CAM Orders

Question 1

What does CAM stand for?

Answer 1

Clinic Administered Medications

Question 2

If a patient brings in a medication, how do you document it?

Answer 2

When you order the medication, click patient supplied and self administer check box

Question 3

If you work in a department with a pyxis which order should you select and why?

Answer 3

If you work in a department where medications are stored in a pyxis, you should select orders with the bed icon. These medications are checked by pharmacists at the hospital and will function more like
inpatient (bed) orders. Once ordered, the administration steps are the same.

Question 4

Cam order:Whay should you put as frequency

Answer 4

Once so it is administered today. If it is not documented on the encounter cannot close

Question 5

What would happen if we do not click self-administered for a med a patient brings in?

Answer 5

Patient will get charged a administration fee

Question 6

Qualifications of medications that patient is bringing from home to be able to administer on site?

Answer 6

• Optimal would be that the medication was sent directly to the clinic for administration
• Medication must be unopened.
• Prescription must be presented with name, medication, dose, route, and instructions.

Question 7

Where will the CAM order go when you sign it?

Answer 7

Assess and plan under med rec

Question 8

Where would you document that the CAM was given?

Answer 8

More tab-MAR

Question 9

Explain MAR notes

Answer 9

It will be shown in MAR, but the notes will not stick and cross encounters

Question 10

What is show all actions in MAR?

Answer 10

will show administration documentation that was completed and is not otherwise shown by default.

Question 11

What is select medication in MAR?

Answer 11

will allow you to document administration of multiple medications at once.

Question 12

How can you see more details about medications in the MAR?

Answer 12

Click the empty space for that medication in the mar or on the top right click show all details

Question 13

What should you do before administering meds?

Answer 13

Review patients allergies
Perform Med Reconciliation
Rights of medication:
Right patient – always use two patient identifiers. State first and spell last name, date of birth. Compare to the electronic medical record.
Right drug – compare to what is on the MAR
Right dose – compare to what is on the MAR
Right date/time
Right documentation
Complete documentation in timely manner

Question 14

What is included in the administration of medication?

Answer 14

Action ( given/held/refused etc)
Date and time: Make sure this is accurate
Comment
Route
Site (injections)
Dose
NDC
Lot Number
Expiration
Billing Provider

Question 15

The route option for med administration is greyed out, what would you need to do if you need to change the route of administering meds?

Answer 15

If the route is different than what is listed, you would need to cancel the current order and place a new medication order with the correct route.

Question 16

What to put in for NDC for patient meds that were brought in?

Answer 16

Patient meds we need to put in the NDC written in the med in the comment section, clinic meds should be on formulary and we would look up the NDC in the med admin page

Question 17

What is the billing rule called “Incident to” mean?

Answer 17

applies to all government payers (Medicare/Medicaid). The billing provider must be present in the clinic/building. If Dr. Docson ordered a monthly injection but when the patient returns in 30 days Dr. Docson is out of
the office, he cannot be listed as the billing provider. This is when the billing provider would need to be changed to another supervising physician. Check with your site leadership for specific details.

Question 18

Why is it important to have a billing provider for patients that bring in their medications?

Answer 18

for patient supplied medications it is important to be sure that this is checked. If not, the patient will be billed for the medication when we save our documentation.

Question 19

If a medication is given in the office on repeat after a certain amount of days (persistent medication), how do you document this

Answer 19

This is similar to a standing lab order

Question 20

How many days do you have before and after the date of administration for a persisten medication?

Answer 20

five-day window before and after to be administered

Question 21

What is the one exception for persistent medications that can be administered at different timings?

Answer 21

hormonal medications.
Hormonal medications have specific rules per drug.

Question 22

What needs to happen if you need to administer the persistent medication more than 5 days before or after the scheduled due date?

Answer 22

you must get a verbal order from the provider to administer it. This conversation must be documented in a progress note, using the SmartPhrase .vomed.

Question 23

What happens if you do not administer a one time medication?

Answer 23

Provider will not be able to sign the one time visit

Question 24

How can you double check that a one time or persistent medication was administered?

Answer 24

Assess & Plan tab. Notice that the CAMs on med management list are greyed out and listed as completed.

Question 25

What charges file automatically?

Answer 25

POCT, Administering meds, Vaccines

Question 26

Where do you go to, to add charge capture?

Answer 26

Wrap-up activity

Question 27

Where do charges go?

Answer 27

Billing team. Charges can be edited until encounter is signed and closed

Question 28

What icon should be selected for medications to be administered in the clinic during an office visit?

Answer 28

If you work in a clinic where medications are stored in a locked cabinet, select meds with the syringe icon. In clinics where medications are stored in a Pyxis machine, select meds with the bed icon.