Hospira MedNet 4.1 Training Manual
Hospira MedNet 4.1 Training Manual
Hospira MedNet 4.1 Training Manual
These training materials are provided for the convenience of the customer to familiarize users
with the use and functionality of the Hospira MedNet Software Suite. Prior to use, each user
should fully read and understand the Hospira MedNet User Guides and Infuser System
Operating Manuals and other documentation provided with the Hospira MedNet Software
Suite. The health information contained herein is provided for informational purposes only
and is not intended to replace a discussion with a healthcare provider. All decisions
regarding patient care must be made with a healthcare provider and consider the unique
characteristics of each patient.
Glossary ........................................................................................................................138
ii
Intended audience
Hospital personnel who will use the HMSS product must receive training. The
training that each individual requires will vary according to specific job responsibilities
and level of involvement with the HMSS.
The training may follow several paths, each tailored to a specific audience. The
curriculum areas and audiences are a suggestion; the training path assigned by each
institution may vary. Due to the multidisciplinary involvement of HMSS users, certain
training areas pertain to multiple audiences.
Training area
General content
Primary audience
Module 1.
Overview
Library statuses
Infuser transfer statuses
Module 2.
IT
Implementation
Module 3.
Infuser
Maintenance and
Management
Module 4.
Library Transfers
Module 5.
Reporting
Separate training*
Hospira MedNet Drug Library creation
RxRules Software Using RxRules Software
Infuser-specific configurations
iii
IT Team (Required)
Drug Library Transfer Team
(optional)
The terms Hospira MedNet Software, HMSS and the Software are used
interchangeably throughout this Training Guide.
Illustrations and screen representations are for illustrative purposes only and
may vary from the actual software.
Technical assistance
The Hospira Technical Support Operations Center (or TSO) is always available for
questions about the system. The phone number for this resource is 1-800-241-4002.
iv
The Hospira MedNet Software Suite (HMSS) is a networked medication safety and
infuser management tool for use with compatible Hospira IV infusers. The HMSS
provides trained hospital professionals with the ability to define recommended drug
dosing parameters, send and receive information between the server and infusion
pumps, and to collect data and generate reports pertaining to IV infusions.
Upon completion of this section, users will be able to:
Drug
Library:
Collection of
medication
entries and
infuser
settings that,
when used
with
compatible
infusers, may
reduce the
frequency of
human error
by restricting
the ways in
which
medications
can be
administered.
Event:
Any
occurrence
on an infuser
deemed
worthy of
reporting.
Alarm:
Serious event
at the infuser;
remains
active until
someone
responds to
the alarm at
the infuser;
e.g., an
occlusion in
the IV line.
Compatible Hospira infusers, which may include Symbiq, Plum A+, and/or
LifeCare PCA devices
* Some clients may have multiple servers, this architecture is custom and will be
designed with detailed planning with the clients IT department.
10
Once the HMSS is installed, an initial Drug Library is transferred to the infusers. The
Drug Library will be updated at periodic intervals, typically once per quarter.
Situation: A nurse on the Clinical Team requires a new clinical care area (CCA)
profile be added to the Library.
Figure 1-1.3 Tasks and teams involved in performing a Drug Library update.
Step 1: The nurse issues a request to the Library Creation Team.
Step 2: A pharmacist on the Drug Library Creation Team makes the desired
changes to the Drug Library using the RxRules Software.
Step 3: The Clinical Team verifies and approves the revision.
Step 4: The pharmacist finalizes the Drug Library via the RxRules Software.
Step 5: The Device Tracking and Maintenance Team may need to gather the
infusers, depending on what type of network the system is using.
Step 6: The Drug Library Transfer Team pushes the new Drug Library from the
server to the hospitals infusers.
Step 7: Clinical personnel accept the new Drug Library on the infuser at the
patients bedside or other designated work space.
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Clinical
care area
(CCA):
A patient
group in
which the
infusion
therapy
parameters
are the
same. A
CCA may
be a
physical
nursing unit
or may
encompass
a patient
population
or a clinical
use. (e.g.,
ICU,
Med/Surg,
Orthopedics)
Step 8: The Data Gathering and Reporting Team generates and analyzes usage
reports, which reflect the new CCA settings.
The workflow scenario in figure 1-1.3 shows the multidisciplinary approach needed
for the Hospira MedNet system to function optimally. The Drug Library process is
shown because it involves members of each of the teams who work with the system.
If all team members are aware of their responsibilities and know how to complete
their tasks, the process will work efficiently.
The following teams are recommendations only. Teams may vary depending upon the needs
of your institution.
IT Team
Administering HMSS System
Maintaining network, infuser, and software*
Assisting with Drug Library transfers, infuser
replacement and return process, ongoing
HMSS user training/education/support*
Acquiring technical support as needed*
X X X
X X
X X
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Central supply
manager
Materials manager
Purchasing agent
Medication safety
officer
Risk manager
Biomedical
technician
Nursing educator
Nurse
Physician
Suggested teams
Roles and responsibilities*
Pharmacist
IT professional
Team members
Central supply
manager
Materials manager
Purchasing agent
Medication safety
officer
Risk manager
Biomedical
technician
Nursing educator
Nurse
Physician
Pharmacist
Suggested teams
Roles and responsibilities*
IT professional
Team members
X X
X X
Clinical Team
Advising on Drug Library definitions and builds
Creating and disseminating reports*
13
X X
Getting started
Before you can start using HMSS, the System Administrator must set up your User
Account and provide you with a User Name and Password.
(The Hospira Service Representative will provide the System Administrator with full
access privileges at the time of installation.)
Note: The User Name serves as your login ID. It contains a minimum of 8
alphanumeric characters, with no spaces. The User Password is case sensitive.
2. At the Login page, enter your Hospira MedNet Username and Password.
3. Click Submit.
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The System Administrator assigns each user with privileges to access the various
areas of the system. Depending on a users team and responsibilities, certain areas
may not be available.
Tip
Click the User Account tab to see your account details, including your assigned
privileges. You may change your password in the User Account area; however, only
the System Administrator can modify your privileges.
Once you have finished using the application, click Logout at the top right-hand
corner of your screen.
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Self-assessment
Select the best answer to each question.
1. Once the HMSS is installed, where does the Hospira MedNet RxRules Software
application reside?
a) On the Internet
b) On a pharmacists computer
c) On the Hospira MedNet Server
2. Which team would most likely be responsible for approving and finalizing a new
Drug Library?
a) Clinical Team
b) Data Gathering and Reporting Team
c) Library Creation Team
d) Library Transfer Team
3. Which team would define infuser maintenance policies and procedures?
a) Clinical Team
b) Device Tracking and Maintenance Team
c) IT Team
d) Procurement and Supply Team
4. Who is responsible for setting up User Accounts for each member of the different
teams?
a) Hospira Service Representative
b) Pharmacy Director
c) System Administrator
d) Team Leader
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System Configuration
Database Administration
17
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The IT Team is responsible for maintaining system records for the Hospira MedNet
Software Suite (HMSS), configuring selected system parameters, troubleshooting
problems and, if needed, working with a Hospira Service Representative to isolate
problems. Members of the IT Team must be familiar with the hardware and software
requirements for the Hospira MedNet Server and RxRules client applications.
Upon completion of this section, the user will be able to:
Key information
Hospira recommends that you maintain an up-to-date record of your system
configuration details in one place. This information should be readily available, as it
may be needed for troubleshooting by either your own IT Department or a Hospira
Service Representative.
1-800-241-4002 Option 4
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Server overview
Hospira strongly recommends that you do not change the machine name for your
server. In the event of a machine name change, a reinstallation of the Hospira
MedNet Software Suite will be required. Please contact Hospira for assistance.
The following table is provided for your convenience to track settings.
Server information
Machine name
Backup frequency
SSL
Logging level
(Default INFO)
Login timeout
period
(Default 30 min.)
Notes
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Large server
Number of
infusers
Up to 99
100 to 1000
Processor
Memory
4 GB RAM
4 GB RAM
Power supply
Single
Redundant
Independent
disks for fault
tolerance
None
Redundant array
Hard disk
drives
73 GB hard drive
Network
adapter
Keyboard,
mouse, and
monitor
Dedicated or KVM
Dedicated or KVM
CD ROM drive
Backup
capability
Internal or External
Internal or External
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Your institution?
Software
Format
Operating
system and
related
updates*
CD-ROM
Windows updates
SQL Server*
CD-ROM
Antivirus/
security*
Download
CD-ROM
Report server
and viewing*
CD-ROM
Hospira
MedNet
Software Suite
(HMSS)
CD-ROM
JBoss 3.2.8.SP1
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Software
40 GB hard drive
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Software record
Record your institutions software installation and configuration details for future
reference.
Software information
Software
Version
Service
pack
Configured
by
Operating
system
SQL Server
Antivirus/
security
Crystal
Reports
HMSS server
RxRules
client
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Date
Notes
VPN access
Remote access to the server via a Virtual Private Network (VPN) connection can
help Hospira diagnose technical issues and streamline software updates.
Hospira recommends granting VPN access for use during calls to Hospira Technical
Support Operations.
Tip: Record your institutions details in the VPN Information table for future
reference.
VPN information
Connection
type
Software
Login details
Name:
Password:
Password
policy
Notes
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Tip: Record your institutions passwords in the Password Record table for
future reference.
Password record
Software
User name
Password
Administrator
SA
mednet_admin
Crystal Reports
Administrator
Administrator
Password policies
Your organization may have a policy for regular SQL System Administrator (SA)
password changes. This may include having these passwords remain constant
across all SQL servers, or changing the password on a regular basis. Comply with
your organizations requirements for passwords, but also inform Hospira of any
planned changes. Your system will cease to function normally if the change is not
made correctly.
Record your policy for SA passwords and SQL SA password changes.
SA Password policy
Hospira will update all reference documentation and, if needed, provide assistance in
the change process.
Note:
The Crystal Reports Server relies on the SA account to run its services. Any
change to the SA password will also have to be made in Crystal Reports. If these
changes are not made at the same time as a SQL SA password change, or if they
are performed incorrectly, the HMSS will cease to function properly.
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3. Click Logins.
4. Right-click SA and choose Properties.
5. Type new password in the password field.
6. Click OK and close the Enterprise Manager.
The new password will be applied the next time you log in.
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28
29
6. In the Change Password dialog box, enter the Old and New passwords,
Confirm the new password, and click OK to return.
To return to the Home Page, click OK on the Preferences page.
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Figure 2-1.1 All report users cannot see Full Access reports, but all users can see
Limited Access reports.
The needs and policies of each institution will dictate which reports are placed in the
Limited Access area and which are placed in the Full Access area. Reports of a
sensitive nature, such as those containing patient information, may be placed in a
Full Access subfolder to prevent unauthorized usersthose without the Full Access
privilegefrom viewing the associated reports.
Placing a report in the Full Access folder does not make the report accessible to all
users.
Access will be restricted to only those users with the Full Access privilege. In
other words, Limited Access users cannot view the Full Access subset of
reports.
Placing a report in the Limited Access folder does not restrict user access to the
report.
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SSL settings
The HMSS can use the Secure Sockets Layer (SSL) protocol to encrypt
communications between the server and infusers. SSL can be enabled during
configuration of the server and infusers for use with the HMSS. If the server is set
for SSL the infusers must also be set to SSL for proper communication.
It may be helpful to temporarily disable SSL encryption for troubleshooting purposes.
Note
If you disable SSL during troubleshooting, make sure to re-enable it once
you have finished. Please call Hospira TSO at 1-800-241-4002 option 4 for
assistance.
Transmission
SSL settings
SSL state
From
To
Attribute
Disabled
Enabled
Infusers
Server
AllowNonSecureTransmissionFromCEPlum
True
False
BPOC
handheld
devices, PDAs
(if applicable)
Server
AllowNonSecureTransmissionFromPDA
True
False
Server
Infusers SecureTransmissionToCEPlum
False
True
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Note:
Do not change any other settings in the JMX console. Changing settings other than
those described above can cause the server software to function improperly.
Diagnostic logging
The HMSS is built on the JBoss open source Java EE-based application server.
JBoss allows diagnostic logs to be generated for debugging software issues.
The JBoss log configuration sets a threshold level that determines which log
messages will be added to the log file. Each log message is assigned a priority level.
Log messages with priority levels above the specified threshold are simply
discarded. The default logging threshold is INFO.
Tip: Record your institutions settings in the JBoss Logging Priorities table for
future reference.
Information logged
Your
setting?
DEBUG
INFO
WARN
ERROR
FATAL
33
(default)
Note
The DEBUG logging level should only be used as a temporary measure
for troubleshooting purposes. The DEBUG logging level significantly
reduces system performance and is not recommended for normal
operation.
The logging threshold is stored on the log configuration file called log4j.xml stored in
the JBoss folder.
It may be helpful to adjust the logging threshold for troubleshooting purposes. This is
achieved by editing the log4j.xml file.
To change the logging configuration:
1. Log out and close the HMSS.
2. Backup the following file:
C:\Hospira\Hospira-MedNet\jboss-3.2.8.SP1\server\hmssv4\conf\log4j.xml
<priority value="INFO"/>
Change the INFO string in both locations to the desired logging level.
<!-| For more configuration information and examples see the Jakarta Log4j
| website: http://jakarta.apache.org/log4j
-->
<log4j:configuration xmlns:log4j="http://jakarta.apache.org/log4j/"
debug="false">
<!-- A time/date based rolling appender for MMUApplication.log-->
<appender name="MMU_APPLICATION_FILE"
class="org.jboss.logging.appender.RollingFileAppender">
<errorHandler class="org.jboss.logging.util.OnlyOnceErrorHandler"/>
<param name="File"
value="${jboss.server.home.dir}/log/MMUApplication.log"/>
<param name="Append" value="true"/>
<param name="Threshold" value="INFO"/>
<param name="MaxFileSize" value="10MB"/>
<param name="MaxBackupIndex" value="2"/>
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35
Timeout period
The HMSS automatically logs users out of the system after a period of inactivity. The
default timeout period is 30 minutes of inactivity.
The timeout period can be modified. The recommended setting for the auto logout
function is between 5 and 60 minutes. Do not set the period to less than 5 minutes.
Changing the timeout period:
1. Log out and close the HMSS.
2. Backup and then open the following file with Windows Notepad:
C:\Hospira\Hospira-MedNet\jboss-3.2.8.SP1\server\
hmssv4\deploy\jbossweb-tomcat50.sar\conf\web.xml
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Self-assessment
Select the best answer to each question.
1. Which statement is FALSE?
a) Full Access reports are not accessible to all users.
b) If the SA password is changed for the SQL Server, it must also be
changed for Crystal Reports.
c) The Hospira MedNet and RxRules software applications are typically
installed on the same PC client.
d) The large server configuration of the HMSS supports up to 1000 infusers.
2. What is the default JBoss diagnostic logging level for the HMSS?
a) DEBUG
b) INFO
c) WARN
d) ERROR
e) FATAL
3. What is the default timeout period for the inactive users on the HMSS?
a) 5 minutes
b) 10 minutes
c) 15 minutes
d) 30 minutes
e) 60 minutes
4. Which file must be edited to change the JBoss logging level?
a) log4j.xml
b) MMUApplication.log
c) Web.xml
d) All of the above
Answers: 1. c); 2. b); 3. d); 4. a)
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38
The System Administrator has the authority to manage user accounts and to assign access
privileges for the Hospira MedNet and RxRules Software (see figure 2-2.1). An IT
professional performs System Administrator tasks. In some instances, a delegate from the
Pharmacy may also be granted the ability to manage accounts for users involved in Drug
Library development.
Upon completion of this section, the System Administrator will be able to:
Add, edit, and delete user accounts using the Hospira MedNet Software
Identify and assign appropriate access privileges for different types of users
Access privileges
A range of hospital professionals from different disciplines are involved in aspects of
Hospira MedNet Software and infuser systems. For example:
Clinicians validate the Drug Librarys recommended settings and safety limits as they
program the infusers at the bedside
Privileges are used to provide role-based security for the Hospira MedNet and RxRules
Software. Professionals who use the Software require access to different system functions
according to their particular roles and responsibilities.
Figure 2-2.1 Multidisciplinary teams use the HMSS. Note that each institution will structure
their teams based on their staffing and requirements, and teams may differ from those
depicted.
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Administrative Setup
Provides access to the Administrative Setup tab.
The Administrative Setup area allows the System
Administrator to change the institution name
and administrator contact details.
Infuser Management
Provides access to the Infuser Management tab.
The Infuser Management area lists infusers
connected to the Hospira MedNet server.
Library Transfer
Provides access to the Library Transfer tab.
The Library Transfer area enables the user to
transfer an active Drug Library to infusers and
to monitor the transfer status of individual
infusers.
Manage Worksheets
Allows the user to create, import, export, view,
and edit Drug Library Worksheets in the
RxRules Software. The user will not be
authorized to finalize Drug Library
Worksheets.
Hospira
MedNet
Software
RxRules
40
Software
Procurement and
supply
Clinical Team
Data gathering
and reporting
Device tracking
and maintenance
Drug Library
transfer
User privilege
Drug Library
creation
IT Team
Procurement and
supply
Clinical Team
Data gathering
and reporting
Drug Library
transfer
Device tracking
and maintenance
User privilege
Drug Library
creation
functions
IT Team
functions
Medication Import
Provides access to the Med List Import tab.
The Med List Import area allows the user to import
a medication list into the HMSS. This list will
serve as the basis for Drug Library creation.
Report Full*
Provides full access to the Report tab.
The Report Full privilege provides access to all
scheduled reports and allows the user to
generate reports on demand.
Report Limited*
Provides access to the Report tab, but with a
limited set of reports.
Note that report limitations are defined through the
Crystal Reports software during the HMSS
configuration.
Software Update
Provides access to the Software Update tab.
The Software Update area allows the Hospira
Administrator to import a new version of the
infuser software to the HMSS. (Software will
be then downloaded to the infusers).
User Account
Provides access to the User Account tab.
The User Account area allows users to change
their passwords. Users may view, but not
modify, their privileges.
User Administration
Provides access to the User Administration tab.
The User Administration area allows the System
Administrator or a delegate to create user
accounts and assign privileges.
41
Hospira
functions
MedNet
Software
RxRules
functions
42
Software
8 to 20 alphanumeric characters
No spaces
43
44
Self-assessment
Select the best answer to each question.
1. A new clinical staff member on the Library Creation Team is learning how to build
a Drug Library using the Hospira MedNet RxRules Software. You want to ensure
that the user cannot accidentally finalize her practice Library Worksheet to an
active Drug Library.
Which permission should you assign to this user?
a) Manage Finalized Drug Libraries
b) Manage Worksheets
c) View Drug Libraries
2. A biomedical technician logs in to the Hospira MedNet Software to verify which
infusers have successfully received the latest Drug Library updates.
Which permission would this user require to complete his task?
a) Library Transfer
b) Manage Finalized Drug Libraries
b) Medication Import
c) Software Update
3. The Pharmacy Director wants to make the latest hospital formulary changes
available to the Library Creation Team. A revised list of medications needs to be
uploaded to the HMSS.
Which permission would this user require to complete his task?
a) Library Transfer
b) Manage Worksheets
c) Medication Import
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46
47
What:
Networks
communication
and
data
Infusers communicate with the Hospira MedNet Software Suite (HMSS) via the
network and send data to the server. The network configuration and specific
implementation of the HMSS will influence how these communications are handled.
The IT Team and the Device Tracking and Maintenance Team must be aware of how
the infusers communicate with the system.
Upon completion of this section, the user will be able to:
48
Sequence of
steps used to
configure an
infusion,
ending with
pressing the
Start key on
the infuser.
Occurrences at the infuser that are deemed worthy of reporting include Drug
Library and software downloads, infuser programming keystrokes, events,
alarms, warnings, and any other infuser status messages. Event logs on infusers
are stored on a first-in-first-out (FIFO) basis. Depending on usage level, singlechannel infusers can store up to 6 months of data, while triple-channel infusers
can store up to 2 months of data.
Example: When the infuser is powered down, data relating to the power
shut down are stored with the date and time of the event.
Alerts
Events at the infuser that require user input, such as a yes/no response or
editing the infuser program to remain within recommended dosing limits.
Example: While programming an infuser, the clinician must explicitly
answer yes or no to override a medication dose limit.
Alarms
Serious events at the infuser; alarms remain active until someone responds or
acknowledges the alarm at the infuser.
Example: During an infusion, a blockage (occlusion) develops in the line
that is delivering medication to the patient. The clinician must verify and
resolve the problem, then turn the alarm off.
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L implementation
No LAN access
Infusers must be physically
connected to a dedicated
network segment to
communicate with the server.
L-enhanced implementation
Limited LAN access
Infusers connect to the server
via Ethernet LAN port(s)
installed in a limited number
of work spaces designated for
this purpose.
Network switches control the
communications between
infuser and server.
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N implementation
Wired and/or wireless LAN
access
Infusers communicate with
the server when connected
via standard network cables
or when accessible via a
wireless access point (WAP).
N5
Wired and/or wireless LAN
access, compatible with a
hospitals Barcode Point-ofCare (BPOC) system
Infusers can receive orders
from a BPOC device such as
a handheld personal digital
assistant (PDA).
The Hospira MedNet
Software performs 5-Rights*
verification to ensure patient
safeguards.
*5-Rights: Right Patient, Right
Medication, Right Dose, Right
Route, Right Time.
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Communication protocols
Communications between infusers and the server are driven by HyperText Transfer
Protocol (HTTP) 1.1 POST requests and responses, which are transmitted via the
network.
Error checking
The HTTP request header contains a Cyclical Redundancy Check (CRC)
checksum that is used to detect data transmission errors.
The sender uses an algorithm to compute the CRC, based on the contents of
the body section (CCITTRev8408CRC method). The CRC is appended to
the header before the message is transmitted.
If the CRC computed from the message does not match the one included in
the CRC header field, the recipient rejects the message by returning a status
code of 406 (Not Acceptable) in the synchronous HTTP response.
Security
The Secure Sockets Layer (SSL) protocol is used to encrypt client/server
communications. When a communication is initiated, the infuser and server
exchange security certificates and authenticate the connection.
Note:
PDAs, which may be used with the N5 implementation of the HMSS, do not support
client side certificates. Only client side validation of the server certificate will be
supported for communications between a PDA and the server.
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Connection
Protocol
Speed (megabytes/second)
Wired
TCP/IP
Wireless
Note: 802.11 a/b/g protocols will become available in 2007 for the various infuser
models.
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Self-assessment
Select the best answer to each question.
1. Where in a message is the Cyclic Redundancy Check information contained?
a) Body
b) External XML file
c) Header
d) Both header and body
2. Which implementation of the HMSS is compatible with third-party BPOC systems?
a) L
b) L-enhanced
c) N
d) N5
3. In which implementation(s) of the HMSS do infusers routinely run independently of
the server?
a) L
b) L-enhanced
c) N
d) N5
4. For a wireless implementation of the HMSS, what are the typical data transfer
rates?
a) 1, 2, 5.5, or 11 Mb/sec
b) 10 or 100 Mb/sec
c) 55 or 100 Mb/sec
d) 10 Gb/sec
5. An occlusion in a patients IV line would be recorded in the infusers log as:
a) Alarm
b) Alert
c) Event
d) Warning
Answers: 1. c); 2. d); 3. a), b); 4. a); 5. a).
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What: Database
procedures
types,
backup
and
restore
The Hospira MedNet Software Suite (HMSS) uses a set of relational databases,
which are critical to the functioning of the system. The IT Team is responsible for
maintaining the integrity of these databases.
Upon completion of this module, the user will be able to:
Name the HMSS user databases and describe the types of data contained in
each
List the system and user databases that should be backed up regularly
Description
Master
(SQL)
Master
HMSS
HMSSV4
RxRules
MEDNET4
Crystal
Reports
BOE11
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Backup schedule
Perform a backup of the master, HMSS (HMSSV4), RxRules (MEDNET4), and
Crystal Reports (BOE11) databases on a regular basis. It is strongly recommended
that the backup be performed on all databases at once.
Consider implementing an automatic backup schedule. Hospira recommends
performing a full backup once a week, with incremental backups in-between.
Backup device
Configure the backup tape drive, disk, or other device before initiating a backup. For
instructions on setting up a backup device to work with SQL Server, refer to the SQL
Server documentation.
Note: Backups may contain several gigabytes of data.
Backup repository
Maintain in-house backups in a last-in-first-out (LIFO) type of repository, with a
minimum of 3 generations of backups for each database type. Data may be shipped
off site for long-term archiving.
Note: In a clinical environment, it is sometimes necessary to keep data for up to 7
years. The required duration varies according to the type of information stored.
Consult the institutions legal department for specific recommendations and policies.
Restore procedure
Database restore procedures should only be performed in extreme circumstances,
such as hardware failure or database corruption.
Caution
The restore process is complex and may require assistance from
Hospira.
For assistance, please call:
Hospira Technical Service Operations at 1-800-241-4002
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Database security
Database security settingslogin IDs, users, roles, and permissionsensure that
only authorized users can view data or execute procedures or administrative
functions. Specific access levels may be defined for each user account:
User IDs, associated with the Login ID, control access to different databases
Roles define a group of users (e.g., by job function) and can be associated
with permissions
This system of security IDs identifies users and provides access only to authorized
functions.
The HMSS contains a set of default IDs, which are associated with fixed server and
database roles and permissions. Additional database user profiles may be created.
Keep a record of the permissions and roles associated with any nonstandard users.
Database
Permitted users
Associated login
Roles
HMSS
(HMSSV4)
dbo
sa
MEDNET_4_
SECURITY
MEDNET_4_
SECURITY
MEDNET_APP_ROLE
mednet_app
mednet_app
MEDNET_SECURITY_
ROLE
mednet_security
mednet_security
public
db_owner
db_datawriter
db_datareader
RxRules
(MEDNET4)
Crystal
Reports
(BOE11)
dbo
sa
MEDNET_4_
SECURITY
MEDNET_4_
SECURITY
db_datareader
dbo
sa
58
db_datawriter
Backing up a database
The SQL system database (master) and the 3 user databases (HMSSV4,
MEDNET4, BOE11) should be backed up on a regular basis. Additional system
databases do not require back up.
Database backups are initiated from the SQL Server Enterprise Manager interface.
Note: This is one method of performing a backup. If your organization has a SQL
agent or other off-the-shelf backup solution, use it according to your best practices.
This method is shown for illustration and for those organizations that may not have a
set SQL backup methodology.
3. Right-click Backup and then select Backup a Database from the pop-up
menu.
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Restoring a database
A database may need to be restored from backups if there is a hardware failure or if
the database becomes corrupted. The restore process is complex and should only
be performed in extreme circumstances.
Restoring a database from a backup, or moving it from one SQL Server to another,
may create a mismatch in the security identification numbers (SIDs). If master
database login IDs and database user IDs are incorrect, users will be unable to log in
to the application.
Note: Before attempting a restore, ensure there is a record of the default
permissions and any nonstandard user roles and permissions that may have been
created.
Caution
The procedure described in this training is for reference purposes only.
It is recommended that you contact Hospira before attempting to restore a
database. For assistance, please call the Hospira Technical Service
Operations at 1-800-241-4002 option 4.
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64
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66
Self-assessment
Select the best answer to each question.
1. What is the name of the database that contains the Drug Libraries?
a) BOE11
b) HMSSV4
c) Master
d) MEDNET4
2. What is the recommended database backup level?
a) Databasecomplete
b) Databasedifferential
c) File and file group
d) Transaction log
3. The BOE11 database corresponds to which application?
a) Crystal Reports
b) MedNet
c) RxRules
d) SQL Server
4. You must stop the SQL Service every time you backup a database.
a) True
b) False
5. Database backup and restore procedures for HMSS user databases are initiated
in which environment?
a) Administrative tools, on the Windows Start Menu
b) Hospira MedNet Software
c) SQL Server Enterprise Manager
d) Windows Control Panel
Answers: 1. d); 2. a); 3. a); 4. b) 5. c)
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70
Identify 3 factors that can affect the life of the infuser battery
Hardware overview
Compatible infusers connect to the Hospira MedNet Software Suite (HMSS) via a
wired or wireless network or can operate as stand-alone infusion pumps. The HMSS
is compatible with the Hospira Symbiq, Plum A+, and LifeCare PCA (patientcontrolled analgesia) infusion systems.
71
Patientcontrolled
analgesia
(PCA):
Selfadministration
of analgesics by
means of a
programmable
pump.
72
Symbiq
Plum A+
LifeCare PCA
Legend
Ethernet port
73
74
General precautions
NEVER:
Use sharp objects such as fingernails, paper clips, or needles to clean the infuser
75
Manufacturer
Coverage HBV
Steris Corporation
(Division of Calgon Vestal Laboratories)
Formula C
Diversey Corporation
Dispatch
Caltech Industries
Precise
Caltech Industries
Household bleach
Various
Do not exceed 1 part bleach in 10 parts water
Manu-Klenz
Sporicidin
Sporicidin International
Super Edisonite
Battery maintenance
The infuser is battery powered for emergency backup and temporary portable
operation. Using wireless communications will drain the battery faster than wired
communications. Depending on the infuser model and pump rate, a fully charged,
new battery yields 2 to 3 hours of continuous operation before sounding a Low
Battery Alarm (approximately 30 minutes prior to shutdown).
Warning
The infuser cannot communicate via the wireless network if the Low Battery Alarm
has sounded.
The battery charges whenever the infuser is connected to AC (mains) power. If the
infuser is switched OFF, the battery takes from 6 to16 hours to recharge, depending
on the infuser model. More time is required if the infuser is ON during charging.
76
Generally, the more often the battery is partially discharged and recharged, the
sooner it will need to be replaced. A battery that cannot accept a full charge will
display a Battery Fault message on the infuser.
Disconnect the infuser from the AC power before opening the battery door.
Infuser storage
To prolong the life of the infuser, observe the following storage precautions:
Service
All servicing or adjustments to the infuser should be referred to qualified technical
personnel. A technical service manual may be ordered from your local Hospira sales
office.
Note
For detailed information on infuser hardware, features, and maintenance, refer to the
System Operating Manual for each model of infuser.
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Self-assessment
Which procedures should be part of your best practices for the routine maintenance
of infusers?
Indicate your answers by checking Yes or No in the space provided.
Procedure
Yes
No
Answers: 1. No; 2.No; 3. Yes; 4. No; 5. Yes; 6. No; 7. No; 8. No; 9. No; 10. Yes.
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A wired or wireless Ethernet connection allows the Hospira MedNet Software Suite
(HMSS) to communicate with infusers located throughout the hospital. An active
communications link enables teams to manage infuser inventory, locate the last
access point where an infuser communicated (if wireless), transfer Drug Libraries to
infusers, and collect infuser alarm and event log data.
Upon completion of this section, users will be able to:
Physically locating the last access points of wireless infusers that require
maintenance
Verifying whether infusers are online and able to transfer event log data to
the HMSS
Status definitions
Network
status
Online
Definition
Reason
Normal communication
between the infuser and
the HMSS.
Offline
No communication
between the infuser and
the HMSS.
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Event log:
Information
stored by the
infuser and
forwarded to
the server,
pertaining to
any
occurrence
deemed
worthy of
reporting.
Not Shown
Infuser management
Authorized users access infuser inventory and network status information from the
Infuser Management area of the Hospira MedNet Software. The area is only visible
to users who have been assigned the appropriate access privileges by the System
Administrator.
Note: You must be logged in to the Hospira MedNet Software to manage infusers.
For details on how to log in, refer to the Getting started section of Module 1.
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Description
Notes
All
Infuser
Type
Type of infuser:
Plum A+
LifeCare PCA
Symbiq
Device
Serial
Number
Location
Software
Release
Network
Status
Inventory
Status
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Asset ID
Device Name
Last Communication
Serial Number
84
Management screen.
2. Choose the Save button from the File Download dialog box.
3. Choose a location for the file
4. Change the name of the file (optional)
5. File will export as a .csv file
Note
Do not use a double quote () or a backslash (\) in your device IDs.
characters are not allowed.
85
These
Note: Any errors will be displayed below the Import/Export buttons and will look like the
example here:
Note
Do not use a double quote () or a backslash (\) in your device IDs.
characters are not allowed.
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These
2. Select the desired network status from the Network Status drop-down menu.
3. Click Apply.
The list will display only infusers that match the specified filter(s).
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Self-assessment
You refer to the infuser list in the Infuser Management view of the Hospira MedNet
Software. You notice potential problems with some of the infusers.
For each situation, what infuser status information is most likely displayed in the
Infuser Management View? Write the corresponding letter in the space provided.
Situation
Infuser
information
Answer options
A. Infuser offline
B. Infuser not found
C. Infuser serial number
missing
Answers: 1. B; 2. B; 3. A; 4. C; 5. A
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91
Explain how access points are added and removed from the list
92
Media
Access
Control
(MAC)
address:
A unique
identifier
attached
to most
forms of
network
equipment
The Software allows users to assign a descriptive location to each wireless access
point. Providing a meaningful description of the physical locationin addition to the
networks numeric media access control (MAC) address informationhelps users
readily identify communication points.
The descriptive locations defined in the Access Point Mapping area will appear in the
Library Transfer and Infuser Management areas of the Software, as well as in Asset
Tracker reports.
The IT Team and Device Tracking and Maintenance may use this information to
facilitate:
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The 2 fields in the Access Point Mapping area list the addresses of the wireless
access points connected to the HMSS, along with a user-defined description of their
respective locations. This list only shows Access Points that have been used by
infusers to communicate with the server.
Field name
Description
Access Point
ID
Notes
Wired network adapters, which include
switches, hubs, and routers, do not display
a MAC address. These devices will be
listed as WIRED.
Description
Note: The Access Point view lists only the network devices that are running properly. Nonfunctional devices are not shown. Maintenance of Ethernet networks, network adapters, and
wireless
access
points
is
beyond
the
scope
of
the
HMSS
training.
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When an infuser communicates via an access point that is not yet in the HMSS
database, the Software automatically adds the Access Point ID to the list.
Clicking Refresh on the browser toolbar, pressing F5, or leaving the Infuser
Management tab and then returning will refresh the screen to show any changes in
devices.
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To import a list of existing Access Point IDs and Descriptions, perform the following:
1. Prepare your list to have two header columns: AccessPointId (and)
Description. Do not use the quotes, save the file as a .csv
2. Click the Browse button
3. Navigate to the location where your saved .csv file is located
4. Click Open
5. Click Import
Note
Do not use a double quote () or a backslash (\) in your device IDs. These
characters are not allowed and will cause an import to fail, or give an error if typed
into the list.
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Self-assessment
Select the best answer to each question.
1. The Access Point Mapping feature of the Hospira MedNet Software allows you to
provide a descriptive location for:
a) Wireless access points
b) Wired network adapters
c) Both
2. The Access Point ID consists of a MAC address for which device(s)?
a) Hub
b) Infuser
c) Router
d) Wireless access point
e) All of the above
3. Select all that apply. The descriptive locations defined in the Access Point
Mapping area will appear in which other areas of the Software?
a) Administrative setup
b) Infuser Management
c) Library Transfer
d) Reports (if applicable)
e) RxRules
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99
100
Drug Libraries are created with the Hospira MedNet RxRules Software. Worksheets
are stored in the database on the server. Once approved and finalized, Drug Library
data must be downloaded to the infusers to be made available to clinicians at the
bedside. The process of downloading a Drug Library to the infusers is called Drug
Library transfer.
Upon completion of this section, the user will be able to:
Generate an infuser list, and sort infusers by status and Drug Library version
Initiate and monitor the transfer of a Drug Library from the server to infusers
Match the steps in a Drug Library transfer with the corresponding status
messages
Understand errors that may arise during transfer and correct common
problems
All infusers of the same type should use the same version of the Drug
Library. This is not a requirement for the infusers or the system to function.
An Active Drug Library resides on the server, but is not present on the
infusers unless a Drug Library transfer is performed.
An infuser must connect to the HMSS via the network to receive a new Drug
Library.
A clinician user must accept the Drug Library transfer at the infusers touch
screen to complete the installation of the downloaded Drug Library.
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Drug
Library
Worksheet:
Drug Library
that can be
edited but
cannot be
sent to
infusers until
it is finalized.
Active Drug
Library:
Worksheet
that has
been
finalized and
is available
to send to
infusers.
Recommendation
A new Drug Library should be validated on a small number of infusers before
deploying the library across the entire institution.
Users from the Drug Library Creation and Clinical Teams should check that the
settings defined in the Drug Library reflect the needs of clinical end users and, if
needed, make any adjustments or refinements to the Drug Library.
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What?
Who?
How?
Creation
Drug Library
Creation
Team
Drug Library
Creation and
Clinical
Teams
Hospira
MedNet
RxRules
Software
Drug Library
Creation
Team
Transfer
Device
Hospira
Tracking
MedNet
and
Software
Maintenance
Team
Drug Library
Transfer and
IT Teams
Use
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Clinical
Users
(or Drug
Library
Transfer
Team)
Infuser
screen
Clinical
Users
engine (CE):
Component of
the infuser that
controls
communication
between the
network and
the infuser.
New infusers contain a default Drug Library. When a user-defined Drug Library is
created and downloaded to an infuser, it replaces the default Drug Library.
At any given point in time, there may be only one Active Drug Library for each infuser
type. The Active Drug Library corresponds to a Drug Library Worksheet that has
been created and finalized in the RxRules Software.
The Drug Library transfer process is performed using the Hospira MedNet Software.
1. The user selects the infuser type.
The Software automatically locates the corresponding Active Drug
Library.
2. The user designates which infusers should receive the Drug Library and
initiates the download.
The Software pushes data from the server to the infusers through the
infusers connectivity engine.
3. Infusers that are turned on and connected to the HMSS via the network begin
receiving the new Drug Library.
If an infuser is turned off or disconnected, the transfer is queued until
the infuser becomes available. The infusers Drug Library status is
marked as Requested.
If an infuser is in use when a transfer is requested the Drug Library
will download in the background and be held on the CE. The transfer
will not affect the functioning of the infuser.
4. The infuser receives the Drug Library and stores it in the communications
portion of the control module.
The infusers Drug Library status indicates Pending until a clinician
accepts the new Drug Library at the infuser.
5. When the infuser is next powered off, the infuser alerts the clinician that a
new Drug Library is available and prompts the clinician to accept the new
Drug Library. When the clinician accepts the prompt on the infusers touch
screen, the Drug Library is moved to the command portion of infusers control
module.
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105
The Download, Cancel, and Refresh functions are located below the list.
106
Value
Notes
Infuser Type
Symbiq
Plum A+
LifeCare PCA
Network
Status
(Optional)
Transfer
Status
(Mandatory)
(Optional)
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The Current Active Library field corresponds to the Drug Library ID field found on
the Library Directory page of the Hospira MedNet RxRules Software. If no Drug
Library for the selected infuser type has ever been finalized, the Current Active
Library field will remain blank.
The Drug Library must be created and finalized in the RxRules Software before
being transferred.
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Field name
All
Location
Device ID
Serial
Number
Library
Description
Notes
Automatically detected
Automatically detected.
Up to date
109
Network
Status
Transfer
Status
110
The same Drug Library version should be loaded on all infusers of a given
type.
The library transfer should typically be performed on all infusers except those
marked as:
To help ensure successful transfer, the Network Status should be Online. If the
selected infuser is Offline, the Requested library transfer cannot start. The system
will attempt to reach the infuser at regular intervals, but may be unsuccessful.
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If you click cancel, only the first of the 3 channels will receive the Drug Library.
You may turn off this warning message by deselecting the check box below the
infuser list.
112
113
NOTE: Do NOT unplug the infuser after accepting the new Drug
Library as this will result in an E456 Error indicating that the Drug
Library may have been corrupted during the transfer process.
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Problem(s)
Start download
Status Requested
Infuser remains
in Requested
status
Infuser online?
Status Complete
Turn on infuser
power
Library remains in
transfer queue; server
retries at next
download interval
Verify or switch
network
connection
Reboot infuser
Accept transfer at
infuser screen
Connect infuser to
network and allow
normal
communications
User rejects
transfer at
infuser prompt
Invalid library
Refresh list
Status Pending
Library moved to
control module
Only transfers in
Requested state
can be canceled
Download begins
Transfer
accepted?
Solution(s)
Download to an infuser
in the Pending state
cannot be canceled.
Cannot cancel
transfer
Download
completed
Cause(s)
Infuser remains
in Pending
status
Successful transfer
At any stage
Status Failed
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116
Self-assessment
Select the best answer to each question.
1. You log in to the Hospira MedNet Software to verify which new infusers have
successfully received their first user-defined Drug Library.
Which Transfer Status shows that the Drug Library was successfully downloaded,
but has not yet been activated at the infuser?
a) New Device
b) Requested
c) Pending
d) Completed
2. An infuser has just received a new Drug Library, but the library cannot be used
yet.
What do you need to do to activate the new Drug Library on the infuser?
a) Change the Transfer Status to Completed in the Library Transfer list.
b) Press the Yes key on the infuser to accept the transfer.
c) Program the infuser with a default CCA.
d) Turn the infuser Off and then On again.
3. The Library Transfer list shows that the Drug Library you just downloaded to a new
infuser is Invalid.
What are the first steps to resolving this problem?
a) Ask the Library Creation team to regenerate the finalized Drug Library
b) Call Hospira Technical Support Operations
c) Repeat the library transfer
d) Wait a few minutes, and then refresh the list
4. The Library Transfer list shows that the download you initiated is still in
Requested status.
What could be the reason(s) for this?
a) Infuser is offline
b) Loading into communications module is still in progress
c) Network connection unavailable
d) Transfer pending acceptance by user
Answers: 1. c), 2. b), 3. b); 4. a), b), c)
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Module 5. Reporting
Hospira MedNet Software Suite (HMSS) collects system usage data. This data may
be used to generate reports on infusers, medications, and events relating to HMSS
usage. IT, Biomedical, Pharmacy, Clinical, and other users such as Risk Managers
and Medication Safety Analysts will all benefit from learning about the different
reporting functions that are available.
This Module provides an introduction to the reports available through the Hospira
MedNet Software.
This Module consists of 1 section:
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120
The Hospira MedNet Software contains a series of standard reports, which cover
aspects of infuser usage. Reports may be generated manually, on an as-needed
basis, or automatically, at prescheduled times.
Upon completion of this section, the user will be able to:
Describe the types of reports that can be generated with the Hospira
MedNet Software
Navigate within, print, and export reports using the Crystal Reports Viewer
Overview of reports
Every infuser maintains a log of all events. Events include, but are not limited to,
programming selections, alerts, alarms, safety and maintenance-related warnings or Warning:
An
interventions, malfunctions, and power shut downs.
indication
Event logs are forwarded to the server on which Hospira MedNet Software is
installed and stored in the database. This data may be used to generate a wide
variety of reports, filtered according to infuser ID, clinical care area (CCA),
medication, alarms, alerts, user responses, date and time, or other applicable fields.
The standardized reports generated with the Hospira MedNet Software provide
information that can help hospitals to:
Assess compliance with the hospital's dosing and clinical best practices
121
advising of
a potentially
dangerous
situation;
e.g., low
battery.
Report categories
The Hospira MedNet Software and the RxRules Software both contain reporting
capabilities. Thus, it important to understand which types of reports may be
generated in each application.
Rule set:
Rules
guiding
infusion of
a
medication;
defined in a
Drug
Library and
applied at
the infuser;
depending
on infuser
type, may
specify
limits on
dose rates,
volumes,
and/or
amounts.
Infusion reports: IV infusion practices and how infusers are being used
Medication reports: Which medications are being infused and how often
Reports generated with the RxRules Software summarize Drug Library configuration
parameters, but do not reflect dynamic usage data.
Note: Procedures related to RxRules reporting are beyond the scope of this chapter
and will be addressed in depth during the training on Drug Library Creation with the
RxRules Software.
For more information on reports available through the RxRules Software, refer to the
Reports chapter in Part 3 of the Hospira MedNet Software User Guide
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Asset Tracker
Asset Utilization
Cross-tabulates the hours an
individual infuser has been
used versus average infuser
usage.
Event/Alarm Log
Detailed, chronological
listing of all events, alarms,
and alerts associated with
an infuser.
Software Download
Lists the software version
installed on each infuser, as
well as the start/end times
and transfer status of the
latest software update.
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LifeCare
PCA
Potential uses
Plum A+
Report
Symbiq
Infuser type
Infusion reports
For the purposes of reporting, the term infusion refers to the infusion of a single
medication or fluid, at a given concentration, and any associated infuser
programming and rule sets that control delivery.
Infusion reports may be used to:
Assess current clinical practices and define institutional best practices for
infusions
Adjust Drug Library rule sets and associated hard and/or soft limits to best
reflect the needs of clinical users
The primary audiences for medication reports include nurse managers, pharmacists,
and risk managers. They may be of particular interest to the Drug Library Creation,
Clinical, and Data Gathering and Reporting Teams.
Infusion Status
Tabulates infusions,
medications, statuses, alarms or
interruptions, overrides, and
applicable rule sets.
Infusion Summary
Pie chart summarizing infusion
activity, including percentages
for each type of alert and
associated user responses.
Potential uses
Next IV Due
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LifeCare
PCA
Report
Plum A+
Infuser type
Symbiq
Hard and
soft limits:
Upper
and/or
lower dose
limits for a
medication
and CCA;
soft limits
may be
overridden;
hard limits
may not.
(On
Symbiq
infusers,
users can
override a
hard limit
with an
authorized
password).
125
Medication reports
Medication reports provide information on the individual medications delivered by
infusion. These reports show which medications are used most frequently, whether
Drug Library guidelines are referred to, modified, or accepted as is during infuser
programming, and how clinicians respond to alerts. Medication reports reflect how
well the Drug Librarys limits and rules for a medication meet actual needs in clinical
practice.
The primary audiences for medication reports include nurse managers, pharmacists,
and risk managers. They may be of particular interest to the Drug Library Creation,
Clinical, and Data Gathering and Reporting Teams.
Medications Infused
Tabulates clinicians responses to
alerts for individual medications.
May be analyzed by:
CCA
Medication
Service Line
Evaluating whether
clinicians access and use
Drug Library guidelines
during infuser
programming
Assessing how often
clinicians confirm an
infuser program without
changes and how often
edits are made
Analyzing responses to
upper and lower hard and
soft limit alerts
Identifying commonly
infused medications for
each CCA, or across the
institution
Prioritizing high-use drugs
for quicker access during
infuser programming
126
LifeCare
PCA
Potential uses
Plum A+
Report
Symbiq
Infuser type
Editing:
Responding
to an alert
by changing
the value
entered.
Overriding:
Bypassing
an alert and
accepting
the value
entered.
Infuser type
Report
Potential uses
127
LifeCare
PCA
value from
the limit
defined in
the Drug
Library
Plum
A+
programmed
Variance data are collected whenever a user receives an alert during infuser
programming and responds by editing the program or overriding the alert. Variance
represents how much a users initial programmed value differed from a limit defined
in the Drug Library. It is expressed as percentage, calculated as follows:
Symbiq
Variance:
Deviation
(%) of
Monitoring frequent
overrides, which may
indicate that Drug Library
limits may not match actual
clinical practice
Evaluating
appropriateness of Drug
Library limits for specific
CCAs or medications
Note: With Plum A+ and LifeCare PCA infusers, hard limit alerts cannot be
overridden. The Software prevents clinicians from programming an infuser outside of
lower or upper hard limits. With Symbiq infusers, authorized users may override a
hard limit by using a special password.
Report formats
Most reports present data in tabular format, listed in rows and columns, with any
applicable totals. In some instances, data may be represented graphically. Note that
the presentation of reports specific to one type of infuser may vary according to the
infuser model.
Format
Tabular report
Lists data in rows
and columns, with
totals if applicable.
Standard format for
most reports.
Report(s)
Crosstab report
Shows data in a grid;
typically with row and
column subtotals
and totals.
Example
Asset Tracker
Software Download
Event/Alarm Log
Infusion Status
Next IV Due
PCA Utilization
Medications Infused
Edit Variance
Detail/Summary
Override Variance
Detail/Summary
Asset Utilization
Soft Limit Alert
Responses
128
Pie chart
Shows each data
category as a pie
slice representing a
percentage of the
total (100%).
Infusion Summary
Line Usage Analysis
Most Commonly
Infused Medications
Medication vs. No
Medication Selected
(time of day)
Bar graph
Shows data as bars,
stacked bars may
be used to indicate
divisions within a
category of data.
129
Global report views and restrictions are defined in the CR software during
system configuration.
130
Generating reports
Authorized users access reports from the Reports area of the Hospira MedNet
Software. The area is only visible to users who have been assigned the appropriate
access privileges by the System Administrator.
Note: You must be logged in to the Hospira MedNet Software to access reports.
For details on how to log in, refer to the Getting started section of Module 1.
131
Note: Users assigned the Report Limited privilege will not have access to the full list
of reports.
132
Values
entered by
the user to
define the
desired
report
output.
Eg, Time
period,
CCA,
medication.
Authorized users may configure, build, and print custom reports on demand. To
generate a custom on-demand report, you must specify parameters to define the
report output. Output parameters vary according to the type of report, but may
include infuser types, field filters, time or date ranges, sort options, and search
strings.
To generate an on-demand report:
1. Select the desired report from the On Demand Reports list and click View.
If report subtypes are available (Medications Infused reports), choose a
subtype and click Select.
2. Configure the desired reports parameters in the Report Option pop-up
window, using the radio buttons, drop-down lists, and/or text boxes
associated with the report.
If a report features more than one sort criterion, the Sort By: field is
required; the remaining Then By: fields are optional.
3. Click Submit.
Option
Description
Radio buttons
Drop-down list
single
selection
Drop-down list
multiple
selection
Select one or more
items from a
dynamic list.
Text box
Enter specific text
or values.
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Header at the top of every page: displays the report title and hospital name.
Detail in the middle of every page: displays the report data in either tabular or
graphical format, depending on the report type.
Footer at the bottom of every page: displays the time period of the report,
print date, and page number.
The page navigation controls and page number are duplicated at the bottom of the
screen.
Note: You may receive a no data to display message if there are no data to display
for a particular report, field within a report, or CCA or Medication within a group.
There may be data on subsequent pages of the report, be sure to check the entire
report before determining that the report result is faulty.
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Function
Procedure
Export
Print a hardcopy of
the report.
Show/Hide Tree
1.
2.
3.
4.
5.
Before printing your first report, ensure that you have a printer
attached to your system. If no printer is attached, you will receive
an error message.
1. Click the Print icon.
Do not use the print button on the browser.
2. Select the page range to be printed.
Reports may contain hundreds of pages. The toolbar shows
the total number of pages.
3. When prompted by the File Download dialog box, click Open.
4. Click the Acrobat Reader Printer icon.
5. Select the desired print options.
6. Click OK.
Click to Show or Hide the Reporting Structure Tree
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Function
Procedure
Skip by page
First page
Previous page
Next page
Last page
Return or advance
pages.
Go to page
Go to specific page
of the report.
Search text
To specify a page:
1. Type the page number in the field.
2. Press Enter.
To search the report for a specific string of text or numbers:
Zoom in or out to
enlarge or reduce
the size.
Help
136
Self-assessment
You need to generate some on-demand reports using the Hospira MedNet
Software. You must choose a report to match your needs.
Which report can provide the information you need? Write the corresponding letter in
the space provided.
Information needed
Report
Answer options
A. Asset tracker
F. Medications infused
B. Asset utilization
D. Event/alarm log
I. RxRules report
E. Infusion status
Answers: 1. B; 2. C; 3. F; 4. I; 5. D; 6. A; 7. E; 8. H; 9. J; 10. G
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Glossary
Active Drug Library: Worksheet that has been finalized and is available to send to
infusers.
Alarm: Serious event at the infuser; remains active until someone responds or
acknowledges the alarm at the infuser; e.g., an occlusion in the IV line delivering
medication to a patient.
Alert: Event requiring explicit user input; e.g., overriding a programmed medication
dose. CCA; soft limits may be overridden; hard limits may not (on Symbiq
infusers, an authorized password can be used to override a hard limit).
Clinical care area (CCA): A patient group in which the infusion therapy parameters
are the same. A CCA may be the same as a physical nursing unit or may
encompass a patient population or a clinical use. (e.g., ICU, Blood Products,
Med/Surg, Orthopedics, Endoscopy).
Connectivity engine (CE): Component of the infuser that controls communication
between the network and the infuser.
Default Drug Library: A pre-programmed Drug Library embedded in the infuser
software; employed until a user-defined Drug Library is installed.
Drug Library Worksheet: Drug Library that can be edited but cannot be sent to
infusers until it is finalized.
Drug Library: Collection of medication entries and infuser settings that, when used
with compatible infusers, may reduce the frequency of human errors by restricting
the ways in which medications can be administered.
Editing: Responding to an infuser alert by changing the value entered during
programming.
Event log: Information stored by the infuser and forwarded to the server, pertaining
to any occurrence deemed worthy of reporting.
Event: Any occurrence on an infuser deemed worthy of reporting.
Hard and soft limits: Upper and/or lower dose limits for a selected medication and
CCA; soft limits may be overridden; hard limits may not (on Symbiq infusers, an
authorized password can be used to override a hard limit).
Media access control (MAC) address: A unique identifier attached to most forms of
network equipment.
Overriding: Bypassing an infuser alert and accepting the value entered during
programming.
Parameters: Values entered by the user to define the desired report output.
Examples include Time period, CCA, Medication, etc.
Patient-controlled analgesia (PCA): Self-administration of analgesics by means of
a programmable pump.
Programming: Sequence of steps used to configure an infusion, ending with
pressing the Start key on the infuser.
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Rule Set: Rules guiding the administration of a medication; defined in a Drug Library
and applied at the infuser; depending on infuser type, rules may specify limits on
dose rates, volumes, and/or amounts.
Variance: Deviation (%) of a programmed value from the limit defined in the Drug
Library
Warning: An indication advising of a potentially dangerous situation; e.g., low
battery.
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