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2 | EPIP.zip\PSD_3.0_84_Aug_2018 | psd_3_pharm_um_r1218.doc | Tue Aug 28 12:30:33 2018 UTC |
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1 | Department of Vetera ns Affairs Controlle d Substanc es Pharmac ist's User Manual | |
2 | ||
3 | Preface | |
4 | ||
5 | CONTROLLED SUBSTANCE S (CS) | |
6 | PHARMACIST ’S USER MA NUAL | |
7 | Version 3. 0 | |
8 | March 1997 | |
9 | (Revised D ecember 20 18) | |
10 | Department of Vetera ns Affairs | |
11 | Product De velopment | |
12 | Revision H istory | |
13 | 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. | |
14 | DateRevise d PagesPat ch NumberD escription 12/201817P SD*3*84Add ed balance discrepan cy modific ation to t he Outpati ent Rx’s [ PSD OUTPAT IENT] opti on section . | |
15 | T. Turowsk i, Technic al Writer; G. Miller , Project Manager06/ 201844PSD* 3*82Added NAOU Usage Report [P SD NAOU US AGE] optio n to the P SD TECH AD V key. | |
16 | E. Weaver, Technical Writer; R . Beltran- West, Proj ect Manage r09/2017 | |
17 | 27PSD*3*81 Updated “R eceipt of Controlled Substance from Phar macy” | |
18 | [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. | |
19 | E. Weaver, Technical Writer; R . Miller, Project Ma nager05/20 13i, 44-47 | |
20 | 45a | |
21 | 47-49 | |
22 | 50-52 PSD* 3*76Update d Glossary with desc ription of patch’s n ew securit y key PSDR PH | |
23 | Page 45a w as unneces sary and h as been re moved | |
24 | Updated In dex | |
25 | Pages 50 t hrough 52 were unnec essary and have been removed | |
26 | J. Owczarz ak, Techni cal Writer ; N. Goyal , Project Manager04/ 201144-45a PSD*3*71Cl arified de scription of PSD TEC H ADV key. Corrected option na me in PSD TRAN entry . | |
27 | E. Phelps/ C. Bernier , Technica l Writers; N. Goyal, Project M anager05/2 01044-45, 50PSD*3*69 Added desc ription of patch’s n ew securit y key PSD TECH ADV, and PSD TE CH key. | |
28 | PSD TECH a nd PSD TEC H ADV entr ies added to the Ind ex | |
29 | 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.> | |
30 | Preface | |
31 | 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. | |
32 | 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. | |
33 | 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 . | |
34 | 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. | |
35 | 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: | |
36 | SYMBOL 183 \f "Symbo l" \s 10 \ h | |
37 | Batch Orde r Entry pr ocess | |
38 | SYMBOL 183 \f "Symbo l" \s 10 \ h | |
39 | Electronic Signature | |
40 | SYMBOL 183 \f "Symbo l" \s 10 \ h | |
41 | HL7 Interf ace to Nar cotic Disp ensing Equ ipment | |
42 | SYMBOL 183 \f "Symbo l" \s 10 \ h | |
43 | Electronic Error & E nhancement Requests (E3Rs) | |
44 | SYMBOL 183 \f "Symbo l" \s 10 \ h | |
45 | Green Shee ts now pri nt on plai n paper | |
46 | SYMBOL 183 \f "Symbo l" \s 10 \ h | |
47 | Other Enha ncements | |
48 | 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@ISC -BIRM XE " G.Controll ed Substan ces Team@I SC-BIRM" . | |
49 | <This page is intent ionally le ft blank.> | |
50 | Table of C ontents | |
51 | iCONTROLLE D SUBSTANC ES (CS) | |
52 | ||
53 | ||
54 | iPHARMACIS T’S USER M ANUAL | |
55 | ||
56 | ||
57 | 1Pharmacis t User Man ual | |
58 | ||
59 | ||
60 | 3Orientati on | |
61 | ||
62 | ||
63 | 3Electroni c Signatur e | |
64 | ||
65 | ||
66 | 4Intranet | |
67 | ||
68 | ||
69 | 5Receipts Into Pharm acy | |
70 | ||
71 | ||
72 | 5Receiving | |
73 | ||
74 | ||
75 | 6Purchase Order Revi ew | |
76 | ||
77 | ||
78 | 6Control P oint Trans action Rev iew | |
79 | ||
80 | ||
81 | 6Drug Rece ipt Histor y | |
82 | ||
83 | ||
84 | 6Invoice R eview (Pri me Vendor) | |
85 | ||
86 | ||
87 | 7Dispensin g Menu | |
88 | ||
89 | ||
90 | 7Print CS Dispensing Worksheet | |
91 | ||
92 | ||
93 | 7Fill/Disp ense CS Or ders from Worksheet | |
94 | ||
95 | ||
96 | 9Dispensin g/Receivin g Report ( VA FORM 10 -2321) | |
97 | ||
98 | ||
99 | 9Green She et—Print ( VA FORM 10 -2638) | |
100 | ||
101 | ||
102 | 10Reprint Reports Me nu | |
103 | ||
104 | ||
105 | 10Reprint Disp/Recei ving Repor t (VA FORM 10-2321) | |
106 | ||
107 | ||
108 | 10Green Sh eet Reprin t (VA FORM 10-2638) | |
109 | ||
110 | ||
111 | 10Dispensi ng Workshe et Reprint | |
112 | ||
113 | ||
114 | 11Label Re print for Dispensing Drug | |
115 | ||
116 | ||
117 | 11Reprint Transfer B etween NAO Us (VA FOR M 10-2321) | |
118 | ||
119 | ||
120 | 12Pharmacy Dispense without (V A FORM 10- 2638) | |
121 | ||
122 | ||
123 | 12Label fo r Dispensi ng (Barcod e) | |
124 | ||
125 | ||
126 | 13Narcotic Dispensin g Equipmen t Orders | |
127 | ||
128 | ||
129 | 15Complete Green She et | |
130 | ||
131 | ||
132 | 17Outpatie nt Rx’s | |
133 | ||
134 | ||
135 | 19Transfer Drugs bet ween Dispe nsing Site s | |
136 | ||
137 | ||
138 | 21Infusion Order Pro cessing Me nu | |
139 | ||
140 | ||
141 | 21Infusion Order Ent ry | |
142 | ||
143 | ||
144 | 22Transfer Green She et and Dru g to anoth er NAOU | |
145 | ||
146 | ||
147 | 23Destruct ions Menu | |
148 | ||
149 | ||
150 | 23Hold a C S Drug (No Inventory Update) | |
151 | ||
152 | ||
153 | 23Non—VA D rug Placed on Hold f or Destruc tion | |
154 | ||
155 | ||
156 | 23Destroy a Controll ed Substan ces Drug | |
157 | ||
158 | ||
159 | 25CS Order Entry For Ward | |
160 | ||
161 | ||
162 | 27Receipt of Control led Substa nces from Pharmacy | |
163 | ||
164 | ||
165 | 28Load Sof tware and Inventory into TRAKK ER | |
166 | ||
167 | ||
168 | 31Send Vau lt TRAKKER Inventory Data to D HCP | |
169 | ||
170 | ||
171 | 34Manufact urer, Lot #, and Exp . Date—Ent er/Edit | |
172 | ||
173 | ||
174 | 36Glossary | |
175 | ||
176 | ||
177 | 47Index | |
178 | ||
179 | ||
180 | ||
181 | ||
182 | Pharmacist User Manu al | |
183 | Orientatio n | |
184 | 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. | |
185 | Electronic Signature XE "Elect ronic Sign ature" | |
186 | 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. | |
187 | 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 . | |
188 | 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. | |
189 | 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. | |
190 | Electronic Signature Codes XE "Electroni c Signatur e Codes" | |
191 | This optio n is desig ned to per mit you to enter or change you r | |
192 | Initials, Signature Block Info rmation an d Office P hone numbe r. | |
193 | In additio n, you are permitted to enter a new Elec tronic Sig nature Cod e | |
194 | or to chan ge an exis ting code. | |
195 | INITIAL: O AC | |
196 | SIGNATURE BLOCK PRIN TED NAME: ONE A. CSN URSE | |
197 | SIGNATURE BLOCK TITL E: R.N. | |
198 | OFFICE PHO NE: 555-71 01 | |
199 | ENTER NEW SIGNATURE CODE: XXXX XX(Signatu re Code wi ll not app ear on scr een) | |
200 | RE-ENTER S IGNATURE C ODE FOR VE RIFICATION : XXXXXX | |
201 | DONE | |
202 | 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! | |
203 | Intranet X E "Intrane t" | |
204 | We are now on the in tranet, co me visit u s. (http:/ /www. DNS . DNS /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 | |
205 | http://www . DNS . DNS /softserv/ clin_nar.r ow/pharmcs /index.htm l. (don’t forget to bookmark i t!) | |
206 | 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. | |
207 | Receipts I nto Pharma cy XE "Rec eipts Into Pharmacy" | |
208 | Use this o ption to p rocess rec eipts for purchase o rders, con trol point transacti ons, and P rime Vendo rs. | |
209 | Receiving XE "Receiv ing" | |
210 | 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. | |
211 | 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. | |
212 | 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. | |
213 | 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. | |
214 | Example: | |
215 | Select Rec eipts Into Pharmacy Option: RE Ceiving | |
216 | Select Dis pensing Si te: MAST V AU// <RET> | |
217 | Is this a Prime Vend or receipt ? Yes// <R ET> YES | |
218 | Current Pr ime Vendor P.O.#: 52 1-A00016 Date Assig ned: JUN 1 9,1995@16: 02 | |
219 | 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 | |
220 | Select Pha rmacy Tran saction nu mber: 521- 95-3-023-0 013// <RET > OBL MEA D JOHNSON A00016 KASLKJSAD FLDSA | |
221 | Please ent er the Pri me Vendor Invoice nu mber: <RET > | |
222 | Enter your Current S ignature C ode: XXXX XX SIGNATU RE VERIFIE D | |
223 | Select MAS T VAU drug : <RET> | |
224 | Purchase O rder Revie w XE "Purc hase Order Review" | |
225 | 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. | |
226 | Control Po int Transa ction Revi ew XE "Con trol Point Transacti on Review" | |
227 | 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. | |
228 | Drug Recei pt History XE "Drug Receipt Hi story" | |
229 | 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 . | |
230 | Invoice Re view (Prim e Vendor) XE "Invoic e Review ( Prime Vend or)" | |
231 | 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. | |
232 | Dispensing Menu XE " Dispensing Menu" | |
233 | This menu contains a ccess to a ll options associate d with the dispensin g of Contr olled Subs tances dru gs. | |
234 | Print CS D ispensing Worksheet XE "Print CS Dispens ing Worksh eet" | |
235 | 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. | |
236 | 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. | |
237 | 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. | |
238 | Fill/Dispe nse CS Ord ers from W orksheet X E "Fill/Di spense CS Orders fro m Workshee t" | |
239 | 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. | |
240 | Example: | |
241 | Select Dis pensing Me nu Option: FILL/Disp ense CS Or ders from Worksheet | |
242 | Select Pri mary Dispe nsing Site : MAST VAU // <RET> | |
243 | Dispensing Method: (W/R): Wor ksheet | |
244 | Enter your Current S ignature C ode: XXXXX X SIGNAT URE VERIFI ED | |
245 | Accessing worksheet informatio n... | |
246 | ||
247 | screen dis playt foll ows | |
248 | ||
249 | Control led Substa nce Order Request | |
250 | Pharmacy D ispensing #: | |
251 | Requested by : CS PROVIDER,O NE Request Date: JAN 4,1997 | |
252 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- -------- | |
253 | Drug : AC ETAMINOPHE N W/CODEIN E 15MG TAB Quan tity: 50 | |
254 | Dispensed by : CS NURSE,TWO Dispensed Date: | |
255 | Disp. Loca tion : MA ST VAU | |
256 | Manufactur er : JO HNSON | |
257 | Lot # : 67 89 | |
258 | Exp. Date : SE P 1994 | |
259 | Ord. Locat ion : WE ST 4 | |
260 | Order Stat us : OR DERED - NO T PROCESSE D | |
261 | Comments: | |
262 | SAMPLE | |
263 | Old Balanc e: 605 New B alance: 55 5 | |
264 | ACTION (V DC E B S): VERIFY | |
265 | Assigning Pharmacy D ispensing #... | |
266 | PHARMACY D ISPENSING # 499 | |
267 | Accessing the order. .. | |
268 | Old Balanc e : 605 New B alance :55 5 | |
269 | Updating t he transac tion...vau lt activit y...worksh eet...orde r...done. | |
270 | This order is now FI LLED - NOT DELIVERED . | |
271 | 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] | |
272 | Dispensing /Receiving Report (V A FORM 10- 2321) XE " Dispensing /Receiving Report (V A FORM 10- 2321)" | |
273 | 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 . | |
274 | 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. | |
275 | 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. | |
276 | Green Shee t—Print (V A FORM 10- 2638) XE " Green Shee t—Print (V A FORM 10- 2638)" | |
277 | 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. | |
278 | ( Note: M ake sure t hat IRMS h as updated your devi ce setting s (these a re | |
279 | documented in the Co ntrolled S ubstances Technical Manual in the | |
280 | Resource R equirement s section) so that G reen sheet s will be properly | |
281 | formatted on plain p aper. | |
282 | Reprint Re ports Menu XE "Repri nt Reports Menu" | |
283 | 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 . | |
284 | Reprint Di sp/Receivi ng Report (VA FORM 1 0-2321) XE "Reprint Disp/Recei ving Repor t (VA FORM 10-2321)" | |
285 | 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. | |
286 | 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. | |
287 | 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. | |
288 | 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. | |
289 | Green Shee t Reprint (VA FORM 1 0-2638) XE "Green Sh eet Reprin t (VA FORM 10-2638)" | |
290 | Pharmacy u ses this o ption to r eprint a s ingle Gree n Sheet. | |
291 | Dispensing Worksheet Reprint | |
292 | 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. | |
293 | 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 (*). | |
294 | 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. | |
295 | Label Repr int for Di spensing D rug XE "La bel Reprin t for Disp ensing Dru g" | |
296 | 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. | |
297 | ||
298 | Reprint Tr ansfer Bet ween NAOUs (VA FORM 10-2321) X E "Reprint Transfer Between NA OUs (VA FO RM 10-2321 )" | |
299 | 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. | |
300 | 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. | |
301 | Pharmacy D ispense wi thout (VA FORM 10-26 38) XE "Ph armacy Dis pense with out (VA FO RM 10-2638 )" | |
302 | 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 . | |
303 | Label for Dispensing (Barcode) XE "Label for Dispe nsing (Bar code)" | |
304 | 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. | |
305 | ( Note: L abels can be printed three acr oss on she et fed lab els or one label | |
306 | across, 15 /16" high x 2-1/2" w ide on pin fed label s. | |
307 | 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. | |
308 | ||
309 | Narcotic D ispensing Equipment Orders XE "Narcotic Dispensing Equipment Orders" | |
310 | This optio n is for d ispensing from Pharm acy to nar cotic disp ensing equ ipment sys tems. | |
311 | Example: | |
312 | Select Dis pensing Me nu Option: NARcotic Dispensing Equipment Orders | |
313 | Enter Cont rolled Sub stances In patient Si te Name: SITE NAME | |
314 | Select Def ault Dispe nsing Site : MAST VAU | |
315 | For now th is option is the sam e as dispe nse w/o gr een sheet. | |
316 | Select Pri mary Dispe nsing Site : MAST VAU // <RET> | |
317 | Select DRU G: LORA ZEPAM 2MG TAB U/D | |
318 | Select NAO U: WARD 10 | |
319 | QUANTITY D ISPENSED ( TAB/20): 2 0//<RET> 2 0 | |
320 | MANUFACTUR ER: ROXANE //<RET> RO XANE | |
321 | LOT #: 523 5// <RET> 5235 | |
322 | EXPIRATION DATE: JUL 17,1996// <RET> (J UL 17, 199 6) | |
323 | Is this OK ? ? YES// <RET> | |
324 | Creating a dispensin g transact ion...vaul t activity | |
325 | Updat ing on-han d quantity ...done. | |
326 | Old Balanc e : 99489 New B alance: 99 469 | |
327 | Updating y our transa ction hist ory...stil l updating ...done. | |
328 | Complete G reen Sheet XE "Compl ete Green Sheet" | |
329 | 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. | |
330 | 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. | |
331 | The order status wil l be updat ed accordi ng to the completion status se lected for each Gree n Sheet. | |
332 | When the c ompletion status is: | |
333 | NO DISCREP ANCY XE "N O DISCREPA NCY" | |
334 | RETURNED T O STOCK XE "RETURNED TO STOCK" | |
335 | TURN IN FO R DESTRUCT ION XE "TU RN IN FOR DESTRUCTIO N" | |
336 | the order status of the Green Sheet will be update d to COMPL ETE - REVI EWED XE "C OMPLETE - REVIEWED" . | |
337 | When the c ompletion status is: | |
338 | GREEN SHEE T NOT SIGN ED BY NURS E XE "GREE N SHEET NO T SIGNED B Y NURSE" | |
339 | MATH ERROR XE "MATH ERROR" | |
340 | OTHER - RE FERRED TO PHARMACY S UPERVISOR XE "OTHER - REFERRED TO PHARMA CY SUPERVI SOR" | |
341 | 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." | |
342 | 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. | |
343 | Example: | |
344 | Select Pha rmacist Me nu Option: COMplete Green Shee t | |
345 | Enter your Current S ignature C ode: XXXXX X SIGNAT URE VERIFI ED | |
346 | Select Pri mary Dispe nsing Site : MAST VAU // <RET> | |
347 | Complete a Green She et | |
348 | Select the Green She et #: 192 LO RAZEPAM 2M G TAB U/D WEST 4 | |
349 | This Green Sheet is still ACTI VE on the NAOU. | |
350 | Do you wan t to conti nue? Y YE S | |
351 | Select Com pletion St atus: ?? | |
352 | Choose fro m: | |
353 | GREEN S HEET NOT S IGNED BY N URSE | |
354 | MATH ER ROR | |
355 | NO DISC REPANCY | |
356 | OTHER - REFERRED TO PHARMAC Y SUPERVIS OR | |
357 | RETURNE D TO STOCK | |
358 | TURN IN FOR DESTR UCTION | |
359 | Select Com pletion St atus: TURN IN FOR DE STRUCTION | |
360 | Is this OK ? YES// <R ET> | |
361 | Quantity o f TAB Turn ed in for Destructio n: 2 | |
362 | RETURNED B Y NURSE: C SNURSE,TWO | |
363 | REASON TUR N IN FOR D ESTROY: FE LL ON FLOO R | |
364 | Is this OK ? YES// <R ET> | |
365 | Accessing Green Shee t informat ion... | |
366 | Updating y our record s...nursin g records now...done . | |
367 | *** The status of your Green Sheet #19 2 *** | |
368 | COMP LETED - RE VIEWED TUR N IN FOR D ESTRUCTION | |
369 | Accessing your trans action his tory... | |
370 | Creating a n entry in the Destr uction fil e... | |
371 | Your Destr uction Hol ding numbe r is 386 | |
372 | NURSE RETU RNING DRUG : CSNURSE, TWO // <RE T> | |
373 | NO. OF CON TAINERS: 1 // <RET> | |
374 | UNIT: TAB/ / <RET> | |
375 | Number of copies of VA FORM 10 -2321? 2 | |
376 | This repor t is desig ned for a 132 column format. | |
377 | You may qu eue this r eport to p rint at a later time . | |
378 | DEVICE: [S elect Prin t Device] | |
379 | Outpatient Rx’s XE " Outpatient RX’s" | |
380 | 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. | |
381 | 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. | |
382 | 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. | |
383 | After sele cting the prescripti on, the "E nter the r emaining b alance (^ to quit):" prompt is displayed to record the on-ha nd count o f the rema ining bala nce. If th e entry do es not mat ch the Vis tA system count, the user is p resented w ith a seco nd and thi rd opportu nity to en ter the on -hand coun t. If the incorrect balance is entered o n the thir d attempt, the user is given t he opportu nity to en ter a comm ent. After pressing Enter, a m essage tha t includes the balan ce discrep ancy infor mation and user's co mment is s ent to the CS BALANC E DISCREPA NCY mail g roup. Afte r the mess age is sen t, normal processing continues and the u ser is ask ed to rele ase the pr escription fill. If the user d ecides to quit durin g the bala nce confir mation pro cess, no t ransaction is record ed. If the correct b alance is entered du ring any o f the thre e potentia l opportun ities, the old and n ew balance s are disp layed and the user i s prompted to confir m release of the pre scription fill. | |
384 | Note: The CS BALANCE DISCREPAN CY mail gr oup should be popula ted with s upervisor( s) at the site who c an investi gate the d iscrepancy . | |
385 | 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). | |
386 | Note: You will not b e able to release a prescripti on before a label ha s been | |
387 | printed. | |
388 | Note: All prescripti on labels are printe d in the O utpatient Pharmacy p ackage if the prescr iption is to be fill ed and rel eased. | |
389 | 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. | |
390 | Transfer D rugs betwe en Dispens ing Sites XE "Transf er Drugs b etween Dis pensing Si tes" | |
391 | 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 . | |
392 | ( Note: Wh en drug(s) are being transferr ed from on e dispensi ng site in to | |
393 | another, a MailMan m essage wil l be gener ated to th e pharmacy superviso r | |
394 | holding th e PSDMGR X E "PSDMGR" security key, only if the re ceiving di spensing s ite | |
395 | does not n ormally st ock a part icular dru g(s). | |
396 | 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. | |
397 | Example: | |
398 | Select Pha rmacist Me nu Option: TRAnsfer Drugs bet ween Dispe nsing Site s | |
399 | Enter your Current S ignature C ode: XXXXX X SIGNAT URE VERIFI ED | |
400 | Transfer f rom Dispen sing Site: WEST 2 6 | |
401 | Select DRU G From wes t 26: ACET | |
402 | 1 A CETAMINOPH EN W/CODEI NE 15MG TA B CN101 | |
403 | 2 A CETAMINOPH EN W/CODEI NE 30MG TA B CN101 | |
404 | CHOOSE 1-2 : 2 | |
405 | Break down Unit: Packa ge Size: | |
406 | Enter Quan tity to Tr ansfer: ( 1-1): 1 | |
407 | Transfer t o Dispensi ng Site: S OUTH 3 | |
408 | ** SO UTH 3 does not stock ACETAMINO PHEN W/COD EINE 30MG TAB! ** | |
409 | Do you wan t to conti nue? Y YE S | |
410 | Transferri ng: 1 () | |
411 | From: west 26 To: SOUTH 3 | |
412 | Is this OK ? NO// Y YES | |
413 | Updating v ault on-ha nd balance s now...we st 26... | |
414 | Still upda ting...SOU TH 3... | |
415 | Still upda ting...don e! | |
416 | ........ | |
417 | Infusion O rder Proce ssing Menu XE "Infus ion Order Processing Menu" | |
418 | 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. | |
419 | Infusion O rder Entry XE "Infus ion Order Entry" | |
420 | 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. | |
421 | Order Entr y Steps XE "Order En try Steps" | |
422 | 1. Set up IV room a s an NAOU. | |
423 | 2. Enter Drugs as s tock items that will be used. | |
424 | (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.) | |
425 | 3. IV pha rmacist wi ll be plac ing orders through I nfusion Or der Entry | |
426 | ||
427 | option. | |
428 | 4. Orders will now be process ed through normal Co ntrolled S ubstances | |
429 | process at this poin t. | |
430 | 5. The dr ugs, along with the dispensing receiving report (i n lieu of VA | |
431 | ||
432 | FORM 10-23 21 XE "VA" ), and th e Green Sh eet VA FOR M 10-2638 XE "VA FOR M 10-2638" | |
433 | ||
434 | XE "VA FO RM 10-2638 " will be delivered | |
435 | to the IV pharmacist . | |
436 | 6. The IV pharmacis t will log any unuse d portion of the Con trolled | |
437 | ||
438 | Substances as wasted on the Gr een Sheet. | |
439 | 7. IV pha rmacist wi ll then tr ansfer the Green She et and dru g to the | |
440 | ||
441 | requesting NAOU. | |
442 | Transfer G reen Sheet and Drug to another NAOU XE " Transfer G reen Sheet and Drug to another NAOU" | |
443 | 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. | |
444 | Step 1 - T he Green S heet and D rug must b e transfer red to an NAOU. | |
445 | Step 2 - T he Green S heet and D rug must t hen be rec eived on t hat NAOU. | |
446 | Destructio ns Menu XE "Destruct ions Menu" | |
447 | This menu allows pha rmacy supe rvisors to maintain the necess ary record s when des troying a Controlled Substance s drug. | |
448 | Hold a CS Drug (No I nventory U pdate) XE "Hold a CS Drug (No Inventory Update)" | |
449 | 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 . | |
450 | Non—VA Dru g Placed o n Hold for Destructi on XE "Non —VA Drug P laced on H old for De struction" | |
451 | 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. | |
452 | Destroy a Controlled Substance s Drug XE "Destroy a Controlle d Substanc es Drug" | |
453 | 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 . | |
454 | CS Order E ntry For W ard XE "CS Order Ent ry For War d" | |
455 | 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. | |
456 | 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. | |
457 | Example: | |
458 | Select Pha rmacist Me nu Option: CS Order Entry For Ward | |
459 | Select Ord ering NAOU : WARD 10 | |
460 | THIS IS TH E ORDER EN TRY BANNER XE "ORDER ENTRY BAN NER" | |
461 | Scheduled Delivery o r Unschedu led Pick U p (S/U): SCHeduled Delivery// | |
462 | Searching for TWO SC NURSE’S pe nding requ ests.. | |
463 | Accessing pending re quests for TWO CSNUR SE... | |
464 | THIS IS TH E ORDER EN TRY BANNER | |
465 | The follow ing reques t(s) may b e approved or delete d: | |
466 | # DATE OR DERED DRUG QUANT ITY | |
467 | 1 FEB 26, 1997 ACET AMINOPHEN W/CODEINE 30MG TAB 1 | |
468 | Approve or Delete (A /D): Appro ve// <RET> | |
469 | Enter your Current S ignature C ode: XXXX XX SIGNAT URE VERIFI ED | |
470 | Processing your requ est #1 now ... No pe nding requ ests. | |
471 | Select DRU G: ACET AMINOPHEN W/CODEINE 30MG TAB | |
472 | Searching for pendin g orders.. . | |
473 | Orders pen ding: 5 Q uantity Or dered (TAB ): 22 | |
474 | Do you wis h to cance l any pend ing orders ? NO// <RE T> | |
475 | No orders cancelled. Continue processin g your ord er. | |
476 | Maximum qu antity per order: 1 00 TAB | |
477 | QUANTITY ( TAB/1): 1/ / <RET> | |
478 | processing now... | |
479 | COMMENTS: | |
480 | 1>NEED F OR PATIENT | |
481 | 2><RET> | |
482 | EDIT Optio n: <RET> | |
483 | Select DRU G: <RET> | |
484 | Accessing pending re quests for TWO CSNUR SE... | |
485 | THIS IS TH E ORDER EN TRY BANNER | |
486 | The follow ing reques t(s) may b e approved or delete d: | |
487 | # DATE OR DERED DRUG QUANT ITY | |
488 | 1 FEB 26, 1997 ACET AMINOPHEN W/CODEINE 30MG TAB 1 | |
489 | Approve or Delete (A /D): Appro ve// <RET> | |
490 | Enter your Current S ignature C ode: XXXX XX SIGNAT URE VERIFI ED | |
491 | Processing your requ est #1 now ... | |
492 | Receipt of Controlle d Substanc es from Ph armacy XE "Receipt o f Controll ed Substan ces from P harmacy" | |
493 | This optio n enables pharmacy p ersonnel t o electron ically rec eive CS or ders for t he nursing wards. | |
494 | ( Note: P atch PSD*3 .0*81 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). | |
495 | Example: | |
496 | Select Pha rmacist Me nu Option: RECeipt of Control led Substa nce from P harmacy | |
497 | Receive Co ntrolled S ubstances Orders and Green She et | |
498 | Enter your Current S ignature C ode: XXXXX X SIGNAT URE VERIFI ED | |
499 | Select NAO U: WEST 4 | |
500 | Select the Green She et #: 458 LO RAZEPAM 2M G TAB U/D WEST 4 | |
501 | Accessing LORAZEPAM 2MG TAB U/ D informat ion... | |
502 | QUANTITY R ECEIVED (T AB): 20// <RET> 20 | |
503 | Updating y our record s now...do ne. | |
504 | *** Y our Green Sheet #458 is now DE LIVERED - PERPETUAL INVENTORY *** | |
505 | Select the Green She et #:<RET> | |
506 | Barcode TR AKKER for Inventory XE "Barcod e TRAKKER for Invent ory" | |
507 | This menu contains t he options associate d with per forming na rcotic vau lt invento ries using the barco de TRAKKER device. | |
508 | Load Softw are and In ventory in to TRAKKER XE "Load Software a nd Invento ry into TR AKKER" | |
509 | 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. | |
510 | Example : | |
511 | Turn the T RAKKER on and the fo llowing wi ll be disp layed | |
512 | ||
513 | Select Pha rmacist Me nu Option: BARcode T RAKKER for Inventory | |
514 | Load Softw are and In ventory in to TRAKKER | |
515 | Send Vault TRAKKER I nventory D ata to DHC P | |
516 | Select Bar code TRAKK ER for Inv entory: LOad Softw are and In ventory in to TRAKKER | |
517 | Select Dis pensing si te to Inve ntory: INP ATIENT//<R ET> | |
518 | [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.] | |
519 | Compiling inventory data... | |
520 | DEVICE: T RAKKERSL | |
521 | ||
522 | TRAKKER in formation follows | |
523 | ||
524 | [You will see the IR L program scroll as it is bein g download ed to the TRAKKER.] | |
525 | ||
526 | [After the IRL progr am has bee n download ed the fol lowing mes sage will appear on your termi nal:] | |
527 | Awaiting T RAKKER sig nal | |
528 | ||
529 | ||
530 | printout f ollows | |
531 | ||
532 | ||
533 | [After the data has been downl oaded the following message wi ll appear on your te rminal] | |
534 | You can no w disconne ct the TRA KKER. | |
535 | [At this p oint the T RAKKER wil l go back and displa y the two available options.] | |
536 | ||
537 | [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).] | |
538 | [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 | |
539 | name and q uantity wi ll be disp layed as f ollows] | |
540 | ||
541 | [Scan your user ID b arcode] | |
542 | ||
543 | [At this p oint you h ave the op tion to en ter an N t o adjust t he count.] | |
544 | ||
545 | Send Vault TRAKKER I nventory D ata to DHC P XE "Send Vault TRA KKER Inven tory Data to DHCP" | |
546 | This optio n enables pharmacy p ersonnel t o upload t he invento ry data fr om the TRA KKER to VI STA. | |
547 | Example : | |
548 | ||
549 | ||
550 | Load Softw are and In ventory in to TRAKKER | |
551 | Send Vault TRAKKER I nventory D ata to DHC P | |
552 | Select Bar code TRAKK ER for Inv entory: SE Nd Vault T RAKKER Inv entory Dat a to DHCP | |
553 | [Use the S end data t o DHCP opt ion on the TRAKKER a t this tim e] | |
554 | ||
555 | [When you press F1 t he data wi ll print a cross your terminal screen] | |
556 | P123-45-67 67^>94/08/ 22:10:23:4 4*12 | |
557 | P123-45-67 67^614^DIA ZEPAM 2MG TAB^337^^^ ^335^^^^>9 4/08/22:10 :24:07 | |
558 | P123-45-67 67^614^DIA ZEPAM 2MG TAB^335^^^ ^^^^^>94/0 8/22:10:24 :22 | |
559 | P123-45-67 67^615^DIA ZEPAM 10MG TAB^421^^ ^^^^^^>94/ 08/22:10:2 4:22 | |
560 | ||
561 | ( Note: [Y ou will ge t conforma tion on yo ur TRAKKER that the informatio n was sent , press th e | |
562 | return key on your t erminal an d you shou ld see thi s message] | |
563 | Updating D HCP now... done | |
564 | [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.] | |
565 | Example: M ailMan mes sage | |
566 | Subj: CS P HARM TRAKK ER ADJUSTM ENT [#319 4] 22 Aug 94 13:23 7 Lines | |
567 | From: CONT ROLLED SUB STANCES PH ARMACY in 'IN' bask et. Page 1 | |
568 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- -------- | |
569 | CS PHARM T RAKKER adj ustment/er ror has be en filed. | |
570 | Adjustment /Error Dat e/Time: AU G 22,1994@ 13:23:46 | |
571 | Dispensing Site: INP ATIENT | |
572 | Drug: DIAZ EPAM 2MG T AB | |
573 | Quantity A djusted: - 3 | |
574 | Adjusted b y: PHARMAC IST,JOE Q. | |
575 | ( Note: D ata should be cleare d out or d eleted fro m the TRAK KER to avo id | |
576 | ||
577 | duplicatio n of inven tory infor mation. | |
578 | 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 | |
579 | [Ctrl]-[en ter]-[C], you will b e asked if you want to clear t he data fi les, enter Y (YES). | |
580 | To restart the IRL s ession pre ss [Ctrl]- [enter]-[B ]. | |
581 | Manufactur er, Lot #, and Exp. Date—Enter /Edit XE " Manufactur er, Lot #, and Exp. Date—Enter /Edit" | |
582 | 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. | |
583 | Glossary | |
584 | Action Pro mpt | |
585 | There are two action prompts t hat occur during the | |
586 | pharmacy d ispensing process. T he action codes | |
587 | used with these prom pts will a ppear in ( ). The | |
588 | following codes are valid: | |
589 | V | |
590 | Verify or Dispense t he order ( Displayed | |
591 | ||
592 | only to th e dispensi ng pharmac ist). | |
593 | P | |
594 | Process or Fill the order (Dis played onl y | |
595 | to the pha rmacy tech nician or pharmacist | |
596 | ||
597 | filling bu t not disp ensing the order). | |
598 | DC | |
599 | Cancel the order. | |
600 | E | |
601 | Edit the o rder. | |
602 | B | |
603 | Bypass the order. | |
604 | S | |
605 | Show the o rder. | |
606 | Completion Status | |
607 | A review s tatus is a ttached to each Cont rolled | |
608 | Substances Green She et returne d to pharm acy. | |
609 | The follow ing are va lid: | |
610 | NO DISCREP ANCY—No di screpancy found. | |
611 | TURN IN FO R DESTRUCT ION—CS dru g turned i n to be de stroyed. | |
612 | RETURNED T O STOCK—CS Drug retu rned to st ock. The d ispensing site inven tory balan ce will be updated. | |
613 | MATH ERROR —CS drug d iscrepancy found. | |
614 | GREEN SHEE T NOT SIGN ED BY NURS E—GS missi ng nurse’s signature . | |
615 | OTHER—REFE RRED TO PH ARMACY SUP ERVISOR—CS drug disc repancy re ferred to supervisor for resol ution. | |
616 | Daily Acti vity Log | |
617 | The Daily Activity L og lists d ata, withi n a | |
618 | selected d ate range, associate d with the VA FORM | |
619 | 2320 XE "V A FORM 232 0" for a dispensing site. | |
620 | Dispensing Number | |
621 | Control nu mber assig ned by pha rmacy when | |
622 | dispensing a Control led Substa nces drug. This | |
623 | number is used to tr ack the Gr een Sheet and drug. | |
624 | ||
625 | Also refer red to as the Disp # , Green Sh eet #, GS #, | |
626 | or transac tion # thr oughout th e CS packa ge. | |
627 | Dispensing /Receiving Report T his report can be pr inted in l ieu of VA FORM | |
628 | (in lieu o f VA FORM 10-2321 XE "VA FORM 10-2321" ) | |
629 | 2321 and l ists all C ontrolled Substances orders | |
630 | dispensed to an NAOU . The sign atures of the | |
631 | dispensing pharmacis t and the nurse rece iving the | |
632 | drug are r equired. | |
633 | Dispensing Site | |
634 | An NAOU se t up as a pharmacy v ault that | |
635 | dispenses Controlled Substance s drugs. | |
636 | Dispensing Worksheet | |
637 | This works heet compi les a list of all pe nding | |
638 | Controlled Substance s request orders for a | |
639 | selected d ispensing site. A wo rksheet nu mber, | |
640 | drug name, quantity ordered, r equesting NAOU, | |
641 | ordered by , comments , and blan ks for pha rmacy | |
642 | dispensing number, m anufacture r, lot num ber, | |
643 | and expira tion date are listed on the wo rksheet. | |
644 | Drug Addre ss Code | |
645 | A code tha t represen ts the loc ation of | |
646 | (Location Code) | |
647 | a drug in the NAOU. For exampl e, if TYLO X is | |
648 | stored in an NAOU on the secon d set of s helves, | |
649 | third shel f from the top, its drug addre ss code co uld | |
650 | be express ed as S,2, 3. The add ress code can consis t | |
651 | of up to t hree level s separate d by a com ma. Each | |
652 | level shou ld further define th e exact lo cation. Th e | |
653 | code is as sociated w ith an exp ansion cod e for | |
654 | clarity. | |
655 | Drug Addre ss Code | |
656 | Text used to clarify the meani ng of a dr ug | |
657 | Expansion | |
658 | address co de. For ex ample, the code S wo uld be | |
659 | ||
660 | expanded a nd printed as shelf. (These co des and | |
661 | ||
662 | expansions are local ly created terms.) | |
663 | Green Shee t | |
664 | The CONTRO LLED SUBST ANCE | |
665 | ADMINISTRA TION RECOR D (VA FORM 10-2638 X E "VA FORM 10-2638" ) | |
666 | is referre d to as a Green Shee t or GS th roughout | |
667 | the CS pac kage. Phar macy dispe nsing numb er, | |
668 | drug name, expiratio n date, qu antity dis pensed, | |
669 | lot number , ordered by, dispen sed by, an d ward | |
670 | (NAOU) are printed o n the form . | |
671 | Green Shee t number | |
672 | Control nu mber assig ned by pha rmacy when | |
673 | dispensing a Control led Substa nces drug. This | |
674 | number is used to tr ack the Gr een Sheet and | |
675 | drug. It i s also ref erred to a s the GS # , | |
676 | dispensing #, or dis p #, or tr ansaction # | |
677 | throughout the CS pa ckage. | |
678 | Interactiv e Reader | |
679 | The Intera ctive Read er Languag e (IRL) is a | |
680 | Language ( IRL) | |
681 | language u sed to wri te program s on barco de | |
682 | readers th at allow t he readers to intera ct with th e | |
683 | user. | |
684 | Intranet | |
685 | A company wide compu ter networ k availabl e via | |
686 | modem that connects users. | |
687 | Inpatient Site | |
688 | Inpatient Site must be defined for each NAOU. | |
689 | The Contro lled Subst ances soft ware utili zes this | |
690 | data to di stinguish multi-divi sional sit es. | |
691 | Inspector’ s Log | |
692 | This repor t lists al l active G reen Sheet s by NAOU. | |
693 | ||
694 | It include s the foll owing info rmation: G reen Sheet | |
695 | ||
696 | #, drug na me, date d ispensed, quantity d ispensed, | |
697 | ||
698 | expiration date (if available) , blanks f or quantit y | |
699 | ||
700 | on hand, a nd a signa ture blank for verif ication. | |
701 | Master Vau lt | |
702 | An NAOU se t up as yo ur primary dispensin g site. | |
703 | NAOU - Nar cotic Area | |
704 | A Narcotic Area of U se (NAOU) is a place where | |
705 | of Use | |
706 | commonly s tocked Con trolled Su bstances d rugs | |
707 | are stored for use b y pharmacy , wards or | |
708 | treatment areas. The re are thr ee types o f NAOUs: | |
709 | 1) Master Vault, 2) Satellite Vault, and 3) Narcot ic | |
710 | Locations. | |
711 | NAOU Inven tory Group | |
712 | An NAOU In ventory Gr oup is def ined by | |
713 | pharmacy t o represen t the Narc otic Areas of Use | |
714 | which are inventorie d together as a grou p. By | |
715 | grouping t he commonl y inventor ied NAOUs under | |
716 | an easy to remember group name , the elem ents of | |
717 | the invent ory are es tablished, and do no t have to | |
718 | be redefin ed every t ime an inv entory is scheduled. | |
719 | Narcotic L ocation | |
720 | An NAOU se t up for t he nursing wards, | |
721 | pharmacy I V room, or a pharmac y working stock | |
722 | area. | |
723 | Order Entr y Banner X E "Order E ntry Banne r" | |
724 | Provides a free text field as a site par ameter to | |
725 | appear upo n Nursing CS Order E ntry. When the | |
726 | user acces ses the fo llowing 3 options, t he free te xt | |
727 | field will be displa yed: | |
728 | ||
729 | ||
730 | 1) Nursing Order Ent ry | |
731 | ||
732 | ||
733 | 2) Pharmac y Order En try from N ursing | |
734 | ||
735 | ||
736 | ||
737 | ||
738 | ||
739 | 3) Infusio n Order En try | |
740 | Order Stat us | |
741 | A processi ng status is attache d to each Controlled | |
742 | Substances request o rder. The following are valid: | |
743 | REQUESTED— NOT ORDERE D | |
744 | Requests c reated by batch proc essing but not yet a pproved. | |
745 | ORDERED—NO T PROCESSE D | |
746 | Ordered by nursing b ut not pro cessed by pharmacy. | |
747 | PROCESSED— NOT DISPEN SED Proce ssed (fil led) by ph armacy but not yet d ispensed. | |
748 | FILLED—NOT DELIVERED Dispense d and veri fied by ph armacy but not deliv ered to th e requesti ng NAOU. | |
749 | DELIVERED— ACTIVELY O N NAOU Dr ug stored on the NAO U. | |
750 | COMPLETED— GREEN SHEE T READY FO R PICKUP Nursing ha s flagged the Green Sheet read y for phar macy picku p. | |
751 | COMPLETED— GREEN SHEE T PICKED U P Green S heet retur ned to pha rmacy but not yet re viewed. | |
752 | COMPLETED— REVIEWED Pharmacy h as reviewe d the Gree n Sheet . | |
753 | COMPLETED— PENDING PR OBLEM | |
754 | RESOLUTION Pharmacy has revie wed the Gr een Sheet and a prob lem exists | |
755 | CANCELLED Order can celled. | |
756 | TRANSFERRE D TO ANOTH ER NAOU O rder and d rug transf erred to a nother NAO U. | |
757 | UNDER REVI EW BY INSP ECTOR Ord er and dru g pulled f rom NAOU b y CS Inspe ctor for r eview. | |
758 | 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.) | |
759 | Prescripti on Status | |
760 | A prescrip tion can h ave one of the follo wing statu s. | |
761 | CANCELLED This term is now re ferred to throughout the softw are as Dis continued. (See Disco ntinued.) | |
762 | 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. | |
763 | HOLD A pr escription that was placed on hold due t o reasons determined by the ph armacist. | |
764 | 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. | |
765 | 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. | |
766 | PENDING A prescript ion which has been e ntered thr ough OERR. | |
767 | SUSPENDED A prescri ption whic h will be filled at some futur e date. | |
768 | PSD ERROR XE "PSD ER ROR" XE " PSD ERROR" | |
769 | This key s hould be a llocated t o pharmacy | |
770 | supervisor s responsi ble for ma intaining the | |
771 | narcotic v ault. This key contr ols access to report s | |
772 | listing va rious erro r and exce ption cond itions | |
773 | generated when entri es are fil ed from th e barcode | |
774 | TRAKKER. A lso, the h olders of this key w ill | |
775 | receive el ectronic m ail messag es created by using | |
776 | the TRAKKE R. | |
777 | PSD NURSE XE "PSD NU RSE" | |
778 | 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. | |
779 | PSD PARAM XE "PSD PA RAM" | |
780 | This key s hould be a llocated o nly to the Inpatient | |
781 | Pharmacy P ackage Coo rdinator(s ). This lo ck | |
782 | controls t he printin g of the G reen Sheet s and the | |
783 | range of a utomated d ispensing numbers fo r a | |
784 | dispensing site (vau lt). | |
785 | PSD TECH X E "PSD TEC H" | |
786 | 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]. | |
787 | PSD TECH A DV XE "PSD TECH ADV" | |
788 | 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 . | |
789 | PSD TRAN X E "PSD TRA N" | |
790 | This key s hould be a llocated t o the Inpa tient | |
791 | Pharmacy C oordinator (s). This key contro ls the | |
792 | access to the NAOU t o NAOU Tra nsfer Stoc k | |
793 | Entries [P SD TRANSFE R NAOU] op tion. User s | |
794 | can copy s tock entri es from on e NAOU int o another | |
795 | NAOU or fr om an AR/W S AOU into an NAOU. | |
796 | PSDMGR XE "PSDMGR" | |
797 | This key s hould be a llocated t o the Inpa tient | |
798 | Pharmacy S upervisor and Packag e Coordina tor(s) | |
799 | or his/her designee. This lock controls the editin g of | |
800 | CS files f or package set up. T his key lo cks the | |
801 | Supervisor ’s | |
802 | Menu optio ns [PSD MG R]. | |
803 | PSDRPH XE "PSDRPH" | |
804 | 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. | |
805 | PSJ PHARM TECH XE "P SJ PHARM T ECH" | |
806 | This key s hould be a llocated t o pharmacy technicia ns handlin g narcotic orders. | |
807 | PSJ RNURSE XE "PSJ R NURSE" | |
808 | This key s hould be a llocated t o nurses w ho request | |
809 | narcotic o rders, rec eive, and administer | |
810 | controlled substance s on the w ards. | |
811 | PSJ RPHARM XE "PSJ R PHARM" | |
812 | This key s hould be g iven to ph armacists | |
813 | dispensing and recei ving narco tic orders . | |
814 | Satellite Vault | |
815 | An NAOU se t up as a secondary dispensing site. | |
816 | Stock Drug | |
817 | A drug (fr om the dru g file) st ored in an NAOU. | |
818 | Stock Leve l | |
819 | The quanti ty of a dr ug stocked in a spec ific NAOU. | |
820 | TRAKKER | |
821 | A barcode collection system ut ilized by scanning | |
822 | ||
823 | barcode la bels or by pressing the key pa d on the | |
824 | ||
825 | barcode re ader devic e. | |
826 | VISTA | |
827 | Veterans H ealth Info rmation Sy stems and | |
828 | Technology Architect ure | |
829 | Ward (for Drug) | |
830 | The name o f the ward or wards that will use this | |
831 | particular drug. It is importa nt to accu rately | |
832 | answer thi s prompt b ecause thi s is the l ink | |
833 | between th e Unit Dos e package and the Co ntrolled | |
834 | Substances package. The Unit D ose packag e looks | |
835 | at this fi eld to kno w if the d rug is a C ontrolled | |
836 | Substances stocked d rug. | |
837 | Index | |
838 | ||
839 | 1 | |
840 | 1358 oblig ation numb er, 5 | |
841 | B | |
842 | Barcode TR AKKER for Inventory, 28 | |
843 | C | |
844 | COMPLETE - PENDING P ROBLEM RES OLUTION., 15 | |
845 | COMPLETE - REVIEWED, 15 | |
846 | Complete G reen Sheet , 15 | |
847 | Control Po int Transa ction numb er, 5 | |
848 | Control Po int Transa ction Revi ew, 6 | |
849 | CS Order E ntry For W ard, 25 | |
850 | D | |
851 | Destroy a Controlled Substance s Drug, 23 | |
852 | Destructio ns Menu, 2 3 | |
853 | Dispensing Menu, 7 | |
854 | Dispensing /Receiving Report (V A FORM 10- 2321), 9 | |
855 | Drug Recei pt History , 6 | |
856 | E | |
857 | Electronic Signature , 3 | |
858 | Electronic Signature Codes, 3 | |
859 | F | |
860 | Fill/Dispe nse CS Ord ers from W orksheet, 7 | |
861 | G | |
862 | G.Controll ed Substan ces Team@I SC-BIRM, i ii | |
863 | GREEN SHEE T NOT SIGN ED BY NURS E, 15 | |
864 | Green Shee t Reprint (VA FORM 1 0-2638), 1 0 | |
865 | Green Shee t—Print (V A FORM 10- 2638), 9 | |
866 | H | |
867 | Hold a CS Drug (No I nventory U pdate), 23 | |
868 | I | |
869 | IFCAP purc hase order s, 5 | |
870 | Infusion O rder Entry , 21 | |
871 | Infusion O rder Proce ssing Menu , 21 | |
872 | Intranet, 4 | |
873 | Invoice Re view (Prim e Vendor), 6 | |
874 | L | |
875 | Label for Dispensing (Barcode) , 12 | |
876 | Label Repr int for Di spensing D rug, 11 | |
877 | Load Softw are and In ventory in to TRAKKER , 28 | |
878 | M | |
879 | Manufactur er, Lot #, and Exp. Date—Enter /Edit, 34 | |
880 | Master Vau lt, 5 | |
881 | MATH ERROR , 15 | |
882 | N | |
883 | Narcotic D ispensing Equipment Orders, 13 | |
884 | NO DISCREP ANCY, 15 | |
885 | Non—VA Dru g Placed o n Hold for Destructi on, 23 | |
886 | O | |
887 | Order Entr y Banner, 41 | |
888 | ORDER ENTR Y BANNER, 25 | |
889 | Order Entr y Steps, 2 1 | |
890 | OTHER - RE FERRED TO PHARMACY S UPERVISOR, 15 | |
891 | Outpatient RX’s, 17 | |
892 | P | |
893 | Pharmacy D ispense wi thout (VA FORM 10-26 38), 12 | |
894 | Prime Vend or receipt s, 5 | |
895 | Print CS D ispensing Worksheet, 7 | |
896 | PSD ERROR, 32, 43 | |
897 | PSD NURSE, 43 | |
898 | PSD PARAM, 43 | |
899 | PSD TECH, 43 | |
900 | PSD TECH A DV, 43 | |
901 | PSD TRAN, 44 | |
902 | PSDMGR, 19 , 44 | |
903 | PSDRPH, 44 | |
904 | PSJ PHARM TECH, 44 | |
905 | PSJ RNURSE , 44 | |
906 | PSJ RPHARM , 44 | |
907 | purchase o rder numbe r, 5 | |
908 | Purchase O rder Revie w, 6 | |
909 | R | |
910 | Receipt of Controlle d Substanc es from Ph armacy, 27 | |
911 | Receipts I nto Pharma cy, 5 | |
912 | Receiving, 5 | |
913 | REPRINT, 1 1 | |
914 | Reprint Di sp/Receivi ng Report (VA FORM 1 0-2321), 1 0 | |
915 | Reprint Re ports Menu , 10 | |
916 | Reprint Tr ansfer Bet ween NAOUs (VA FORM 10-2321), 11 | |
917 | RETURNED T O STOCK, 1 5 | |
918 | S | |
919 | Send Vault TRAKKER I nventory D ata to DHC P, 31 | |
920 | T | |
921 | Transfer D rugs betwe en Dispens ing Sites, 19 | |
922 | Transfer G reen Sheet and Drug to another NAOU, 22 | |
923 | TRANSFERRE D BETWEEN NAOUs, 11 | |
924 | TURN IN FO R DESTRUCT ION, 15 | |
925 | TURNED IN FOR DESTRU CTION, 15 | |
926 | V | |
927 | VA, 21 | |
928 | VA FORM 10 -2321, 10, 39 | |
929 | VA FORM 10 -2638, 12, 21, 39 | |
930 | VA FORM 10 -2638., 25 | |
931 | VA FORM 23 20, 38 | |
932 | VA FORM 23 21, 11 | |
933 | VA-FORM 10 -2321, 15 | |
934 | VISTA, iii | |
935 | ||
936 | ||
937 | v | |
938 | December 1 994 | |
939 | Controlled Substance s V. 3.0 | |
940 | ||
941 | ||
942 | ||
943 | Technical Manual | |
944 | _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 |
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