Order Entry & Calculation Software

Order Entry & Calculation Software

COUNT ON ABACUS SOFTWARE FOR EASY TPN CALCULATION AND SAFE COMPOUNDING AT THE TOUCH OF A FINGER DESIGNED BY HOSPITAL PHARMACISTS, ABACUS promotes dose safety and reduces the opportunity for user error in the prescribing, calculating and mixing of parenteral nutrition and other multi-ingredient solutions. The Windows based order entry and calculation software offers builtin safety features and user customization to match individual facility s forms and procedures. From a touchscreen or keyboard, its graphical user interface and drop-down menus make the program easy-to-use and facilitate pharmacy staff training. KEY FEATURES INCLUDE Bar codes load formula to automated compounder Electronic pharmacist order approval Energy, ion and salt-based order entry models User security, activity audits and workflow management Customizable labels, formulary and order entry templates From calcium and phosphate solubility curve analysis to customizable warning limits, ABACUS Software provides users with information to support clinical decisions.

ABACUS SOFTWARE WORKFLOW FIVE STEPS FROM ORDER ENTRY THROUGH LABELING AND DISTRIBUTION 1 ORDER ENTRY 2 PHARMACIST CHECK 3 SOLUTION LABEL PRINTED AND PATIENT FORMULA SENT TO COMPOUNDER 4 SOLUTIONS MIXED Optional manual additions Labels applied 5 PHARMACIST CHECK

TECHNOLOGY THAT HANDLES SIMPLE TO COMPLEX OPERATIONS WITH EASE ABACUS CE SOFTWARE Calculation Edition single workstation Stand-alone software version that calculates the patient formula and prints a label, to support manual additions to a solution bag without interfacing with automated compounders. Software includes warning limit capability, drag-and-drop CaPhos curve utility and other features to address individual facility protocols. Label The ABACUS Software complements EXACTAMIX Compounders for a complete state-of-the-art system for automated compounding. Multiple versions label compounded solutions whether prepared manually or using automation. Available in three versions that operate on or off a facility network and send orders from single or multiple computers directly to automated compounders. Barcoded patient labels select the right formula to prepare. ABACUS SE SOFTWARE Single-workstation Edition This version offers the same features as CE, but also generates a patient file to drive EXACTAMIX Automated Compounders. This version is typically set up in a peer-to-peer network configuration, but can be loaded onto the facility network. Network ABACUS ME SOFTWARE Multi-workstation Edition This version offers the same features as SE, but is configured on the facility network and allows order entry from multiple workstations simultaneously. Network

Template: Adult Patient - Premix w/lytes - 3-in-1 TPN Order #: 72500 Bag Number: 3 Hang Time: 2/22/2012 8:00:00 PM Osmolarity Concentration: 1,191.99 mosm\l Ordered Items Premix AA5%/Dex15% Lipid 20% MV Adult Adult Trace Conc 1,608 ml 250 ml 10 ml 1 ml Example Hospital TPN Patient Therapy Report Ordered Volume: Period: Duration: Rate: 1929.18ml of ordered solution contains CHO KCal Lipid KCal Pro KCal Total KCal 870.08 450 321.6 1,641.68 Carbo% Lipid% Protein% 53 27 20 Ordered Electrolytes 1,929.18 ml 67 ml/hour 4.5 meq/l 70.85 meq/l 16.67 meq/l 5 meq/l 15 mmol/l 30 meq/l 35 meq/l In period, 1929.18ml of ordered solution delivers Patient Info Weight: 70 kg Unit: Room/Bed: 123 IV Site: gm Protein gm N KCal/day KCal/PatKg/day gm Pro/day KCal/gm N 80.4 13.28 Patient Notes on Bag DateTime UserName Bag# Note 2/22/2012 2:00:03 PM Tim Kingsford 72500 Template: Adult Patient - Premix w/lytes - 3-in-1 TPN Order #: 72499 Bag Number: 2 Hang Time: 2/22/2012 8:00:00 PM Osmolarity Concentration: 1,691.6 mosm\l Ordered Items Premix AA5/Dex20 Lytes MV Adult Adult Trace Conc Printed On: 1,800 ml 10 ml 1 ml Ordered Volume: Period: Duration: Rate: Ordered Electrolytes 5/21/2012 2:21:22 PM Page 3 of 13 4.5 meq/l 121.52 meq/l 37.92 meq/l 5 meq/l 15 mmol/l 30 meq/l 80 meq/l 1,641.68 23.45 80.4 123.6 ----Warning Limit Override---- Limit Name: MaxDilution Limit Warning Level: Yellow Limit Substance/Attribute: Dilutional Error Limit Value: 0.10 percent Actual Value: 19.97 percent Instructions: Check for dilutional error Override Rationale: Clinimix 1,851.5 ml 75 ml/hour Patient Info Weight: 70 kg Unit: Room/Bed: 123 IV Site: Central Knox, Shaun FEATURES AND BENEFITS Reports Detailed user activity audits and standard reports promote workflow management and system efficiency. Template: Adult Patient - Premix w/lytes - 3-in-1 TPN Order #: 72500 Bag Number: 3 Hang Time: 2/22/2012 8:00:00 PM Osmolarity Concentration: 1,191.99 mosm\l Ordered Items Premix AA5%/Dex15% Lipid 20% MV Adult Adult Trace Conc 1,608 ml 250 ml 10 ml 1 ml Example Hospital TPN Patient Therapy Report Ordered Volume: Period: Duration: Rate: 1929.18ml of ordered solution contains Ordered Electrolytes 1,929.18 ml 67 ml/hour 4.5 meq/l 70.85 meq/l 16.67 meq/l 5 meq/l 15 mmol/l 30 meq/l 35 meq/l In period, 1929.18ml of ordered solution delivers Patient Info Weight: 70 kg Unit: Room/Bed: 123 IV Site: CHO KCal Lipid KCal Pro KCal Total KCal gm Protein gm N KCal/day KCal/PatKg/day gm Pro/day KCal/gm N 870.08 450 321.6 1,641.68 80.4 13.28 1,641.68 23.45 80.4 123.6 Carbo% Lipid% Protein% Dosing rules Facility template-driven rules based on age / weight / gestational age dosing, minimizing order entry errors and drive efficient workflows. Warning limits screen System warning limits help prevent catastrophic errors, while customizable warning limits accommodate facility-specific practices. Order entry screen Order screen layout and menudriven commands facilitate ease of entry and may help reduce order processing time.

/ phosphate solubility curves Analysis and graphing of calcium / phosphate curves provide alerts and feedback for formula solubility comparisons. TPN labeling and workflow Bag labels provide complete formula information and are customizable for facility-specific formats. 21-May-12 Acct : 321 PATIENT, TEST BABY Location: /123 Order Volume: 100.8 ml 2:28 PM Patient Bag Number: 1 Order No: 72525 Compound Volume: 200.8 ml AminoAcid 10% 3 % 0.5 mmol/kg Dextrose 11 % 0.25 meq/kg 10 meq/kg MV Inj Peds 3.25 ml/day 2 meq/kg Pedtrace-4 0.2 ml/kg 1 meq/kg Zinc 1000mcg/ml 200 mcg/kg ** Approximate Electrolyte Totals ** 119.05 meq/l 23.81 meq/l 11.9 meq/l 2.98 meq/l Aluminum 5.95 mmol/l 81.16 meq/l 81.16 meq/l 304.44 mcg/l Nitrogen 0gram Protein 12.1 KCal Non-Protein 37.7KCal Carbohydrates 37.7 KCal Total 49.8KCal Lipid 0 KCal Total KCals / Nitrogen Protein KCals / Nitrogen 106,236.56 25,806.45 Non-Protein KCals / Nitrogen Protein KCals / Non-Protein KCals Lipid KCals / Total KCals 80,430.11 0.32 0 Osmolarity concentration 1,118 mosm/l *** CENTRAL LINE ONLY *** Flow Rate: 100.8 ml at 4.2 ml/hr for s BAG EXPIRES 48 HOURS AFTER MIXED BAG EXPIRES 24 HOURS AFTER SPIKING 21-May-12 Acct : 321 PATIENT, TEST BABY Location: /123 Order Volume: 100.8 ml 2:38 PM Patient Bag Number: 1 Order No: 72525 Compound Volume: 200.8 ml ***SOLUTION FORMULA *** Ingredient ml Ingredient ml MgSO4 4mEq/ml 0.15 KCl 2mEq/ml 1.51 NaCl 4mEq/ml 3.32 Na 2mEq/ml 5.32 Pedtrace-4 0.48 Ca Gluconate10% 5.14 Dextrose 70% 31.55 Water for Inj 85.74 K Phos 3mM/ml 0.4 AminoAcid 10% 60.24 Zinc 1000mcg/ml 0.48 MV Pediatric 6.47 Double-check compounder screen and Mix-Check Report for manual additions!!! Use 250 ml bag (137) Prepared by: Checked by: SUPPORT TOOLS On-demand electronic help and printable users manual 24/7 technical support Medical information Customization services available Comprehensive implementation support For more details, contact your Baxter representative or call 888.229.0001 for more information.

Baxter Healthcare Corporation 9540 S Maroon Circle, Suite 400 Englewood, CO 80112 www.baxter.com 801508 1K 6/ 12 Rx Only. For safe and proper use of the devices referenced herein, refer to their Operators Manuals. Baxter, Abacus, Clinimix E and ExactaMix are trademarks of Baxter International Inc., or its subsidiaries. All other trademarks and product names appearing herein are the property of their respective owners.