More About Creating a Titration Plan
Completing a recommended titration plan
When a medication step has been recommended by Viso, a "flag" symbol will be displayed next to the first step in the plan and the Class and Level of medication fields will be completed.
To use a patient’s current medication as Step 1 in the treatment plan, click the [Copy Current Medication] button.
If a local ICS formulary has been provided to OMRON, the Active, Brand, Form and Dosage fields will be completed based on the ICS preferred medication for the recommended Class. If no formulary has been provided, the user can complete the field by selecting values from the drop-down lists.
Use the following procedure to complete a medication plan with automatic recommendation:
- After reviewing the first step of the plan, click the [Recommend] button next to Step 2 in the plan. This will generate the next-step recommendation. A "flag" symbol will be displayed next to Step 2 and the fields completed as described in Step 1.
- After reviewing the second step of the plan, click the [Recommend] button next to Step 3 in the plan. This will generate the next-step recommendation. A "flag" symbol will be displayed next to Step 3 and the fields completed as described in Step 1.
- After completing the plan, click [Next] to go to the confirmation screen. After confirmation, click [Next] again.
Editing a recommended plan
All fields in a recommended plan can be edited. Changes can be made directly in the target field. When a field is edited the "flag" symbol next to the step will disappear.
To add an additional medication to a planned step, click [Add Medication]. A new line is added to the plan and the fields can be completed with the medication information.
To copy the medications from a previous step into the current step you are editing, click [Copy previous step] beside the current step number. This will overwrite all existing input in the current step. The current step will no longer be a recommended step.
Once a step has been edited, the user can either continue to edit the next step manually, or click [Recommend]. Viso will use the manually edited step as the starting point to make the next step recommendation.
After completing the plan, click [Next]. When [Approve] is clicked in the next screen, a comment box will appear to record the reason for deviation vs recommendation.
- To remove a medication click the "trash can" symbol on the medication line. If there is only 1 medication in a step this cannot be removed.
- The "flag" (recommended plan) is for support planning the medication plan based on NICE guideline. The final decision of medication must be done by a healthcare professional.
Example:
Dr. Smith is creating a medication plan for Mrs. Brown. Viso has automatically recommended a 3-step plan:
Step 1: Amlodipine Low
Step 2: Amlodipine High
Step 3: Amlodipine Plus Lisinopril
Creating a Custom Plan
When Viso cannot generate a recommended plan a custom medication plan can be created. To create a custom plan, complete the class, active, brand, form and dosage fields by selecting from the drop-down lists.
To add a medication within an existing step, click [Add Medication] and complete the required fields.
To copy the medications from a previous step into the current step you are editing, click [Copy previous step] beside the current step number. This will overwrite all existing input in the current step.
When the 3-step plan is completed, click [Next] to continue to the confirmation screen.
- Click
next to a medication line to view medication indications from the British National Formulary.