8. EPMO Open Source Coordination Office Redaction File Detail Report

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8.1 Files compared

#	Location	File	Last Modified
1	PSD_3.0_82_Feb_2018.zip\PSD_3.0_82	psd_3_pharm_um_r0218.doc	Tue Mar 27 14:05:55 2018 UTC
2	PSD_3.0_82_Feb_2018.zip\PSD_3.0_82	psd_3_pharm_um_r0218.doc	Wed Mar 28 21:20:41 2018 UTC

8.2 Comparison summary

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	1
	2	CONTROLLED SUBSTANCE S (CS)
	3	PHARMACIST ’S USER MA NUAL
	4	Version 3. 0
	5	March 1997
	6	(Revised F ebruary 20 18)
	7	Department of Vetera ns Affairs
	8	Product De velopment
	9	Revision H istory
	10	The table below list s changes made since the initi al release of this m anual. Use the Chang e Pages do cument to update an existing m anual or u se the ent ire update d manual.
	11	DateRevise d PagesPat ch NumberD escription 02/201843P SD382Add ed NAOU Us age Report [PSD NAOU USAGE] op tion to PS D TECH ADV key.
	12	E. Weaver, Technical Writer; R . Miller, Project Ma nager09/20 17
	13	27PSD381 Updated “R eceipt of Controlled Substance from Phar macy”
	14	[PSD REC G S] Note an d option e xample to describe d ispense un it added t o controll ed substan ce dispens e drug bei ng electro nically re ceived wit h this opt ion.
	15	E. Weaver, Technical Writer; R . Miller, Project Ma nager05/20 13i, 44-47
	16	45a
	17	47-49
	18	50-52 PSD* 3*76Update d Glossary with desc ription of patch’s n ew securit y key PSDR PH
	19	Page 45a w as unneces sary and h as been re moved
	20	Updated In dex
	21	Pages 50 t hrough 52 were unnec essary and have been removed
	22	J. Owczarz ak, Techni cal Writer ; N. Goyal , Project Manager04/ 201144-45a PSD371Cl arified de scription of PSD TEC H ADV key. Corrected option na me in PSD TRAN entry .
	23	E. Phelps/ C. Bernier , Technica l Writers; N. Goyal, Project M anager05/2 01044-45, 50PSD369 Added desc ription of patch’s n ew securit y key PSD TECH ADV, and PSD TE CH key.
	24	PSD TECH a nd PSD TEC H ADV entr ies added to the Ind ex
	25	R. Sutton/ Connie Ber nier, Tech nical Writ ers; N. Go yal, Proje ct Manager 03/1997Ori ginal Rele ased Pharm acist’s Gu ide.<This page is in tentionall y left bla nk.>
	26	Preface
	27	The Contro lled Subst ances (CS) software package is one segme nt of the Veterans H ealth Info rmation Sy stems and Technology Architect ure (VISTA XE "VISTA " ) instal led at VA medical ce nters. The Controlle d Substanc es module provides f unctionali ty to moni tor and tr ack the re ceipt, inv entory, an d dispensi ng of all controlled substance s. This mo dule provi des the ph armacy wit h the capa bility to define a c ontrolled substance location a nd a list of control led substa nces to ma intain a p erpetual i nventory.
	28	This softw are provid es the cap ability fo r pharmacy personnel to receiv e a Contro lled Subst ances orde r, automat ically upd ate the qu antity on hand, and view a rec eipt histo ry. Nursin g personne l are prov ided with the abilit y to reque st orders for Contro lled Subst ances via on-demand requests. Pharmacy m ay dispens e controll ed substan ces via th e software automatin g all nece ssary docu ments (VA FORMS 10-2 321 and 10 -2638) to complete a n order re quest. The software provides f unctionali ty to reco rd AMIS an d Cost dat a, address returns t o stock, d estruction s, order c ancellatio ns, transf ers betwee n location s, and log outpatien t prescrip tions.
	29	Monthly (o r more fre quent) ins pections c an be cond ucted by m anagement, with disc repancies in stock l evels auto matically identified .
	30	Controlled Substance s (CS) Ver sion 3.0 w ill provid e many new enhanceme nts for bo th pharmac y and nurs ing users.
	31	A list of the new ad ditions an d modifica tions to e xisting op tions that will be d iscussed i n this doc ument foll ows:
	32	SYMBOL 183 \f "Symbo l" \s 10 \ h
	33	Batch Orde r Entry pr ocess
	34	SYMBOL 183 \f "Symbo l" \s 10 \ h
	35	Electronic Signature
	36	SYMBOL 183 \f "Symbo l" \s 10 \ h
	37	HL7 Interf ace to Nar cotic Disp ensing Equ ipment
	38	SYMBOL 183 \f "Symbo l" \s 10 \ h
	39	Electronic Error & E nhancement Requests (E3Rs)
	40	SYMBOL 183 \f "Symbo l" \s 10 \ h
	41	Green Shee ts now pri nt on plai n paper
	42	SYMBOL 183 \f "Symbo l" \s 10 \ h
	43	Other Enha ncements
	44	This softw are is con tinually b eing enhan ced to pro vide addit ional opti ons and ca pabilities . The CS D evelopment Team enco urages you to send t o them que stions and comments about the completene ss and acc uracy of t his manual and sugge stions for its impro vement. El ectronic m ail messag es can be sent to G. Controlled Substance s Team@ DN S BIRM XE "G .Controlle d Substanc es Team@ DN S BIRM" .
	45	<This page is intent ionally le ft blank.>
	46	Table of C ontents
	47	iCONTROLLE D SUBSTANC ES (CS)
	48
	49
	50	iPHARMACIS T’S USER M ANUAL
	51
	52
	53	1Pharmacis t User Man ual
	54
	55
	56	3Orientati on
	57
	58
	59	3Electroni c Signatur e
	60
	61
	62	4Intranet
	63
	64
	65	5Receipts Into Pharm acy
	66
	67
	68	5Receiving
	69
	70
	71	6Purchase Order Revi ew
	72
	73
	74	6Control P oint Trans action Rev iew
	75
	76
	77	6Drug Rece ipt Histor y
	78
	79
	80	6Invoice R eview (Pri me Vendor)
	81
	82
	83	7Dispensin g Menu
	84
	85
	86	7Print CS Dispensing Worksheet
	87
	88
	89	7Fill/Disp ense CS Or ders from Worksheet
	90
	91
	92	9Dispensin g/Receivin g Report ( VA FORM 10 -2321)
	93
	94
	95	9Green She et—Print ( VA FORM 10 -2638)
	96
	97
	98	10Reprint Reports Me nu
	99
	100
	101	10Reprint Disp/Recei ving Repor t (VA FORM 10-2321)
	102
	103
	104	10Green Sh eet Reprin t (VA FORM 10-2638)
	105
	106
	107	10Dispensi ng Workshe et Reprint
	108
	109
	110	11Label Re print for Dispensing Drug
	111
	112
	113	11Reprint Transfer B etween NAO Us (VA FOR M 10-2321)
	114
	115
	116	12Pharmacy Dispense without (V A FORM 10- 2638)
	117
	118
	119	12Label fo r Dispensi ng (Barcod e)
	120
	121
	122	13Narcotic Dispensin g Equipmen t Orders
	123
	124
	125	15Complete Green She et
	126
	127
	128	17Outpatie nt Rx’s
	129
	130
	131	19Transfer Drugs bet ween Dispe nsing Site s
	132
	133
	134	21Infusion Order Pro cessing Me nu
	135
	136
	137	21Infusion Order Ent ry
	138
	139
	140	22Transfer Green She et and Dru g to anoth er NAOU
	141
	142
	143	23Destruct ions Menu
	144
	145
	146	23Hold a C S Drug (No Inventory Update)
	147
	148
	149	23Non—VA D rug Placed on Hold f or Destruc tion
	150
	151
	152	23Destroy a Controll ed Substan ces Drug
	153
	154
	155	25CS Order Entry For Ward
	156
	157
	158	27Receipt of Control led Substa nces from Pharmacy
	159
	160
	161	28Load Sof tware and Inventory into TRAKK ER
	162
	163
	164	31Send Vau lt TRAKKER Inventory Data to D HCP
	165
	166
	167	34Manufact urer, Lot #, and Exp . Date—Ent er/Edit
	168
	169
	170	36Glossary
	171
	172
	173	47Index
	174
	175
	176
	177
	178	Pharmacist User Manu al
	179	Orientatio n
	180	Within the terminal dialogues used as ex amples in this manua l, the use r’s input is underli ned and bo lded. When ever the R eturn/Ente r key shou ld be pres sed, you w ill see th e symbol < RET>. When ever you s ee the und erline and bold repr esenting t he user’s input, you can assum e the Retu rn/Enter k ey was pre ssed.
	181	Electronic Signature XE "Elect ronic Sign ature"
	182	In Control led Substa nces, the Electronic Signature functiona lity will be used fo r identifi cation for pharmacy personnel, nursing p ersonnel, and narcot ic inspect ors.
	183	Identifica tion will be used to reconfirm the ident ity of the user at t he keyboar d before p roceeding with the n ext step i n a critic al process .
	184	In the doc umentation , when you r Electron ic Signatu re Code is to be ent ered, it i s represen ted as XXX XXX.
	185	If you hav e not prev iously bee n issued a n Electron ic Signatu re code yo u can assi gn yoursel f one at a ny menu op tion by en tering TBO X and then choosing Edit Elect ronic Sign ature Code . You can also enter “EDIT E a nd follow the prompt s as shown below.
	186	Electronic Signature Codes XE "Electroni c Signatur e Codes"
	187	This optio n is desig ned to per mit you to enter or change you r
	188	Initials, Signature Block Info rmation an d Office P hone numbe r.
	189	In additio n, you are permitted to enter a new Elec tronic Sig nature Cod e
	190	or to chan ge an exis ting code.
	191	INITIAL: O AC
	192	SIGNATURE BLOCK PRIN TED NAME: ONE A. CSN URSE
	193	SIGNATURE BLOCK TITL E: R.N.
	194	OFFICE PHO NE: 555-71 01
	195	ENTER NEW SIGNATURE CODE: XXXX XX(Signatu re Code wi ll not app ear on scr een)
	196	RE-ENTER S IGNATURE C ODE FOR VE RIFICATION : XXXXXX
	197	DONE
	198	TIP: It ma y help to use your a ccess code as your E lectronic Signature Code, this will help eliminate the possi bility of forgetting it!
	199	Intranet X E "Intrane t"
	200	We are now on the in tranet, co me visit u s. ( URL /softserv/ clin_bro.a d/index.ht ml) This a ddress wil l take you to the Cl inical Pro ducts page where you will find a listing of all th e clinical software manuals an d other so ftware man uals. Clic k on the C ontrolled Substances (CS) link and it wi ll take yo u to the C S Homepage . You can also get t here by go ing straig ht to
	201	URL /softserv/ clin_nar.r ow/pharmcs /index.htm l. (don’t forget to bookmark i t!)
	202	In additio n, both of these hom epages hav e a Softwa re Service Homepage link. Simp ly click o n this lin k and then follow th e links to the manua ls you wou ld like to see.
	203	Receipts I nto Pharma cy XE "Rec eipts Into Pharmacy"
	204	Use this o ption to p rocess rec eipts for purchase o rders, con trol point transacti ons, and P rime Vendo rs.
	205	Receiving XE "Receiv ing"
	206	The proces sing of re ceipts for Prime Ven dor and IF CAP purcha se orders XE "IFCAP purchase o rders" ar e handled slightly d ifferent.
	207	First a Ma ster Vault XE "Maste r Vault" must be fl agged as e ligible fo r Prime Ve ndor recei pts XE "Pr ime Vendor receipts" . The opt ion will e nable phar macy perso nnel to ac knowledge whether th e receipt is from a Prime Vend or.
	208	If it is, the system will defa ult to the Control P oint Trans action num ber XE "Co ntrol Poin t Transact ion number " and the purchase order numb er XE "pur chase orde r number" (1358 obl igation nu mber XE "1 358 obliga tion numbe r" ) curre ntly store d for that Master Va ult.
	209	If the ent ry that is being ent ered does not coinci de with th e current month’s ac tivity, th e user can correct t he entry. When all t he data ha s been ent ered, the files will be update d and the receipt po sted.
	210	Example:
	211	Select Rec eipts Into Pharmacy Option: RE Ceiving
	212	Select Dis pensing Si te: MAST V AU// <RET>
	213	Is this a Prime Vend or receipt ? Yes// <R ET> YES
	214	Current Pr ime Vendor P.O.#: 52 1-A00016 Date Assig ned: JUN 1 9,1995@16: 02
	215	Select Pha rmacy Purc hase Order Number: 5 21-A00016/ / <RET> 0 6-19-95 S T Order Not Comple tely Prepa red FC P: 023 $ 0.00
	216	Select Pha rmacy Tran saction nu mber: 521- 95-3-023-0 013// <RET > OBL MEA D JOHNSON A00016 KASLKJSAD FLDSA
	217	Please ent er the Pri me Vendor Invoice nu mber: <RET >
	218	Enter your Current S ignature C ode: XXXX XX SIGNATU RE VERIFIE D
	219	Select MAS T VAU drug : <RET>
	220	Purchase O rder Revie w XE "Purc hase Order Review"
	221	All receiv ing histor y for a se lected Pur chase Orde r number c an be revi ewed or pr inted. Eac h drug rec eipt will be listed along with the date, drug, qua ntity, and receiver.
	222	Control Po int Transa ction Revi ew XE "Con trol Point Transacti on Review"
	223	This optio n will all ow you to print the receiving history fo r a select ed Control Point Tra nsaction. Each drug receipt wi ll be list ed with th e date, dr ug, quanti ty, receiv ed by with in receivi ng site.
	224	Drug Recei pt History XE "Drug Receipt Hi story"
	225	By using t his option you can s ee the rec eiving his tory for a selected drug or ph armaceutic al. You ma y view or print the informatio n which wi ll list th e drug, da te, quanti ty, receiv ed by, Pur chase Orde r number, Transactio n number, and Invoic e number w ithin rece iving site .
	226	Invoice Re view (Prim e Vendor) XE "Invoic e Review ( Prime Vend or)"
	227	This optio n will lis t all rece ipts by da te, drug, quantity, and receiv ed by with in receivi ng site th at have be en posted for a sele cted Prime Vendor in voice numb er.
	228	Dispensing Menu XE " Dispensing Menu"
	229	This menu contains a ccess to a ll options associate d with the dispensin g of Contr olled Subs tances dru gs.
	230	Print CS D ispensing Worksheet XE "Print CS Dispens ing Worksh eet"
	231	This optio n will sor t and prin t all Cont rolled Sub stances pe nding requ est/orders for a Dis pensing si te. If ord ers were p reviously printed on a workshe et and NOT PROCESSED they will print on every subs equent wor ksheet pri nted regar dless of w hat you se lected.
	232	The worksh eet MUST b e printed prior to a pharmacis t dispensi ng a Contr olled Subs tances ord er. Each t ime this r eport is r un, a new worksheet will be bu ilt and al l new CS o rders will be includ ed. The pr inted sequ ence of CS orders wi ll change with each new worksh eet.
	233	The Pharma cy Dispens ing Worksh eet Summar y List wil l always p rint in dr ug name th en NAOU se quence reg ardless of the sort selection made.
	234	Fill/Dispe nse CS Ord ers from W orksheet X E "Fill/Di spense CS Orders fro m Workshee t"
	235	This optio n is used by Pharmac y personne l to proce ss and ver ify Contro lled Subst ances orde rs. The in formation required t o process this optio n is obtai ned from t he Print C S Dispensi ng Workshe et. Theref ore it is imperative that you have a cur rent works heet list in front o f you when using thi s option.
	236	Example:
	237	Select Dis pensing Me nu Option: FILL/Disp ense CS Or ders from Worksheet
	238	Select Pri mary Dispe nsing Site : MAST VAU // <RET>
	239	Dispensing Method: (W/R): Wor ksheet
	240	Enter your Current S ignature C ode: XXXXX X SIGNAT URE VERIFI ED
	241	Accessing worksheet informatio n...
	242
	243	screen dis playt foll ows
	244
	245	Control led Substa nce Order Request
	246	Pharmacy D ispensing #:
	247	Requested by : CS PROVIDER,O NE Request Date: JAN 4,1997
	248	---------- ---------- ---------- ---------- ---------- ---------- ---------- --------
	249	Drug : AC ETAMINOPHE N W/CODEIN E 15MG TAB Quan tity: 50
	250	Dispensed by : CS NURSE,TWO Dispensed Date:
	251	Disp. Loca tion : MA ST VAU
	252	Manufactur er : JO HNSON
	253	Lot # : 67 89
	254	Exp. Date : SE P 1994
	255	Ord. Locat ion : WE ST 4
	256	Order Stat us : OR DERED - NO T PROCESSE D
	257	Comments:
	258	SAMPLE
	259	Old Balanc e: 605 New B alance: 55 5
	260	ACTION (V DC E B S): VERIFY
	261	Assigning Pharmacy D ispensing #...
	262	PHARMACY D ISPENSING # 499
	263	Accessing the order. ..
	264	Old Balanc e : 605 New B alance :55 5
	265	Updating t he transac tion...vau lt activit y...worksh eet...orde r...done.
	266	This order is now FI LLED - NOT DELIVERED .
	267	Press <RET > to conti nue <RET> [If you pr ess return here you will be sh own order after orde r until yo u either u parrow (^) out or cy cle throug h all of t he orders]
	268	Dispensing /Receiving Report (V A FORM 10- 2321) XE " Dispensing /Receiving Report (V A FORM 10- 2321)"
	269	This repor t lists al l the CS o rders with an order status of “Filled no t Delivere d.” It wil l list by one, some, or All Na rcotic Are as of Use. Signature (s) are re quired for the pharm acist who fills/disp enses the CS drugs a nd the nur se receivi ng the CS drugs. The technicia n deliveri ng the CS drugs is r equired to sign the vault copy .
	270	The report format ha s been mod ified for the vault copy only to: print a drug bal ance under the drug name and p rint an as terisk nex t to quant ity and ba lance, but only if t he origina l quantity ordered h as been ed ited. A le gend will now print at the bot tom of the page.
	271	The report can refle ct more th an one ord er being d elivered t o an NAOU and is ret ained by p harmacy.
	272	Green Shee t—Print (V A FORM 10- 2638) XE " Green Shee t—Print (V A FORM 10- 2638)"
	273	This optio n will ena ble pharma cy personn el to prin t a single Green She et or a ra nge of Gre en Sheets that have not been p reviously printed.
	274	( Note: M ake sure t hat IRMS h as updated your devi ce setting s (these a re
	275	documented in the Co ntrolled S ubstances Technical Manual in the
	276	Resource R equirement s section) so that G reen sheet s will be properly
	277	formatted on plain p aper.
	278	Reprint Re ports Menu XE "Repri nt Reports Menu"
	279	This menu allows var ious narco tic report s and form s to be re printed. T o ensure d rug accoun tability, certain Co ntrolled S ubstances documents should onl y be print ed once. T his option allows th e reprinti ng of thes e controll ed records .
	280	Reprint Di sp/Receivi ng Report (VA FORM 1 0-2321) XE "Reprint Disp/Recei ving Repor t (VA FORM 10-2321)"
	281	The Dispen sing/Recei ving Repor t (in lieu of the VA FORM 10-2 321 XE "VA FORM 10-2 321" ) can be reprin ted for a single Gre en Sheet o r NAOUs.
	282	The report format ha s been mod ified for the vault copy only to: print a drug bal ance under the drug name and p rint an as terisk nex t to quant ity and ba lance, but only if t he origina l quantity ordered h as been ed ited. A le gend will now print at the bot tom of the page.
	283	If you sel ect N for NAOU, you will be pr ompted for a start a nd end dat e and time . Enter th e original date and time of th e report. If you sel ect G for Green Shee t #, you w ill not be prompted for the da te and tim e of the r eport.
	284	This repor t will req uire the s ignature o f the disp ensing pha rmacist, t he nurse r eceiving t he report, and the t echnician delivering the order s will be required t o sign the vault cop y.
	285	Green Shee t Reprint (VA FORM 1 0-2638) XE "Green Sh eet Reprin t (VA FORM 10-2638)"
	286	Pharmacy u ses this o ption to r eprint a s ingle Gree n Sheet.
	287	Dispensing Worksheet Reprint
	288	This optio n will rep rint a dis pensing wo rksheet. T he previou sly printe d dispensi ng workshe et, for a given site is utiliz ed in repr inting thi s workshee t listing.
	289	These orde rs are seq uenced by the sort s elected du ring the o riginal pr inting of the worksh eet. If an order has been proc essed by p harmacy si nce the or iginal wor ksheet was printed, the ws# (w orksheet n umber) wil l display an asteris k (*).
	290	The reprin ting proce ss will no t generate a new wor ksheet, th at is new orders wil l not be a dded to th e reprinte d workshee t.
	291	Label Repr int for Di spensing D rug XE "La bel Reprin t for Disp ensing Dru g"
	292	This optio n enables pharmacy t o reprint the dispen sing drug barcode la bel. The l abels may be printed by select ing a rang e of Green Sheet num bers; i.e. , dispensi ng numbers . After be ing reprin ted this l abel shoul d be affix ed to the drug packa ge deliver ed to the NAOU.
	293
	294	Reprint Tr ansfer Bet ween NAOUs (VA FORM 10-2321) X E "Reprint Transfer Between NA OUs (VA FO RM 10-2321 )"
	295	Pharmacy p ersonnel w ill be ONL Y able to reprint a copy of th e VA FORM 2321 XE "V A FORM 232 1" for Gr een Sheets transferr ed from on e NAOU to another NA OU, but ha ve not yet been rece ived on th e transfer red to NAO U.
	296	The report will show that it i s a *REP RINT XE "R EPRINT" * and prin t the mess age *TRA NSFERRED B ETWEEN NAO Us XE "TRA NSFERRED B ETWEEN NAO Us" * fr om NAOU to NAOU.
	297	Pharmacy D ispense wi thout (VA FORM 10-26 38) XE "Ph armacy Dis pense with out (VA FO RM 10-2638 )"
	298	With this option pha rmacy can dispense t he Control led Substa nces drugs from a di spensing s ite withou t generati ng the VA FORM 10-26 38 XE "VA FORM 10-26 38" . Drug s dispense d using th is option will not b e displaye d on the I nspector’s log or us age report s for the NAOUs. The se will be included on the Pha rmacy Disp ensing Rep ort and th e Daily Ac tivity Log .
	299	Label for Dispensing (Barcode) XE "Label for Dispe nsing (Bar code)"
	300	This optio n enables pharmacy t o print th e dispensi ng drug ba rcode labe l. The lab els may be printed b y selectin g NAOU(s) or a range of Green Sheet numb ers; i.e., dispensin g numbers. After bei ng printed , this lab el should be affixed to the dr ug package delivered to the NA OU.
	301	( Note: L abels can be printed three acr oss on she et fed lab els or one label
	302	across, 15 /16" high x 2-1/2" w ide on pin fed label s.
	303	Dispensing labels ma y be print ed for an order only once. You must use the Label Reprint fo r Dispensi ng Drug to reprint l abels.
	304
	305	Narcotic D ispensing Equipment Orders XE "Narcotic Dispensing Equipment Orders"
	306	This optio n is for d ispensing from Pharm acy to nar cotic disp ensing equ ipment sys tems.
	307	Example:
	308	Select Dis pensing Me nu Option: NARcotic Dispensing Equipment Orders
	309	Enter Cont rolled Sub stances In patient Si te Name: SITE NAME
	310	Select Def ault Dispe nsing Site : MAST VAU
	311	For now th is option is the sam e as dispe nse w/o gr een sheet.
	312	Select Pri mary Dispe nsing Site : MAST VAU // <RET>
	313	Select DRU G: LORA ZEPAM 2MG TAB U/D
	314	Select NAO U: WARD 10
	315	QUANTITY D ISPENSED ( TAB/20): 2 0//<RET> 2 0
	316	MANUFACTUR ER: ROXANE //<RET> RO XANE
	317	LOT #: 523 5// <RET> 5235
	318	EXPIRATION DATE: JUL 17,1996// <RET> (J UL 17, 199 6)
	319	Is this OK ? ? YES// <RET>
	320	Creating a dispensin g transact ion...vaul t activity
	321	Updat ing on-han d quantity ...done.
	322	Old Balanc e : 99489 New B alance: 99 469
	323	Updating y our transa ction hist ory...stil l updating ...done.
	324	Complete G reen Sheet XE "Compl ete Green Sheet"
	325	This optio n enables pharmacy p ersonnel t o complete a Green S heet that has the st atus of CO MPLETE GS PICK UP or DELIVERED ACTIVELY ON NAOU.
	326	All Green Sheets mus t pass a m anual revi ew before entering t hem into t his proces s. For eac h Green Sh eet number entered t he user mu st select a completi on status.
	327	The order status wil l be updat ed accordi ng to the completion status se lected for each Gree n Sheet.
	328	When the c ompletion status is:
	329	NO DISCREP ANCY XE "N O DISCREPA NCY"
	330	RETURNED T O STOCK XE "RETURNED TO STOCK"
	331	TURN IN FO R DESTRUCT ION XE "TU RN IN FOR DESTRUCTIO N"
	332	the order status of the Green Sheet will be update d to COMPL ETE - REVI EWED XE "C OMPLETE - REVIEWED" .
	333	When the c ompletion status is:
	334	GREEN SHEE T NOT SIGN ED BY NURS E XE "GREE N SHEET NO T SIGNED B Y NURSE"
	335	MATH ERROR XE "MATH ERROR"
	336	OTHER - RE FERRED TO PHARMACY S UPERVISOR XE "OTHER - REFERRED TO PHARMA CY SUPERVI SOR"
	337	the order status of the Green Sheet will be update d to COMPL ETE - PEND ING PROBLE M RESOLUTI ON. XE "CO MPLETE - P ENDING PRO BLEM RESOL UTION."
	338	If the com pletion st atus enter ed is RETU RNED TO ST OCK XE "RE TURNED TO STOCK" or TURNED IN FOR DESTR UCTION XE "TURNED IN FOR DESTR UCTION" a VA-FORM 1 0-2321 XE "VA-FORM 1 0-2321" N arcotic Di spensing/R eceiving R eport will be genera ted.
	339	Example:
	340	Select Pha rmacist Me nu Option: COMplete Green Shee t
	341	Enter your Current S ignature C ode: XXXXX X SIGNAT URE VERIFI ED
	342	Select Pri mary Dispe nsing Site : MAST VAU // <RET>
	343	Complete a Green She et
	344	Select the Green She et #: 192 LO RAZEPAM 2M G TAB U/D WEST 4
	345	This Green Sheet is still ACTI VE on the NAOU.
	346	Do you wan t to conti nue? Y YE S
	347	Select Com pletion St atus: ??
	348	Choose fro m:
	349	GREEN S HEET NOT S IGNED BY N URSE
	350	MATH ER ROR
	351	NO DISC REPANCY
	352	OTHER - REFERRED TO PHARMAC Y SUPERVIS OR
	353	RETURNE D TO STOCK
	354	TURN IN FOR DESTR UCTION
	355	Select Com pletion St atus: TURN IN FOR DE STRUCTION
	356	Is this OK ? YES// <R ET>
	357	Quantity o f TAB Turn ed in for Destructio n: 2
	358	RETURNED B Y NURSE: C SNURSE,TWO
	359	REASON TUR N IN FOR D ESTROY: FE LL ON FLOO R
	360	Is this OK ? YES// <R ET>
	361	Accessing Green Shee t informat ion...
	362	Updating y our record s...nursin g records now...done .
	363	* The status of your Green Sheet #19 2 *
	364	COMP LETED - RE VIEWED TUR N IN FOR D ESTRUCTION
	365	Accessing your trans action his tory...
	366	Creating a n entry in the Destr uction fil e...
	367	Your Destr uction Hol ding numbe r is 386
	368	NURSE RETU RNING DRUG : CSNURSE, TWO // <RE T>
	369	NO. OF CON TAINERS: 1 // <RET>
	370	UNIT: TAB/ / <RET>
	371	Number of copies of VA FORM 10 -2321? 2
	372	This repor t is desig ned for a 132 column format.
	373	You may qu eue this r eport to p rint at a later time .
	374	DEVICE: [S elect Prin t Device]
	375	Outpatient Rx’s XE " Outpatient RX’s"
	376	This optio n will ena ble pharma cy personn el to rele ase outpat ient presc riptions f rom their Controlled Substance s dispensi ng vault. For the fi rst releas e of a pre scription in this op tion, the Outpatient Site para meters mus t be ident ified. A c ontrolled substances prescript ion is ini tiated in the Outpat ient Pharm acy packag e.
	377	When the p harmacist enters an outpatient prescript ion the so ftware wil l display the most r ecently fi lled RX (n ew, refill ed, or par tial). The RX entere d is then scanned fo r the stat us to dete rmine if i t can be f illed and released. An Rx with any of th e followin g statuses : DELETED, HOLD, NON -VERIFIED, PENDING D UE TO DRUG INTERACTI ONS, CANCE LLED, and SUSPENDED will not b e filled a nd release d and a no tification message w ill be iss ued. Refer to the gl ossary for an explan ation of t he statuse s.
	378	The pharma cist has t he option of using a barcode r eader to w and the ba rcode labe l for the prescripti on, manual ly key in the number that is b elow the b arcode lab el, or ent er the pre scription number. Th e barcode number sho uld follow the forma t NNN-NNNN NNN.
	379	The Rx (Pr escription ) Outpatie nt Dispens ing Report is availa ble from t he Product ion Report s Option ( this is do cumented i n the Cont rolled Sub stances Su pervisor’s User Manu al).
	380	Note: You will not b e able to release a prescripti on before a label ha s been
	381	printed.
	382	Note: All prescripti on labels are printe d in the O utpatient Pharmacy p ackage if
	383	the prescr iption is to be fill ed and rel eased.
	384	Note: The Outpatient Rx’s opti on prevent s the rele asing a co ntrolled s ubstance p rescriptio n if the C MOP status is transm itted, dis pensed or retransmit ted. Contr olled subs tance pres criptions with the s tatus of ‘ Not dispen sed’ shall be releas able.
	385	Transfer D rugs betwe en Dispens ing Sites XE "Transf er Drugs b etween Dis pensing Si tes"
	386	With this option pha rmacy pers onnel are able to tr ansfer Con trolled Su bstances b etween dis pensing si tes, the i nventory b alances ar e updated at this ti me within each dispe nsing site .
	387	( Note: Wh en drug(s) are being transferr ed from on e dispensi ng site in to
	388	another, a MailMan m essage wil l be gener ated to th e pharmacy superviso r
	389	holding th e PSDMGR X E "PSDMGR" security key, only if the re ceiving di spensing s ite
	390	does not n ormally st ock a part icular dru g(s).
	391	To obtain a listing of these t ransfers u se the Tra nsfer Drug s between Dispensing Sites opt ion on the Productio n Report M enu.
	392	Example:
	393	Select Pha rmacist Me nu Option: TRAnsfer Drugs bet ween Dispe nsing Site s
	394	Enter your Current S ignature C ode: XXXXX X SIGNAT URE VERIFI ED
	395	Transfer f rom Dispen sing Site: WEST 2 6
	396	Select DRU G From wes t 26: ACET
	397	1 A CETAMINOPH EN W/CODEI NE 15MG TA B CN101
	398	2 A CETAMINOPH EN W/CODEI NE 30MG TA B CN101
	399	CHOOSE 1-2 : 2
	400	Break down Unit: Packa ge Size:
	401	Enter Quan tity to Tr ansfer: ( 1-1): 1
	402	Transfer t o Dispensi ng Site: S OUTH 3
	403	SO UTH 3 does not stock ACETAMINO PHEN W/COD EINE 30MG TAB!
	404	Do you wan t to conti nue? Y YE S
	405	Transferri ng: 1 ()
	406	From: west 26 To: SOUTH 3
	407	Is this OK ? NO// Y YES
	408	Updating v ault on-ha nd balance s now...we st 26...
	409	Still upda ting...SOU TH 3...
	410	Still upda ting...don e!
	411	........
	412	Infusion O rder Proce ssing Menu XE "Infus ion Order Processing Menu"
	413	This menu contains t he infusio n order/en try and tr ansferring a Green S heet optio ns associa ted with t he IV phar macist pro cessing a Controlled Substance s infusion order.
	414	Infusion O rder Entry XE "Infus ion Order Entry"
	415	The IV pha rmacist us es this op tion to el ectronical ly request Controlle d Substanc es drugs u sed in IV orders. On ly infusio n orders r equiring t he VA FORM 10-2638 X E "VA FORM 10-2638" should be requested using thi s option.
	416	Order Entr y Steps XE "Order En try Steps"
	417	1. Set up IV room a s an NAOU.
	418	2. Enter Drugs as s tock items that will be used.
	419	(Orders pl aced throu gh Inpatie nt Meds IV order pro cess requi ring a Con trolled Su bstance wi ll use thi s next pro cess.)
	420	3. IV pha rmacist wi ll be plac ing orders through I nfusion Or der Entry
	421
	422	option.
	423	4. Orders will now be process ed through normal Co ntrolled S ubstances
	424	process at this poin t.
	425	5. The dr ugs, along with the dispensing receiving report (i n lieu of VA
	426
	427	FORM 10-23 21 XE "VA" ), and th e Green Sh eet VA FOR M 10-2638 XE "VA FOR M 10-2638"
	428
	429	XE "VA FO RM 10-2638 " will be delivered
	430	to the IV pharmacist .
	431	6. The IV pharmacis t will log any unuse d portion of the Con trolled
	432
	433	Substances as wasted on the Gr een Sheet.
	434	7. IV pha rmacist wi ll then tr ansfer the Green She et and dru g to the
	435
	436	requesting NAOU.
	437	Transfer G reen Sheet and Drug to another NAOU XE " Transfer G reen Sheet and Drug to another NAOU"
	438	This optio n will ena ble nurses to transf er Control led Substa nces drugs and their associate d Green Sh eets to an other NAOU . The tran sfer of Co ntrolled S ubstances drugs betw een NAOUs requires t wo process ing steps.
	439	Step 1 - T he Green S heet and D rug must b e transfer red to an NAOU.
	440	Step 2 - T he Green S heet and D rug must t hen be rec eived on t hat NAOU.
	441	Destructio ns Menu XE "Destruct ions Menu"
	442	This menu allows pha rmacy supe rvisors to maintain the necess ary record s when des troying a Controlled Substance s drug.
	443	Hold a CS Drug (No I nventory U pdate) XE "Hold a CS Drug (No Inventory Update)"
	444	This optio n allows p harmacy su pervisors to place a Controlle d Substanc es VA drug , from the DRUG file (#50), on hold for destructio n. When us ing this o ption, the Controlle d Substanc es invento ry balance will not be updated . A CS DES TRUCTION f ile (#58.8 6) entry i s made and is now ab le to be t raced thro ugh the CS software. A 60 char acter comm ents field has been added enab ling pharm acy to ent er a reaso n for drug s returned .
	445	Non—VA Dru g Placed o n Hold for Destructi on XE "Non —VA Drug P laced on H old for De struction"
	446	This optio n allows t he pharmac y supervis ors to pla ce a non—V A drug, no t existing in the DR UG file (# 50), on ho ld for des truction. A CS DESTR UCTIONS fi le (#58.86 ) entry is made and traceable through th e CS softw are.
	447	Destroy a Controlled Substance s Drug XE "Destroy a Controlle d Substanc es Drug"
	448	This optio n provides the super visor with the abili ty to ente r the dest ruction in formation for any Co ntrolled S ubstances drug being destroyed .
	449	CS Order E ntry For W ard XE "CS Order Ent ry For War d"
	450	This optio n enables pharmacy p ersonnel t o electron ically ent er manual Controlled Substance s requests from the nursing wa rds that r equire the VA FORM 1 0-2638. XE "VA FORM 10-2638." You will be shown a ny pending orders an d will be asked to a pprove or delete the m before b eing able to enter a new one.
	451	These orde r requests entered b y pharmacy personnel are not r estricted to the ord ering mult iples esta blished by the packa ge size.
	452	Example:
	453	Select Pha rmacist Me nu Option: CS Order Entry For Ward
	454	Select Ord ering NAOU : WARD 10
	455	THIS IS TH E ORDER EN TRY BANNER XE "ORDER ENTRY BAN NER"
	456	Scheduled Delivery o r Unschedu led Pick U p (S/U): SCHeduled Delivery//
	457	Searching for TWO SC NURSE’S pe nding requ ests..
	458	Accessing pending re quests for TWO CSNUR SE...
	459	THIS IS TH E ORDER EN TRY BANNER
	460	The follow ing reques t(s) may b e approved or delete d:
	461	# DATE OR DERED DRUG QUANT ITY
	462	1 FEB 26, 1997 ACET AMINOPHEN W/CODEINE 30MG TAB 1
	463	Approve or Delete (A /D): Appro ve// <RET>
	464	Enter your Current S ignature C ode: XXXX XX SIGNAT URE VERIFI ED
	465	Processing your requ est #1 now ... No pe nding requ ests.
	466	Select DRU G: ACET AMINOPHEN W/CODEINE 30MG TAB
	467	Searching for pendin g orders.. .
	468	Orders pen ding: 5 Q uantity Or dered (TAB ): 22
	469	Do you wis h to cance l any pend ing orders ? NO// <RE T>
	470	No orders cancelled. Continue processin g your ord er.
	471	Maximum qu antity per order: 1 00 TAB
	472	QUANTITY ( TAB/1): 1/ / <RET>
	473	processing now...
	474	COMMENTS:
	475	1>NEED F OR PATIENT
	476	2><RET>
	477	EDIT Optio n: <RET>
	478	Select DRU G: <RET>
	479	Accessing pending re quests for TWO CSNUR SE...
	480	THIS IS TH E ORDER EN TRY BANNER
	481	The follow ing reques t(s) may b e approved or delete d:
	482	# DATE OR DERED DRUG QUANT ITY
	483	1 FEB 26, 1997 ACET AMINOPHEN W/CODEINE 30MG TAB 1
	484	Approve or Delete (A /D): Appro ve// <RET>
	485	Enter your Current S ignature C ode: XXXX XX SIGNAT URE VERIFI ED
	486	Processing your requ est #1 now ...
	487	Receipt of Controlle d Substanc es from Ph armacy XE "Receipt o f Controll ed Substan ces from P harmacy"
	488	This optio n enables pharmacy p ersonnel t o electron ically rec eive CS or ders for t he nursing wards.
	489	( Note: P atch PSD3 .081 modi fies the “ Receipt of Controlle d Substanc e from Pha rmacy” [PS D REC GS] option to include th e dispense unit (ML, TAB, CAP, etc) of t he control led substa nce dispen se drug be ing electr onically r eceived in to the Nar cotic Area of Use (N AOU).
	490	Example:
	491	Select Pha rmacist Me nu Option: RECeipt of Control led Substa nce from P harmacy
	492	Receive Co ntrolled S ubstances Orders and Green She et
	493	Enter your Current S ignature C ode: XXXXX X SIGNAT URE VERIFI ED
	494	Select NAO U: WEST 4
	495	Select the Green She et #: 458 LO RAZEPAM 2M G TAB U/D WEST 4
	496	Accessing LORAZEPAM 2MG TAB U/ D informat ion...
	497	QUANTITY R ECEIVED (T AB): 20// <RET> 20
	498	Updating y our record s now...do ne.
	499	* Y our Green Sheet #458 is now DE LIVERED - PERPETUAL INVENTORY *
	500	Select the Green She et #:<RET>
	501	Barcode TR AKKER for Inventory XE "Barcod e TRAKKER for Invent ory"
	502	This menu contains t he options associate d with per forming na rcotic vau lt invento ries using the barco de TRAKKER device.
	503	Load Softw are and In ventory in to TRAKKER XE "Load Software a nd Invento ry into TR AKKER"
	504	This optio n enables pharmacy p ersonnel t o download an IRL pr ogram to t he TRAKKER , download the vault drug bala nces to th e TRAKKER, and perfo rm the inv entory via the TRAKK ER.
	505	Example :
	506	Turn the T RAKKER on and the fo llowing wi ll be disp layed
	507
	508	Select Pha rmacist Me nu Option: BARcode T RAKKER for Inventory
	509	Load Softw are and In ventory in to TRAKKER
	510	Send Vault TRAKKER I nventory D ata to DHC P
	511	Select Bar code TRAKK ER for Inv entory: LOad Softw are and In ventory in to TRAKKER
	512	Select Dis pensing si te to Inve ntory: INP ATIENT//<R ET>
	513	[You will only be as ked this q uestion if you have more than one dispen sing vault defined f or your si te. If you select a default di spensing s ite upon e ntering yo ur Control led Substa nces menu, it will b e offered as a defau lt.]
	514	Compiling inventory data...
	515	DEVICE: T RAKKERSL
	516
	517	TRAKKER in formation follows
	518
	519	[You will see the IR L program scroll as it is bein g download ed to the TRAKKER.]
	520
	521	[After the IRL progr am has bee n download ed the fol lowing mes sage will appear on your termi nal:]
	522	Awaiting T RAKKER sig nal
	523
	524
	525	printout f ollows
	526
	527
	528	[After the data has been downl oaded the following message wi ll appear on your te rminal]
	529	You can no w disconne ct the TRA KKER.
	530	[At this p oint the T RAKKER wil l go back and displa y the two available options.]
	531
	532	[When you enter a 1, the syste m will ask you to id entify you rself (sca n your ID badge) and to identi fy the dru g (scan th e drug lab el).]
	533	[The syste m will che ck the fil es for a m atch. If n o match is found, th e system w ill inform the user that this drug is no t in the f iles. If a match is found, the drug
	534	name and q uantity wi ll be disp layed as f ollows]
	535
	536	[Scan your user ID b arcode]
	537
	538	[At this p oint you h ave the op tion to en ter an N t o adjust t he count.]
	539
	540	Send Vault TRAKKER I nventory D ata to DHC P XE "Send Vault TRA KKER Inven tory Data to DHCP"
	541	This optio n enables pharmacy p ersonnel t o upload t he invento ry data fr om the TRA KKER to VI STA.
	542	Example :
	543
	544
	545	Load Softw are and In ventory in to TRAKKER
	546	Send Vault TRAKKER I nventory D ata to DHC P
	547	Select Bar code TRAKK ER for Inv entory: SE Nd Vault T RAKKER Inv entory Dat a to DHCP
	548	[Use the S end data t o DHCP opt ion on the TRAKKER a t this tim e]
	549
	550	[When you press F1 t he data wi ll print a cross your terminal screen]
	551	P123-45-67 67^>94/08/ 22:10:23:4 4*12
	552	P123-45-67 67^614^DIA ZEPAM 2MG TAB^337^^^ ^335^^^^>9 4/08/22:10 :24:07
	553	P123-45-67 67^614^DIA ZEPAM 2MG TAB^335^^^ ^^^^^>94/0 8/22:10:24 :22
	554	P123-45-67 67^615^DIA ZEPAM 10MG TAB^421^^ ^^^^^^>94/ 08/22:10:2 4:22
	555
	556	( Note: [Y ou will ge t conforma tion on yo ur TRAKKER that the informatio n was sent , press th e
	557	return key on your t erminal an d you shou ld see thi s message]
	558	Updating D HCP now... done
	559	[Anyone ho lding the appropriat e security key {PSD ERROR XE " PSD ERROR" ] will al so receive a MailMan message o n the adju stment.]
	560	Example: M ailMan mes sage
	561	Subj: CS P HARM TRAKK ER ADJUSTM ENT [#319 4] 22 Aug 94 13:23 7 Lines
	562	From: CONT ROLLED SUB STANCES PH ARMACY in 'IN' bask et. Page 1
	563	---------- ---------- ---------- ---------- ---------- ---------- ---------- --------
	564	CS PHARM T RAKKER adj ustment/er ror has be en filed.
	565	Adjustment /Error Dat e/Time: AU G 22,1994@ 13:23:46
	566	Dispensing Site: INP ATIENT
	567	Drug: DIAZ EPAM 2MG T AB
	568	Quantity A djusted: - 3
	569	Adjusted b y: PHARMAC IST,JOE Q.
	570	( Note: D ata should be cleare d out or d eleted fro m the TRAK KER to avo id
	571
	572	duplicatio n of inven tory infor mation.
	573	After the upload is completed you should clear the TRAKKER’s data file s. To acco mplish thi s, press [ Ctrl]-[ent er]-[E] to end the I RL session , then pre ss
	574	[Ctrl]-[en ter]-[C], you will b e asked if you want to clear t he data fi les, enter Y (YES).
	575	To restart the IRL s ession pre ss [Ctrl]- [enter]-[B ].
	576	Manufactur er, Lot #, and Exp. Date—Enter /Edit XE " Manufactur er, Lot #, and Exp. Date—Enter /Edit"
	577	Use this o ption to e dit the Ma nufacturer , Lot #, a nd Expirat ion date f or stocked drug(s) i n the Drug Accountab ility Stat s file. Th e drug mus t first ha ve been ad ded throug h the Stoc k CS Drugs —Enter/Edi t option. This field , when def ined, will be printe d on the P harmacy Di spensing R eport and displayed on the CS request or ders to ph armacy.
	578	Glossary
	579	Action Pro mpt
	580	There are two action prompts t hat occur during the
	581	pharmacy d ispensing process. T he action codes
	582	used with these prom pts will a ppear in ( ). The
	583	following codes are valid:
	584	V
	585	Verify or Dispense t he order ( Displayed
	586
	587	only to th e dispensi ng pharmac ist).
	588	P
	589	Process or Fill the order (Dis played onl y
	590	to the pha rmacy tech nician or pharmacist
	591
	592	filling bu t not disp ensing the order).
	593	DC
	594	Cancel the order.
	595	E
	596	Edit the o rder.
	597	B
	598	Bypass the order.
	599	S
	600	Show the o rder.
	601	Completion Status
	602	A review s tatus is a ttached to each Cont rolled
	603	Substances Green She et returne d to pharm acy.
	604	The follow ing are va lid:
	605	NO DISCREP ANCY—No di screpancy found.
	606	TURN IN FO R DESTRUCT ION—CS dru g turned i n to be de stroyed.
	607	RETURNED T O STOCK—CS Drug retu rned to st ock. The d ispensing site inven tory balan ce will be updated.
	608	MATH ERROR —CS drug d iscrepancy found.
	609	GREEN SHEE T NOT SIGN ED BY NURS E—GS missi ng nurse’s signature .
	610	OTHER—REFE RRED TO PH ARMACY SUP ERVISOR—CS drug disc repancy re ferred to supervisor for resol ution.
	611	Daily Acti vity Log
	612	The Daily Activity L og lists d ata, withi n a
	613	selected d ate range, associate d with the VA FORM
	614	2320 XE "V A FORM 232 0" for a dispensing site.
	615	Dispensing Number
	616	Control nu mber assig ned by pha rmacy when
	617	dispensing a Control led Substa nces drug. This
	618	number is used to tr ack the Gr een Sheet and drug.
	619
	620	Also refer red to as the Disp # , Green Sh eet #, GS #,
	621	or transac tion # thr oughout th e CS packa ge.
	622	Dispensing /Receiving Report T his report can be pr inted in l ieu of VA FORM
	623	(in lieu o f VA FORM 10-2321 XE "VA FORM 10-2321" )
	624	2321 and l ists all C ontrolled Substances orders
	625	dispensed to an NAOU . The sign atures of the
	626	dispensing pharmacis t and the nurse rece iving the
	627	drug are r equired.
	628	Dispensing Site
	629	An NAOU se t up as a pharmacy v ault that
	630	dispenses Controlled Substance s drugs.
	631	Dispensing Worksheet
	632	This works heet compi les a list of all pe nding
	633	Controlled Substance s request orders for a
	634	selected d ispensing site. A wo rksheet nu mber,
	635	drug name, quantity ordered, r equesting NAOU,
	636	ordered by , comments , and blan ks for pha rmacy
	637	dispensing number, m anufacture r, lot num ber,
	638	and expira tion date are listed on the wo rksheet.
	639	Drug Addre ss Code
	640	A code tha t represen ts the loc ation of
	641	(Location Code)
	642	a drug in the NAOU. For exampl e, if TYLO X is
	643	stored in an NAOU on the secon d set of s helves,
	644	third shel f from the top, its drug addre ss code co uld
	645	be express ed as S,2, 3. The add ress code can consis t
	646	of up to t hree level s separate d by a com ma. Each
	647	level shou ld further define th e exact lo cation. Th e
	648	code is as sociated w ith an exp ansion cod e for
	649	clarity.
	650	Drug Addre ss Code
	651	Text used to clarify the meani ng of a dr ug
	652	Expansion
	653	address co de. For ex ample, the code S wo uld be
	654
	655	expanded a nd printed as shelf. (These co des and
	656
	657	expansions are local ly created terms.)
	658	Green Shee t
	659	The CONTRO LLED SUBST ANCE
	660	ADMINISTRA TION RECOR D (VA FORM 10-2638 X E "VA FORM 10-2638" )
	661	is referre d to as a Green Shee t or GS th roughout
	662	the CS pac kage. Phar macy dispe nsing numb er,
	663	drug name, expiratio n date, qu antity dis pensed,
	664	lot number , ordered by, dispen sed by, an d ward
	665	(NAOU) are printed o n the form .
	666	Green Shee t number
	667	Control nu mber assig ned by pha rmacy when
	668	dispensing a Control led Substa nces drug. This
	669	number is used to tr ack the Gr een Sheet and
	670	drug. It i s also ref erred to a s the GS # ,
	671	dispensing #, or dis p #, or tr ansaction #
	672	throughout the CS pa ckage.
	673	Interactiv e Reader
	674	The Intera ctive Read er Languag e (IRL) is a
	675	Language ( IRL)
	676	language u sed to wri te program s on barco de
	677	readers th at allow t he readers to intera ct with th e
	678	user.
	679	Intranet
	680	A company wide compu ter networ k availabl e via
	681	modem that connects users.
	682	Inpatient Site
	683	Inpatient Site must be defined for each NAOU.
	684	The Contro lled Subst ances soft ware utili zes this
	685	data to di stinguish multi-divi sional sit es.
	686	Inspector’ s Log
	687	This repor t lists al l active G reen Sheet s by NAOU.
	688
	689	It include s the foll owing info rmation: G reen Sheet
	690
	691	#, drug na me, date d ispensed, quantity d ispensed,
	692
	693	expiration date (if available) , blanks f or quantit y
	694
	695	on hand, a nd a signa ture blank for verif ication.
	696	Master Vau lt
	697	An NAOU se t up as yo ur primary dispensin g site.
	698	NAOU - Nar cotic Area
	699	A Narcotic Area of U se (NAOU) is a place where
	700	of Use
	701	commonly s tocked Con trolled Su bstances d rugs
	702	are stored for use b y pharmacy , wards or
	703	treatment areas. The re are thr ee types o f NAOUs:
	704	1) Master Vault, 2) Satellite Vault, and 3) Narcot ic
	705	Locations.
	706	NAOU Inven tory Group
	707	An NAOU In ventory Gr oup is def ined by
	708	pharmacy t o represen t the Narc otic Areas of Use
	709	which are inventorie d together as a grou p. By
	710	grouping t he commonl y inventor ied NAOUs under
	711	an easy to remember group name , the elem ents of
	712	the invent ory are es tablished, and do no t have to
	713	be redefin ed every t ime an inv entory is scheduled.
	714	Narcotic L ocation
	715	An NAOU se t up for t he nursing wards,
	716	pharmacy I V room, or a pharmac y working stock
	717	area.
	718	Order Entr y Banner X E "Order E ntry Banne r"
	719	Provides a free text field as a site par ameter to
	720	appear upo n Nursing CS Order E ntry. When the
	721	user acces ses the fo llowing 3 options, t he free te xt
	722	field will be displa yed:
	723
	724
	725	1) Nursing Order Ent ry
	726
	727
	728	2) Pharmac y Order En try from N ursing
	729
	730
	731
	732
	733
	734	3) Infusio n Order En try
	735	Order Stat us
	736	A processi ng status is attache d to each Controlled
	737	Substances request o rder. The following are valid:
	738	REQUESTED— NOT ORDERE D
	739	Requests c reated by batch proc essing but not yet a pproved.
	740	ORDERED—NO T PROCESSE D
	741	Ordered by nursing b ut not pro cessed by pharmacy.
	742	PROCESSED— NOT DISPEN SED Proce ssed (fil led) by ph armacy but not yet d ispensed.
	743	FILLED—NOT DELIVERED Dispense d and veri fied by ph armacy but not deliv ered to th e requesti ng NAOU.
	744	DELIVERED— ACTIVELY O N NAOU Dr ug stored on the NAO U.
	745	COMPLETED— GREEN SHEE T READY FO R PICKUP Nursing ha s flagged the Green Sheet read y for phar macy picku p.
	746	COMPLETED— GREEN SHEE T PICKED U P Green S heet retur ned to pha rmacy but not yet re viewed.
	747	COMPLETED— REVIEWED Pharmacy h as reviewe d the Gree n Sheet .
	748	COMPLETED— PENDING PR OBLEM
	749	RESOLUTION Pharmacy has revie wed the Gr een Sheet and a prob lem exists
	750	CANCELLED Order can celled.
	751	TRANSFERRE D TO ANOTH ER NAOU O rder and d rug transf erred to a nother NAO U.
	752	UNDER REVI EW BY INSP ECTOR Ord er and dru g pulled f rom NAOU b y CS Inspe ctor for r eview.
	753	LOGGED BY TRAKKER A ll drug do ses from t his order have been logged out to patien ts using t he TRAKKER . (Not cur rently use d in Versi on 2.0.)
	754	Prescripti on Status
	755	A prescrip tion can h ave one of the follo wing statu s.
	756	CANCELLED This term is now re ferred to throughout the softw are as Dis continued. (See Disco ntinued.)
	757	DELETED T his status is used w hen a pres cription i s deleted. Prescript ions are n o longer p hysically deleted fr om the sys tem, but m arked as d eleted. On ce a presc ription is marked de leted no a ccess is a llowed oth er than vi ew.
	758	HOLD A pr escription that was placed on hold due t o reasons determined by the ph armacist.
	759	NON-VERIFI ED There are two ty pes of non -verified statuses. Depending on a site parameter, prescript ions enter ed by a te chnician d o not beco me active until they are revie wed by a p harmacist. Until suc h review, they remai n non-veri fied and c annot be p rinted, ca nceled or edited exc ept throug h the Veri fication m enu.
	760	The second non-verif ied status is given to prescri ptions whe n a drug/d rug intera ction is e ncountered during th e new orde r entry or editing o f a prescr iption.
	761	PENDING A prescript ion which has been e ntered thr ough OERR.
	762	SUSPENDED A prescri ption whic h will be filled at some futur e date.
	763	PSD ERROR XE "PSD ER ROR" XE " PSD ERROR"
	764	This key s hould be a llocated t o pharmacy
	765	supervisor s responsi ble for ma intaining the
	766	narcotic v ault. This key contr ols access to report s
	767	listing va rious erro r and exce ption cond itions
	768	generated when entri es are fil ed from th e barcode
	769	TRAKKER. A lso, the h olders of this key w ill
	770	receive el ectronic m ail messag es created by using
	771	the TRAKKE R.
	772	PSD NURSE XE "PSD NU RSE"
	773	This key s hould be a llocated t o nurses, usually LP Ns, who ma y only rec eive and a dminister controlled substance s but cann ot place t he order r equests.
	774	PSD PARAM XE "PSD PA RAM"
	775	This key s hould be a llocated o nly to the Inpatient
	776	Pharmacy P ackage Coo rdinator(s ). This lo ck
	777	controls t he printin g of the G reen Sheet s and the
	778	range of a utomated d ispensing numbers fo r a
	779	dispensing site (vau lt).
	780	PSD TECH X E "PSD TEC H"
	781	Allocate t his key to control s ubstance t echnicians . This key controls access to the List O n-Hand Amo unts [PSD ON-HAND TE CH], Trans fer Drugs between Di spensing S ites Repor t [PSD PRI NT VAULT T RANSFERS T ECH], and the Daily Activity L og (in lie u of VA FO RM 10-2320 ) [PSD DAI LY LOG TEC H] options on the Te chnician ( CS Pharmac y) Menu [P SD PHARM T ECH].
	782	PSD TECH A DV XE "PSD TECH ADV"
	783	Allocate t his key to specific control su bstance te chnicians who perfor m advance functions. This key controls a ccess to t he Receipt s Into Pha rmacy [PSD RECEIPTS MENU], Dis pensing Me nu [PSD DI SPENSING M ENU], Dest ructions M enu [PSD D ESTROY MEN U], Manufa cturer, Lo t #, and E xp. Date - Enter/Edi t [PSD MFG /LOT/EXP], Outpatien t Rx's [PS D OUTPATIE NT], Compl ete Green Sheet [PSD COMPLETE GS], Destr oyed Drugs Report [P SD DEST DR UGS REPORT ], DEA For m 41 Destr oyed Drugs Report [P SD DESTROY DEA41], D estruction s Holding Report [PS D DESTRUCT ION HOLDIN G], Add Ex isting Gre en Sheets at Setup [ PSD EXISTI NG GS], Gr een Sheet Transfer B etween NAO Us Report [PSD GS TR ANSFER (NA OU) REPORT ], NAOU Us age Report [PSD NAOU USAGE], T ransfer Dr ugs betwee n Dispensi ng Sites [ PSD TRANSF ER VAULT D RUGS] opti ons on the Technicia n (CS Phar macy) Menu [PSD PHAR M TECH]. T he CS tech nician may perform a ll functio ns of the Outpatient Rx’s [PSD OUTPATIEN T] option except rel easing pre scriptions .
	784	PSD TRAN X E "PSD TRA N"
	785	This key s hould be a llocated t o the Inpa tient
	786	Pharmacy C oordinator (s). This key contro ls the
	787	access to the NAOU t o NAOU Tra nsfer Stoc k
	788	Entries [P SD TRANSFE R NAOU] op tion. User s
	789	can copy s tock entri es from on e NAOU int o another
	790	NAOU or fr om an AR/W S AOU into an NAOU.
	791	PSDMGR XE "PSDMGR"
	792	This key s hould be a llocated t o the Inpa tient
	793	Pharmacy S upervisor and Packag e Coordina tor(s)
	794	or his/her designee. This lock controls the editin g of
	795	CS files f or package set up. T his key lo cks the
	796	Supervisor ’s
	797	Menu optio ns [PSD MG R].
	798	PSDRPH XE "PSDRPH"
	799	This key a uthorizes pharmacist s to verif y and disp ense contr olled subs tance pres cription(s ). The PSD RPH securi ty key sho uld be giv en to regi stered pha rmacists w orking on controlled substance s to honor Drug Enfo rcement Ad ministrati on (DEA) r egulations and shoul d not be g iven to no n-pharmaci sts except in cases where the package co ordinator (ADPAC) is not a reg istered ph armacist.
	800	PSJ PHARM TECH XE "P SJ PHARM T ECH"
	801	This key s hould be a llocated t o pharmacy technicia ns handlin g narcotic orders.
	802	PSJ RNURSE XE "PSJ R NURSE"
	803	This key s hould be a llocated t o nurses w ho request
	804	narcotic o rders, rec eive, and administer
	805	controlled substance s on the w ards.
	806	PSJ RPHARM XE "PSJ R PHARM"
	807	This key s hould be g iven to ph armacists
	808	dispensing and recei ving narco tic orders .
	809	Satellite Vault
	810	An NAOU se t up as a secondary dispensing site.
	811	Stock Drug
	812	A drug (fr om the dru g file) st ored in an NAOU.
	813	Stock Leve l
	814	The quanti ty of a dr ug stocked in a spec ific NAOU.
	815	TRAKKER
	816	A barcode collection system ut ilized by scanning
	817
	818	barcode la bels or by pressing the key pa d on the
	819
	820	barcode re ader devic e.
	821	VISTA
	822	Veterans H ealth Info rmation Sy stems and
	823	Technology Architect ure
	824	Ward (for Drug)
	825	The name o f the ward or wards that will use this
	826	particular drug. It is importa nt to accu rately
	827	answer thi s prompt b ecause thi s is the l ink
	828	between th e Unit Dos e package and the Co ntrolled
	829	Substances package. The Unit D ose packag e looks
	830	at this fi eld to kno w if the d rug is a C ontrolled
	831	Substances stocked d rug.
	832	Index
	833
	834	1
	835	1358 oblig ation numb er, 5
	836	B
	837	Barcode TR AKKER for Inventory, 29
	838	C
	839	COMPLETE - PENDING P ROBLEM RES OLUTION., 15
	840	COMPLETE - REVIEWED, 15
	841	Complete G reen Sheet , 15
	842	Control Po int Transa ction numb er, 5
	843	Control Po int Transa ction Revi ew, 6
	844	CS Order E ntry For W ard, 25
	845	D
	846	Destroy a Controlled Substance s Drug, 23
	847	Destructio ns Menu, 2 3
	848	Dispensing Menu, 7
	849	Dispensing /Receiving Report (V A FORM 10- 2321), 9
	850	Drug Recei pt History , 6
	851	E
	852	Electronic Signature , 3
	853	Electronic Signature Codes, 3
	854	F
	855	Fill/Dispe nse CS Ord ers from W orksheet, 7
	856	G
	857	G.Controll ed Substan ces Team@ DN S BIRM, iii
	858	GREEN SHEE T NOT SIGN ED BY NURS E, 15
	859	Green Shee t Reprint (VA FORM 1 0-2638), 1 0
	860	Green Shee t—Print (V A FORM 10- 2638), 9
	861	H
	862	Hold a CS Drug (No I nventory U pdate), 23
	863	I
	864	IFCAP purc hase order s, 5
	865	Infusion O rder Entry , 21
	866	Infusion O rder Proce ssing Menu , 21
	867	Intranet, 4
	868	Invoice Re view (Prim e Vendor), 6
	869	L
	870	Label for Dispensing (Barcode) , 12
	871	Label Repr int for Di spensing D rug, 11
	872	Load Softw are and In ventory in to TRAKKER , 29
	873	M
	874	Manufactur er, Lot #, and Exp. Date—Enter /Edit, 35
	875	Master Vau lt, 5
	876	MATH ERROR , 15
	877	N
	878	Narcotic D ispensing Equipment Orders, 13
	879	NO DISCREP ANCY, 15
	880	Non—VA Dru g Placed o n Hold for Destructi on, 23
	881	O
	882	Order Entr y Banner, 42
	883	ORDER ENTR Y BANNER, 25
	884	Order Entr y Steps, 2 1
	885	OTHER - RE FERRED TO PHARMACY S UPERVISOR, 15
	886	Outpatient RX’s, 17
	887	P
	888	Pharmacy D ispense wi thout (VA FORM 10-26 38), 12
	889	Prime Vend or receipt s, 5
	890	Print CS D ispensing Worksheet, 7
	891	PSD ERROR, 33, 44
	892	PSD NURSE, 44
	893	PSD PARAM, 44
	894	PSD TECH, 44
	895	PSD TECH A DV, 44
	896	PSD TRAN, 45
	897	PSDMGR, 19 , 45
	898	PSDRPH, 45
	899	PSJ PHARM TECH, 45
	900	PSJ RNURSE , 45
	901	PSJ RPHARM , 45
	902	purchase o rder numbe r, 5
	903	Purchase O rder Revie w, 6
	904	R
	905	Receipt of Controlle d Substanc es from Ph armacy, 27
	906	Receipts I nto Pharma cy, 5
	907	Receiving, 5
	908	REPRINT, 1 1
	909	Reprint Di sp/Receivi ng Report (VA FORM 1 0-2321), 1 0
	910	Reprint Re ports Menu , 10
	911	Reprint Tr ansfer Bet ween NAOUs (VA FORM 10-2321), 11
	912	RETURNED T O STOCK, 1 5
	913	S
	914	Send Vault TRAKKER I nventory D ata to DHC P, 32
	915	T
	916	Transfer D rugs betwe en Dispens ing Sites, 19
	917	Transfer G reen Sheet and Drug to another NAOU, 22
	918	TRANSFERRE D BETWEEN NAOUs, 11
	919	TURN IN FO R DESTRUCT ION, 15
	920	TURNED IN FOR DESTRU CTION, 15
	921	V
	922	VA, 21
	923	VA FORM 10 -2321, 10, 40
	924	VA FORM 10 -2638, 12, 21, 40
	925	VA FORM 10 -2638., 25
	926	VA FORM 23 20, 39
	927	VA FORM 23 21, 11
	928	VA-FORM 10 -2321, 15
	929	VISTA, iii
	930
	931







	932	_917757594 .unknown_9 17757596.u nknown_917 757765.unk nown_91775 7766.unkno wn_9177577 63.unknown _917757764 .unknown_9 17757597.u nknown_917 757595.unk nown_87052 4386.unkno wn_9177575 92.unknown _917757593 .unknown_9 17757591.u nknown_917 757590.unk nown_87052 4377.unkno wn