SmartChart Dofetilide (Tikosyn) Order Management

Effective: February 14, 2012

Under FavoritesCPOE Cardiology4 New Dofetilide (Tikosyn) Order Sets

Click Black Arrow to expand set

*Initial Therapy Order SetSummary of Flow

Checkmark appropriate orders:Admission infoEKG (if not done in past 24 hrs)Nomogram (already pre-checked)

Starting Tikosyn Dose based on Cr Cl Electrolyte Correction prior to therapy Lab Orders

Click

Enter information in Order Detail Forms that present: Nomogram Order Detail Form (enter the QTc value)

Tikosyn Order Detail Form (enter Enter DEA# or License#)

Sign

See screen prints on next slides.

Initial Starting Dose based on Creatinine Clearance click checkbox for dose: 0.5mg, 0.25mg, or 0.125mg

Continued (Select Lab Orders)

Nomogram – Automatically Opens

Provides instructions for Nursing:

Physician-entered baseline QTc Interval

QTc monitoring & dose adjustment instructions

Electrolyte Correction prior to Initial Therapy

Before Discharge Instructions

See screen print on next slides.

Enter Baseline QTc interval

Nomogram (continued)

Must enter DEA# or State License#

Last Step Sign Initial Therapy Orders

If patient is Admitted on Tikosyn*Use Maintenance Therapy Order Set Enter the Dose, DEA or State License#, Est. Cr Cl

See screen print on next slides.

Click Dose Dropdown Enter DEA # or State License #

Enter estimated Cr Cl ___mL/min

Last Step Sign Maintenance Therapy Order

To Make a Dose Adjustment*Use Dofetilide (Tikosyn) Dose Adjustment

REMINDER: Discontinue Previous Order

Last Step Sign Dose Adjustment Order

Discharge with Tikosyn

Click Discharge Order

7 day Take Home Supply

Pharmacy will dispense a 7 day supply so patient has time to obtain from a retail pharmacy.

See screen print on next slides.

Under DirectionsEnter the ___mg and ___hours

Last Step Sign Discharge Orders