24710 13 35 2Teat Pharmac 082410 13 37 zTeci Pharmac ON 24 00 13 38 zTect Pharmac OR24710 12 28 zTect Pharmacy Of 24 10 13 40 Order Approval Report 35 8 Drug Delivery The Drug Delivery module allows you to order anticipatory compounded products from your CAPS pharmacy via the Internet The items that you are able to order via CAPSLink will be determined by your CAPS Pharmacy Module Function Overview Accessing the Drug Delivery Module Placing a Drug Delivery Order Drug Delivery Order Management 8 1 Accessing the Drug Delivery Module You can access the Drug Delivery module either by clicking on the Drug Delivery option when first logging into CAPSLink or by clicking on the Switch to Drug Delivery Link
35. s your order Refresh Send To Caps Ld Patient Name Area Room Acct Wt KG Bag PG Order Status BROWN KELLY M BACK YARD 102 12345 54 43 1005 73 Ready to Send a Released to CAPS DOE JANE ICU SOUTH 70 1005 69 4 J a DIT 3 T T DOE JOHN 3w 75 1005 67 T Released to CAPS ini T Ready to Send iz PATIENT NEO 1005 70 J Figure 4 15 Weight Based Order in Patient View 25 5 Managing Orders Module Function Overview Opening an order from the Patient List Screen Home screen Order Status Saving Validating and Sending Orders to CAPS Creating New Order from Existing Orders and Refilling Orders Discontinuing Orders L4 CAPS Central Admixture Pharmacy Services Inc Refresh Send To Caps Patient Name Area Room Acct Wt KG Bag PG Order Status EN DOE JANE PACU 98878787 75 1005 375 T Released to CAPS ES Li DOE JOHN ICU NORTH 70 1005 374 1 Ready to Send E S PATIENT SAMPI PACU 1005 376 T Ready to Send E Figure 5 1 Patient List Current Orders view 5 1 The Patient List A list of current orders is displayed in the Patient List Home screen when you first log into CAPSLink Figure 5 1 You may filter this list by clicking on the appropriate link at the top of the page For example to list only yesterday s orders click on the Yesterdays Orders link at the top of the page You may also display list of All Active Patients
36. swords must be between 6 and 10 characters in length must contain at least one upper and lower case alpha character and one numeric character Please Fill the fields below MERTENS a a tron ee er Cancel Current Password citar eai Hew Password Verify New Password Figure 1 7 Change Password Dialog 1 4 6 Password Expiration User passwords will expire after a 90 day period When a user s password is within 14 days of expiring CAPLink will warn the user at login and give them the opportunity to change their password If the user decides not to change their password the login prompt will count down the days until the password expires If a user attempts to login after the password has expired the user will be required to change their password to gain access to the system 10 2 Navigation Module Function Overview Navigating the Main screen of CAPSLink Filtering the Order List 2 1 Navigating the Main Screen When you first log into CAPSLink the main screen of the application is displayed Figure 2 1 By default the main screen will display a list of patients with current orders This list can be filtered based on order status by clicking the Order Filters at the top of the screen For example to filter the list for orders with a status of Ready to Send click the Ready to Send link You can also retrieve a list of all active or inactive patient profiles by clicking on the appropriate filte
37. the Navigation Bar on the left hand side of the CAPSLink main screen 7 1 Released to CAPS Displays a list of orders that have been released to CAPS The date range defaults to the current day but can be changed by entering a new date range and clicking the Search button Click the Print button to display a preview of the report in a printable format 7 2 Min Max Levels Displays a list of Minimum and Maximum dose settings for all CAPSLink ingredients When an order is validated a warning message will display if an ingredient amount is above or below these settings 7 3 Active Orders Displays a list of active orders 7 4 Active Patients Displays a list of active patients 34 7 5 Other Reports Clicking the Other Reports link displays a window that allows you to select from several reports that can be filtered by date range Figure 7 1 Select the desired report in the report dropdown on the left edit the date range if necessary and click the Search button to display the report Click the Print button to display the report in a printable pdf format Active Ax Order Approval Report Order Caloric Report Order Error Overrides Release to CAPS Report Release to CAPS By Area Release to CAPS By PG Release to CAPS By Queued Dt Release to CAPS Patient PG BreakDown Release to CAPS PG BreakDown 09 06 2011 s m ear UU nnt O a K T 1 Figure 7 1 Other Reports Sc
38. uivalent will be calculated and entered into the corresponding field Similarly if a height is entered in the cm or ft in fields the equivalent height in cm or ft in will be calculated and entered into the corresponding field 3 1 2 Assigning Allergies To enter an allergy click on the o icon next to the allergy field and select from the predefined list of allergies figure 3 4 Click the OK button and the selected drug or drug categories will be assigned to the allergy field To remove an allergy click on the icon 2 to the left of the drug or drug category in the allergy field 13 Select Allergy Reductase Inhibitors t BHT 3 Receptor Antagonists Abacavir Inhibitors Acetaminophen Acyclovir and Related Human Allergy History Kriown Ld L L L Lj LJ LJ LJ L Alergy History Refused by Patient Figure 3 4 Allergy List If a patient has a history of latex sensitivity place a check in the Latex Sensitive checkbox On validation a critical warning will appear reminding the user that the patient is latex sensitive 3 1 3 Saving Changes After you have completed your entries click the Save Changes button If you plan to create an order for this patient immediately after saving your changes click the Save New Order button 3 1 4 Setting Required Fields The Last Name First Name and Age Category are hard coded as required fields However a Administrat

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