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pharmacy data management user manual

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1. INSTRUCTIONS IEXPANSION SPANISH EXPANSION FN FOR NERVES PARA LOS NERVIOS FNA FOR NAUSEA PARA NAUSEA FNC FOR NASAL CONGESTION PARA CONGESTION NASAL FP FOR PAIN PARA DOLOR FPARK FOR PARKINSON S DISEASE PARA PARKINSON FPF FOR PAIN AND OR FEVER PARA DOLOR Y O FIEBRE FPM DOCUMENT ON VAF 672 241 10 97 118 PAIN FLOW SHEET DOCUMENTAR EN VAF 672 241 10 97 118 PAIN FLOW SHEET FPROS FOR PROSTATE PARA LA PROSTATA FPSO FOR PSORIASIS PARA PSORIASIS FR FOR REST PARA DESCANSAR FREF FOR REFLUX PARA EL REFLUJO FSB FOR SHORTNESS OF BREATH PARA RESPIRACION ENTRECORTADA FSEI FOR SEIZURES PARA CONVULSIONES FSI FOR SINUS PARA SINUSITIS FSL FOR SLEEP PARA DORMIR FSP FOR SEVERE PAIN PARA DOLOR FUERTE FST FOR STOMACH PARA EL ESTOMAGO FSW FOR SWELLING PARA HINCHAZON FTG FOR TRIGLYCERIDES PARA LOS TRIGLICERIDOS FTYR FOR THYROIDS PARA TIROIDES FUP FOR URINE PROTEINS PARA LAS PROTEINAS EN LA ORINA FUT FOR GLUCOSE URINE TESTING PARA PRUEBA DE AZUCAR EN LA ORINA FVIT AS VITAMIN OR SUPPLEMENT COMO VITAMINA O SUPLEMENTO FW FOR WHEEZING PARA PITO ASMATICO GA FOR GARGLES PARA HACER GARGARAS GOLY ADD LUKEWARM DRINKING WATER TO THE FILL MARK ANADIR AGUA TIBIA HASTA LA MARCA INDICADA H HOUR HORA H2 DISTILLED WATER AGUA DESTILADA HS AT BEDTIME AL ACOSTARSE INSERT INSERTAR 11 1 GLASS OF JUICE EN UN VASO DE JUGO HW IN 1 GLASS OF WATER EN UN VASO
2. 199 Index u reete sere NN KN NANA CCR rev TE R vi Pharmacy Data Management V 1 0 February 2009 User Manual Introduction Pharmacy Data Management PDM provides tools for managing Pharmacy data It includes tools for creating Pharmacy Orderable Items and maintaining files necessary for the Computerized Patient Record System CPRS PDM consolidates tools for managing the various Pharmacy software products It provides Pharmacy Supervisors in one location the capability to enter and edit data from the local DRUG file 50 for all Pharmacy related packages PDM now allows users to enter medication instruction components e g dosage noun verb expansion in a language other than English However at this time the Patient Medication Information Sheets only allow patient data to be in English or Spanish The PDM user manual is designed to acquaint the user with the various PDM options and offer specific guidance on the maintenance and use of the PDM package Documentation concerning the PDM package including any subsequent change pages affecting this documentation can be found at the VistA documentation library Notations will be used consistently throughout this PDM user manual are outlined below e Menu options will be italicized Example The Drug Enter Edit option permits you to enter or edit a drug e Screen prompts
3. KKK KKK KKK KKK KKK KKK KKK ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck Sk sk This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med GENERIC NAME CIMETIDINE 200MG TAB Replace VA CLASSIFICATION GA301 DEA SPECIAL HDLG 6P kk ck ck ck ck ck c eec ccc ccc ccc ccc ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck a ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med MARK THIS DRUG AND EDIT IT FOR Outpatient Unit Dose WY Drug Accountability Controlled Substances Non VA Med ORR INR I Enter your choice s separated by commas O 0 ent een You are NOW editing OUTPATIENT fields AN Outpatient Pharmacy ITEM Yes Yes QUANTITY DISPENSE MESSAGE OP EXTERNAL DISPENSE YES Defining a dispensing device at the drug level for a division will override the dispensing device settings in the OUTPATIENT SITE File 59 If populated the drug will be sent to the dispensing device for that division Select DIVISION ALBANY DIVISION ALBANY WINDOW DNS NAME SCRIPTPRO1 MAIL DNS NAME SCRIPTPRO2 Select DIVISION 441a Pharmacy Data Management V 1 0 February 2009 User Manual The following actions will apply when OP EXTERNAL DISPENSE field 28 is YES Tochange where a
4. DATA USER MANUAL Version 1 0 September 1997 Revised March 2012 Department of Veterans Affairs Product Development Revision History Each time this manual is updated the Title Page lists the new revised date and this page describes the changes If the Revised Pages column lists All replace the existing manual with the reissued manual If the Revised Pages column lists individual entries e g 25 32 either update the existing manual with the Change Pages Document or print the entire new manual i ii iii 27 44ia 44ib 89 PSS 1 156 i ii iii 38 40b PSS 1 159 62d 64d i iii 101 101b 102 PSS 1 163 PSS 1 155 PSS 1 136 amp PSS 1 117 i iii 3 4b 7 16b 44d j 114 118 121 129 137 204 206 i li ili added iv v changed 3 4 45 46 added 46a 46d re numbered all sections starting on page 87 and ending with page 106 changed page 89 added 90e and 90f changed 99 106 added 106a b deleted 107 112 February 2009 Revised Pages Patch Description Number Added Patch PSS 1 156 information which adds a new multiple named Outpatient Pharmacy Automation Interface OPAD in the DRUG file 50 sub file 50 0906 N Goyal PM J Owczarzak Tech Writer Updated screens Updated the Edit Orderable Items option for the default medication route Due to data being moved pages 62e and 62f have been removed N
5. TABLESPOONFUL S I 0 l 0 ML S Conjunction OF Local Possible Dosage Package 2 TEASPOONFULS OF GUAIFENESIN SYRUP WITH CODEINE doz 1 TEASPOONFUL TELE 1 TABLESPOONFU GUAIFENESIN SYRUP WITH 1 TABLESPOONFUL 50 68 CODEINE 4o i OP NOUIS 5 10 0 2 TABLESPOONFULS OF GUAIFENESIN SYRUP WITH 2MLS GUAIFENESIN CODEINE 4oz 100MG 5ML SYRUP STRENGTH UNITS DOSAGE FORM SYRUP 1 ML OF GUAIFENESIN SYRUP WITH CODEINE 4oz 2 MLS OF GUAIFENESIN SYRUP WITH CODEINE 4oz 138 Pharmacy Data Management V 1 0 February 2009 User Manual Chapter Three Creating the Sig Creating the Sig Earlier versions of the Outpatient Pharmacy software allowed the SIG to be directly edited from within the Outpatient Pharmacy package Following the release of the Pharmacy Ordering Enhancements POE Phase 2 project however which included patches PSO 7 46 OR 3 94 PSS 1 38 and PSJ 5 50 the SIG could no longer be edited as a unit Now instead individual fields are populated and then concatenated to create the SIG Although the SIG as a unit cannot be edited each individual field that creates the SIG can be edited until the SIG displays as desired Four basic types of SIGs exist Simple Possible Dosages Simple Local Possible Dosages Complex Possible Dosages and Complex Local Possible Dosages The SIG for each of these types of dosages is created by combining
6. eese sees t iaia enne 104 1 21 3 All Stand Alone Menu Items eee eene eene n 105 Chapter Two Understanding Dosages 2 1 Possible Do0sageSu C S 13 2 2 Local Possible Dosages AE L27 2 3 Possible Dosages and Local Possible Dosages 133 2 4 Multi Ingredient DFu8S u T Chapter Three Creating the Sig s c ccicccscsicecscesensessesensiccssensssesdvecssesteasssosseassecsteassecceasssscvensssentacssocsaossserieess 139 3 1 SIG Formulas Glossary Appendix A Convertible Dosage Form Unit Combinations 155 Appendix B Original Drug Text File Entries Combinations 163 Appendix C Administration Schedules Spanish Translations 165 Appendix D Dosage Forms Spanish Translations 171 Appendix E Local Possible Dosages Spanish Translations Appendix F Medication Instructions Spanish Translations Appendix G Medication Routes Spanish Translations
7. Enter O Pharmacy Data Management V 1 0 User Manual February 2009 Example 4 Enter Edit Dosages Creating Possible Dosages Select Dosages Option ENter Edit Dosages Select Drug GRISEOFULVIN 500MG S T AM700 This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med GRISEOFULVIN 500MG S T Inactive Date This drug can have Possible Dosages but currently does not have any Create Possible Dosages for this drug N This drug meets the criteria to have Possible Dosages but it currently does not have any If you answer YES Possible Dosages will be created for this drug based on the match to the National Drug File Create Possible Dosages for this drug N YES Resetting Possible Dosages Press Return to continue lt Enter gt Strength from National Drug File match gt 500 MG Strength currently in the Drug File gt 500 MG Edit Strength N Enter Strength gt 500 Unit MG Select DISPENSE UNITS PER DOSE Answer with POSSIBLE DOSAGES DISPENSE UNITS PER DOSE Choose from Jd 500 IO 2 1000 IO You may enter a new POSSIBLE DOSAGES if you wish Type a Number between 0 and 99999999 4 Decimal Digits Select DISPENSE UNITS PER DOSE lt Enter gt Enter Edit Local Possible Dosages N lt Enter gt O Select Drug February 2009 Pharmacy Data Management V 1 0 User Manual Example 5 Enter Edit Dosages Select Dosages Option Strength Mismatch Enter Fdit
8. February 2009 Pharmacy Data Management V 1 0 User Manual 85 Example 1 Creating a New Synonym Select DRUG GENERIC NAME NAP il NAPROXEN 250MG S T MS102 N F 09 05 00 2 NAPROXEN 375MG TAB MS102 CHOOSE 1 2 2 NAPROXEN 375MG TAB MS102 Select SYNONYM 018393027342 ALEVE INTENDED USE TRADE NAME NDC CODE lt Enter gt Select SYNONYM lt Enter gt Example 2 Deleting a Synonym Select DRUG GENERIC NAME NAP 1 NAPROXEN 250MG S T MS102 N F 09 05 00 2 NAPROXEN 375MG TAB MS102 CHOOSE 1 2 2 NAPROXEN 375MG TAB MS102 Select SYNONYM ALEVE Q0 SURE YOU WANT TO DELETE THE ENTIRE ALEVE SYNONYM Y Yes Select SYNONYM 018393027342 lt Enter gt SYNONYM 018393027342 lt Enter gt INTENDED USE DRUG ACCOUNTABILITY lt Enter gt NDC CODE 018393 0273 42 lt Enter gt Select SYNONYM lt Enter gt 86 Pharmacy Data Management V 1 0 User Manual February 2009 The Section that was numbered 1 15 and entitled Other Language Translation Setup has been removed A new section Stand Alone Menu Options has been added at the end of this chapter It contains a new stand alone menu option and the Other Language Translation Setup option and its examples Also note that even though page numbering is not affected except where change pages have been created the heading numbers have been moved back one number thus all the appropriate pages have been included in the change pages document for patches PSS 1 136 and PSS 1 117 1 15
9. 100MG 100MG 250MG 250MG 100MG 100MG 250MG 250MG INJ INJ INJ TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB TAB 69 1 9 4 Patient Instructions Report PSS INSTRUCTIONS ITEMS REPORT The Patient Instructions Report option prints a report that displays Pharmacy Orderable Items along with the expanded Patient Instructions for each Pharmacy Orderable Item These Patient Instructions are used as default values for Outpatient Pharmacy orders entered through CPRS and Outpatient Pharmacy This report can be printed to display all Pharmacy Orderable Items or only Orderable Items with associated Patient Instructions Example Patient Instructions Report 70 Select Pharmacy Data Management Option OR d Orderable Item Management 2 Orderable Item Report CHOOSE 1 2 1 Orderable Item Management Select Orderable Item Management Option PAtient Instructions Re port Select one of the following A ALL S SELECT A RANGE Print Report for A 11 or S elect a Range S Enter ELECT A RANGE There are entries in the Orderable Item file with leading numerics Print report for Orderable Items with leading numerics N Enter O To see items beginning with the letter A enter A or whichever letter you wish to see To see items in a range for example items starting with the Tetters eV Vs VEN Amel Mul enter shia the format Select a Range N Report will be for items starting with the letter N
10. GM CUP GM PKG MG GM GM UNT GM MEQ PKT CAL ML GM GM 5GM GM BTL GM PKG GM PKT GM UNT MEQ PKT MG 5ML MG ML MG PKG MG PKT UNT 5ML MG MG 5ML MG ML MIL MIL ML UNT ML MG 5ML MG ML MG 5ML MG ML MG ML MCG SPRAY MG ML UNT SPRAY GM ML MEQ 15ML MEQ 5ML MG MG 0 5ML MG 0 5ML MG 18 75ML MG 20ML MG 5ML MG 7 5ML MG ML MIL ML UNT ML MG ML Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Pharmacy Data Management V 1 0 User Manual February 2009 SOLN SPRAY NASAL SUPP RTL SUPP VAG SUPPOSITORY SUSP SUSP INTRATHECAL SUSP ORAL SUSP RTL SYRINGE SYRUP SYRUP ORAL TAB TAB BUCC SA TAB BUCCAL TAB CHEWABLE TAB EC TAB EFFERVSC February 2009 MCG SPRAY MG SPRAY UNT ML MG GM MG MCG GM SML GM 60ML MG 15ML MG 5ML MG ML UNT ML MG ML MCG ML MG 15ML MG 5ML MG ML UNT ML GM 60ML UNT GM I5ML GM SML MEQ 5ML MG 15ML MG 5ML MG ML MG 5ML GM GR MCG MEQ MG MG 5ML MG DAY UNT MG MG GM MG GM GR MEQ MG UNT ME
11. Select DRUG ELECTROYTES NAME CHLORIDE MEQ ML ARE YOU ADDING CHLORIDE AS A NEW DRUG ELECTROLYTES THE 9 Y YES DRUG ELECTROLYTES CONCENTRATION UNITS MEQ ML NAME CHLORIDE lt Enter gt CONCENTRATION UNITS lt Enter gt Select DRUG ELECTROLYTES NAME lt Enter gt Example 2 Electrolyte File Deleting Select Pharmacy Data Management Option Electrolyte File IV Select DRUG ELECTROLYTES NAME CHLORIDE NAME CHLORIDE SURE YOU WANT TO DELETE THE ENTIRE CHLORIDE DRUG ELECTROLYTES Y YES 1 6 Lookup into Dispense Drug File PSS LOOK The Lookup into Dispense Drug File option provides a lookup into the DRUG file 50 and displays fields that are commonly edited It is not possible to edit entries in the DRUG file 50 from this option Edits can be made through the use of the Drug Enter Edit option Patch PSS 1 61 ensures that the newly populated CS FEDERAL SCHEDULE field of the VA PRODUCT file 50 68 is also included as part of the drug details in the Lookup into Dispense Drug File option Patch PSS 1 147 adds the Numeric Dose and Dose Unit fields defined for Local Possible Dosages to the display Example 1 Lookup Drug Select DRUG GENERIC NAME TIMOLOL 1 TIMOLOL MALEATE 0 25 OPH GEL OP101 N F NATL N F 2 5 ML TUBE 2 TIMOLOL MALEATE 0 25 OPH SOLN OP101 NATL REVIEW 5 ML BT IEN 3 TIMOLOL MALEATE 0 5 OPH GEL OP101 N F NATL N F 2 5 ML TUBE IEN 4 TIMOLOL MALEATE 0 5 OPH SOLN OP101 NATL REVIEW 5 ML B
12. debet esie iret Res 17 12 5 Noun Dosag Form Report ie etoile Ri pii 19 1 26 Review Dosages Report 21 L27 Focal Possible DOSAGES Report te eek uleste end 23 1 2 8 Request Change to Dose 25 1 3 Drug Enter Edit aasawa H 14 Order Check Management ss 1 4 1 Request Changes to Enhanced Order Check Database a eene een 45 1 4 2 Report of Locally Entered Interactions eee eee eene enne nnne enne 46c 1 5 Electrolyte File IV 47 1 6 Lookup into Dispense Drug File 47 1 7 Medication Instruction Management 40 1 71 Medication Instruction File Add Edit esses 49 1 72 Medication Instruction File Report a eee nennen enne enne enne neret nne ener 51 18 Medication Routes Management 53 1 6 1 Medication Route File Enter Edit 1 82 Medication Route Mapping Report 1 83 Medication Route Mapping History Report eese eee neret
13. CELECOXIB DRUG TEXT Refer to PBM MAP criteria for use of celecoxib NATIONAL FORMULARY RESTRICTION TEXT DRUG file entries February 2009 Pharmacy Data Management V 1 0 79 User Manual Example Drug Text File Report continued 80 CYCLOPHOSPHAMIDE 50MG C T Enter RETURN to continue or to exit Enter Drug Text Report for drug text from C through C Date printed JUL 16 2002 Page DRUG TEXT NAME COPD DRUG TEXT Refer to VA DoD COPD treatment guidelines NATIONAL FORMULARY RESTRICTION TEXT Refer to VA DoD COPD treatment guidelines Enter INNO Or Et ONE C citas Drug Text Report for drug text from C through C Date printed JUL 16 2002 Page 021256 THEOPHYLLINE 200MG SUS REL TABS THEOPHYLLINE 100MG SUS REL TABS ORDERABLE ITEM file entries End of Report Press Return to continue lt Enter gt Select Pharmacy Data Management Option Pharmacy Data Management V 1 0 User Manual February 2009 1 12 Pharmacy System Parameters Edit PSS SYS EDIT The Pharmacy System Parameters Edit option allows the user to edit the Pharmacy System Parameters used in PDM Example Pharmacy System Parameters Edit Select Pharmacy Data Management Option Pharmacy System Parameters Edit PMIS PRINTER LASSIE PRINTER HALLWAY PMIS LANGUAGE This language will be used as the default for the printing of Patient Medication Instruction Sheets PMIS Choose from di En
14. D35W DILUTE 0 3CC IN 5CC OF DISTILLED WATER DILUIR 0 3 CC EN 5 CC DE AGUA DESTILADA D3SS DILUTE 0 3CC IN 3CC SOD CHLORIDE DILUIR 0 3 CC EN 3 CC DE SOLUCION SALINA D3W DILUTE 0 3CC IN 3CC DISTILLED WATER DILUIR 0 3 CC EN 3 CC DE AGUA DESTILADA D53SS DILUTE 0 5CC IN 3CC OF SALINE SOLUTION DILUIR 0 5 CC EN 3 CC DE SOLUCION SALINA D53W DILUTE 0 5CC IN 3CC OF DISTILLED WATER DILUIR 0 5 CC EN 3 CC DE AGUA DESTILADA D5SS DILUTE 0 5CC IN 5CC OF SOD CHLORIDE DILUIR 0 5 CC EN 5 CC DE SOLUCION SALINA D5W DILUTE 0 5CC IN 5CC OF DISTILLED WATER DILUIR 0 5 CC EN 5 CC DE AGUA DESTILADA D8A MIXED IN 8 OUNCES OF WATER DISUELTA EN 8 ONZAS DE AGUA D8J MIXED IN 8 OUNCES OF JUICE DISUELTA EN 8 ONZAS DE JUGO DA RIGHT DERECHA DBS BEGINNING THE DAY BEFORE THE STUDY COMENZANDO EL DIA ANTES DEL ESTUDIO DC1S CONTENTS OF 1 PACKET IN 8 1 2 OZ OF WATER AND TAKE EL CONTENIDO DE UN SOBRE EN 8 1 2 ONZAS DE AGUA Y TOMAR 188 Pharmacy Data Management V 1 0 February 2009 User Manual MED INSTRUCTIONS IEXPANSION SPANISH EXPANSION DI DISSOLVE DISOLVER DIL DILUTED DILUIDA DILO DILUTED DILUIDO DILOS DILUTED DILUIDOS DILS DILUTED DILUIDAS DIS DISSOLVED DISUELTA DISS DISSOLVED DISUELTAS DNCC DON T CRUSH OR CHEW NO TRITURAR NI MASTICAR DNCCS DON T CHEW CRUSH OR SPLIT NO TRITURAR MASTICAR NI PARTIR DO RIGHT DERECHO DOME1 ONE TABLET DISSOLVED IN
15. DRUG file 50 TIMOLOL 0 25 OPH SOLN 5ML Dispense Units per Dose 1 2 Noun DROP S VA PRODUCT file 50 68 A TIMOLOL MALEATE 0 25 SOLN OPH TIMOLOL 0 5 OPH SOLN 5ML STRENGTH 0 25 UNITS DOSAGE FORM SOLN OPH TIMOLOL MALEATE 0 5 SOLN OPH 5 0 5 UNITS DOSAGE FORM SOLN OPH 128 Pharmacy Data Management V 1 0 February 2009 User Manual Diagram G continued These two drugs meet the first three of the Possible Dosages criteria but do not meet criteria number four The Dosage Form Unit Combination of SOLN OPH 96 is not marked as convertible in the DOSAGE FORM file 50 606 for Inpatient Medications or for Outpatient Pharmacy Since Possible Dosages cannot be created for these drugs Local Possible Dosages must be created To create Local Possible Dosages the Noun field in the DOSAGE FORM file 50 606 is utilized By default all Local Possible Dosages will be marked for Inpatient Medications and or Outpatient Pharmacy use based on the package identification of the Noun The NOUN field already exists in the DOSAGE FORM file 50 606 It is a multiple field meaning that more than one Noun can be associated with each Dosage Form Some Dosage Forms may have multiple Nouns while other Dosage Forms may have only one Noun For example the Dosage Form CREAM could have the following entries in the NOUN field LIBERALLY SMALL AMOUNT SPARINGLY THIN FILM A
16. Map Local Medication Route to Standard Map Local Possible Dosages Mark PreMix Solutions Request Change to Dose Unit and Request Change to Standard Medication Route Added the following reports Administration Schedule File Report IV Solution Report Local Possible Dosages Report Medication Instruction File Report Medication Route Mapping Report Medication Route Mapping History Report and Strength Mismatch Report Updated Table of Contents Index and Glossary G Tucker PM V Howell Tech Writer 09 97 Original Release of User Manual Original Release Original Release of User Manual User Manual February 2009 Pharmacy Data Management V 1 0 iii User Manual This side left blank for two sided copying Pharmacy Data Management V 1 0 User Manual February 2009 Table of Contents Introduction eas vens voor vonnvennvonn vens vens vonsvonsvonsvonsvensvonsvensvonsvonsvonsvonsvonsvonsvonsvonsvonsvonsennsvonsvonseonseonsvonseonsvonsennsenneen Chapter One Pharmacy Data Management Options 11 Mark Unmark Single drug 1 2 Dosages L2 Auto Create Dosag s ioo n eoe DI eec menn eet 7 2 2 7 Dosage Form File Enter Edit sais uii ei eden GB te 72 Enter Editi DOSAGES iii etc o CRT Ee eT dei BT He RT ERU ERIS 12 4 Most Common Dosages Report iecit eee tite i
17. Goyal PM C Bernier Tech Writer Updated the Schedule Reschedule Check PEPS Interface section Updated overview of Schedule Reschedule Check PEPS Interface Updated the Schedule Reschedule Check PEPS Interface example Added a warning regarding the DEVICE FOR QUEUED JOB OUTPUT field Added a blank page for two sided copying G Tucker PM G Scorca Technical Writer Utilized three new fields that were added to the VA PRODUCT file 50 68 with PSN 4 261 The fields are used during the Match Rematch process of the Drug Enter Edit PSS DRUG ENTER EDIT and the Enter Edit Dosages PSS EDIT DOSAGES options to determine whether possible dosages should be auto created for supra therapeutic drugs Retired the Auto Create Dosages PSS DOSAGE CONVER SION option and removed the option from the Dosages PSS DOSAGES MANAGEMENT menu Updated Index N Goyal PM E Phelps C Bernier Tech Writers Besides the developer s changes this document incorporates the comments from Lina Bertuzis and colleagues for the PRE functionality included with patch PSS 1 117 a combined patch with PSS 1 136 Sections changed are Changed overview of menu item descriptions to match application Changed menu item description named Drug Interaction Management to Order Check Management and changed text Changed submenu item Enter Edit Local Drug Interaction PSS INTERACTION LOCAL ADD to Pharmacy Data Management V 1 0 i User Manual Revised Pages Patch Descr
18. IN basket Page 1 New The following entries have been added to the Standard Medication Routes 451 23 File ENTERAL FDB Route ORAL The following entries have been inactivated in the Standard Medication Routes 451 23 File None The following entries have been reactivated in the Standard Medication Routes 451 23 File None The following entries in the Medication Routes 451 2 File have been mapped remapped to a Standard Medication Route 451 23 File entry G TUBE Previous Standard Route ORAL New Standard Route ENTERAL PLEASE REVIEW MAY REQUIRE YOUR ATTENTION The following entries in the Medication Routes 451 2 File have been unmapped from a Standard Medication Route 451 23 File entry None The following entries in the Standard Medication Routes 451 23 File have had changes to the associated First DataBank Med Route and or Replacement Term None The following entries in the Medication Routes 451 2 File were to be mapped remapped to a Standard Medication Route 451 23 File entry but could not occur because the Medication Route 451 2 File entry was locked J TUBE Current Standard Route ORAL Recommend mapping to Standard Route ENTERAL The following entries in the Medication Routes 451 2 File were to be unmapped from a Standard Medication Route 451 23 File entry but could not occur because the Medication Route 451 2 File entry was locked None Enter message acti
19. INSERT CONT REL OPH INSERTAR IN EN AS DIRECTED SEGUN INDICADO INSERT VAG INSERT INSERTAR TO EN LA AS DIRECTED SEGUN INDICADO IRRIGATION SET USE UTILIZAR AS DIRECTED SEGUN INDICADO IRRIGATION SLEEVE USE UTILIZAR AS DIRECTED SEGUN INDICADO IRRIGATOR USE UTILIZAR AS DIRECTED SEGUN INDICADO IUD INSERT INSERTAR BY POR VIA AS DIRECTED SEGUN INDICADO JELLY APPLY APLICAR TO EN THIN FILM UNA CAPA FINA JELLY NASAL APPLY APLICAR IN EN THIN FILM UNA CAPA FINA JELLY TOP APPLY APLICAR TO EN THIN FILM UNA CAPA FINA JELLY VAG INSERT INSERTAR INTO DENTRO DE LA APPLICATORFUL S APLICADOR LLENO KIT USE USAR AS DIRECTED SEGUN INDICADO LANCET USE USAR AS DIRECTED SEGUN INDICADO LENS HARD PLACE PONER INTO EN AS DIRECTED SEGUN INDICADO LENS SOFT PLACE PONER INTO EN AS DIRECTED SEGUN INDICADO LINIMENT APPLY APLICAR TO EN AS DIRECTED SEGUN INDICADO LIQUID TAKE TOMAR BY PORLA TEASPOONFUL S 5 LIQUID SF TAKE TOMAR BY POR TEASPOONFUL S 5 LIQUID AEROSOL APPLY APLICAR FOR PARA SPRAY S ATOMIZACION ES LIQUID DENT APPLY APLICAR TO PARA AS DIRECTED SEGUN INDICADO LIQUID INHL USE UTILIZAR INHALATION S INHALACIONES LIQUID OPH INSTIL ECHAR FOR PARA DROP S GOTA S LIQUID ORAL TAKE TOMAR BY POR TEASPOONFUL S 5 LIQUID OTIC INSTILL ECHAR IN EN DROP S GOTA S LIQUID RTL APPLY APLICAR IN EN LIQUID TOP APPLY APLICAR TO PARA AS DIRECTED LOTION APPLY APLICAR TO EN AS DIRECTED SEGUN INDICADO LO
20. NDC 00904 1985 16 INACTIVE DATE WARNING LABEL SOURCE is NEW The following WARNING LABEL may continue to be used for a limited time for some external interfaces WARNING LABEL 8 Current Warning labels for ACETAMINOPHEN 120MG 5ML LIQUID Labels will print in the order in which they appear for local and CMOP fills 8N Do not drink alcoholic beverages when taking this medication 66N This medicine contains ACETAMINOPHEN Taking more ACETAMINOPHEN than February 2009 Pharmacy Data Management V 1 0 User Manual recommended may cause serious liver problems 70N Do not take other ACETAMINOPHEN containing products at the same time without first checking with your doctor Check all medicine labels carefully Pharmacy fill card display DRUG WARNING 8N 66N 70N NOTE Because the NEW WARNING LABEL LIST field is empty the warnings above are the warnings that our national data source distributes for this drug Would you like to edit this list of warnings N O ORDER UNIT BT PRICE PER ORDER UNIT 2 DISPENSE UNIT ML DISPENSE UNITS PER ORDER UNIT 480 NCPDP DISPENSE UNIT MILLILITERS NCPDP QUANTITY MULTIPLIER 1 PRICE PER DISPENSE UNIT 0 0042 points to ACETAMINOPHEN 160MG 5ML ELIXIR in the National Drug file This drug has already been matched and classified with the National Drug file In addition if the dosage form changes as a result of rematching you will have to match rematch to Orderable Item D
21. OPH SOLN Pharmacy Data Management V 1 0 User Manual February 2009 Example Orderable Item Dosages Report continued Outpatient Dosages 1 DROP 2 DROPS 1 DROP 2 DROPS CARBAMAZEPINE TAB ORAL CARBENICILLIN TAB Inpatient Dosages 382MG 764MG Outpatient Dosages 382MG 1 TABLET 764MG 2 TABLETS CARBIDOPA LEVODOPA TAB Inpatient Dosages 1 TABLET 2 TABLETS 1 TABLET 2 TABLETS Outpatient Dosages 1 TABLET 2 TABLETS 1 TABLET 2 TABLETS CARMUSTINE INJ SOLN Inpatient Dosages 100MG 1VIAL 200MG 2VIAL Outpatient Dosages CAROTENE BETA CAP ORAL Inpatient Dosages 30MG 60MG Outpatient Dosages 30MG I CAPSULE 60MG 2 CAPSULES End of Report Press Return to continue CARBACHOL 1 5 OPH SOLN CARBACHOL 1 5 OPH SOLN CARBACHOL 3 OPH SOLN CARBACHOL 3 OPH SOLN CARBENICILLIN INDANYL CARBENICILLIN INDANYL CARBENICILLIN INDANYL CARBENICILLIN INDANYL CARBIDOPA 10 LEVODOPA CARBIDOPA 10 LEVODOPA CARBIDOPA 25 LEVODOPA CARBIDOPA 25 LEVODOPA CARBIDOPA 10 LEVODOPA CARBIDOPA 10 LEVODOPA CARBIDOPA 25 LEVODOPA CARBIDOPA 25 LEVODOPA CARMUSTINE 100MG VIAL CARMUSTINE 100MG VIAL CARMUSTINE COMB PK CARMUSTINE 100MG VIAL BETA CAROTENE 30MG CAP BETA CAROTENE 30MG CAP BETA CAROTENE 30MG CAP BETA CAROTENE 30MG CAP Select Orderable Item Management Option February 2009 Pharmacy Data Management V 1 0 User Manual 3 117305 0 NA 382MG NA 382MG NA 382MG NA 382MG
22. PHENYTOIN PWDR 1196 A amp D OINT Strength Units Possible Dosages None Local Possible Dosages SMALL AMOUNT Numeric Dose Dose Unit MODERATE AMOUNT Numeric Dose Dose Unit LIBERAL AMOUNT Numeric Dose Dose Unit 108 ABACAVIR SO4 600MG LAMIVUDINE 300MG TAB Strength Sa Possible Dosages None Local Possible Dosages Inactive Date Inactive Date Inactive Date Application Package Inactive Date Application Package 1 TABLET Numeric Doses 1 Dose Unit TABLET S 2 TABLETS Numeric Dose 2 Dose Unit TABLET S 192 ABACAVIR SULFATE 100MG 5ML ORAL SOLN Inactive Date Strength 100 KS Application Package Possible Dosages Dispense Units Per Dose 1 Dose 100MG 5ML Package Dispense Units Per 2 Dose 200MG 10ML Package Dispense Units Per Dose 3 Dose 300MG 15ML Package Local Possible Dosages 1 TEASPOONFUL Numeric Dose 100 Dose Unit MILLIGRAM S 2 TEASPOONFULS February 2009 Pharmacy Data Management V 1 0 User Manual OXU Package Package Package OUX Package Package OUX H Package IO IO IO IO 10 IO 21 Example Review Dosages Report continued Numeric Dose 200 1 TABLESPOONFUL Numeric Dose 300 2 TABLESPOONFULS Numeric Dose 600 4738 ABDOMINAL PAD 7 1 2 X 8 STERILE 196 ABSORBASE TOP OINT pase m ries Units Possible Dosages None Local Possible Dosages SMALL AMOUNT Numeric Dose MODERATE AMOUNT Numeric Dose
23. Schedule Reschedule Check PEPS Interface Edit Option Schedule Option Name PSS INTERFACE SCHEDULER Menu Text Interface Scheduler WAS IDS 692595 QUEUED TO RUN AT WHAT TI JAN 23 2011014 25 41 Ej DEVICE FOR QUEUED JOB OUTPUT NULL DEVICE P DEC 80 64 QUEUED TO RU ON VOLUME SET RESCHEDULING FREQUENCY 9005 TASK PARAMETERS SP ECIAL QUEUEING Startup Persistent Exit Sav COMMAND 101a Next Pag Refresh Enter a command or followed by a caption to jump to a specific field Press lt PF1 gt H for help musene Pharmacy Data Management V 1 0 February 2009 User Manual This side left blank for two sided copying February 2009 Pharmacy Data Management V 1 0 101b User Manual If the PEPS Interface is down a priority mail message will be sent to the G PSS ORDER CHECKS mail group When the interface is back up again another priority mail message will be sent to the G PSS ORDER CHECKS mail group Only one message per occurrence interface being down or coming back up is sent because the background job runs every 15 minutes Here is an example of the mail message when the database is down Subj ORDER CHECK DATABASE DOWN 55252 03 02 10 11 59 2 lines From PSS INTERFACE SCHEDULER In IN basket Automatic Deletion Date Mar 30 2010 Connection to Vend
24. TINE PDA DAY nD or DOSE nL LIMIT DEFAULT MED ROUTE List of med routes associated with the DOSAGE FORM of the orderable item INTRAVENOUS INTRAMUSCULAR ORAL INTRAMUSCULAR If you answer YES to the next prompt the DEFAULT MED ROUTE if populated and this list if populated will be displayed as selectable med routes during medication ordering dialog If you answer NO the DEFAULT MED ROUTE if populated and POSSIBLE MED ROUTES list will be displayed instead T USE DOSAGE FORM MED ROUTE LIST NO POSS LB EE MED ROUMES You have not selected ANY med routes to display during order entry In order to have med routes displayed during order entry you must either define a DEFAULT MED ROUTE and or at least one POSSIBLE MED ROUTE or answer YES to the USE DOSAGE FORM MED ROUTE LIST prompt WITH THE CURRENT SETTINGS NO MED ROUTES WILL DISPLAY FOR SELECTION DURING ORDER ENTRY FOR THIS ORDERABLE ITEM The current setting is usually only appropriate for supply items Continue with no med routes displaying for selection during order entry NO Y S Ba SCHI SCHI PATII OTHE H K ao 31 ENT INSTRUCTIONS R LANGUAGE INSTRUCTIONS Select SYNONYM February 2009 Pharmacy Data Manag
25. Unavailable for all three fields as shown below CHOOSE 1 2 2 Check Vendor Database Link Database Version 7 Build Version 3 2 Issue Date 06 04 2010 Custom Database Version NOT AVAILABLE Custom Build Version NOT AVAILABLE Custom Issue Date NOT AVAILABLE Connected to Vendor database successfully AUG 12 2010 09 05 Press Return to Continue Note The above example could also happen to standard tables as well Example 2 Connection Could Not Be Made to Vendor Database Select PEPS Services Option CHECK Vendor Database Link Connection could not be made to Vendor database Last reached OCT 25 2010 14 52 Press Return to Continue 1 20 2 Check PEPS Services Setup PSS CHECK PEPS SERVICES SETUP The Check PEPS Services Setup option provides the ability to check and validate that the link to the vendor interface used for enhanced order checking drug interaction duplicate therapy and dosing is enabled and operational The option executes various predetermined order checks against the vendor database to ensure that the database is installed correctly and is reachable Example 1 Vendor Database Reachable Enhanced Order Checks Executed lt CPM gt Select P i Check k EPS Services Option CHECK EPS Services Setup 2 Chec endor Database Link Caos 1 heck 5 Services Setup Checking Vendor Database Connection OK a lt Press Return to Continue Performing Drug
26. Y lt Enter gt YES February 2009 Pharmacy Data Management V 1 0 11 User Manual Example 3 Enter Edit Dosages Setting Local Possible Dosages Strength 100 Unit MG 5ML Select LOCAL POSSIBLE DOSAGE 2 TEASPOONFULS LOCAL POSSIBLE DOSAGE 2 TEASPOONFULS lt Enter gt OTHER LANGUAGE DOSAGE NAME 2 CUCHARADITAS PACKAGE Outpatient lt Enter gt DOSE UNIT MILLIGRAM S NUMERIC DOSE 200 Strength 100 Unit MG 5ML Select Dosages Option ENter Edit Dosag Select Drug PROPR dt PROPRANOLOL 10MG S T 2 PROPRANOLOL 40MG S T 3 PROPRANOLOL 80MG S T 4 PROPRANOLOL TABS 80MG PINACIDI CHOOSE 1 4 2 PROPRANOLOL 40MG S T This entry is marked for the following Outpatient Unit Dose Non VA Med PROPRANOLOL 40MG S T Strength from National Drug File match Strength currently in the Drug File Edit Strength N lt Enter gt O Strength gt 40 Unit gt MG Select DISPENSE UNITS PER DOSE 0 5 Are you adding 5 as a new POSSIBLE D Yes Dosage 20MG POSSIBLE DOSAGES DOSE 20 No Ed DISPENSE UNITS PER DOSE 0 5 Enter PACKAGE IO Enter BCMA UNITS PER DOSE Enter Strength 40 Unit MG Select DISPENSE UNITS PER DOSE Enter Enter Edit Local Possible Dosages N Select Drug Editing the Dispense Units Per Dose es CV100 CV100 CV100 L STUDY STUDY DRUG CV100 PHARMACY packages Inactive Date 40 MG 20 MG OSAGES the 3RD for this DRUG No Y iting Enter
27. Y 25MG 50MG 126 DOSAGE FORM file 50 606 TAB Dispense Units Packaqe per Dose 1 O 2 O METOPROLOL TARTRATE 25MG TAB STRENGTH UNIT MG Dispense Units Dose Dose 1 25 Units Package MG 10 2 50 PRODUCT file 50 68 METOPROLOL TARTRATE 50MG TAB STRENGTH UNITS MG DOSAGE FORM TAB 50 Pharmacy Data Management V 1 0 February 2009 User Manual 2 2 Local Possible Dosages Diagram G In an earlier example using PROPRANOLOL TAB Inpatient Medications and Outpatient Pharmacy Possible Dosages could be created for the Dispense Drugs matched to PROPRANOLOL TAB because they met all of the following four criteria 1 The drug must be matched to a VA PRODUCT file 50 68 entry in National Drug File 2 The match in National Drug File must be an active single ingredient product 3 The strength of the product must be numeric 4 The Dosage Form Unit Combination of the product must be marked as convertible in the DOSAGE FORM file 50 606 In the following example the Orderable Item requested is TIMOLOL SOLN OPH which has two Dispense Drugs matched to it Neither of these Dispense Drugs meets the four criteria for creating Possible Dosages The two Dispense Drugs are matched to entries in the VA PRODUCT file 50 68 as follows See Diagram G February 2009 Pharmacy Data Management V 1 0 User Manual 127 Diagram G DOSAGE FORM file 50 606
28. expansions in Spanish It is important to note that RX Consult entry numbers do not correlate with the other files i e Number 7 in file 54 is not included in file 50 625 February 2009 Pharmacy Data Management V 1 0 91 User Manual Example Warning Builder continued 92 You should print a list of the current RX CONSULT file entries and the current WARNING LABEL ENGLISH file entries Would you like to print a list of the entries in these files N YES Would you like to include the Spanish translations N YES You may queue the report to print if you wish DEVICE HOME COMPUTER ROOM RX CONSULT file WARNING LABEL TEXT Date printed JAN 18 2005 RX CONSULT NUMBER 1 MAY CAUSE DROWSINESS Alcohol may intensify this effect USE CARE when driving or when operating dangerous machinery RX CONSULT NUMBER 2 IMPORTANT Finish all this medication unless otherwise directed by prescriber RX CONSULT NUMBER 3 Take medication on an EMPTY STOMACH 1 hour before or 2 3 hours after a meal unless otherwise directed by VON OSLO RX CONSULT NUMBER 4 Do not take antacids or iron preparations or eat dairy products within 1 hour of taking this medication It may be advisable to drink a full glass of orange juice or eat a banana daily while on this medication RX CONSULT NUMBER 8 DO NOT DRINK ALCOHOLIC BEVERAGES when taking this medication RX CONSULT NUMBER 9 DO NOT TAKE non prescription
29. 10 Conjunction 25MG 5ML 12 5 AE 2 25 z VA PRODUCT file Local Possible Dosage PROMETHAZINE Local Possible Dosage Package HCL 25MG 5ML SYRUP 1 TEASPOONFUL STRENGTH 2 TEASPOONFULS UNITS 1 TABLESPOONFUL EE Pe 2 TABLESPOONFULS 1 ML 2 MLS 136 Pharmacy Data Management 1 0 February 2009 User Manual 2 4 Multi Ingredient Drugs The following are examples of multi Ingredient drugs Since multi ingredient drugs do not meet the criteria for creation of a Possible Dosage Local Possible Dosages will be created based on the Noun entries in the DOSAGE FORM file 50 606 The first example is GUAIFENESIN SYRUP WITH CODEINE 4oz The Dosage Form of SYRUP has three Nouns all marked for Inpatient Medications and Outpatient Pharmacy use These Nouns are TABLESPOONFUL S TEASPOONFUL S and ML S The APPLICATION PACKAGE USE field of the Dispense Drug is marked for Outpatient Pharmacy use only See Diagram K February 2009 Pharmacy Data Management V 1 0 137 User Manual Diagram K DRUG file 50 DOSAGE FORM file 50 606 GUAIFENESIN SYRUP WITH CODEINE 40z Dr requests STRENGTH SYRUP Dispense Units OUTPATIENT UNIT per Dose Package ORDER GUAIFENESIN CODEINE SYRUP Outpatient Drug Only Units Package Noun Package 1 TEASPOONFUL OF Local Possible Dosage 5 GUAIFENESIN SYRUP WITH CODEINE 4oz
30. 20MG TAB STRENGTHC 20 2 UNITS CMG DOSAGE FORM TAB PROPRANOLOL HCL 40MG TAB STRENGTH 40 UNITS DOSAGE FORM TAB Diagram C In Diagram C the PROPRANOLOL drug entries are matched to VA Products that have numeric strengths 20 and 40 and the VA Products both have the Dosage Form Unit Combination of TAB MG Since TAB MG is marked as convertible in the DOSAGE FORM file 50 606 for both Inpatient Medication and Outpatient Pharmacy the new STRENGTH and UNIT fields in the DRUG file 50 for these drugs can be populated by the software The STRENGTH and UNITS fields of DRUG file 50 are populated from the VA PRODUCT file 50 68 into the DRUG file 50 The new fields in the DRUG file 50 DISPENSE UNITS PER DOSE DOSE and PACKAGE are now populated with data The Dispense Units Per Dose of 1 and 2 came from the new DISPENSE UNITS PER DOSE field in the DOSAGE FORM file 50 606 When this data 1s carried over to the DRUG file 50 the dose is computed by multiplying the Dispense Units Per Dose from DRUG file 50 by the Strength from DRUG file 50 of each drug The PACKAGE field values of the DOSAGE FORM file 50 606 T for Inpatient Medications and O for Outpatient Pharmacy are also copied to the PACKAGE field of DRUG file 50 Some of the Possible Dosages will be converted for both packages such as the combination of TAB MG since this type of dosage can be ordered for Inpat
31. Controlled Substances PKI Reports PSS CS PKI REPORTS A post installation routine for patch PSS 1 61 identifies those drugs with discrepancies between the CS FEDERAL SCHEDULE field 19 of the VA PRODUCT file 50 68 and DEA SPECIAL HDLG field 3 of the DRUG file 50 and generates four mail messages with the following subjects to the installer and to holders of the PSNMGR keys CS FEDERAL SCHEDULE AND DEA SPECIAL HDLG DISCREPANCIES CONTROLLED SUBSTANCES NOT MATCHED CONTROLLED SUBSTANCES NOT SET CORRECTLY DISCREPANCY IN DEA WITHIN DRUGS TIED TO AN OI February 2009 Pharmacy Data Management V 1 0 87 User Manual These mail messages can be used to clean up the DEA SPECIAL HDLG code in the DRUG file 50 where appropriate The post install also checks to see if the DEA SPECIAL HDLG field 3 of the DRUG file 50 is null and if the drug is matched to an entry in the VA PRODUCT file 50 68 and the CS FEDERAL SCHEDULE field 19 of the VA PRODUCT file 50 68 has data then it updates the DEA SPECIAL HDLG field 3 of the DRUG file 50 with the DEA SPECIAL HDLG code mapped to corresponding CS FEDERAL SCHEDULE code This new Controlled Substances PKI Reports option is added to the Pharmacy Data Management menu to re generate these post install Mailman messages on demand 88 Pharmacy Data Management V 1 0 February 2009 User Manual 1 16 Send Entire Drug File to External Interface PSS MASTER FILE ALL This option s
32. Dosage Form was only marked convertible for Inpatient Medications 3 I Local Possible Dosages will only be used to display in the dosage list when no Possible Dosages can be found for drugs tied to the selected Orderable Item and identified for use by the selected application Inpatient Medications or Outpatient Pharmacy February 2009 Pharmacy Data Management V 1 0 133 User Manual Diagram Dr requests INPATIENT ORDER PROMETHAZINE SYRUP Y 25MG 5ML 50MG 10ML Dr requests OUTPATIENT ORDER PROMETHAZINE SYRUP Y 1 TEASPOONFUL OF 25MG 5ML 2 TEASPOONFULS OF 25MG 5ML 1 TABLESPOONFUL OF 25MG 5ML 2 TABLESPOONFULS OF 25MG 5ML 1 ML OF 25MG 5ML 2 MLS OF 25MG 5ML 134 DRUG file 50 DOSAGE FORM file 50 606 PROMETHAZINE HCL 25MG 5ML SYRUP SYRUP STRENGTH Dispense Units UNIT per Dose Package O 2 O Unit Possible Dosage enk Package e Noun Package Dispense Units Dose Package Dose 1 25 2 50 TEASPOONFUL S 10 TABLESPOONFUL S O ML S 10 Conjunction OF VA PRODUCT file PROMETHAZINE Local Possible Dosage Package HCL 25MG 5ML SYRUP STRENGTH UNITS MG ML DOSAGE FORM SYRUP Local Possible Dosage 1 TEASPOONFUL 2 TEASPOONFULS 1 TABLESPOONFUL 2 TABLESPOONFULS 1 ML OOOOOO 2MLS Pharmacy Data Management V 1 0 February 2009 User Manual Diagram I Diagram I illustrates the Possible
33. Dosages Select Drug ACETAMINO 1 ACETAMINOPHEN 1000MG TABLET CN100 2 ACETAMINOPHEN 325MG C T CN103 Ses ONES 90 DAY SUPPLI SA 3 ACETAMINOPHEN 325MG TABLET CN103 INFECTIOUS DISEASE RESTRICTED TO 4 ACETAMINOPHEN 650MG SUPPOS CN103 5 ACETAMINOPHEN ELIX 120MG 5ML 407 CN103 Press to see VO to xit this Tist OR CHOOSE 1 5 5 ACETAMINOPHEN ELIX 120MG 5ML 407 CN103 This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med ACETAMINOPHEN ELIX 120MG 5ML 407 Strength from National Drug File match gt 160 Strength currently in the Drug File gt 120 Inactive Date MG 5ML Please Note Strength of drug does not match strength of VA Product it is matched to Press Return to Continue lt ENTER gt Edit Strength N lt ENTER gt O Strength gt 120 Unit gt Select DISPENSE UNITS PER DOSE lt ENTER gt Strength 120 Unit MG 5ML Select LOCAL POSSIBLE DOSAGE You may enter a new LOCAL POSSIBLE DOSAGE Answer must be 1 60 characters in length Select LOCAL POSSIBLE DOSAGE ONE TEASPOONFUL Are you adding ONE TEASPOONFUL as a new LOCAL POSSIBLE DOSAGE LOCAL POSSIBLE DOSAGE ONE TEASPOONFUL lt ENTER gt OTHER LANGUAGE DOSAGE NAME lt ENTER gt PACKAGE O Outpatient DOSE UNIT MILLIGRAM S NUMERIC DOSE 120 Strength 120 Unit MG 5ML Select LOCAL POSSIBLE DOSAGE lt ENTER gt Select Drug 14 she AST for chis CRUG 7 Nosy Y P
34. Enter WARNING LABEL SOURCE is NEW The following WARNING LABEL may continue to be used for a limited time for some external interfaces WARNING LABEL Current Warning labels for METAPROTERENOL SULFATE 0 6 INHL SOLN Labels will print in the order in which they appear for local and CMOP fills 3N It is very important that you take or use this exactly as directed Do not skip doses or discontinue unless directed by your doctor 09N WARNING DO NOT exceed the dose prescribed by your physician If difficulty in breathing persists contact your physician 4N Obtain medical advice before taking non prescription drugs as some may affect the action of this medication Pharmacy fill card display DRUG WARNING 13N 109N 14N NOTE Because the NEW WARNING LABEL LIST field is empty the warnings above are the warnings that our national data source distributes for this drug Would you like to edit this list of warnings N O ORDER UNIT PG PRICE PER ORDER UNIT 6 16 DISPENSE UNIT 2 5ML DISPENSE UNITS PER ORDER UNIT 25 NCPDP DISPENSE UNIT MILLILITERS NCPDP QUANTITY MULTIPLIER 2 5 PRICE PER DISPENSE UNIT 0 2464 points to METAPROTERENOL SO4 0 6 SOLN INHL in the National Drug file This drug has already been matched and classified with the National Drug file In addition if the dosage form changes as a result of rematching you will have to match rematch to Orderable Item This drug has also been marked to trans
35. Instructions Report Orderable Item Report Formulary Information Report Drug Text Management Drug Text Enter Edit Drug Text File Report Pharmacy System Parameters Edit Standard Schedule Management Standard Schedule Edit Administration Schedule File Report Synonym Enter Edit February 2009 Pharmacy Data Management V 1 0 3 User Manual Other Language Translation Controlled Substances PKI Reports Send Entire Drug File to External Interface Enhanced Order Checks Setup Menu Find Unmapped Local Medication Routes Map Local Medication Route to Standard Medication Route Mapping Report Medication Route File Enter Edit Medication Route Mapping History Report Request Change to Standard Medication Route Find Unmapped Local Possible Dosages Map Local Possible Dosages Local Possible Dosages Report Strength Mismatch Report Enter Edit Dosages Request Change to Dose Unit Mark PreMix Solutions IV Solution Report Administration Schedule File Report Medication Instruction File Report IV Additive Solution Reports Warning Builder Warning Mapping The PDM options listed below show the Menu structure following the installation of PSS 1 155 and MOCHA V 1 0 PSS 1 117 Mark Unmark Single drug Dosages The CMOP Mark Unmark Dosage Form File Enter Edit Single drug option is displayed Enter Edit Dosages before the Warning Builder option in the PDM Main Menu Most Common Dosages Report For documentation purpose
36. It will also allow the user to match Dispense Drugs to corresponding NATIONAL DRUG file 50 6 and Pharmacy Orderable Item entries and to tie the Dispense Drug to a DRUG TEXT file 51 7 entry Dispense Drug formulary status is designated via this option and formulary alternatives may be designated for non formulary Dispense Drug entries Dosages created as the result of National Drug File matching or auto creation of dosages may be reviewed and edited via this option Outpatient Pharmacy designated Dispense Drug entries may be marked or unmarked as a LAB MONITOR or CLOZAPINE DRUG This will allow lab values to print on the Outpatient Action Profile for the designated drug and provide lab monitor checks for Clozapine drugs during the medication order entry process The Drug Enter Edit option allows the user to enter a dosage in a language other than English PDM does not translate English terms into another language instead it allows the user to enter a translation of a term If a value has not been entered in the OTHER LANGUAGE DOSAGE NAME field PDM defaults to the value entered in the LOCAL POSSIBLE DOSAGE field If no values exist in the LOCAL POSSIBLE DOSAGE and OTHER LANGUAGE DOSAGE NAME fields the system will not display default values for those fields during CPRS or Outpatient Pharmacy prescription order entry processing However when building the SIG Outpatient Pharmacy will default to the value the user input during order entry 26
37. LIBERAL AMOUNT Numeric Dose Dose Unit Dose Unit Dose Unit Dose Unit MILLIGRAM S Dose Unit MILLIGRAM S Dose Unit MILLIGRAM S Package IO Package IO Package IO Inactive Date Inactive Date Application Package OUX Package IO Package IO Package IO 200 ACARBOSE 25MG TAB Inactive Date Strength 25 Units MG Application Package OUX Possible Dosages Dispense Units Per Dogar I Doss 5M Package I0 1 TABLET Local Possible Dosages None 2736 ACCU CHEK AVIVA 1 2 CONTROL SOLN Inactive Date 203 ACEBUTOLOL HCL 200MG CAP Inactive Date Strength 200 Units MG Application Package OUX Possible Dosages Dispense Units Per Dose 1 Dose 200MG Package IO 1 CAPSULE Dispense Units Per Dose 2 Dose 400MG Package IO 2 CAPSULES Local Possible Dosages None 2716 ACETAMINOPHEN 100MG ML SF ORAL SUSP Inactive Date Strength 100 Units Application Package OUX Possible Dosages Dispense Units Per Dose 1 Dose 100MG 1ML Package I Dispense Uni te Per Bosa 2 Dose 200MG 2ML Package I Local Possible Dosages 100MG 1ML Numeric Dose 100 Dose Unit MILLIGRAM S Package O 200MG 2ML Numeric Dose 200 Dose Unit MILLIGRAM S Package O 2587 ACETAMINOPHEN 120MG 5ML LIQUID Inactive Date Strength 120 Units Application Package UOX Possible Dosages Dispense Units Per Doser l Dose 120MG 3 75ML L Dispense Units Per Dose 2 Dose 240MG 7 5ML Package I Local Possible Dosages
38. MANANA Y AL ACOSTARSE AM PM AT MORNING AND IN THE AFTERNOON EN LA Y EN LA TARDE AM PMI MORNING AND EVENING EN LA MANANA Y EN LA TARDE BID TWO TIMES A DAY DOS VECES AL DIA BID amp HS TWO TIMES A DAY AND AT BEDTIME DOS VECES AL DIA Y AL ACOSTARSE DAILY EVERY DAY DIARIAMENTE FR SA FRIDAY AND SATURDAY VIERNES Y SABADO FRIDAY FRIDAY VIERNES HS AT BEDTIME AL ACOSTARSE MO FR MONDAY AND FRIDAY LUNES Y VIERNES MO TH MONDAY AND THURSDAY LUNES Y JUEVES MO TU MONDAY AND TUESDAY LUNES Y MARTES MO TU FR MONDAY TUESDAY FRIDAY LUNES MARTES Y VIERNES MO TU FR SA MONDAY TUESDAY FRIDAY AND SATURDAY LUNES MARTES VIERNES Y SABADO MO TU TH FR SA MONDAY TUESDAY THURSDAY FRIDAY AND SATURDAY LUNES MARTES JUEVES VIERNES Y SABADO MO TU TH SA MONDAY TUESDAY THURSDAY AND SATURDAY LUNES MARTES JUEVES Y SABADO MO TU WE MONDAY TUESDAY WEDNESDAY LUNES MARTES Y MIERCOLES MO TU WE TH MONDAY TUESDAY WEDNESDAY AND THURSDAY LUNES MARTES MIERCOLES Y JUEVES MO TU WE TH FR MONDAY TUESDAY WEDNESDAY THURSDAY AND FRIDAY LUNES MARTES MIERCOLES JUEVES Y VIERNES MO TU WE TH FR SA MONDAY THRU SATURDAY DE LUNES A SABADO MO TU WE TH SA MONDAY TUESDAY WEDNESDAY THURSDAY AND SATURDAY LUNES MARTES MIERCOLES JUEVES Y SABADO MO WE MONDAY AND WEDNESDAY LUNES Y MIERCOLES February 2009 Pharmacy Data Management V 1 0 165 User Manual ADMIN SCHEDULE OUTPATIENT EXPANSION OUTPATIENT SPANI
39. MIERCOLES VIERNES Y SABADO SU MO WE TH FR SUNDAY MONDAY WEDNESDAY THURSDAY AND FRIDAY DOMINGO LUNES MIERCOLES JUEVES Y VIERNES SU MO WE TH FR SA SUNDAY MONDAY AND WEDNESDAY THRU SATURDAY DOMINGO LUNES Y DE MIERCOLES A SABADO SU SA SUNDAY AND SATURDAY DOMINGO Y SABADO SU TH FR SA SUNDAY THURSDAY FRIDAY AND SATURDAY DOMINGO JUEVES VIERNES Y SABADO SU TU SA SUNDAY TUESDAY AND SATURDAY DOMINGO MARTES Y SABADO SU TU TH SUNDAY TUESDAY THURSDAY DOMINGO MARTES Y JUEVES SU TU TH FR SA SUNDAY TUESDAY THURSDAY FRIDAY AND SATURDAY DOMINGO MARTES JUEVES VIERNES Y SABADO SU TU TH SA SUNDAY TUESDAY THURSDAY AND SATURDAY DOMINGO MARTES JUEVES Y SABADO SU TU TH SA SUNDAY TUESDAY THURSDAY AND SATURDAY DOMINGO MARTES JUEVES Y SABADO SU TU WE TH FR SA SUNDAY AND TUESDAY THRU SATURDAY DOMINGO Y DE MARTES A SABADO SU TU WE TH SA SUNDAY TUESDAY WEDNESDAY THURSDAY AND SATURDAY DOMINGO MARTES MIERCOLES JUEVES Y SABADO SU WE SUNDAY AND WEDNESDAY DOMINGO Y MIERCOLES SU WE FR SUNDAY WEDNESDAY AND FRIDAY DOMINGO MIERCOLES Y VIERNES SUNDAY SUNDAY DOMINGO TH THURSDAY JUEVES TH FR THURSDAY FRIDAY JUEVES Y VIERNES TH SA THURSDAY AND SATURDAY JUEVES Y SABADO THURSDAY THURSDAY JUEVES TID THREE TIMES A DAY TRES VECES AL DIA TID amp HS THREE TIMES A DAY AND AT BEDTIME TRES VECES AL DIA Y AL ACOSTARSE TID 1 2HR AC THREE TIMES A DAY HALF HOUR BEFORE MEALS TRES
40. Management Select Medication Instruction Management Option MEDICATION INStruction File Add Edit Select MEDICATION INSTRUCTION NAME HS AT BEDTIME NAME HS Enter SYNONYM QHS Enter EXPANSION AT BEDTIME Enter OTHER LANGUAGE EXPANSION AL ACOSTARSE PLURAL Enter INTENDED USE IN amp OUTPATIENT Enter FREQUENCY IN MINUTES 1440 Enter 50 Pharmacy Data Management V 1 0 February 2009 User Manual 1 7 2 Medication Instruction File Report PSS MED INSTRUCTION REPORT The Medication Instruction File Report option prints out entries from the MEDICATION INSTRUCTION file 51 in order to check to see if a frequency is defined The report can be run for all medication instructions or just the medication Instructions without a frequency If the report is run for only those medication instructions with a missing frequency and all medication instructions have a frequency the report will display the message No Medication Instructions found without frequencies The report can be set to print in either an 80 or 132 column format Example 1 User selects all medication instructions Select Pharmacy Data Management Option med i Medication Instruction Management 2 Medication Routes Management CHOOSE 1 2 1 Medication Instruction Management This report displays entries from the MEDICATION INSTRUCTION 51 File It can be run for all Medicatio
41. Management V 1 0 February 2009 User Manual
42. Med Routes associated with the orderable item BOTH YES POSSIBLE MED ROUTES SCHEDULE SCHEDULE PATIENT INSTRUCTIONS OTHER LANGUAGE INSTRUCTIONS Select SYNONYM February 2009 Pharmacy Data Management V 1 0 38a User Manual This side left blank for two sided copying 38b Pharmacy Data Management V 1 0 February 2009 User Manual Example 4 Drug Enter Edit Editing Non VA Medications Select DRUG GENERIC NAME GINGER ROOT TAB CAP Are you adding GINGER ROOT as a new DRUG the 1756TH No Y Yes DRUG NUMBER 112 lt Enter gt DRUG VA CLASSIFICATION lt Enter gt DRUG FSN lt Enter gt DRUG NATIONAL DRUG CLASS lt Enter gt DRUG LOCAL NON FORMULARY N lt Enter gt N F DRUG INACTIVE DATE lt Enter gt DRUG MESSAGE lt Enter gt DRUG RESTRICTION lt Enter gt GENERIC NAME GINGER ROOT TAB CAP DI 1 DISPENSE UNIT 2 DISPENSE UNITS PER ORDER UNIT CHOOSE 2 22 DNISEHNSEASUNUGISSERESOEIDBESUNME DISPENSE UNITS PER ORDER UNIT Enter PRICE PER DISEENSE UNIT 0 0000 DAW CODE 0 lt Enter gt NO PRODUCT SELECTION INDICATED Do you wish to match rematch to NATIONAL DRUG file Yes Yes Deleting Possible Dosages Match local drug GINGER ROOT ORDER UNIT DISPENSE UNITS ORDER UNITS 2 DISPENSE UNIT maq I will attempt to match the NDCs from your SYNONYMS No match by Synonym NDC now first word Match made with GINGER ROOT TAB CAP Now select VA Product Name 1 GING
43. Name DOPAMINE 400MG IN DEXTROSE 5 Volume 500 ML Print Name 2 Synonyms INTROPI DOPAMIN Generic Drug DOPAMIN Pharmacy Orderable Item DOPAMIN Inactivation Date Used in IV Fluid Order Entry YES PreMix YES DS 400MG IN 5 DEXTROSE 500ML IN DEXTROSE 5 INJ SOL End of Report Example 2 User Selects all IV Solutions Select Enhanced Order Checks Setup Menu Option IV Solution Report This report displays only those solutions in the IV Solutions 52 7 File that are marked as PreMix IV Solutions or it displays all Solutions Select one of the following February 2009 Pharmacy Data Management V 1 0 90c User Manual PD Print only IV Solutions marked as PreMix A Print All IV Solutions Peine ee oe Pravis 2 p oie ALL ry Solucions DEE EP em 14 All IV Solutions This report is designed for 80 column format DEVICE HOME lt ENTER gt Solution PreMix report for all IV Solutions Page 1 x Print Name 0 9 SODIUM CHLORIDE Volume 100 ML Print Name 2 Synonyms 2673 Generic Drug SODIUM CHLORIDE 0 9 100ML Pharmacy Orderable Item SODIUM CHLORIDE INJ Inactivation Date Used in IV Fluid Order Entry YES PreMix x Print Name 0 9 SODIUM CHLORIDE Volume 50 ML Print Name 2 Synonyms 2672 Generic Drug SODIUM CHLORIDE 0 9 50ML Pharmacy Orderable Item SODIUM CHLORIDE INJ Inactivation Date Use
44. Orderable Item STREPTOMYCIN SULFAT Orderable Item STREPTOZOTOCIN INJ Orderable Item n UCCINYCHOLINE 1000 Orderable Item n UCCINYCHOLINE 20MG Orderable Item UCRALFATE 1 TAB Orderable Item ULFACETAMIDE 10 O Orderable Item n ULFACETAMIDE OPHTH Orderable Item Enter RETURN to con 76 COVERING STOMA CAP MONTGOMERY STRAP DEVICE COR AO STREPTOKINASE INJ 000 UN INJ STREPTOKINASE INJ E 1GM INJ STREPTOMYCIN INJ 1GM ECOG STREPTOZOTOCIN INJ IM CMS SUCCINYLCHOLINE INJ CONC SOLN ML INJ SUCCINYLCHOLINE INJ SOLN SUCRALFATE TAB SONG I S ME SULFACETAMIDE SOLN OPH 10 OINT SULFACETAMIDE OINT OPH A tinue or to exit Pharmacy Data Management V 1 0 User Manual UO UO UO UO UO UO UO UO February 2009 1 11 Drug Text Management PSS DRUG TEXT MANAGEMENT The Drug Text Management menu option was created to provide an umbrella for the options related to reviewing entering and editing drug text 1 11 1 Drug Text Enter Edit PSS EDIT TEXT The Drug Text Enter Edit option enables you to enter and or edit entries in the DRUG TEXT file 51 7 This file contains drug information restrictions and guidelines Some entries are nationally populated by National Drug File Drug text can be tied to a Dispense Drug in DRUG file 50 or it can be tied to a Pharmacy Orderable Item through the PHARMACY ORDERABLE ITEM
45. Possible Dosages Possible Dosages can be broken down into four individual fields DISPENSE UNITS PER DOSE DOSE PACKAGE and BCMA DISPENSE UNITS PER DOSE For a drug to have Possible Dosages it must meet the following criteria 1 The drug must be matched to VA PRODUCT file 450 68 entry in National Drug File 2 The match in National Drug File must be an active single ingredient product 3 The strength of the product must be numeric 4 The Dosage Form Unit Combination of the product must be marked as convertible in the DOSAGE FORM file 50 606 See the table below for a list of Dosage Form Unit Combinations that will automatically be identified by the software The Dosage Form Unit Combinations that have been designated as convertible for the creation of Possible Dosages are displayed in Appendix A February 2009 Pharmacy Data Management V 1 0 113 User Manual Possible Dosages cont The Possible Dosages option identifies drugs that meet the four criteria mentioned earlier and by utilizing fields in the VA PRODUCT file 50 68 and the DOSAGE FORM file 50 606 it will populate the DRUG file 50 entry with Possible Dosage information Diagram A is an example of how the PROPRANOLOL HCL 20MG TAB drug entry would exist under the current file setup 114 Pharmacy Data Management V 1 0 February 2009 User Manual Diagram A DRUG fils 50 Dispense Units Packaa PROPRANOLOL HCL 20MG TAB po Ee 1 2 Packa
46. Reactivation of a standard medication route e Addition of a new standard medication route e Change add delete modify to a FDB medication route mapping e Change add delete modify to a replacement route for a standard medication route Changes to a standard medication route that can result in an unmapping of a local medication route are e Inactivation of a standard medication route e Change add delete modify to an FDB Medication Route Mapping If a local medication route that is marked for All Packages is unmapped the software will attempt to do an automatic remapping to an active standard medication route If the unmapping occurred due to an inactivation of the standard medication route and a replacement route is provided the local medication route will be remapped to the new standard replacement route If no replacement route was provided in the update a defined set of business rules will be used to attempt an automatic remapping to another standard medication route February 2009 Pharmacy Data Management V 1 0 61 User Manual The MailMan message will include the reason for notification what was updated and will also include any automatic mapping activities that occurred from the local Medication Routes file to the Standard Medication Routes file Example 1 Addition of New Standard Medication Route Subj Standard Medication Route File Update 136380 08 21 09 09 58 64 lines From STANDARD MEDICATION ROUTE FILE PROCESSOR In
47. Rout Enter message action 62b and Unmapping could not occur due to locked file ion Route File Update 4136380 08 21 09 09 58 64 lines ROUTE FILE PROCESSOR In TINS basket Page 1 New have been added to the Standard Medication Routes URETHRAL have been inactivated in the Standard Medication URETHRAL INTRA URETHRAL FDB Route INTRA URETHRAL INTRAVITREAL None FDB Route None have been reactivated in the Standard Medication File have been File entry in the Medication Routes tandard Medication Route GRS 51 23 UIRE YOUR ATTENTION in the Medication Routes 51 2 File have been rd Medication Route 51 23 File entry in the Standard Medication Routes 51 23 File ted First DataBank Med Route and or Replacement have had Term be but locked in the Medication Routes 51 2 File were to 51 23 File entry e the Medication Route 51 2 File entry was URETHRAL to Standard Route INTRA URETHRAL in the Medication Routes 51 2 File were to be rd Medication Route 51 23 File entry but e the Medication Route 51 2 File entry was locked INTRAVITREAL e lt delete mapping gt in IN basket Ignore Pharmacy Data Management V 1 0 User Manual February 2009 Example 4 Reactivated Standard Medication Route Subj Standard Medication Route File Update 136380 08 21 09 09 58 64 lines From STANDARD MEDICATION ROUTE FILE PROCESSOR In IN bask
48. S INACTIVE DATE DAY nD or DOSE MED ROUTE Ente SCHEDULE Ie SCHEDULE BID PATIENT INSTRUCT ER LANGUAGE I SYNONY Select elect OI DRUG TI same VA Gen to orderable items IBUPROFEN 800MG TAB Orderable Item to match or EN 800MG TAB lt Enter gt rderable Item AB tem is Formulary EXT ENTRY lt Enter gt Enter gt nL LIMIT 7D lt Enter gt r gt RN lt Enter gt lt Enter gt IONS WF lt Enter gt STRUCTIONS CON ALIMENTO lt Enter gt Choose a number Iden or create a new Pharmacy Orderable Item entry for a NO YES ric Name and same Dose Form to match or enter nter a new on Pharmacy Data Management V 1 0 User Manual February 2009 Following the on screen instructions of Now Editing Orderable Item if the orderable item being edited is matched to any dispense drugs that are in VA drug classes IM100 through IM900 an additional prompt will appear to permit mapping of the orderable item to an associated immunization file entry This feature is introduced with the Immunizations Documentation by BCMA application in patches PSS 1 141 and PSB 3 47 Example Editing Immunization Related Pharmacy Orderable Items Select OI DR UG TEXT ENTRY Enter Enter nD or DOSE nL LIMIT Enter Enter UCTIONS Enter INACTI
49. THAN 3 A DAY NO MAS DE 3 AL DIA 4 NOT MORE THAN 4 A DAY NO MAS DE 4 AL DIA 5 NO MORE THAN 5 A DAY NO MAS DE 5 AL DIA 6 NOT MORE THAN 6 A DAY NO MAS DE 6 AL DIA 8 NOT MORE THAN 8 A DAY NO MAS DE 8 AL DIA 1 2HPC 1 HR BEFORE OR 2 HRS AFTER MEALS 1 HORA ANTES O 2 HORAS DESPUES DE LAS COMIDAS 13H ONE AND THREE HOURS UNA Y TRES HORAS 13HPC ONE amp THREE HOURS AFTER MEALS UNA Y TRES HORAS DESPUES DE LAS COMIDAS 15BB 15 MINUTES BEFORE BATH 15 MINUTOS ANTES DEL BANO 1ATO SPRAY ONCE UNA ATOMIZACION 1D INSTILL ONE DROP ECHAR UNA GOTA 1DAY THE FIRST DAY EL PRIMER DIA 1HAC ONE HOUR BEFORE MEALS UNA HORA ANTES DE LAS COMIDAS 1HPC 1 HOUR AFTER MEALS 1 HORA DESPUES DE LAS COMIDAS 1HRPCHS ONE HOUR AFTER MEALS AND AT BEDTIME UNA HORA DESPUES DE LAS COMIDAS Y AL ACOSTARSE 1HS AND 1 AT BEDTIME Y UNA AL ACOSTARSE 1 UNA INHALACION February 2009 Pharmacy Data Management V 1 0 185 User Manual MED INSTRUCTIONS IEXPANSION SPANISH EXPANSION 1PM AT 1 OO PM A LA 1 00 PM 1V AT ONE TIME DE UNA SOLA VEZ 23D 2 3 TIMES A DAY 2 3 VECES AL DIA 2ATO SPRAY TWICE DOS ATOMIZACIONES 2D INSTILL 2 DROPS ECHAR 2 GOTAS 2DAY THE SECOND DAY EL SEGUNDO DIA 2HS AND 2 AT BEDTIME Y DOS AL ACOSTARSE 2l TWO INHALATIONS DOS INHALACIONES 30BBM 30 MINUTES BEFORE BREAKFAST AND EVENING MEAL 30 MINUTO
50. USAR BY POR TEASPOONFUL S CUCHARADITA S GRNL EFFERVSC TAKE TOMAR TEASPOONFUL S CUCHARADITA S GRNL RCNST ORAL TAKE TOMAR BY POR TEASPOONFUL S CUCHARADITA S GUM CHEWABLE CHEW MASTICAR IN EN LA PIECE S PIEZA S IMPLANT INJECT INYECTAR AS DIRECTED SEGUN INDICADO INHALANT USE USAR BY POR PUFF S INHALACION ES INHALATIONS USE USAR BY POR PUFF S INHALACION ES INHALER USE USAR BY POR PUFF S INHALACION S INHL NASAL USE USAR SPRAY S ATOMIZACION ES INHL ORAL USE USAR BY POR PUFF S INHALACION ES INJ ADMINISTER INJECTAR ADMINISTRAR INJ IN OIL INJECT INJECTAR POR INJ CONC INJECT INJECTAR POR INJ CONC W BUF INJECT INJECTAR POR INJ CONC SOLN INJECT INJECTAR POR INJ FROZEN INJECT INJECTAR POR INJ LYPHL INJECT INJECTAR POR INJ PWDR INJECT INJECTAR POR INJ REPOSITORY INJECT INJECTAR POR INJ SOLN INJECT INJECTAR INJ SOLN IN OIL INJECT INJECTAR POR INJ SOLN LA INJECT INJECTAR POR INJ SOLN SA INJECT INJECTAR POR INJ SUSP INJECT INJECTAR POR February 2009 Pharmacy Data Management V 1 0 173 User Manual VERB IN PREPOSITION IN DOSAGE FORM VERB SPANISH PREPOSITIONSPANISH NOUN NOUN IN SPANISH INJ SUSP IN OIL INJECT INJECTAR POR INJ SUSP SA INJECT INJECTAR POR INJ SUSP DRY SA INJECT INJECTAR POR INJ IMPLANT PLACE PONER POR IMPLANT S IMPLANTE S INSERT CONT REL INSERT INSERTAR IN EN AS DIRECTED SEGUN INDICADO
51. V 1 0 February 2009 User Manual Example 3 Drug Enter Edit Editing Local Possible Dosages and Orderable Item continued Do you wish to match rematch to NATIONAL DRUG file No lt Enter gt No Just a reminder you are editing TIMOLOL MALEATE 0 5 OPH SOLN LOCAL POSSIBLE DOSAGES 1 DROP PACKAGE 2 DROPS PACKAGE IO Do you want to edit Local Possible Dosages N YES This drug has the following Local Possible Dosages PACKAGE Za ROIS PACKAGE TO Do you want to merge new Local Possible Dosages Y NO Strength 0 5 Under Select LOCAL POSSIBLE DOSAGE 1 DROP TO LOCAL POSSIBLE DOSAGE 1 DROP lt Enter gt OTHER LANGUAGE DOSAGE NAME lt Enter gt PACKAGE Both lt Enter gt BCMA UNITS PER DOSE lt Enter gt DOSE UNIT DROP 5 Enter NUMERIC DOSE 1 lt Enter gt Strength 0 5 Wines a Select LOCAL POSSIBLE DOSAGE lt Enter gt ck ck ck ce ccce TS SO NC sue N eee cec e ccc cc ccc ccce ccc ou ccc ccce ck E E ck E ck NE E ck ck ck ck ck ck ck ck ck ck E E E kx kx kx This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med MARK THIS DRUG AND EDIT IT FOR Outpatient Unit Dose 1 Ward Stock Drug Accountability Controlled Substances Non VA Med ALL Bx GO rx d Sy I Enter your choice 5 separated by commas O O Outpatient U You are NOW editing OUTPATIENT fields AN Outpatient Pharmacy
52. Y es NOTE This is a test account Regardless of your response to the Transmit prompt this request will NOT be sent forward for national review Mail message transmitted for review Press Return to continue Subj Duplicate Therapy Change Request 89442 05 28 08 12 51 4 lines From PHARMACIST TWENTYTHREE basket Page 1 Duplicate Therapy Change Description Problem This is a Duplicate Therapy change request Enter message action in IN basket Ignore QD Query Detailed Subj Duplicate Therapy Change Request 89442 05 28 08 12 51 4 lines From PHARMACIST TWENTYTHREE basket Local Message ID 89442QPEPCACHE FO BIRM MED VA GOV 2 recipients PHARMACIST TWENTYTHREE Last read 05 28 08 12 52 First read 05 28 08 12 51 Enter message action in IN basket Ignore Example 4 Requesting a Dosing Change Select Order Check Management Option REQuest Changes to Enhanced Order Check Da tabase Select one of the following New Drug Interaction Drug Interaction Severity Change Duplicate Therapy Change Dosing Change Select one of the above Dosing Change You must now enter a description of the change problem lt word processing gt Press Return to continue to exit 1 gt No dosing information available for a 81 yo on Drug A 2 EDIT Option 46b Pharmacy Data Management V 1 0 February 2009 User Manual NOTE This is a test account Regardless of your response to the Transm
53. Yes or No NO You are NOW in the ORDERABLE ITEM matching for the dispense drug TIMOLOL MALEATE 0 5 OPH SOLN is already matched to TIMOLOL SOLN OPH Do you want to match to a different Orderable Item NO YES Dosage Form SOLN OPH Match to another Orderable Item with same Dosage Form NO Dosage Form SOLN OPH Dispense Drug TIMOLOL 0 5 OPTH SOL 10ML Orderable Item Name TIMOLOL Matching TIMOLOL 0 5 OPTH SOL 10ML Lo TIMOLOL SOLN OPH Is this OK YES Match Complete Now editing Orderable Item TIMOLOL SOLN OPH FORMULARY STATUS Select OI DRUG TEXT ENTRY INACTIVE DATE DAY or pe SEN DEFAULT MED ROUTE List of med routes associated with the DOSAGE FORM of the orderable item RIGHT EYE LEFT EYE BOTH EYES If you answer YES to the next prompt the DEFAULT MED ROUTE if populated Pharmacy Data Management V 1 0 User Manual February 2009 Example 3 Drug Enter Edit Editing Local Possible Dosages and Orderable Item continued and this list if populated will be displayed as selectable med routes during medication ordering dialog If you answer NO the DEFAULT MED ROUTE if populated and POSSIBLE MED ROUTES list will be displayed instead USE DOSAGE FORM MED ROUTE LIST NO POSSIBLE MED ROUTES BOTH AL BOTH EARS AU BOTH EYES BOTH EYES CHOOSE 2 24 2 BOTH EVES BOTH EYES Are you adding BOTH EYES as a new POSSIBLE MED ROUTE YES YES List of Possible
54. alone menu option that is not exported with the main menu The Other Language Translation Setup option provides the ability to enter edit data in the PHARMACY SYSTEM file 59 7 This option allows sites to enter appropriate terms in another language that make up parts of the SIG when printing prescription bottle labels If the user does not enter a translation the English word will print The Other Language Translation Setup option is a stand alone option that must be assigned to the person s responsible for maintaining it See Appendices C G for lists of Spanish equivalents for some of the more common terms used for administration schedules dosage forms local possible dosages medication instructions and medication routes Example Other Language Translation Setup USE OF ANOTHER LANGUAGE YES lf Nois entered the remaining fields will not be prompted for SECONDS SEGUNDOS MINUTES MINUTOS DAYS DIAS WEEKS SEMANAS HOURS HORAS MONTHS MESES AND Y THEN LUEGO EXCEPT EXCEPTO ONE UNA TWO DOS THREE TRES FOUR CUATRO FIVE CINCO SIX SEIS SEVEN SIETE EIGHT OCHO NINE NUEVE TEN DIEZ ONE HALF MEDIA ONE FOURTH UN CUARTO ONE THIRD UN TERCIO TWO THIRDS DOS TERCIOS THREE FOURTHS TRES CUARTOS 104 Pharmacy Data Management 1 0 February 2009 User Manual 1 21 3 All Stand Alone Menu Items Here is a list of all the stand alone menu options Other Language Translation Setup PSS OTH
55. amp k kk k k amp k k Sk k k kv k k ko AA ko This entry is marked for the following PHARMACY packages Outpatient Unit Dose on VA Med GENERIC NAME ACETAMINOPHEN ELIX 120MG 5ML 407 Replace lt ENTER gt VA CLASSIFICATION CN103 lt ENTER gt D D EA SPECIAL HDLG 6 lt ENTER gt AW CODE lt ENTER gt NATIONAL FORMULARY INDICATOR YES LOCAL NON FORMULARY lt ENTER gt VISN NON FORMULARY lt ENTER gt DRUG TEXT ENTRY lt ENTER gt FORMULARY ALTERNATIVE lt ENTER gt Select SYNONYM 000054301050 lt ENTER gt SYNONYM 000054301050 lt ENTER gt INTENDED USE DRUG ACCOUNTABILITY lt ENTER gt NDC CODE 000054 3010 50 lt ENTER gt 32 Pharmacy Data Management V 1 0 February 2009 User Manual Example 1 Drug Enter Edit showing showing Strength mismatch message and new fields continued Select SYNONYM lt ENTER gt MESSAGE lt ENTER gt RESTRICTION lt ENTER gt FSN lt ENTER gt NDC 54 3010 50 lt ENTER gt INACTIVE DATE lt ENTER gt WARNING LABEL SOURCE is not NEW WARNING LABEL will be used until the WARNING LABEL SOURCE is set to NEW WARNING LABEL 8 lt ENTER gt Current Warning labels for ACETAMINOPHEN ELIX 120MG 5ML 40Z Labels will print in the order in which they appear for local and CMOP fills 8N Do not drink alcoholic beverages when taking this medica
56. as well An example scenario of each is given below 30 Pharmacy Data Management V 1 0 February 2009 User Manual Example Setting the DAW CODE at the Prescription Level If you are informed that a prescription for Coumadin was rejected for DAW reasons you might try changing the DAW CODE of the prescription and resubmitting The change can be made through the Patient Prescription Processing option or the Edit Prescriptions option in Outpatient Pharmacy V 7 0 The DAW CODE will display for ePharmacy prescriptions For original fills this information can be edited by selecting screen field 21 For refills the user must select screen field 20 Refill Data then select the refill number to be edited the DAW CODE prompt displays after the DIVISION prompt In the case of the Coumadin reject you may try changing the field to a5 or a 1 then resubmitting to see if the claim gets processed Both 5 and 1 are appropriate choices for the VA setting Whether or not a claim will get rejected for these reasons and which code to use will vary from third party to third party We are using brand name products but are not charging for brand name products The most common DAW codes are explained as follows 1 Physician stipulates that a particular brand be used 5 A brand name product is dispensed even though a generic product exists Patient will be charged at the generic price Example Setting the DAW CODE at the Drug File Level If y
57. been entered in the OTHER LANGUAGE DOSAGE NAME field PDM defaults to the value entered in the LOCAL POSSIBLE DOSAGE field If no values exist in the LOCAL POSSIBLE DOSAGE and OTHER LANGUAGE DOSAGE NAME fields the system will not display default values for those fields during CPRS or Outpatient Pharmacy prescription order entry processing However when building the SIG Outpatient Pharmacy will default to the value the user input during order entry See Appendix E for a list of Spanish equivalents for some of the more common Local Possible Dosages The NUMERIC DOSE field 5 and DOSE UNIT field 4 of the LOCAL POSSIBLE DOSAGES multiple 904 in DRUG file 50 are used to breakdown a free text Local Possible Dosage in order to perform dosage checks when that Local Possible Dosage is selected for an eligible drug within an order When populating the Dose Unit field for a Local Possible Dosage selection will be from the DOSE UNITS file 3551 24 A Numeric Dose will have to be entered that corresponds to the Dose Unit selected No auto population is provided If any of the following conditions can be determined at the time of entry the Numeric Dose and Dose Unit fields for any defined Local Possible Dosage will not be displayed for data entry 8 Pharmacy Data Management V 1 0 February 2009 User Manual e Drug associated with a dosage form that is excluded from dosage checks and the VA Product that the drug is matched to has the OVERRIDE DF DOSE
58. certain drug to be sent to a specific Automated Dispensing Device ADD Setup can be done by division such that a drug is linked to a specific automated dispensing device This functionality works in conjunction with PSO 7 354 The sub file contains the following new fields e DIVISION This is the division associated with the automated dispensing device for the drug This field is a pointer to the OUTPATIENT SITE file 59 e WINDOW DNS NAME This field is a pointer to the PHARMACY AUTOMATED DISPENSING DEVICES file 52 53 Orders with a route of WINDOW will be sent to this automated dispensing device e MAIL DNS NAME This field is a pointer to the PHARMACY AUTOMATED DISPENSING DEVICES file 52 53 Orders with a route of MAIL will be sent to this automated dispensing device The Drug Enter Edit PSS DRUG ENTER EDIT option was modified to add the new fields from the DRUG file 50 February 2009 Pharmacy Data Management V 1 0 27 User Manual DEA Special Handling Code Sites will need to determine all the nutritional supplements in their drug file and mark the DEA SPECIAL HDLG field entry for all of their nutritional supplements drug file entries with an N They will also need to append any entries that may be third party reimbursable with an E Usually only Rx Only nutritional supplements are third party reimbursable Select OPTION NAME DRUG ENTER EDIT PSS DRUG ENTER EDIT Drug Enter Edit Drug Enter Edit Select D
59. drug is being routed simply change the automated dispensing device associated with the drug Select DIVISION ALBANY DIVISION ALBANY WINDOW DNS SCRIPTPRO1 scriptpro3 MACHINE2 VA GOV 9002 MAIL DNS NAME SCRIPTPRO2 Select DIVISION Automated dispensing devices can be removed from an automated dispensing device defined in the DRUG file 50 for specific drugs for a site Select DIVISION troy 514 POR EET SUP Yes DIVISION TROY SURE YOU WANT TO DELETE THE ENTIRE DIVISION y Yes Select DIVISION e If the response to OP EXTERNAL DISPENSE field 28 is NO then there will be no prompt to add an automated dispensing device OP EXTERNAL DISPENSE N NO Do vou wish to msrk ro transmit bo CMOP Enter Yes Gr NO February 2009 Pharmacy Data Management V 1 0 44ib User Manual 44j This page left blank for two sided printing Pharmacy Data Management V 1 0 User Manual February 2009 1 4 Order Check Management PSS ORDER CHECK MANAGEMENT The Order Check Management sub menu provides options to request custom changes to the Enhanced Order Check drug interaction duplicate therapy and dosing vendor database It also allows the user to review drug interactions and their severity which have been added locally to the DRUG INTERACTION file 56 in order to determine whether the same changes need to be requested as custom changes to the new vendor database 1 4 1 Request Changes to Enhance
60. drugs without medical advice Pharmacy Data Management V 1 0 User Manual February 2009 Example Warning Builder continued RX CONSULT NUMBER 10 TAKE WITH FOOD OR MILK RX CONSULT NUMBER 11 Avoid prolonged exposure to SUNLIGHT and finish all this medication unless otherwise directed by prescriber For external use ONLY RX CONSULT NUMBER 16 This prescription CANNOT be refilled without a written duplicate from your physician RX CONSULT NUMBER 17 Do not use after specified date RX CONSULT NUMBER 18 THIS PRESCRIPTION CANNOT BE REFILLED RX CONSULT NUMBER 19 This is the same medication you have been getting Color size or shape may appear different RX CONSULT NUMBER 20 CAUTION Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed Spanish translation PRECAUCION La ley federal prohibe la transferencia de este medicamento a otro paciente para el que no fue recetado End of Rx Consult file Report Press Return to continue lt Enter gt February 2009 Pharmacy Data Management V 1 0 User Manual Example Warning Builder continued 94 WARNING LABEL ENGLISH file WARNING LABEL TEXT Date printed JAN 18 2005 WARNING LABEL ENGLISH NUMBER 1 May cause drowsiness Alcohol may intensify this effect Use care when operating a car or dangerous machines Spanish translation Puede causar somnolencia El a
61. fields from various PDM files To simplify the process each dosage can be thought of as having its own SIG formula The key to the formulas is displayed in the following table The formulas for creating each of the four types of SIGs follow February 2009 Pharmacy Data Management V 1 0 139 User Manual The following table details the symbols that will be used in the SIG tables Table A Formula Symbols User Manual Symbol File Symbol File DOSAGE FORM file Outpatient MEDICATION ROUTES 50 606 Expansion file 51 2 ADMINISTRATION Schedule SCHEDULE file 51 1 or dm DRUG file 50 Expansion MEDICATION Units Dose INSTRUCTION file 51 f PHARMACY Patient Instructions ORDERABLE ITEM file TA DRUG file 50 or 50 7 or Provider Possible ee Comments entered with ee CPRS orders ee Bs Conjunction Gy ee Preposition DOSAGE FORM file HOURS MINUTES p 50 606 DAYS 140 Pharmacy Data Management V 1 0 February 2009 SIG Formulas Simple Possible Dosages Outpatient Expansion from Schedule Dispense MEDICATION Expansion I ROUTE file 51 2 Units Dose Simple Local Possible Dosages Local Possible Dosage Complex Possible Dosages Patient Instructions or Provider Comments Patient Instructions or Provider Comments Schedule from MEDICATION Expan
62. file 50 7 Drug text tied to a Pharmacy Orderable Item is viewable when a medication is selected in Outpatient Pharmacy and Inpatient Medications if it has been tied to the Pharmacy Orderable Item or Dispense Drug The Drug Text Enter Edit option also enables you to view or print a report and to list all drug and Pharmacy orderable items linked to it See section 1 12 2 Drug Text File Report for more information Example Drug Text Enter Edit Select Pharmacy Data Management Option DRUG TEXT il Drug Text Enter Edit 2 Drug Text File Report CHOOSE 1 2 1 Drug Text Enter Edit This option enables you to edit entries in the DRUG TEXT file select DRUG TEXT NAME dL CELECOXIB 2 CHE EE 3 COPD CHOOSH Sac ORD There may be entries in your DRUG file and PHARMACY ORDERABLE ITEM file linked to this Drug Text Name Editing information related to this Drug Text entry will affect the display of information related to these Do you want to review the list of drugs and orderable items linked to this Drug Text entry YES lt Enter gt You may queue the report to print if you wish DEVICE HOME VIRTUAL Right Margin 80 lt Enter gt Drug Text Report for drug text COPD Date printed JUL 16 2002 Page 1 PLEASE NOTE The National Formulary Restriction Text is the original text exported with the DRUG TEXT file 51 7 and automatically linked to the DRUG file 50 entries based on the VA product match No ORDERABLE I
63. is the multiple field and the fields under it 32 NDC BY OUTPATIENT SITE 01 OUTPATIENT SITE 1 LAST LOCAL NDC 2 LAST CMOP NDC DAW CODE field effects on ePharmacy Billing Patch PSS 1 90 adds a new DAW CODE field to the DRUG file 50 DAW stands for Dispense as Written and refers to a set of ten NCPDP codes 0 9 that tells third party payers why a brand or generic product was selected to fill a prescription See table below DAW Code DAW Description No Product Selection Indicated Substitution Not Allowed by Prescriber Substitution Allowed Patient Requested Product Dispensed Substitution Allowed Pharmacist Selected Product Dispensed Substitution Allowed Generic Drug Not in Stock Substitution Allowed Brand Drug Dispensed as a Generic Override Substitution Not Allowed Brand Drug Mandated by Law Substitution Allowed Generic Drug Not Available in Marketplace Other N ON QA t Since the VA primarily uses generic products this has not been a major issue to date The DAW CODE field default is 0 which means the physician did not specify whether to dispense a generic or brand name product We anticipate getting some rejections from third parties for cases where we still dispense branded products even though a generic is available in the marketplace Our use of Coumadin instead of generic Warfarin is one example DAW codes are typically set for individual prescriptions but can be set at the DRUG file 50 level
64. or dangerous machines Do you want to change the mapping N y YES February 2009 Pharmacy Data Management V 1 0 97 User Manual Example Warning Mapping continued 98 WARNING MAPPING 1 8 Do not drink alcoholic beverages when taking this medication Do you want to enter edit a Spanish translation for this entry N Enter Enter a valid Rx Consult file number 20 NO TRANSFER CAUTION Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed Enter a number from WARNING LABEL ENGLISH file to map to 0 Do you want to enter edit a Spanish translation for this entry N y YES SPANISH TRANSLATION PRECAUCION La ley federal prohibe la transferencia de este medicamento a otro paciente para el que no fue recetado Enter a valid Rx Consult file number Enter Pharmacy Data Management V 1 0 User Manual February 2009 1 20 Pharmacy Enterprise Product System PEPS Services Menu PSS PEPS Services The PEPS Services sub menu contains options that are used to check and validate that the connection to the vendor database used for enhanced order checking 1 drug interactions duplicate therapy and dosing is enabled and operational It also provides the ability to execute various order checks to ensure that the database is installed properly and is reachable One option allows the scheduling of a background job which monitors the connection to the ven
65. package utilizes these abbreviations for expansions when building the prescription SIG The Medication Instruction File Add Edit option allows the user to enter the expansion in a language other than English PDM does not translate English terms into another language instead it allows the user to enter a translation of a term If a value has not been entered in the OTHER LANGUAGE EXPANSION field PDM defaults to the value entered in the EXPANSION field If no values exist in the EXPANSION and OTHER LANGUAGE EXPANSION fields an EXPANSION value will not print when Outpatient Pharmacy builds the SIG See Appendix F for a list of Spanish equivalents for some of the more common medication instructions In order to perform a daily dose range check on a prescribed medication the software needs to determine how many times per day the single dosage is taken The schedule from an order will be used to obtain that information If the schedule is found in the MEDICATION INSTRUCTION file 51 the value in the FREQUENCY IN MINUTES field 31 will be used to calculate the frequency If a frequency cannot be determined a daily dose range check will not be performed The user will be informed of this and a reason given as to why A maximum single dose check will still be performed and general dosing information for the drug will be provided Example Edit Frequency in Medication Instruction File Select Pharmacy Data Management Option Medication Instruction
66. response CLOZAPINE You are NOW editing CLOZAPINE fields Prescription of Clozapine requires identification of two laboratory tests WBC and Absolute Neutrophil Count ANC You currently have both laboratory tests identified Type of Test Lab Test Monitor Specimen Type Ta WBC WBC SERUM 2s ANC ABSOLUTE NEUTROPHIL COUNT SERUM E dit or D elete entry Enter You are NOW in the ORDERABLE ITEM matching for the dispense drug CLOZAPINE MYLAN 100MG TAB is already matched to CLOZAPINE MYLAN TAB Do you want to match to a different Orderable Item NO February 2009 Pharmacy Data Management V 1 0 User Manual Example 3 Drug Enter Edit Editing Local Possible Dosages and Orderable Item Select DRUG GENERIC NAME TIMOLOL MALEATE 0 5 OPH SOLN ORAON OK Yes Yes NOXAE EAUX X X XX XXX XX X X SS XX XX XX XXX This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med GENERIC TIMOLOL MALEATE 0 5 OPH SOLN Replace Enter VA CLASSIFICATION OP101 Enter DEA SPECIAL HDLG 6P Enter DAW CODE 0 lt Enter gt NATIONAL FORMULARY INDICATOR YES LOCAL NON FORMULARY Enter VISN NON FORMULARY Enter Select DRUG TEXT ENTRY Enter Select FORMULARY ALTERNATIVE Enter Select SYNONYM 000006336710 Enter SYNONYM 000006336710 Enter INTENDED USE DRUG ACCOUNTABILITY Ent
67. starting with the eenst WE pU Woe enter in the Korsnes ea a Select a Range C Report will be for items starting with the letter C and ending with items starting with the letter C Is this correct Y Enter ES DEVICE HOME DECSERVER Dosage report for Orderable Items from C through C PAGE 1 CAFFEINE ERGOTAMINE TAB Inpatient Dosages 1 TABLET CAFFEINE 100 ERGOTAMINE 1MG TAB 2 TABLETS CAFFEINE 100 ERGOTAMINE 1MG TAB Outpatient Dosages 1 TABLET CAFFEINE 100 ERGOTAMINE 1MG TAB 2 TABLETS CAFFEINE 100 ERGOTAMINE 1MG TAB CALCITONIN INJ SOLN Inpatient Dosages 200UNT 1ML CALCITONIN SALMON 200 UNT ML INJ 400UNT 2ML CALCITONIN SALMON 200 UNT ML INJ Outpatient Dosages CALCITONIN SALMON 200 UNT ML INJ 1ML 200 UNITS CALCITONIN SALMON 200 UNT ML INJ 0 25ML 50 UNITS CALCITONIN SALMON 200 UNT ML INJ OR SME 9 CALCITONIN SALMON 200 UNT ML INJ CALCITRIOL CAP ORAL Inpatient Dosages 0 25MCG 1 CAPSULE CALCITRIOL 0 25MCG CAP 0 5MCG 22 CAPSULES CALCITRIOL 0 25MCG CAP Outpatient Dosages 0 25MCG 1 CAPSULE CALCITRIOL 0 25MCG CAP 0 5MCG 2 CAPSULES CALCITRIOL 0 25MCG CAP CALCIUM INJ CONC Outpatient Dosages CALCIUM CHLORIDE 1GM 10ML INJ February 2009 Pharmacy Data Management V 1 0 User Manual Example Orderable Item Dosages Report continued 68 CALCIUM CARBONATE POWDER Outpatient Dosages CALCIUM CARBONATE SODIUM FLUO
68. sub therapeutic will be adjusted to not auto create those default possible dosages Such changes will be distributed during the Monthly NDF Updates PSS 1 155 uses the three new fields that were added to the VA PRODUCT file 50 68 by PSN 4 261 to prevent the inadvertent creation of supra therapeutic possible dosages for high risk medications during the dosage creation segment of Pharmacy Data Management and National Drug File updates These fields will be used during the Match Rematch process of the Enter Edit Dosages PSS EDIT DOSAGES option to determine if possible dosages should be auto created or not The three fields are CREATE DEFAULT POSSIBLE DOSAGE field 40 POSSIBLE DOSAGES TO CREATE field 41 PACKAGE field 42 When CREATE DEFAULT POSSIBLE DOSAGE field is YES then the existing functionality of auto creating possible dosages will apply When this field is NO it will be used in February 2009 Pharmacy Data Management V 1 0 15 User Manual combination with the value in POSSIBLE DOSAGES TO CREATE field to determine the auto creation of possible dosages The following conditions will apply when CREATE DEFAULT POSSIBLE DOSAGE field is NO e If POSSIBLE DOSAGES TO CREATE field is NO no possible dosages will be auto created and the following message will be displayed Due to National Drug File settings no possible dosages were auto created e If POSSIBLE DOSAGES TO CREATE field is possi
69. the DOSAGE FORM of the orderable item INTRAVENOUS INTRAMUSCULAR If you answer YES to the next prompt the DEFAULT MED ROUTE if populated and this list if populated will be displayed as selectable med routes during medication ordering dialog If you answer NO the DEFAULT MED ROUTE if populated and POSSIBLE MED ROUTES list will be displayed instead USE DOSAGE FORM MED ROUTE LIST NO Y Y SCHEDULE TYPE Enter SCHEDULE Enter PATIENT INSTRUCTIONS Enter eal S ASSOCIATED IMMUNIZATION INFLUENZA FLU 3 YRS INFLUENZA Select SYNONYM Enter February 2009 Pharmacy Data Management V 1 0 64c User Manual This page left blank for two sided copying 64d Pharmacy Data Management V 1 0 February 2009 User Manual 1 9 2 Dispense Drug Orderable Item Maintenance PSS MAINTAIN ORDERABLE ITEMS The Dispense Drug Orderable Item Maintenance option is used for maintaining the relationship between Dispense Drugs and Pharmacy Orderable Items Entries made at the Pharmacy Orderable Item prompts will be used by the Outpatient Pharmacy Inpatient Medications and CPRS packages as defaults during the medication order entry processes If no entries are made at the MED ROUTE and SCHEDULE TYPE prompts the software will assume the defaults of PO oral and CONTINUOUS respectively The Dispense Drug Orderable Item Maintenance option allows the user to enter patien
70. the Numeric Dose and Dose Unit fields for any defined Local Possible Dosage will not be presented for data entry e Drugs associated with a dosage form that is excluded from dosage checks and the VA Product it is matched to will have the OVERRIDE DF DOSE CHK EXCLUSION field 31 in the VA PRODUCT file 50 68 file set to e Drug associated with a dosage form that is NOT excluded from dosage checks but the VA Product that it is matched to will have the OVERRIDE DF DOSE CHK EXCLUSION field set to Yes e Drug is marked as a supply item S in DEA SPECIAL HDLG field or assigned a VA Drug Class starting with an XA A warning will be provided if the DRUG file strength does not match the VA Product strength to which it is matched Although ineligible for dosage checks when editing a Local Possible Dosage for an inactive drug or a drug not matched to NDF the Numeric Dose and Dose Unit fields will be displayed to the user for data entry Example 1 Drug Enter Edit showing Strength mismatch message and new fields Select Pharmacy Data Management Option DRUG 1 Drug Enter Edit 2 Drug Interaction Management Drug Text Management CHOOSE l 53 B s Select DRUG GENERIC NAME ACETAMINOPHEN ELIX 120MG 5ML 402 CN103 OK Yes ENTER Yes Ck k k kk kk ck k K kk lt K k lt lt kk k K K lt K k k K ck k lt k k lt k k k k k k k amp k lt k k kk k k Sk k k k
71. to any person other than the patient for whom it was prescribed 66N This medicine contains ACETAMINOPHEN Taking more ACETAMINOPHEN than recommended may cause serious liver problems 70N Do not take other ACETAMINOPHEN containing products at the same time without first checking with your doctor Check all medicine labels carefully 14N Obtain medical advice before taking non prescription drugs as some may affect the action of this medication Pharmacy fill card display DRUG WARNING 1N 62N 45N 8N 20 66N 70N 14N NOTE Because the NEW WARNING LABEL LIST field is empty the warnings above are the warnings that our national data source distributes for this drug Would you like to edit this list of warnings N Enter February 2009 Pharmacy Data Management V 1 0 95 User Manual Example Warning Builder continued 96 Current Warning labels for ALPRAZOLAM 0 25MG TABS Labels will print in the order in which they appear for local and CMOP fills 1N May cause drowsiness Alcohol may intensify this effect Use care when operating a car or dangerous machines 82N Warning Do not use if you are pregnant suspect that you are pregnant or while breastfeeding Consult your doctor or pharmacist 71N Do not eat grapefruit or drink grapefruit juice at any time while taking this medication 14N Obtain medical advice before taking non prescription drugs as some may affect the action of this medication 20 CAUTION Federa
72. 0 N F ginko tab cap VA PRODUCT NAME GINKGO EXT 60MG TAB ORDERABLE ITEM ginko TAB N F NDE DE LAB ORDERABLE ITEM TEXT SYNONYM S MESSAGE DEA SPECIAL HDLG NDC CS FEDERAL SCHEDULE INACTIVE DATE ORDER UNIT PRICE ORDER UNIT DISPENSE UNIT DISPENSE UNITS ORDER UNIT PRICE DISPENSE UNIT APPL PKG USE Non VA Med STRENGTH UNIT POSSIBLE DOSAGES LOCAL POSSIBLE DOSAGES VA CLASS LOCAL NON FORMULARY N F VISN NON FORMULARY National Formulary Indicator Not Matched to NDF 1 7 Medication Instruction Management PSS MED INSTRUCTION MANAGEMENT The Medication Instruction Management sub menu provides options through which the user can review and manage entries in the MEDICATION INSTRUCTION file 51 1 7 1 Medication Instruction File Add Edit PSSJU MI The Medication Instruction File Add Edit option allows the user to enter and edit abbreviations and expansions in the MEDICATION INSTRUCTION file 51 and to flag those entries for use by the Inpatient Medications package only Outpatient Pharmacy package only or both The expansions in the MEDICATION INSTRUCTION file 51 expand the Schedule and Patient Instructions when building the SIG The Inpatient Medications package contains a field called February 2009 Pharmacy Data Management V 1 0 49 User Manual SPECIAL INSTRUCTIONS that utilizes these abbreviations and expansions when printing various reports Additionally the Outpatient Pharmacy
73. 00 UNT ML NATIONAL FORMULARY INDICATOR NO NATIONAL FORMULARY RESTRICTION ES Ei VM arua AAS SANV Foam o IS You have just VERIFIFD this match and MERGED the entry Resetting Possible Dosages Press Return to continue Just a reminder you are editing INSULIN NPH U 100 INJ Strength from National Drug File match gt 100 Strength currently in the Drug File gt 100 UNT ML Strength gt 100 Unit gt A Press Return to continue to exit POSSIBLE DOSAGES LOCAL POSSIBLE DOSAGES Due to National Drug File settings no possible dosages were auto created Do you want to manually enter possible dosages N YES Changing the strength will update all possible dosages for this Drug STRENGTH 100 Select DISPENSE UNITS PER DOSE You may enter a new POSSIBLE DOSAGES Type a Number between 0 and 99999999 if you wish 4 Decimal Digits Select DISPENSE UNITS PER DOSE 1 Are you adding 1 as a new POSSIBLE DOSAGES Yes Dosage 100 POSSIBLE DOSAGES DOSE the 1ST for this DRUG No Y 100 No Editing DTSPENSE UNTTS PER DOSES PACKAGE IO BCMA UNITS PER DOSE EIN Oa 3 Select DISPENSE UNITS PER DOSE February 2009 Pharmacy Data Management V 1 0 User Manual The prompt Do you want to manually enter possible dosages N is displayed only when no possible dosages were auto created 44e 44f Example 2 Supra Therapeutic Drugs Drug Ent
74. 05 MILLILITERS 0 05 MILILITROS 0 1 MILLILITERS 0 1 MILILITROS 0 15 MILLILITERS 0 15 MILILITROS 0 18 MILLILITERS 0 18 MILILITROS 0 2 MILLILITERS 0 2 MILILITROS 0 25 MILLILITER 0 25 MILILITRO 0 3 MILLILITERS 0 3 MILILITROS 0 4 MILLILITER OF 120MCG 0 5ML 0 4 MILILITRO DE 120MCG 0 5ML 0 4 MILLILITER OF 80MCG 0 5ML 0 4 MILILITRO DE 80MCG 0 5ML 0 5 MILLIGRAMS 0 5 MILIGRAMOS 0 5 MILLILITER 0 5 MILILITRO 0 5 MILLILITER OF 120MCG 0 5ML 0 5 MILILITRO DE 120MCG 0 5ML 0 5 MILLILITER OF 150MCG 0 5ML 0 5 MILILITRO DE 150MCG 0 5ML 0 5 MILLILITER OF 80MCG 0 5ML 0 5 MILILITRO DE 80MCG 0 5ML 0 9 MILLIGRAM 0 9 MILIGRAMO 1 AMPULE 1 AMPOLLETA 1 RING AS DIRECTED 1 ANILLO SEGUN INDICADO 1 APPLICATORFUL 1 APLICADOR LLENO 1 SPRAY 1 ATOMIZACION 1 CAPSULE 1 CAPSULA 1 TABLESPOONFUL 1 CUCHARADA February 2009 Pharmacy Data Management V 1 0 User Manual 179 LOCAL POSSIBLE DOSAGE SPANISH LOCAL DOSAGE 1 IEASPOONFUL 1 CUCHARADITA 1 ENEMA 1 ENEMA 1 ENEMA AS DIRECTED 1 ENEMA SEGUN INDICADO 1 DROP 1 GOTA 1 GRAM 1 GRAMO 1 IMPLANT 1 IMPLANTE 1 PUFF 1 INHALACION 1 MILLIGRAM 1 MILIGRAMO 1 MILLILITER 1 MILILITRO 1 PATCH 1 PARCHO 1 PIECE 1 PIEZA 1 INCH 1 PULGADA 1 AS DIRECTED 1 SEGUN INDICADO 1 PACKET 1 SOBRE 1 SUPPOSITORY 1 S
75. 1 LITER OF WATER DISOLVER 1 TABLETA EN 1 LITRO DE AGUA DOME2 ONE OR TWO TABLETS DISSOLVED IN 1 LITER OF WATER DISOLVER 1 O 2 TABLETAS EN 1 LITRO DE AGUA DSM DISSOLVE SLOWLY IN THE MOUTH DISOLVER LENTAMENTE EN LA BOCA DTF MUST BE DOCUMENTED ON TREATMENT FORM 10 2970G DEBE SER DOCUMENTADO EN LA FORMA DE TRATAMIENTO 10 2970C E1 TAKE ONE CAN DAILY TOMAR EL CONTENIDO DE UNA LATA DIARIAMENTE E2 TAKE ONE CAN TWICE A DAY TOMAR EL CONTENIDO DE UNA LATA DOS VECES AL DIA E3 TAKE ONE CAN 3 TIMES A DAY TOMAR EL CONTENIDO DE UNA LATA 3 VECES AL DIA E4 TAKE ONE CAN 4 TIMES A DAY TOMAR EL CONTENIDO DE UNA LATA 4 VECES AL DIA ED SPACE ALL EYE DROPS AT LEAST 5 MINUTES APART ESPACIAR LAS GOTAS AL MENOS CON 5 MINUTOS DE DIFERENCIA ENEMA FOR THE STUDY OF PARA EL ESTUDIO DE EOW EVERY OTHER WEEK UNA SEMANA SI Y OTRA NO EP14 MIX 1 2 CUP IN 6 OZ OF COLD WATER AND TAKE DISOLVER 1 2 TAZA EN 6OZ DE AGUA PARA TOMAR EPM TO PALMS EN LA PALMA DE LAS MANOS EPP TO SOLES EN LA PLANTA DE LOS PIES EU EXTERNAL USE USO EXTERNO EXT EXTERNALLY EXTERNAMENTE F FOR PARA F10 FOR TEN DAYS POR DIEZ DIAS F12 FOR 12 DAYS POR 12 DIAS F14 FOR 14 DAYS POR 14 DIAS F15 FOR 15 DAYS POR 15 DIAS F1D FOR ONE DAY POR UN DIA F2 FOR 2 DAYS POR 2 DIAS February 2009 Pharmacy Data Management V 1 0 189 User Manual MED INSTRUCTIONS IEXPANSION SPANISH EXPANSION F21 FOR 21 D
76. 12 ALOH MGOH SIMTH XTRA STRENGTH LIQ 30cc 11 30CC SUSP 0 25 AMOXICILLIN 500 CLAV K 125MG TAB 500 125MG TAB 13 February 2009 Pharmacy Data Management V 1 0 17 User Manual Example Most Common Dosages Report continued 18 ASPIRIN 325MG EC TAB U D ASPIRIN 325MG TAB U D ASPIRIN 81MG CHEW TAB ATENOLOL 25MG TAB ATENOLOL 50MG TAB AZITHROMYCIN 250MG TAB BISACODYL 10MG RTL SUPP CARBAMAZEPINE TEGRETOL 100MG CHEW TAB CARBAMAZEPINE TEGRETOL 200MG TAB CASANTHRANOL 30 DOCUSATE 100MG CAP U D CLOPIDOGREL BISULFATE 75MG TAB DEXAMETHASONE 4MG TAB U D DIGOXIN LANOXIN 0 125MG TAB DIGOXIN LANOXIN 0 25MG TAB DOCUSATE NA 100MG CAP U D DROPERIDOL 5MG 2ML INJ FELODIPINE 5MG SA TAB U D FERROUS SULFATE 325MG TAB FLUNISOLIDE 250MCG 100D ORAL INHL FOLIC ACID 1MG TAB U D Report continues Pharmacy Data Management V 1 0 User Manual 325 MG 325MG EC TAB 325 MG SS 325MG TAB 81MG TAB 25MG TAB 50MG TAB 250MG TAB 10MG SUPP 100MG TAB 200MG TAB 30 100MG CAP 75 ine 4MG OLS me L MG 0 125MG TAB e 0 25MG 0 25MG TAB 100 MG 100 mg 100MG 100MG CAP 24 11 TNI 5MG SA TAB 325MG TAB 2 PUFFS pu f FS 1 mg 1MG TAB 80 10 TD 167 16 14 at 12 alat 1 24 14 13 10 10 2 2 99 20 19 February 2009 1 2 5 Noun Dosage Form Report PSS DOSE FORM NOUN REPORT The Noun Dosage Form Report option di
77. 2d f PSS 1 153 Renamed the MED ROUTE field 06 of the PHARMACY 64 64a ORDERABLE ITEM file 50 7 to be DEFAULT MED ROUTE Provided the ability to print the POSSIBLE MED ROUTES multiple on the Default Med Route For OI Report PSS DEF MED ROUTE OI RPT option N Goyal PM E Phelps Tech Writer i 63 PSS 1 142 Added functionality to denote the default med route for IV orders in the selection list in CPRS if all of the orderable items on the order have the same default med route defined Updated TOC Released with CPRS version 28 N Goyal PM E Phelps C Bernier Tech Writers i iii 84 84a 84b PSS 1 143 Added new Schedule Validation Requirements Updated Index 203 205 206 R Singer DM B Thomas Tech Writer iii iv 3 4 44a d PSS 1 147 Described new process for requesting changes to Standard 47 48 61 62d 89 Medication Routes and the New Term Rapid Turnaround 90b 112 203 206 NTRT process Added IV Additive Solution Reports menu with suboptions IV Solution Report option and V Additive Report PSS IV ADDITIVE REPORT option Added Default Med Route for OI Report option to the i Pharmacy Data Management V 1 0 February 2009 User Manual Revised Pages Patch Description Number Medication Routes Management menu this change was made but not documented with PSS 1 140 Updated Drug Enter Edit option to display NUMERIC DOSE and DOSE UNIT fields defined for Local Possible Dosage Updated the Drug Ent
78. 4 provide the ability of adding more than one dispensing device per division It was recommended that this particular option not be enhanced with the multiple automated dispensing device capability since it is not currently used Sites make manual entries of drugs into the console of the dispensing devices directly 1 17 IV Additive Solution PSS ADDITIVE SOLUTION The V Additive Solution option was created by Patch PSS 1 147 to provide an umbrella for all the options related to reviewing IV Additive and IV Solution data Note that with the advent of Patch PSS 1 117 the menu reads V Additive Solution and the Mark PreMix Solutions option has been added February 2009 Pharmacy Data Management V 1 0 89 User Manual 1 17 1 IV Additive Report PSS IV ADDITIVE REPORT Patch PSS 1 147 creates a new V Additive Report option to display IV Additive information A user can select to display only entries marked with 1 BAG DAY in the Additive Frequency field or only those entries with nothing entered in the Additive Frequency field or all entries can be displayed The report will print the following data elements Print Name Generic Drug Drug Unit Synonyms Pharmacy Orderable Item Inactivation Date Used in IV Fluid Order Entry Additive Frequency If the user chooses to print only the IV Additives marked with 1 BAG DAY in the Additive Frequency field or those entries with nothing entered in the Additive Frequency field and none are
79. 70 Pharmacy Data Management V 1 0 February 2009 User Manual Appendix D Dosage Forms Spanish Translations The Outpatient Language Modifications patch PSS 1 47 provides the functionality to print prescription labels in a language other than English Enabling this functionality requires setting certain flags and completing several setup steps including populating fields used for the Sig with equivalent terms in the specified other language The following table provides Spanish equivalents for some of the more common dosage forms c S The translations in this table may require modifications for different dialects VERB IN PREPOSITION IN DOSAGE FORM VERB SPANISH PREPOSITION SPANISH NOUN NOUN IN SPANISH ADAPTER USE UTILIZAR AS DIRECTED SEGUN INDICADO AEROSOL USE HACER FOR POR SPRAY S ATOMIZACION ES AEROSOL ORAL INHALE HACER BY POR PUFF S INHALACION ES AEROSOL RTL INSERT INSERTAR INTO EN EL APPLICATOR S APLICADOR ES AEROSOL TOP APPLY APLICAR TO PARA SPRAY S ATOMIZACION ES AEROSOL VAG APPLY APLICAR TO EN LA SPRAY S ATOMIZACION ES APPLICATOR USE UTILIZAR AS DIRECTED SEGUN INDICADO BAG USE UTILIZAR AS DIRECTED SEGUN INDICADO BANDAGE USE UTILIZAR AS DIRECTED SEGUN INDICADO BAR CHEWABLE CHEW MASTICAR POR BAR BARRA BAR TOP USE UTILIZAR AS DIRECTED SEGUN INDICADO BEADS TOP USE USAR AS DIRECTED SEGUN INDICADO BELT USE UTILIZAR AS DIRECTED SEGUN INDIC
80. ABLET S TABLETA S TAB SA TAKE TOMAR BY POR TABLET S TABLETA S DISSOLVE DISOLVER Y TAB SOLUBLE AND APPLY APLICAR IN EN TABLET S TABLETA S TAB SUBLINGUAL DISSOLVE DISOLVER TABLET S TABLETA S TAB TEST USE USAR FOR TESTING PARA PRUEBA TABLET S TABLETA S TAB VAG INSERT INSERTAR IN POR TABLET S TABLETA S TAMPON INSERT INSERTAR IN POR AS DIRECTED SEGUN INDICADO TAPE USE USAR AS DIRECTED SEGUN INDICADO TEST STRIP USE USAR FOR TESTINGIPARA PRUEBA STRIP AS DIRECTED TIRILLA SEGUN INDICADO TINCTURE TAKE TOMAR BY POR TINCTURE TOP APPLY APLICAR TO PARA AS DIRECTED SEGUN INDICADO TROCHE DISSOLVE DISOLVER BY POR TROCHE S TROCISCO S WAFER USE USAR AS DIRECTED SEGUN INDICADO WAFER TOP USE USAR AS DIRECTED SEGUN INDICADO 178 Pharmacy Data Management V 1 0 User Manual February 2009 Appendix E Local Possible Dosages Spanish Translations The Outpatient Language Modifications patch PSS 1 47 provides the functionality to print prescription labels in a language other than English Enabling this functionality requires setting certain flags and completing several setup steps including populating fields used for the Sig with equivalent terms in the specified other language The following table provides Spanish equivalents for some of the more common local possible dosages c S The translations in this table may require modifications for different dialects LOCAL POSSIBLE DOSAGE SPANISH LOCAL DOSAGE 0
81. ADO BLOCK USE UTILIZAR AS DIRECTED SEGUN INDICADO CAP EC TAKE TOMAR BY POR CAPSULE S CAPSULA S CAP INHL USE USAR BY PARA CAPSULE S CAPSULA S CAP ORAL TAKE TOMAR BY POR CAPSULE S CAPSULA S CAP SA TAKE TOMAR BY POR CAPSULE S CAPSULA S CAP SPRINKLE TAKE TOMAR BY POR CAPSULE S CAPSULA S CAP SPRINKLE SA TAKE TOMAR BY POR CAPSULE S CAPSULA S February 2009 Pharmacy Data Management V 1 0 User Manual 171 VERB IN PREPOSITION IN DOSAGE FORM VERB SPANISH PREPOSITIONSPANISH NOUN NOUN IN SPANISH CONVEX INSERT USE UTILIZAR AS DIRECTED SEGUN INDICADO CREAM APPLY APLICAR TO EN THIN FILM UNA CAPA FINA CREAM ORAL APPLY APLICAR TO EN LA THIN FILM UNA CAPA FINA CREAM OTIC APPLY APLICAR TO EN THIN FILM UNA CAPA FINA CREAM RTL INSERT INSERTAR INTO POR EL APPLICATORFUL APLICADOR LLENO CREAM TOP APPLY APLICAR TO EN A THIN FILM UNA CAPA FINA CREAM VAG INSERT INSERTAR INTO EN LA ONE APLICATORFUL UN APLICADOR LLENO CRYSTAL USE UTILIZAR AS DIRECTED SEGUN INDICADO DENTAL CONE USE UTILIZAR DEVICE USE USAR AS INDICATED SEGUN INDICADO DIAPHRAGM USE UTILIZAR AS DIRECTED SEGUN INDICADO DISK USE USAR AS DIRECTED SEGUN INDICADO DOUCHE USE USAR INTO EN LA AS DIRECTED SEGUN INDICADO DRAIN USE UTILIZAR AS DIRECTED SEGUN INDICADO DRESSING APPLY APLICAR TO EN AS DIRECTED SEGUN INDICADO DRESSING TOP APPLY APLICAR TO EN AS DIRECTED SEGUN IN
82. AR BY EN AS DIRECTED SEGUN INDICADO SYRINGE USE UTILIZAR AS DIRECTED SEGUN INDICADO SYRINGE NDL USE UTILIZAR AS DIRECTED SEGUN INDICADO SYRUP TAKE TOMAR BY POR TEASPOONFUL S 5 SYRUP ORAL TAKE TOMAR BY POR TABLESPOONFUL S CUCHARADA S SYRUP SR TAKE TOMAR BY POR TABLESPOONFUL S CUCHARADA S TAB TAKE TOMAR BY POR TABLET S TABLETA S TAB BUCC SA PLACE PONER BETWEEN ENTRE TABLET S TABLETA S TAB BUCCAL PLACE PONER BETWEEN ENTRE TABLET S TABLETA S CHEW AND MASTICAR Y TAB CHEWABLE SWALLOW TRAGAR TABLET S TABLETA S TAB CHEWG GUM CHEW MASTICAR PIECE S PIEZA S TAB CR TAKE TOMAR BY POR TABLET S TABLETA S TAB EC TAKE TOMAR BY POR TABLET S TABLETA S TAB EC DEL RELEASE TAKE TOMAR TABLET TABLETA TAB EC SA TAKE TOMAR BY POR TABLET S TABLETA S IN WATER EN AGUA Y TAB EFFERVSC DISSOLVE DISOLVER AND TAKE BY POR TABLET S TABLETA S DISSOLVE IN DISOLVER EN AND APPLY TAB EFFERVSC TOP WATER AGUA TO Y APLICAR EN TABLET S TABLETA S TAB LA TAKE TOMAR BY POR TABLET S TABLETA S February 2009 Pharmacy Data Management V 1 0 User Manual 177 VERB IN PREPOSITION IN DOSAGE FORM VERB SPANISH PREPOSITIONSPANISH NOUN NOUN IN SPANISH TAB ORAL TAKE TOMAR BY POR TABLET S TABLETA S TAB ORAL DISINTEGRATING PLACE PONER BY POR TABLET S TABLETA S TAB ORAL VAG TAB RAPID DISINTEGRATEPLACE PONER BY POR T
83. AS RASAS EN 8 ONZAS DE LECHE Y TOMAR MW USE FOR MOUTH WASH USAR PARA LAVADOS BUCALES N AT NOON AL MEDIODIA NATE DO NOT LIE DOWN FOR 30 MIN AFTER YOU TAKE IT NO SE RECUESTE POR 30 MIN DESPUES DE TOMARLO NG Flush the line BEFORE and AFTER med adm LIMPIAR LA LINEA ANTES Y DESPUES DE LA ADMINISTRACION NHS DO NOT TAKE AT BEDTIME NO TOME ANTES DE ACOSTARSE NS NV FOR NAUSEA AND OR VOMITING PARA NAUSEAS Y O VOMITOS OAD ONCE A DAY UNA VEZ AL DIA OD ONTO RIGHT EYE EN OJO DERECHO February 2009 Pharmacy Data Management V 1 0 193 User Manual MED INSTRUCTIONS IEXPANSION SPANISH EXPANSION ONF ON FEET EN LOS PIES ONR ON RASH EN ERUPCION ONS ON SKIN EN LA PIEL ONSC ON SCALP EN CUERO CABELLUDO OS ONTO LEFT EYE EN OJO IZQUIERDO OU ONTO EACH EYE EN CADA OJO PC AFTER MEALS DESPUES DE LAS COMIDAS PC amp HS AFTER MEALS AND AT BEDTIME DESPUES DE LAS COMIDAS Y AL ACOSTARSE PC amp HS PRN AFTER MEALS AND AT BEDTIME IF NECESSARY DESPUES DE LAS COMIDAS Y AL ACOSTARSE SI ES NECESARIO PHOSPHO 45 ML DILUTED IN 4 OUNCES OF WATER 45 ML DILUIDOS EN 4 ONZAS DE AGUA PLA PLACE PONER PO BY MOUTH POR BOCA PRN AS NEEDED CUANDO SEA NECESARIO PUDM TAKE 2 TABLESPOONS 7 TIMES A DAY EVERY 2 4HOURS TOMAR 2 CUCHARADAS 7 VECES AL DIA CADA 2 4 HORAS PUDR TAKE TABLESPOONS 7 TIMES A DAY EVERY 2 4 HOURS TOMAR CUCHARADAS 7 VECES AL DIA CA
84. AYS POR 21 DIAS F28 FOR 28 DAYS POR 28 DIAS F2D FOR TWO DAYS POR DOS DIAS F3 FOR 3 DAYS POR 3 DIAS F3D FOR THREE DAYS POR TRES DIAS F4 FOR 4 DAYS POR 4 DIAS F4W FOR 4 WEEKS POR 4 SEMANAS F5 FOR FIVE DAYS POR CINCO DIAS F6 FOR 6 DAYS POR 6 DIAS F60 MEDICATIONS FOR 60 DAYS MEDICAMENTOS PARA 60 DIAS F7 FOR 7 DAYS POR 7 DIAS F8 FOR EIGHT DAYS POR OCHO DIAS F90 MEDICATIONS FOR 90 DAYS MEDICAMENTOS PARA 90 DIAS FA FOR HEARTBURN PARA ACIDEZ FAC FOR A COLD PARA CATARRO FAL FOR ALLERGY PARA ALERGIA FANE FOR ANEMIA PARA ANEMIA FANX FOR ANXIETY PARA LA ANSIEDAD FAP FOR ABDOMINAL PAIN PARA DOLOR ABDOMINAL FAR FOR ARTHRITIS PARA ARTRITIS FAS FOR ASTHMA PARA ASMA FBC TO AVOID BLOOD COAGULATION PARA EVITAR COAGULOS EN LA SANGRE FBO FROM BOTTLE DEL FRASCO FBP FOR BLOOD PRESSURE PARA LA PRESION FBS FOR SITZ BATH PARA BANOS DE ASIENTO FC FOR COUGH PARA LA TOS FCHOL FOR CHOLESTEROL PARA COLESTEROL FCIR FOR CIRCULATION PARA LA CIRCULACION FCON FOR CONSTIPATION PARA EL ESTRENIMIENTO FCP FOR CHEST PAIN PARA DOLOR EN EL PECHO FD FOR DIARRHEA PARA DIARREA FDEP FOR DEPRESSION PARA DEPRESION FDI FOR DIZZINESS PARA MAREOS 190 Pharmacy Data Management V 1 0 February 2009 User Manual MED INSTRUCTIONS IEXPANSION SPANISH EXPANSION FDIAB FOR DIABETES PARA DIABETES FDRY FOR DRYNESS PARA RESEQUEDAD FED FOR ED
85. CHARADITA Y MEDIA A SMALL AMOUNT UNA PEQUENA CANTIDAD A SMALL AMOUNT UNA PEQUENA CANTIDAD ONE INCH UNA PULGADA February 2009 Pharmacy Data Management V 1 0 User Manual 183 LOCAL POSSIBLE DOSAGE SPANISH LOCAL DOSAGE 1 AS DIRECTED UNA SEGUN INDICADO ONE AND A HALF TEASPOONFUL UNA Y MEDIA CUCHARADITA ONE AND A HALF INCH UNA Y MEDIA PULGADA 184 Pharmacy Data Management V 1 0 February 2009 User Manual Appendix F Medication Instructions Spanish Translations The Outpatient Language Modifications patch PSS 1 47 provides the functionality to print prescription labels in a language other than English Enabling this functionality requires setting certain flags and completing several setup steps including populating fields used for the Sig with equivalent terms in the specified other language The following table provides Spanish equivalents for some of the more common medication instructions that can be entered in the new OTHER MEDICATION INSTRUCTIONS file Sf The translations in this table may require modifications for different dialects MED INSTRUCTIONS EXPANSION SPANISH EXPANSION 828 AT 8AM 2PM AND 8PM A LAS 2PM Y 8PM 838 8AM 3PM AND 8PM 8AM 3PM Y 8PM amp L AND LUNCH Y EL ALMUERZO AT 8AM 3PM AND AT BEDTIME A LAS 3PM Y AL ACOSTARSE 12 NOT MORE THAN 12 A DAY NO MAS DE 12 AL DIA 3 NO MORE
86. CHK EXCLUSION field set to No e Drug associated with a dosage form that is NOT excluded from dosage checks but the VA Product that it is matched to has the OVERRIDE DF DOSE CHK EXCLUSION field set to Yes e Drug is marked as a supply item S in DEA SPECIAL HDLG field or assigned a VA Drug Class starting with an XA Although ineligible for dosage checks when editing a Local Possible Dosage for an inactive drug or a drug not matched to NDF the Numeric Dose and Dose Unit fields will be displayed to the user for data entry A warning will be displayed if the DRUG file strength does not match the VA Product strength to which it is matched Example 1 Enter Edit Dosages Select DRUG GENERIC NAME ACETAMINOPHEN 120MG 5ML LIQUID CN103 2920000 Es TT KB RR RR RR This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med GENERIC NAME ACETAMINOPHEN 120MG 5ML LIQUID Replace VA CLASSIFICATION CN103 DEA SPECIAL HDLG 9 DAW CODE NATIONAL FORMULARY INDICATOR YES LOCAL NON FORMULARY VISN NON FORMULARY Select DRUG TEXT ENTRY Select FORMULARY ALTERNATIVE Select SYNONYM 000054301050 SYNONYM 000054301050 INTENDED USE DRUG ACCOUNTABILITY NDC CODE 000054 3010 50 Select SYNONYM MESSAGE RESTRICTION FSN
87. COSTARSE QIDHS FOUR TIMES A DAY AND AT BEDTIME 4 VECES AL DIA Y AL ACOSTARSE QIDPC FOUR TIMES A DAY AFTER MEALS amp AT BEDTIME 4 VECES AL DIA DESPUES DE LAS COMIDAS Y AL ACOSTARSE QM MONTHLY CADA MES QOD EVERY OTHER DAY UN DIA SI Y OTRO NO QPM EVERY AFTERNOON CADA TARDE QW EVERY WEEK CADA SEMANA R IN RECTUM POR VIA RECTAL RC REPEAT CYCLE AS DIRECTED REPETIR EL CICLO SEGUN INDICADO SAL SALINE SOLUTION SOLUCION SALINA SC SUBCUTANEOUSLY POR VIA SUBCUTANEA SD ON STUDY DAY EL DIA DEL ESTUDIO SEN IF NEEDED SI ES NECESARIO SFN IF NECESSARY SI FUERA NECESARIO SL UNDER THE TONGUE DEBAJO DE LA LENGUA SLC UNDER TONGUE FOR CHEST PAIN DEBAJO DE LA LENGUA PARA DOLOR EN EL PECHO SO TO SOAK REMOJAR SODA 7 00PM DAY BEFORE STUDY 5 00AM THE DAY OF STUDY 7 00PM DIA ANTES DE ESTUDIO 5 00AM DIA DE ESTUDIO SP SPARINGLY LIGERAMENTE SPR SPRAY ATOMIZAR SS SWISH amp SWALLOW HACER BUCHES Y TRAGAR February 2009 Pharmacy Data Management V 1 0 195 User Manual MED INSTRUCTIONS IEXPANSION SPANISH EXPANSION ST IMMEDIATELY INMEDIATAMENTE SUP SUPPOSITORY SUPOSITORIO T TAKE TOMAR T1 TAKE ONE TOME UNA T1 2 TAKE ONE HALF TOMAR MEDIA T1 2TAB TAKE ONE HALF TABLET TOMAR MEDIA TABLETA T1 2TBL TAKE ONE HALF TABLESPOONFUL TOMAR MEDIA CUCHARADA T1 4 TAKE ONE QUARTER TOMAR UN CUARTO T1 4T TAKE ONE FOURTH TABLET TOMAR UN CUARTO DE TABLE
88. D TO SPINAL CORD INJURY NEUROLOGY AND REHABILITATION HIV AIDS Refer to HIV AIDS TAG treatment guidelines DIABETES Refer to PBM MAP and PBM TAG Diabetes treatment guidelines CHF Refer to PBM MAP CHF treatment guidelines GERD Refer to PBM MAP GERD treatment guidelines PUD Refer to PBM MAP PUD treatment guidelines COPD Refer to VA DoD COPD treatment guidelines DIHYDROPYRIDINE CALCIUM ANTAGONISTS Refer to PBM MAP criteria for use of long acting dihydropyridine calcium antagonists HYPERLIPIDEMIA Refer to VA DoD Hyperlipidemia treatment guidelines NEUROLOGY RESTRICTED TO NEUROLOGY SMOKING CESSATION RESTRICTED TO SMOKING CESSATION PROGRAMS BPH Refer to PBM MAP benign Prostatic Hyperplasia treatment guidelines ATORV ASTATIN Refer to PBM MAP criteria for use of atorvastatin TROVAFLOXACIN Refer to PBM MAP criteria for use of trovafloxacin THIAZOLIDINEDIONES Refer to PBM MAP criteria for use of thiazolidinediones LANSOPRAZOLE Refer to PBM MAP dosing guidelines for lansoprazole February 2009 Pharmacy Data Management V 1 0 163 User Manual DRUG TEXT file 51 7 Entry CELECOXIB BECALPERMIN DEPRESSION ALBUMIN HYPERTENSION CHF V A DOD PBM MAP HYPERTENSION CHF DIABETES HYPERTENSION PBM MAP REVIEW HYPERTENSION CHF PBM ALZHEIMER S BPH HYPERTENSION 164 Pharmacy Data Management V 1 0 User Manual National Formulary Restriction Text Refer to PBM MAP criteria for use of celecoxib Refer to PBM MAP crit
89. DA 2 4 HORAS PYLORI THEN TAKE ONE DAILY FOR 15 DAYS EMPTY STOMACH LUEGO TOME UNA DIARIA POR 15 DIAS ESTOMAGO VACIO Q EVERY CADA Q1 2H EVERY 1 2 HOURS CADA 1 2 HORAS Q12H EVERY 12 HOURS CADA 12 HORAS Q12W EVERY 12 WEEKS CADA 12 SEMANAS Q15M EVERY 15 MINUTES CADA 15 MINUTOS Q2 3H EVERY 2 3 HOURS CADA 2 3 HORAS Q2 4H EVERY 2 4 HOURS CADA 2 4 HORAS Q2H EVERY 2 HOURS CADA 2 HORAS Q2W EVERY TWO WEEKS CADA 2 SEMANAS Q34H EVERY 3 4 HOURS CADA 3 4 HORAS Q3D EVERY 3 DAYS CADA 3 DIAS Q3H EVERY 3 HOURS CADA 3 HORAS Q46H EVERY 4 6 HOURS CADA 4 6 HORAS Q4D EVERY FOUR DAYS CADA 4 DIAS Q4H EVERY 4 HOURS CADA 4 HORAS Q5D EVERY FIVE DAYS CADA 5 DIAS Q5M EVERY 5 MINUTES CADA 5 MINUTOS 194 Pharmacy Data Management V 1 0 February 2009 User Manual MED INSTRUCTIONS IEXPANSION SPANISH EXPANSION Q6H EVERY 6 HOURS CADA 6 HORAS Q7D EVERY SEVEN DAYS CADA 7 DIAS Q8H EVERY EIGHT HOURS CADA 8 HORAS QAM EVERY MORNING CADA MANANA QAMHS IN THE MORNING AND AT BEDTIME EN LA MANANA Y AL ACOSTARSE QD DAILY DIARIA QDAM DAILY IN THE MORNING DIARIAMENTE EN LA MANANA QDHS DAILY AT BEDTIME DIARIAMENTE EN LA NOCHE QDM DAILY DIARIAMENTE QDPM DAILY IN THE AFTERNOON DIARIAMENTE EN LA TARDE QDS DAILY DIARIAS QID 4 TIMES A DAY 4 VECES AL DIA QIDAC 4 TIMES A DAY BEFORE MEALS amp AT BEDTIME 4 VECES AL DIA ANTES DE LAS COMIDAS Y AL A
90. DE AGUA IA LEFT IZQUIERDA 192 Pharmacy Data Management V 1 0 February 2009 User Manual MED INSTRUCTIONS IEXPANSION SPANISH EXPANSION IE IN EARS EN LOS OIDOS IGW IN A GLASS OF WATER OR JUICE EN UN VASO DE AGUA O JUGO lJ IN JUICE EN JUGO IM INTRAMUSCULAR INTRAMUSCULAR IMF DOCUMENT IN VAF 672 244 12 97 11G DOCUMENTAR EN LA FORMA VAF 672 244 12 97 11G INJ INJECT INYECTAR INO IN NOSTRILS EN FOSAS NASALES INS INSTILL ECHAR INTRON DISOLVE IN 5 ML OF DILUENT AND INJECT DISOLVER CON 5 ML DE DILUYENTE E INYECTAR IO LEFT IZQUIERDO IV FOR INTRAVENOUS USE POR VIA INTRAVENOSA IW INWATER EN AGUA IWJ IN WATER OR JUICE EN AGUA O JUGO KWELL APPLY TO BODY FROM NECK DOWN APLICAR DEL CUELLO HACIA ABAJO L8H LEAVE FOR 8 HOURS AND REMOVE WELL DEJAR POR 8 HORAS Y REMOVER BIEN LANSO TAKE ONE TWICE A DAY 30 MIN BEFORE BREAKFAST AND A 1 DOS VECES AL DIA 30 MIN ANTES DEL DESAYUNO Y AL ACOSTARSE LCC TO WASH SCALP LAVAR CUERO CABELLUDO LE INTO LEFT EAR EN OIDO IZQUIERDO LPD USE LOW PROTEIN DIET USE DIETA BAJA EN PROTEINAS LUPRON DISSOLVE WITH 1 ML OF DILUENT AND INJECT DISOLVER CON 1 ML DE DILUYENTE E INYECTAR M8WJ MIXED IN 8 OUNCES OF WATER OR JUICE DISUELTA EN 8 ONZAS DE AGUA O JUGO MIN MINUTES MINUTOS MOU MILLIONS OF UNITS MILLONES DE UNIDADES MP16 MIX 4 LEVEL TABLESPOONS IN 8 OZ OF MILK AND TAKE MEZCLAR 4 CUCHARAD
91. DER USE USAR BY POR TEASPOONFUL S CUCHARADITA S POWDER AEROSOL USE UTILIZAR FOR PARA SPRAY S ATOMIZACION ES POWDER ORAL TAKE TOMAR BY POR TEASPOONFUL S CUCHARADITA S DISOLVE DISOLVER E POWDER RTL AND INSERT INSERTAR BY POR ENEMA S ENEMA S POWDER SPRAY APPLY APLICAR FOR PARA SPRAY S ATOMIZACION ES POWDER TOP APPLY APLICAR TO PARA PACKAGE S SOBRE S THE CONTENT OF A EL CONTENIDO DE UNA PUDDING TAKE TOMAR BY POR CAN LATA February 2009 Pharmacy Data Management V 1 0 175 User Manual VERB IN PREPOSITION IN DOSAGE FORM VERB SPANISH PREPOSITION SPANISH NOUN NOUN IN SPANISH DISOLVE DISOLVER Y PWDR EFFERVSC AND TAKE TOMAR BY POR TABLESPOONFUL S CUCHARADA S PWDR RENST ORAL TAKE TOMAR BY POR TEASPOONFUL S CUCHARADITA S RING VAG USE UTILIZAR BY PORLA AS DIRECTED SEGUN INDICADO RINSE ORAL USE UTILIZAR FOR PARA TEASPOONFUL S CUCHARADITA S SET USE UTILIZAR AS DIRECTED SEGUN INDICADO SET INFUSION USE UTILIZAR AS DIRECTED SEGUN INDICADO LAVAR EL SHAMPOO SHAMPOO CABELLO AS DIRECTED SEGUN INDICADO SOAP DETERGENT WASH AREA LAVAR AREA AS DIRECTED SEGUN INDICADO SOLN USE USAR BY POR SOLN CONC TAKE TOMAR BY POR IN EN NEBULIZER NEBULIZADOR SOLN INHL USE UTILIZAR FOR POR MILLILITER S MILILITRO S SOLN IRRG USE UTILIZAR FOR PARA SOLN NASAL USE ECHAR EN DROP S GOTA S SOLN OPH INSTILL ECHAR DROP S GOTA S SOLN OPH IRRG USE
92. DICADO DROPS ORAL TAKE TOMAR BY POR DROP S GOTA S ELIXIR TAKE TOMAR BY POR TEASPOONFUL S 5 EMULSION TAKE TOMAR BY POR TEASPOONFUL S 5 EMULSION TOP APPLY APLICAR TO EN AS DIRECTED SEGUN INDICADO ENEMA INSERT INSERTAR INTO EN EL AS DIRECTED SEGUN INDICADO ENEMA RTL INSERT INSERTAR INTO EN EL AS DIRECTED SEGUN INDICADO EXTRACT ADMINISTER ADMINISTRAR ML S MILILITRO FACEPLATE USE UTILIZAR AS DIRECTED SEGUN INDICADO FILM APPLY APLICAR OVER SOBRE AS DIRECTED SEGUN INDICADO FILM CONT REL APPLY APLICAR OVER SOBRE PATCH PARCHO FLANGE CAP USE UTILIZAR AS DIRECTED SEGUN INDICADO FLUFF USE UTILIZAR AS DIRECTED SEGUN INDICADO FLUID EXTRACT TAKE TOMAR BY POR ML S MILILITRO S FOAM TOP USE UTILIZAR AS DIRECTED GAS INHALE INHALAR SEGUN INDICADO SEGUN INDICADO 172 Pharmacy Data Management V 1 0 User Manual February 2009 VERB IN PREPOSITION IN DOSAGE FORM VERB SPANISH PREPOSITION SPANISH NOUN NOUN IN SPANISH GAUZE USE USAR GEL USE USAR TO ENLA THIN FILM CAPA FINA GEL DENT APPLY APLICAR FOR PARA AS DIRECTED SEGUN INDICADO GEL NASAL APPLY APLICAR TO EN AS DIRECTED SEGUN INDICADO GEL OPH APPLY APLICAR TO EN INCH PULGADA S GEL TOP APPLY APLICAR TO EN THIN FILM CAPA FINA GLOVE USE USAR AS DIRECTED SEGUN INDICADO GRAFT TOP USE UTILIZAR AS DIRECTED SEGUN INDICADO GRANULES USE
93. DISPENSE UNIT VA PRODUCT NAME DACARBAZINE 200MG VIL INJ MARKABLE FOR CMOP MARKED PACKAGE SIZE 12 X 200 MG PACKAGE TYPE VIAL VA CLASS AN900 ANTINEOPLASTIC OTHER CS FEDERAL SCHEDULE INGREDIENTS DACARBAZINE 200 NATIONAL FORMULARY INDICATOR YES NATIONAL FORMULARY RESTRICTION WNA GEO WIN SEO MEDI ONE TS was meel B 27 You have just VERIFIED this match and MERGED the entry Resetting Possible Dosages Press Return to continue Just a reminder you are editing DACARBAZINE 200MG INJ Strength from National Drug File match gt 200 MG VIAL Strength currently in the Drug File gt 200 February 2009 Pharmacy Data Management V 1 0 User Manual NOT 44g Example 3 Supra Therapeutic Drugs Drug Enter Edit Message displayed when Create Default Possible Dosage is Yes and 2 possible dosages auto created continued Strength gt 200 Unit gt Press Return to continue to exit POSSIBLE DOSAGES DISPENSE UNITS PER DOSE 1 DOSE 200MG 1VIAL PACKAGE IO DISPENSE UNITS PER DOSE 2 DOSE 400MG 2VIAL PACKAGE IO LOCAL POSSIBLE DOSAGES Due to National Drug File settings TWO possible dosages were auto created Do you want to edit the dosages N The following conditions will apply when CREATE DEFAULT POSSIBLE DOSAGE field is NO e If POSSIBLE DOSAGES TO CREATE field is NO no possible dosages will be auto created and the following message will be displayed This dr
94. DRUG file No No Just a reminder you are editing LOMUSTINE 10MG CAP This drug can have Possible Dosages but currently does not have any This drug has been set within the National Drug File to auto create only one possible dosage Create Possible Dosages for this drug N YES Resetting Possible Dosages Due to National Drug File settings only ONE possible dosage was auto created If other dosages are needed create POSSIBLE DOSAGES or LOCAL POSSIBLE DOSAGES as appropriate Press Return to continue Strength from National Drug File match gt 10 MG Strength currently in the Drug File gt 10 MG Strength gt 10 Unit gt MG POSSIBLE DOSAGES DISPENSE UNITS PER DOSE 1 DOSE 10 MG PACKAGE IO LOCAL POSSIBLE DOSAGES This drug has been set within the National Drug File to auto create only one possible dosage Do you want to edit the dosages N Example 6 Supra Therapeutic Drugs Drug Enter Edit Message displayed when NDF is set to auto create 2 Possible Dosages Do you wish to match rematch to NATIONAL DRUG file No No Just a reminder you are editing LOMUSTINE 10MG CAP This drug can have Possible Dosages but currently does not have any This drug has been set within the National Drug File to auto create two possible dosages Create Possible Dosages for this drug N YES Resetting Possible Dosages Due to National Drug File settings TWO possible dosages were auto created Press Return to
95. Dosages and Local Possible Dosages that would be created for PROMETHAZINE HCL 25MG 5ML SYRUP On the following page Diagram J illustrates an edit of the STRENGTH field in DRUG file 50 for a product such as PROMETHAZINE which has volume related UNITS In the background the software will evaluate the UNIT field in the DRUG file 50 to determine if an adjustment in the UNIT is necessary The software will search for the existence of a in the UNIT field If the UNIT field contains a when the strength is edited calculations will be performed to make appropriate adjustments in the value of the UNIT For example the DRUG file 50 entry may have a STRENGTH of 25 and a UNIT of MG SML If the STRENGTH is edited to 12 5 the UNIT will be adjusted by the software to MG 2 5ML When the UNIT value is adjusted it will not display in the DRUG file 50 however throughout all Pharmacy and CPRS displays the correct adjusted unit value of the dosage will be displayed See Diagram J February 2009 Pharmacy Data Management V 1 0 135 User Manual Diagram J DRUG file 50 PROMETHAZINE HCL 12 5MG 2 5ML DOSAGE FORM file 50 606 SYRUP lt 2 SYRUP Dispense Units Dr requests STRENGTH perDose Package INPATIENT UNIT 1 O ORDER 2 inpatient Drug Only Units Possible Dosage MG ML Y Noun Packaqe 12 5MG 2 5ML Seas es TABLESPOONFULIE 10 Dose ML S
96. Drug Interaction Order Check for ASPIRIN 325MG TAB and WARFARIN 10MG TAB OK Significant Drug Interaction The concurrent use of anticoagulants and salicylates may result in increased INR values and increase the risk of bleeding Press Return to Continue Performing Duplicate Therapy Order Check for CIMETIDINE 300MG TAB and RANITIDINE 150MG TAB OK February 2009 Pharmacy Data Management V 1 0 User Manual Therapeutic Duplication with CIMETIDINE 300MG TAB and RANITIDINE 150MG TAB Duplicate Therapy Class es Peptic Ulcer Agents Histamine 2 Receptor Antagonists H2 Antagonists Press Return to Continue Performing Dosing Order Check for ACETAMINOPHEN 500MG TAB 3000MG Q4H OK Single dose amount of 3000 MILLIGRAMS exceeds the maximum single dose amount of 1000 MILLIGRAMS Total dose amount of 18000 MILLIGRAMS DAY exceeds the dosing range of 320 MILLIGRAMS DAY to 4000 MILLIGRAMS DAY Press Return to Continue Performing Custom Drug Drug Interaction Order Check for CLARITHROMYCIN 250MG TAB and DIAZEPAM 5MG TAB OK Significant Drug Interaction Serum concentrations of certain benzodiazepines may be increased enhancing their pharmacological effects Press Return to Continue Example 2 Vendor database unreachable enhanced order checks cannot be executed Select PEPS Services Option check 1 Check PEPS Services Setup 2 Check Vendor Database Link CHOOSE 1 2 1 Check PEPS Se
97. E 250 ML ACTIVATION DATE Ino ag 00U 0 9 NS 2U ML 500 ML 000U D5W 50U ML 250 ML 00 UNITS 0 45 NACL 250 ML GHOOSHA 1 25 2 HE PARTING 2 50 OO MUNTEE SVA ONREIN AGT RINT NAME HEPARIN 25000 UNITS 0 45 NACL Replace 25 000 UNITS IN 0 45 NACL 250ML D IN IV FLUID ORD ER ENTRY YES HS SE REMIX YES February 2009 Pharmacy Data Management V 1 0 User Manual 90e This page left blank for two sided copying 90f Pharmacy Data Management V 1 0 February 2009 User Manual 1 18 Warning Builder PSS WARNING BUILDER The Warning Builder option allows the user to print a copy of the old and new warning file entries The user can choose various ways to select drugs to review which warnings will print when the flag is turned on to use the new warning label source This option also allows the user to override the default warning labels to create a custom warning label list for the selected drug This is accomplished by specifying a list of warning numbers from the old RX CONSULT file 54 and or the new commercial data source warning file Example Warning Builder Select Pharmacy Data Management Option WARNING BUilder The RX CONSULT File 54 contains local label expansions The WARNING LABEL ENGLISH file 50 625 contains national label expansions in English The WARNING LABEL SPANISH file 50 626 contains national label
98. E UNITS ORDER UNITS 120 DISPENSE UNIT ML PRICE PER DISPENSE UNIT 0 01 VA Print Name GUAIFENESIN 100MG 5ML SYRUP VA Dispense Unit ML VA Drug Class RE302 6 01085 Do you wish to UNmark this drug to transmit to Enter Yes or No YES Select DRUG GENERIC NAME Pharmacy Data Management V 1 0 User Manual February 2009 1 2 Dosages PSS DOSAGES MANAGEMENT The Dosages option controls the entering and editing of dosages The dosages sub options are explained in more detail below 1 2 1 Auto Create Dosages PSS DOSAGE CONVERSION The Auto Create Dosages option was removed from the Dosages PSS DOSAGES MANAGE MENT menu by PSS 1 155 1 2 2 Dosage Form File Enter Edit PSS DOSAGE FORM EDIT The Dosage Form File Enter Edit option provides the ability to edit data in the DOSAGE FORM file 50 606 Changes made using this option may affect the way CPRS and Outpatient Pharmacy SIGs display and how Local Possible Dosages are created The Noun entries are used to populate the Local Possible Dosages for DRUG file 50 entries when these entries are matched to National Drug File These Nouns may be package specific i e Outpatient Pharmacy Inpatient Medications or both Entries in this file will be used as default values in the construction of the Outpatient Pharmacy prescription SIG The conjunction will be used to provide a connector between the Local Possible Dosage and the strength and units or Dispense Drug n
99. ECES AL DIA EN LA MANANA Y LA TARDE BIW TWO TIMES A WEEK 2 VECES EN SEMANA February 2009 Pharmacy Data Management V 1 0 187 User Manual MED INSTRUCTIONS IEXPANSION SPANISH EXPANSION BM BETWEEN MEALS ENTRE COMIDAS BMHS BETWEEN MEALS AND AT BEDTIME ENTRE COMIDAS Y AL ACOSTARSE C68H EVERY 6 8 HOURS CADA 6 8 HORAS CAP CAPSULE CAPSULA CH EVERY HOUR CADA HORA CLARI TAKE 1 TWO TIMES A DAY AFTER BREAKFAST AND SUPPER TOME UNA 2 VECES AL DIA DESPUES DE DESAYUNO Y CENA CLOTRI1 DISSOLVE ONE IN MOUTH FOR 10 15 MINUTES amp SWALLOW DISOLVER UNA EN LA BOCA POR 10 15 MINUTOS Y TRAGAR CLOTRI2 DISSOLVE TWO IN MOUTH FOR 10 15 MINUTES amp SWALLOW DISOLVER DOS EN LA BOCA POR 10 15 MINUTOS Y TRAGAR CN IN THE EVENING CADA NOCHE CP CHEST PAIN DOLOR EN EL PECHO CS CHEW AND SWALLOW MASTICAR Y TRAGAR CS1 CHEW AND SWALLOW ONE MASTICAR Y TRAGAR UNA CS2 CHEW AND SWALLOW TWO MASTICAR Y TRAGAR DOS CTS CHANGE TASTE CAMBIA SENSITIVIDAD AL GUSTO D DROP GOTA D1 TO SOLVE 1 DISOLVER UNA D2 TO SOLVE 2 DISOLVER DOS D25SS DILUTE 0 25CC IN 5CC OF SALINE SOLUTION DILUIR 0 25 CC EN 5 CC DE SOLUCION SALINA D25W DILUTE 0 25CC IN 5CC OF DISTILLED WATER DILUIR 0 25 CC EN 5 CC DE AGUA DESTILADA D34W DURING THE THIRD AND FOURTH WEEK DURANTE LA TERCERA Y CUARTA SEMANA D35SS DILUTE 0 3CC IN 5CC OF SALINE SOLUTION DILUIR 0 3 CC EN 5 CC DE SOLUCION SALINA
100. EMA PARA EDEMA FEL FOR EYELIDS PARA LOS PARPADOS FENTANYL APPLY ONE PATCH AS INDICATED EVERY 72 HOURS APLICAR UN PARCHO EN AREA INDICADA CADA 72 HORAS FF FOR FLUIDS PARA FLUIDOS FFI FOR FUNGI INFECTION PARA INFECCION DE HONGO FG FOLLOWED BY A GLASS OF WATER SEGUIDO DE UN VASO DE AGUA FGA FOR GASTRITIS PARA GASTRITIS FGLAU FOR GLAUCOMA PARA GLAUCOMA FGOUT FOR GOUT PARA GOTA FH FOR HEART PARA EL CORAZON FHA FOR HEADACHE PARA DOLOR DE CABEZA FHBP FOR HIGH BLOOD PRESSURE PARA LA PRESION ALTA FHG FOLLOWED BY 1 2 GLASS OF WATER SEGUIDO DE 1 2 VASO DE AGUA FI FOR INFECTION PARA INFECCION FID 5 TIMES A DAY 5 VECES AL DIA FII TO INJECT INSULIN PARA INYECTAR INSULINA FIN FOR INSOMNIA PARA INSOMNIO FING FOR INCONTINENCE PARA INCONTINENCIA FINFEC FOR INFECTION PARA INFECCION FINFL FOR INFLAMATION PARA LA INFLAMACION FIR FOR IRRITATION PARA IRRITACION FIT FOR ITCHING PARA PICOR FJP FOR JOINT PAIN PARA DOLOR EN LAS COYUNTURAS FLC FOR LEG CRAMPS PARA CALAMBRES EN LAS PIERNAS FLCU FOR LOCAL CARE OF THE ULCER PARA CUIDADO LOCAL DE LA ULCERA FLED FOR LEGS EDEMA PARA EDEMA DE LAS PIERNAS FLEET THE NIGHT BEFORE THE STUDY AND 1 THE NEXT MORNING LA NOCHE ANTES DEL ESTUDIO UNA LA MANANA SIGUIENTE FME FOR MEMORY PARA LA MEMORIA FMEN FOR MENTAL HEALTH CONDITION PARA CONDICION MENTAL FMIG FOR MIGRAINE PARA MIGRANA FMS FOR MUSCLE SPASM PARA ESPASMO MUSCULAR February 2009 Pharmacy Data Management V 1 0 191 User Manual MED
101. ER CAP TAB CAP TAB 000 60226 Enter your choice 1 lt lt pres Si gt 2 x4 CHOOSE FROM 60 BOTTLE Z OTHER OTHER Enter Package Size amp Type Combination 1 Local drug ginger root matches GINGER CAP TAB PACKAGE SIZE OTHER PACKAGE TYPE OTHER anter Yl Shon vies gt lt lt Enter MIN ro gt OK LOCAL DRUG ROOT ORDER UNIT DISPENSE UNITS ORDER UNITS DISPENSE UNIT VA PRODUCT NAME GINGER CAP TAB VA PRINT NAME GINGER CAP TAB CVOP REDE 02216 VA DISPENSE UNIT CAP TAB MARKABLE FOR CMOP PACKAGE SIZE BOLILE PACKAGE TYPE OTHER VA CLASS HA000 HERBS ALTERNATIVE THERAPIES INGREDIENTS February 2009 Pharmacy Data Management V 1 0 User Manual 39 Example 4 Drug Enter Edit Editing Non VA Medications continued NATIONAL FORMULARY INDICATOR NO NATIONAL FORMULARY RESTRICTION Teac WIN Foro gt 105 Heloise cl mejeen B 92 You have just VERIFIFD this match and MERGED the entry Resetting Possible Dosages Press Return to continue Just a reminder you are editing GINGER ROOT TAB CAP LOCAL POSSIBLE DOSAGES Do you want to edit Local Possible Dosages N lt Enter gt O 5 THIS DRUG AND EDIT FOR Outpatient Unit Dose BE Ward Stock Drug Accountability Controlled Substances Non VA Med nter your choice s separated by commas X X Non VA M
102. ER LANGUAGE SETUP Dispense Drug Fields PSSJU DRG Dispense Drug ATC Set Up PSSJU DRUG ATC SET UP Drug Inquiry IV PSSJI DRUG INQUIRY Edit Cost Data PSSJU DCC EDit Drug Cost IV PSSJI EDIT DRUG COST Electrolyte File IV PSSJI ELECTROLYTE FILE MARK Unmark Dispense Drugs For Unit Dose PSSJU MARK UD ITEMS PRimary Solution File IV PSSJI SOLN And below is a stand alone option that is NOT exported as part of the main PDM menu PSS MGR Enable Disable Vendor Database Link PSS ENABLE DISABLE DB LINK This option exists ONLY as a way for technical personnel to turn on off the database connection if required for debugging Normally it is enabled and the Vendor Database updates are performed centrally in Austin and Martinsburg not at the individual sites This option is rarely used February 2009 Pharmacy Data Management V 1 0 105 User Manual This page left blank for two sided copying 106 Pharmacy Data Management V 1 0 February 2009 User Manual Pages 99 106 now have different content than the previous release of the manual because the Enhanced Order Checks Setup menu and all its options have been removed from the application and replaced with the Pharmacy Enterprise Product System PEPS Services menu and because a new section Stand Alone Menu Options was added Most of the options deleted under the Enhanced Order Checks Setup menu can still be found in various areas of the PSS MGR menu Only t
103. ER gt Strength gt 120 Unit gt POSSIBLE DOSAGES DISPENSE UNITS PER DOSE 2 DOSE 240 MG 5 ML PACKAGES I LOCAL POSSIBLE DOSAGES LOCAL POSSIBLE DOSAGE ONE TEASPOONFUL RACKAGEREO February 2009 Pharmacy Data Management V 1 0 33 User Manual Example 1 Drug Enter Edit showing showing Strength mismatch message and new fields continued Do you want to edit the dosages N YES Changing the strength will update all possible dosages for this Drug STRENGTH 120 lt ENTER gt Select DISPENSE UNITS PER DOSE lt ENTER gt Strength 120 Unit MG 5ML Select LOCAL POSSIBLE DOSAGE Answer with LOCAL POSSIBLE DOSAGE ONE TEASPOONFUL You enter LOCAL POSSIBLE DOSAGE if you wish Answer must be 1 60 characters in length Select LOCAL POSSIBLE DOSAGE ONE TEASPOONFUL LOCAL POSSIBLE DOSAGE ONE TEASPOONFUL lt ENTER gt OTHER LANGUAGE DOSAGE NAME lt ENTER gt E UNIT MILLIGRAM S lt ENTER gt lt lt Fields displayed when drug eligible for dosage check ERIC DOSE 120 lt ENTER gt Strength 120 Unit MG 5ML Select LOCAL POSSIBLE DOSAGE P FA Auto population of the Dose Unit and Numeric Dose fields for Local Possible Dosages of eligible drugs ONLY occurs during the post init of the PRE V 0 5 Pre Release patch i
104. ERENOL 5 SOLUTION 10ML Replace VA CLASSIFICATION RE102 Enter DEA SPECIAL HDLG Enter DAW CODE 0 Dispensed As Written code This information is used for NCPDP electronic claim transmission to third party payers insurance companies Answer with BPS NCPDP DAW CODE Choose from NO PRODUCT SELECTION INDICATED SUBSTITUTION NOT ALLOWED BY PRESCRIBER SUBSTITUTION ALLOWED PATIENT REQUESTED PRODUCT DISPENSED SUBSTITUTION ALLOWED PHARMACIST SELECTED PRODUCT DISPENSED SUBSTITUTION ALLOWED GENERIC DRUG NOT IN STOCK SUBSTITUTION ALLOWED BRAND DRUG DISPENSED AS A GENERIC OVERRIDE SUBSTITUTION NOT ALLOWED BRAND DRUG MANDATED BY LAW SUBSTITUTION ALLOWED GENERIC DRUG NOT AVAILABLE IN MARKETPLACE OTHER Ko 62 EPer GE GN Ne DAW CODE 0 lt Enter gt NO PRODUCT SELECTION INDICATED NATIONAL FORMULARY INDICATOR YES LOCAL NON FORMULARY lt Enter gt VISN NON FORMULARY lt Enter gt Select DRUG TEXT ENTRY lt Enter gt Select FORMULARY ALTERNATIVE lt Enter gt Select SYNONYM METAPROTERENOL SULFATE 5 INHL SOLN Enter SYNONYM METAPROTERENOL SULFATE 5 INHL SOLN Replace INTENDED USE Enter NDC CODE Enter Select SYNONYM Enter MESSAGE Enter RESTRICTION Enter FSN lt Enter gt February 2009 Pharmacy Data Management V 1 0 User Manual 41 Example 6 Drug Enter Edit Dispense As Written DAW Code Editing continued NDC 49502 0676 03 Enter INACTIVE DATE
105. Enter Edit option to edit the price per order unit and the dispense units per order unit when appropriate Example 1 Marking a CMOP Drug Single drug Select Pharmacy Data Management Option CMOP Mark Unmark Single drug This option allows you to choose entries from your drug file and helps you review your NDF matches and mark individual entries to send to CMOP If you mark the entry to transmit to CMOP it will replace your Dispense Unit with the VA Dispense Unit In addition you may overwrite the local drug name with the VA Print Name and the entry will remain uneditable Select DRUG GENERIC NAME GUAIFENESIN 100MG 5ML LIQUID RE302 Local Drug Generic Name GUAIFENESIN 100MG 5ML LIQUID ORDER UNIT 120ML DISPENSE UNITS ORDER UNITS 120 DISPENSE UNIT EA PRICE PER DISPENSE UNIT 0 01 VA Print Name GUAIFENESIN 100MG 5ML SYRUP VA Dispense Unit ML VA Drug Class RE302 01065 Do you wish to mark this drug to transmit to Enter Yes or No XES QUANTITY DISPENSE MESSAGE ENTER IN MULTIPLES OF 120 Your old Dispense Unit EA does not match the new one ML You may wish to edit the Price Per Order Unit and or The Dispense Units Per Order Unit Do you wish to overwrite your local name Enter Yes or XES Select DRUG GENERIC NAME Example 2 Unmarking a CMOP Drug Single drug Select DRUG GENERIC NAME GUAIFENESIN 100MG 5ML SYRUP RE302 Local Drug Generic Name GUAIFENESIN 100MG 5ML SYRUP ORDER UNIT 120ML DISPENS
106. ITEM Yes Enter Yes CORRESPONDING INPATIENT DRUG Enter MAXIMUM DOSE PER DAY Enter LOCAL NON FORMULARY Enter NORMAL AMOUNT TO ORDER Enter SOURCE OF SUPPLY 6P Enter CURRENT INVENTORY Enter ACTION PROFILE MESSAGE Enter MESSAGE Enter QUANTITY DISPENSE MESSAGE Enter OP EXTERNAL DISPENSE Enter Do you wish to mark to transmit to CMOP Enter Yes or No YES This option allows you to choose entries from your drug file and helps you review your NDF matches and mark individual entries to send to CMOP February 2009 Pharmacy Data Management V 1 0 User Manual Example 3 Drug Enter Edit Editing Local Possible Dosages and Orderable Item continued 38 If you mark the entry to transmit to CMOP it will replace your Dispense Unit with the VA Dispense Unit In addition you may overwrite the local drug name with the VA Print Name and the entry will remain uneditable Local Drug Generic Name TIMOLOL MALEATE 0 5 OPH SOLN ORDER UNIT BT DISPENSE UNITS ORDER UNITS 5 DISPENSE UNIT ML PER DISPENSE 021780 VA Print Name TIMOLOL MALEATE 0 5 OPH SOLN VA Dispense Unit ML WAN Deore ESTE ON CMOP ID T0056 Do you wish to Merk this drug to transmit to CMORP Enter Yes or No YES QUANTITY DISPENSE MESSAGE DISP IN MLS Do you wish to overwrite your local name Enter Yes or No NO Do you wish to mark unmark as a LAB MONITOR or CLOZAPINE DRUG Enter
107. KE OF POTENTIALLY ACID ASH FOOD AJUSTAR INGESTA DE ALIMENTOS ACIDOS ADBASIC ADJUST INTAKE OF POTENTIALLY BASIC FOOD AJUSTAR INGESTA DE ALIMENTOS ALCALINOS ADM ADMINISTER ADMINISTRAR ADO AFFECTED AFECTADO AES AVOID EXPOSURE TO SUNLIGHT EVITAR EXPOSICION A LA LUZ SOLAR AF AFFECTED FOOT PIE AFECTADO AFA INTO AFFECTED EAR EN OIDO AFECTADO AFE ONTO AFFECTED EYE EN OJO AFECTADO AGF AVOID GRAPEFRUIT JUICE EVITE USO DE JUGO DE TORONJA AH AFFECTED HAND MANO AFECTADA AHS AND AT BEDTIME Y AL ACOSTARSE Al IN SELECTED AREA EN AREA INDICADA ALBM AFTER EACH LOOSE BOWEL MOVEMENT DESPUES DE CADA EVACUACION BLANDA ALENDRO BEFORE YOU TAKE ANY FOOD BEVERAGE OR MEDICINE ANTES DE INGERIR ALIMENTO BEBIDA O MEDICINA AMN IN THE MORNING AND AT NOON EN LA MANANA Y AL MEDIODIA AMOXI TAKE 2 TWICE A DAY AFTER BREAKFAST AND SUPPER TOME 2 VECES AL DIA DESPUES DE DESAYUNO Y CENA AOP APPLY ONE PATCH ON AFFECTED AREA APLICAR UN PARCHO EN AREA INDICADA AP APPLY APLICAR AS3 INSTILL THE CONTENTS OF ONE AMPUL IN THE NEBULIZER ECHAR EL CONTENIDO DE UNA AMPULA EN EL NEBULIZADOR ASU AFTER SUPPER DESPUES DE LA COMIDA ATC AROUND THE CLOCK DIA Y NOCHE AU IN BOTH EARS EN CADA OIDO AVCAFF LIMIT OR AVOID CAFFEINE INTAKE EVITE O LIMITE TOMAR CAFE AW ALTERNATING WITH ALTERNANDO CON BARIUM STARTING ON COMENZANDO EN BB BEFORE BREAKFAST ANTES DEL DESAYUNO BEM BEFORE THE EVENING MEAL ANTES DE LA CENA BID 2 TIMES A DAY 2 VECES AL DIA BIDAP TWICE A DAY IN MORNING AND EVENING 2 V
108. L INTENDED USE IN amp OUTPATIENT FREQUENCY IN MINUTES 720 Q46 SYNONYM Q46H EXPANSION EVERY 4 6 HOURS OTHER LANGUAGE EXPANSION PLURAL INTENDED USE IN amp OUTPATIENT FREQUENCY IN MINUTES 240 QIDAC ONYM OIDACHS EXPANSION FOUR TIMES A DAY BEFOR OTHER LANGUAGE EXPANS 8 Ti lt EALS amp AT BEDTIM I INTENDED USE IN amp OUTPATIENT FREQUENCY IN MINUTES 288 WM EXPANSION WITH MEALS OTHER LANGUAGE EXPANS 2 I INTENDED USE IN amp OUTPATIENT FREQUENCY IN MINUTES End of Report 52 Pharmacy Data Management V 1 0 User Manual February 2009 Example 2 User selects only medication instructions without a frequency defined S WITHOUT FREQUENCY REPORT PAGE AC OTHI AD OTHI BGB OTHI PG OTHI WM OTHI E MEDICATION INSTRUCTIO SYNONY EXPANSIO ER LANGUAGE EXPANSIO PLURAL INTENDED USE REQUENCY IN MINUTES SYNONY EXPANSIO ER LANGUAGE EXPANSIO PLURAL INTENDED USE REQUENCY IN MINUTES SYNONY EXPANSIO ER LANGUAGE EXPANSION PLURAL INTENDED USE REQUENCY IN MINUTES SYNONYM EXPANSION ER LANGUAGE EXPANSION PLURAL INTE
109. LT MED ROUTE if populated and POSSIBLE MED ROUTES list will be displayed instead USE DOSAGE FORM MED ROUTE LIST N NO List of Possible Med Routes associated with the orderable item INTRAVENOUS Select POSSIBLE MED ROUTES ORAL 1 ORAL PO 2 ORAL BY MOUTH PO 3 ORAL INHALATION ORALINHL 4 ORAL INTRADERMAL PERIOSTEAL ORALID PER 5 ORAL INTRAMUSCULAR ORALIM Press RETURN to see more to exit this list OR CHOOSES GRAM P he selected entry does not match any of the dosage form med routes Are you adding ORAL as a new POSSIBLE MED ROUTE NO YES select POSSIBLE MED ROUTES SCHEDULE TYPE SCHEDULE PATIENT INSTRUCTIONS select SYNONYM 64 Pharmacy Data Management V 1 0 February 2009 User Manual Example 2 Edit Orderable Items with USE DOSAGE FORM MED ROUTE LIST set to NO and there no Default Med Route nor Possible Med Routes Select PHARMACY ORDERABLE ITEM NAME INSULIN INJ Orderable Item INSULIN Dosage Form TUNG List all Drugs Additives Solutions tied to this Orderable Item YES NO Are you sure you want to edit this Orderable Item NO YES Now editing Orderable Item INSULIN INJ Orderable Item Name INSULIN This Orderable Item is Formulary This Orderable Item is marked as a Non VA Med Select OI DRUG TEXT ENTRY
110. MS 200 MILIGRAMOS 200 MILLIGRAMS 200 MILIGRAMOS 2000 UNITS 2000 UNIDADES 20MG 2 MILLILITERS 20MG 2 MILILITROS 25 MILLIGRAMS 25 MILIGRAMOS 25 UNITS 25 UNIDADES 250 UNITS 250 UNIDADES 3 CAPSULES 3 CAPSULAS 3 TABLESPOONFULS 3 CUCHARADAS 3 DROPS 3 GOTAS February 2009 Pharmacy Data Management V 1 0 User Manual 181 LOCAL POSSIBLE DOSAGE SPANISH LOCAL DOSAGE 3 MILLIGRAMS 3 MILIGRAMOS 3 MILLILITERS 3 MILILITROS 3 MILLION UNITS 3 MILLONES DE UNIDADES 3 TABLETS 3 TABLETAS 30 MILLIGRAMS 30 MILIGRAMOS 30 UNITS 30 UNIDADES 300 MILLIGRAMS 300 MILIGRAMOS 3000 UNITS 3000 UNIDADES 35 UNITS 35 UNIDADES 4 CAPSULES 4 CAPSULAS 4 TABLESPOONFULS 4 CUCHARADAS 4 TEASPOONFULS 4 CUCHARADITAS 4 LEVEL TEASPOONFULS 4 CUCHARADITAS AL RAS 4 DROPS 4 GOTAS 4 GRAMS 4 GRAMOS 4 MILLIGRAMS 4 MILIGRAMOS 4 TABLETS 4 TABLETAS 40 MILLIGRAMS 40 MILIGRAMOS 40 UNITS 40 UNIDADES 400 MGS 4 TEASPOONFULS 400 MGS 4 CUCHARADITAS 4000 UNITS 4000 UNIDADES 45 UNITS 45 UNIDADES 4MG 40 MILLILITERS 4MG 40 MILILITROS 5 GRAMS 5 GRAMOS 5 MGS 1 67 MILLILITERS 5 MGS 1 67 MILILITROS 5 MILLIGRAMS 5 MILIGRAMOS 5 UNITS 5 UNIDADES 50 MILLIGRAMS 50 MILIGRAMOS 50 UNITS 50 UNIDADES 500 UNITS 500 UNIDADES 5000 UNITS 5000 UNIDADES 6 MILLIGRAMS 6 MILIGRAMOS 182 Pharm
111. NDED USE REQUENCY IN MINUTES SYNONY EXPANSIO ER LANGUAGE EXPANSIO PLURAL INTENDED USE REQUENCY IN MINUTES f Report End o Example 3 Result if all medication instructions have a frequency defined EDICATION INSTRUCTIONS WITHOUT FREQUENCY RI BEFORE MEALS IN amp OUTPATIENT RIGHT OUTPAT EAR ENT ONLY HOR CHES IN amp O UNNA AFTER MEALS DN amp OXUHIDIE ASIE EI WITH MEALS IN amp O UNNA IE ENT EPORT RAGES 1 8 Medication Routes Management PSS MEDICATION ROUTES MGMT The Medication Routes Management option allows users to review and edit Local Medication Routes request changes to Standard Medication Routes and view a report of default med routes for orderable items February 2009 No Medication Instructions found without frequencies Pharmacy Data Management V 1 0 User Manual 1 8 1 Medication Route File Enter Edit PSS MEDICATION ROUTES EDIT The Medication Route File Enter Edit option provides the ability to enter and edit data in the MEDICATION ROUTES file 51 2 Medication routes may be designated for use in all packages or for use only in the National Drug File package If an Outpatient Pharmacy expansion has been entered at the OUTPATIENT EXPANSION prompt the Outpatient Pharmacy expansion portion of the medication route will
112. NE possible dosage was auto created are neede you are editing LOMUSTINE 100MG CAP PACKAGE IO If other dosages create POSSIBLE DOSAGES or LOCAL POSSIBLE DOSAGES as appropriate Do you want to edit the dosages N YES Changing the strength will update all possible dosages for this Drug Pharmacy Data Management V 1 0 February 2009 User Manual Example 2 Supra Therapeutic Drugs Drug Enter Edit Message displayed when Create Default Possible Dosage is Yes and 1 possible dosage auto created continued STRENGTH 100 Select DISPENSE UNITS PER DOSE Answer with POSSIBLE DOSAGES DISPENSE UNITS PER DOSE Choose from 1 100 IO You may enter a new POSSIBLE DOSAGES if you wish Type a Number between 0 and 99999999 4 Decimal Digits Select DISPENSE UNITS PER DOSE Example 3 Supra Therapeutic Drugs Drug Enter Edit Message displayed when Create Default Possible Dosage is Yes and 2 possible dosages auto created Do you wish to match rematch to NATIONAL DRUG file No Y Yes Deleting Possible Dosages Match local drug DACARBAZINE 200MG INJ ORDER UNIT BX DISPENSE UNITS ORDER UNITS 12 DISPENSE UNIT WELD try tor match NDC Det 50 to NDE Local drug DACARBAZINE 200MG INJ matches DACARBAZINE 200MG VIL INJ PACKAGE SIZE 12 X 200 MG PACKAGE TYPE VIAL tiis s match Enter Yes or No YES YES LOCAL DRUG NAME DACARBAZINE 200MG INJ ORDER UNIT BX DISPENSE UNITS ORDER UNITS 12
113. NT TOP 15GM LOVIR 5 OINTMENT 15 LOVIR ZOVIRAX 200MG CAPS LOVIR ZOVIRAX SUSP 800MG 20ML Drug ADAPETTES 15ML 1945 ADAPTER MISCELLANEOUS 2676 Dispense DEUG A ADAPTER FOR URINE BAG 2017 ADAPTER JEJUNOSTOMY ADAPTER 74 Pharmacy Data Management V 1 0 User Manual February 2009 1 10 Formulary Information Report PSS NFI The Formulary Information Report option provides a listing of pertinent Pharmacy formulary information The report is organized alphabetically by Dispense Drug but will also display the Pharmacy Orderable Item to which the Dispense Drug is matched An N in a column indicates that the Dispense Drug is marked non formulary at that level Local VISN or National If the Dispense Drug is restricted an R appears in the appropriate column The Application Package Use indicator is also displayed on the report If the user selects to include drug text in the report an T will appear in the appropriate column to indicate drugs for which drug text information has been identified in the DRUG file 50 Example Formulary Information Report Select Pharmacy Data Management Option Formulary Information Report This report shows the dispense drugs and orderable items with the formulary information associated with them Select one of the following A ALL S SELECT A RANGE Print Report for A 11 or S elect a Range S Enter ELECT A RANGE To see drugs beginning w
114. NT VIL GM BTL GM VIAL MG MG VIAL UNT VIL MG ML UNT ML GM GM 100ML GM 20ML GM 50ML GM AMP GM BAG GM BTL GM KIT GM ML GM VIAL MCG 0 3ML Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Pharmacy Data Management V 1 0 User Manual 157 INJ SOLN SA INJ SUSP INJ SUSP SA 158 MCG 0 5ML MCG ML MEQ 100ML MEQ 50ML MEQ ML MG MG 0 3ML MG 0 5ML MG 0 5ML MG 0 7ML MG 2ML MG AMP MG INJ MG ML MG SYRINGE MG UNT MG VIAL MIC 0 6ML MIC 1 5ML MIC VIL MIL MIL ML MILLION UNT SYR MILLION UNT VIL PNU ML UNT UNT 0 1ML UNT 0 2ML UNT 0 5ML UNT 0 6ML UNT AMP UNT ML UNT TEST UNT VIL VIL mgl ml MG ML GM VIAL MCG ML MG ML MIL ML MILLION UNT VIL UNT 0 5ML UNT 1 2ML UNT ML MG User Manual Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inp
115. None Note Strength of 120 does not match NDF strength of 160 lt lt Strength mismatch notice VA PRODUCT MATCH ACETAMINOPHEN 160MG 5ML ELIXIR Report Continues 22 Pharmacy Data Management V 1 0 February 2009 User Manual 1 2 7 Local Possible Dosages Report PSS LOCAL POSSIBLE DOSAGES The Local Possible Dosages Report option identifies drugs with Local Possible Dosages that have missing data in either the Numeric Dose or Dose Unit fields This data needs to be populated if Dosage checks are to be performed when that Local Possible Dosage is selected for an order This report can be printed for all drugs in the local drug file that have Local Possible Dosages defined or only the drugs that have Local Possible Dosages defined with missing data in either the Numeric Dose or Dose Unit fields If no missing data is found the report will display No Local Possible Dosage missing data found If the strength of the drug does not match the strength of the VA Product to which it is matched to it will be noted on the report NOTE This report is written for a 132 column format Drugs that meet the following criteria will be screened out from this report e Inactive e Not Matched to NDF e Associated with dosage form that is excluded from dosage checks and matched to a VA Product that has the OVERRIDE DF DOSE CHK EXCLUSION field set to No e Associated with dosage form that is NOT excluded from dosage checks but is matched to a
116. ORAL TOPICAL ORAL TOPICAL USE USO TOPICO EN LA BOCA OTIC AFFECTED EAR USO OTICO PERCUTANEOUS THROUGH THE SKIN A TRAVES DE LA PIEL RECTAL RECTUM RECTO RIGHT EAR RIGHT EAR OIDO DERECHO 200 Pharmacy Data Management V 1 0 User Manual February 2009 MEDICATION ROUTE OUTPATIENT EXPANSION SPANISH OUTPATIENT EXPANSION RIGHT EYE RIGHT EYE EN OJO DERECHO SUBCUTANEOUS SUBCUTANEOUSLY VIA SUBCUTANEA SUBLINGUAL UNDER THE TONGUE DEBAJO DE LA LENGUA TOPICAL AFFECTED AREA AREA AFECTADA TRANSDERMAL TRANSDERMAL A TRAVES DE LA PIEL TRANSURETHRAL TRANSURETHRAL TRANSURETRAL URETHRAL URETHRAL URETRA VAGINAL VAGINA VAGINA February 2009 Pharmacy Data Management V 1 0 User Manual 201 This page left blank for two sided printing 202 Pharmacy Data Management V 1 0 February 2009 User Manual Index Administration Schedule File Report 84b Administration Schedules Spanish Translations 165 Appendix A See Convertible Dosage Form Unit Combinations 155 Appendix B See Original Drug Text File Entries Combinations 163 Appendix C See Administration Schedules Spanish Translations 165 Appendix D See Dosage Forms Spanish Translations 171 Appendix E See Local Possible Dosages Spanish Translations 179 Appendix F See Medication Instructions Spanish Translations 185 Appendix G See Medication Routes Spanish Translations 199 Auto Create Dosages 7 BCMA prompts DSPLY ON IVP I
117. POSSIBLE DOSAGES DISPENSE UNITS PER DOSE Choose from eh 100 IO You may enter a new POSSIBLE DOSAGES if you wish Type a Number between 0 and 99999999 4 Decimal Digits Select DISPENSE UNITS PER DOSE February 2009 Pharmacy Data Management V 1 0 16a User Manual Example 3 Supra Therapeutic Drugs Enter Edit Dosages Messages displayed when resetting possible dosages when Create Default Possible Dosage is No and Possible Dosages To Create is B in the National Drug File Select Drug NIACIN 100MG TAB ELUS This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med NIACIN 100MG TAB Inactive Date This drug can have Possible Dosages but currently does not have any This drug has been set within the National Drug File to auto create two possible dosages Create Possible Dosages for this drug N YES Resetting Possible Dosages Due to National Drug File settings TWO possible dosages were auto created Press Return to continue Strength from National Drug File match gt 100 MG Strength currently in the Drug File gt 100 MG Edit Strength N O Strength 100 Unit gt MG Select DISPENSE UNITS PER DOSE Answer with POSSIBLE DOSAGES DISPENSE UNITS PER DOSE Choose from 1 100 IO 2 200 IO You may enter a new POSSIBLE DOSAGES if you wish Type a Number between 0 and 99999999 4 Decimal Digits Select DISPENSE UNITS PER DOSE 16b Pharmacy Data Management V 1 0 F
118. Pharmacy Data Management V 1 0 February 2009 User Manual Patch PSS 1 61 adds a new code F for NON REFILLABLE to the DEA SPECIAL HDLG field of the DRUG file 50 which will allow sites to mark drugs other than controlled substances or clozapine drugs as NON REFILLABLE Patch PSS 1 81 adds a new code E to the DEA SPECIAL HDLG field of the DRUG file 50 to indicate that the drug is electronically billable This will allow OTC drugs supply items and other drugs that are usually not billable to be marked for electronic billing Patch PSS 1 131 adds a new code U to the DEA SPECIAL HANDLING field of the DRUG file 50 to indicate that the drug is used to treat certain conditions that are deemed sensitive Specifically the VA may not disclose any information on the following diseases HIV drug abuse alcohol abuse or sickle cell anemia without a signed consent from the patient Drugs to mark with U include Antiretrovirals Disulfiram Naltrexone and Methadone for maintenance or detox When a signed Release of Information ROD is on file and the drug is marked with the new U DEA SPECIAL HANDLING CODE the drug may be third party billable Drugs must be manually marked with this new code and this functionality works in conjunction with ROI modifications made in IB 2 384 Patch PSS 1 156 adds a new multiple OPAI field to the DRUG file 50 sub file OPAI 50 0906 which will allow prescription orders for a
119. Q Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Both Both Both Both Both Inpatient Inpatient Both Both Both Both Both Both Both Both Both Both Both Pharmacy Data Management V 1 0 User Manual 161 TAB ORAL MG MCG MG UNT TAB ORAL DISINTEGRATING MG TAB RAPID DISINTEGRATE TAB SA TAB SOLUBLE TAB SUBLINGUAL TAB VAG TAMPON TAPE TINCTURE TROCHE WAFER 162 MG GM MEQ MG MG MG MG UNT MG MCG SQCM MG 5ML MG ML MG GM MG Both Both Both Both Both Both Both Both Both Both Both Both Both Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Pharmacy Data Management V 1 0 User Manual February 2009 Appendix B Original Drug Text File Entries Combinations The National Formulary Restriction Text is the original text exported with the DRUG TEXT file 51 7 and automatically linked to the Drug File entries based on the VA Product match No Orderable Item file entries were automatically linked with the DRUG TEXT file 51 7 DRUG TEXT file 51 7 Entry National Formulary Restriction Text HYPERTENSION VA DOD Refer to VA DoD Hypertension treatment guidelines SPINAL CORD NEUROLOGY REHAB RESTRICTE
120. R No medica February 2009 OR INJ SITE IN BCMA lt ENTER gt IVP IVPB TAB IN BCMA lt ENTER gt MEDICATION ROUTE lt ENTER gt dosing checks will be performed on orders containing this local tion route until it is mapped to a standard medication route Pharmacy Data Management V 1 0 55 User Manual Text can be entered to edit the existing entries for a medication route Since no value exists in the OTHER LANGUAGE EXPANSION database and the user did not enter a translation the OUTPATIENT EXPANSION value will print on the patient s prescription label by default Example 2 Medication Route File Edit Select MEDICATION ROUTES NAME SUBLINGUAL SL NAME SUBLINGUAL lt Enter gt ABBREVIATION SL lt Enter gt PACKAGE USE ALL PACKAGES lt Enter gt PATIENT EXPANSION UNTIL DISSOLVED UNDER THE TONGUE UNTIL DISSOLVED OTHER LANGUAGE EXPANSION lt Enter gt IV FLAG lt Enter gt PROMPT FOR INJ SITE IN BCMA lt Enter gt DSPLY ON IVP IVPB TAB IN BCMA lt Enter gt STANDARD MEDICATION ROUTE lt ENTER gt If the text to be replaced is more than 29 characters the REPLACE prompt will automatically appear Replacement text for shorter text entries may be entered after the double slashes Some files may be set up to refuse deletions depending on the site s File Manager setup Example 3 Medica
121. R UNIT VI DISPENSE UNITS ORDER UNITS 1 DISPENSE UNIT Il wall try to match NDE 2 65 11 to NDF I will attempt to match the NDCs from your SYNONYMS ORDER UNIT VI Match made with INSULIN NPH U 100 INJ Now select VA Product Name 18 INSULIN NPH HUMAN 100 U ML INJ HUMULIN N WING ISSO 10160 19 INSULIN NPH HUMAN 100 U ML INJ INNOLET 3ML INJ HS501 10356 20 INSULIN NPH HUMAN 100 U ML INJ NOVOLIN N JONG EIS SOIL TOLOI Enter your choice or press return to continue 18 lS this a match lt Reply NW N or press return Lo continue gt CHOOSE FROM 1 10 ML VIAL 2 OTHER OTHER Enter Package Size amp Type Combination 1 Local drug INSULIN NPH U 100 INJ matches INSULIN NPH HUMAN 100 U ML INJ HUMULIN N PACKAGE SIZE 10 ML PACKAGE TYPE VIAL Enter Y for yes gt 55 Enters UND Eor mo gt ORP LOCAL DRUG NAME INSULIN NPH U 100 INJ 44d Pharmacy Data Management V 1 0 February 2009 User Manual Example 1 Supra Therapeutic Drugs Drug Enter Edit Message displayed when Create Default Possible Dosage is Yes and no possible dosages auto created continued ORDER UNIT VI DISPENSE UNITS ORDER UNITS 1 DISPENSE UNIT VA PRODUCT NAME INSULIN NPH HUMAN 100 U ML INJ HUMULIN N VA PRINT NAME INSULIN NPH HUMAN 100 UNIT ML HUMULIN N VA DISPENSE UNIT VI PACKAGE SIZE 10 ML PACKAGE TYPE VIAL CMOP IDA MARKABLE FOR CMOP YES VA CLASS HS501 INSULIN CS FEDERAL SCHEDULE INGREDIENTS INSULIN NPH HUMAN rDNA 1
122. RIDE Outpatient Dosages CAPSULE CAPSULES Sr 2 CALCIUM CHLORIDE INJ SOLN Outpatient Dosages CALCIUM CHLORIDE INJ CONC Outpatient Dosages CALCIUM GLUBIONATE SYRUP Outpatient Dosages 1 TEASPOONFUL TEASPOONFULS TABLESPOONFUL TABLESPOONFULS ML MLS 5 TTS IE SS CALCIUM LACTATE POWDER Outpatient Dosages CAMPHOR LIQUID Outpatient Dosages CANDIDA ALBICANS INJ Inpatient Dosages 0 1ML Outpatient Dosages 0 1ML CANNULA NASAL DEVICE Outpatient Dosages CAPTOPRIL TAB Inpatient Dosages 25MG 50MG 100MG 200MG Outpatient Dosages 25MG 1 TABLET 50MG 1 TABLET 100MG 1 TABLET 200MG 2 TABLETS 2500MG 50 TABLETS CARBACHOL SOLN OPH Inpatient Dosages 1 DROP 2 DROPS T I DROP 2 DROPS CALCIUM CARBONATE PWD CAP ORAL FLORICAL CAPS FLORICAL CAPS CALCIUM GLUCONATE 10 INJ CALCIUM CHLORIDE 10 10ML B J NEO CALGLUCON SYRUP OZ NEO CALGLUCON SYRUP OZ NEO CALGLUCON SYRUP OZ NEO CALGLUCON SYRUP OZ NEO CALGLUCON SYRUP OZ NEO CALGLUCON SYRUP OZ CALCIUM LACTATE POWDER USP CAMPHOR SPIRITS 30ML CANDIDA ALBICANS SKIN TEST CANDIDA ALBICANS SKIN TEST CANNULA NASAL HUDSON CAPTOPRIL 25MG TABS CAPTOPRIL 50MG TABS CAPTOPRIL 100MG TABS CAPTOPRIL 100MG TABS CAPTOPRIL 25MG TABS CAPTOPRIL 50MG TABS CAPTOPRIL 100MG TABS CAPTOPRIL 100MG TABS CAPTOPRIL 50MG TAB CARBACHOL 1 5 OPH SOLN CARBACHOL 1 5 OPH SOLN CARBACHOL 3 OPH SOLN CARBACHOL 3
123. RM MED SELECTION IN CPRS POPULATED ROUTE LIST Y N N DEFAULT MED ROUTE field value N Single Entry N Single Entry N More Than One Entry N All med routes listed in the Possible Med Routes multiple N N Y All medication routes associated with orderable item s dosage form Example 1 Default Med Route for Orderable Item Report DEFAULT MED ROUTE FOR ORDERABLE ITEM REPORT JUN 17 2009 PAGE 1 OI NAME DOSAGE FORM ASSOCIATED ROUTES DEFAULT ROUTE POSSIBLE MED ROUTES DRUG BERET LIQUID ORAL BY MOUTH IBERET 500 ORAL BUPROFEN TAB ORAL BY MOUTH IBUPROFEN 600MG DOXURIDINE OINT OPH RIGHT EYE LEFT EYE BOTH EYES IDOXURIDINE 0 5 MIPRAMINE TAB ORAL BY MOUTH IMIPRAMINE 25MG IMIPRAMINE 50MG NDOCYANINE INJ SOLN INTRAMUSCULAR INTRAVENOUS INTRAVENOUS INDOCYANINE 25MG NSULIN INJ INTRAMUSCULAR INTRAVENOUS ORAL SUBCUTANEOUS INTRAVENOUS INSULIN LENTE INSULIN NPH 62d Pharmacy Data Management V 1 0 February 2009 User Manual 1 9 Orderable Item Management PSS ORDERABLE ITEM MANAGEMENT The Orderable Item Management sub menu provides an option through which the Pharmacy Orderable Items are maintained 1 9 1 Edit Orderable Items PSS EDIT ORDERABLE ITEMS The Edit Orderable Items PSS EDIT ORDERABLE ITEMS option allows the user to enter and edit data in the PHARMACY ORDERABLE ITEM file 50 7 If a Pharmacy Orderable Item Drug Text Entry is identified at the OI DRUG TEXT prompt it will be viewable during medication order e
124. RSE TIDPC 3 TIMES DAILY AFTER MEALS 3 VECES AL DIA DESPUES DE LAS COMIDAS TIW THREE TIMES A WEEK 3 VECES EN SEMANA TLEX TO LOWER EXTREMITIES EN LAS EXTREMIDADES INFERIORES TLFO TO LEFT FOOT EN EL PIE IZQUIERDO TLUEX TO LOWER amp UPPER EXTREMITIES EN LAS EXTREMIDADES SUPERIORES E INFERIORES TR TO RELAX PARA RELAJARSE TRFO TO RIGHT FOOT EN EL PIE DERECHO TTH TO THE HANDS EN LAS MANOS TUEX TO UPPER EXTREMITIES A LAS EXTREMIDADES SUPERIORES TW TO WASH PARA LAVAR TWAA TO WASH AFFECTED AREA PARA LAVAR AREA AFECTADA TWH TO WASH HAIR PARA LAVAR EL CABELLO U UNIT UNIDADES UAH UPON ARRIVAL HOME AL LLEGAR ALA CASA UD AS DIRECTED SEGUN INDICADO UFB USE FOR BATHING USAR PARA BANARSE UFD USE FOR WET DRESSING USAR PARA COMPRESAS UFI USE FOR INHALATIONS USAR PARA INHALACIONES UUD USE AS DIRECTED USAR SEGUN INDICADO VIDEX TAKE 2 CHEWED CRUSHED OR DISPENSED IN WATER TOME 2 MASTICADAS MOLIDAS O DISPERSAS EN AGUA W WITH CON WA WHILE AWAKE MIENTRAS ESTE DESPIERTO WF WITH FOOD CON ALIMENTO WL WITH LUNCH CON EL ALMUERZO WM WITH MEALS CON COMIDAS WMK WITH MILK OR FATTY MEALS CON LECHE O PRODUCTOS ALTOS EN GRASA WOMK WITHOUT DAIRY IRON FORTIFIED PRODUCTS SIN PRODUCTOS QUE CONTENGA LECHE O HIERRO February 2009 Pharmacy Data Management V 1 0 197 User Manual This page left blank for two sided printing 198 Pharmacy Data Management V 1 0 February 2009 User Manual Appendix G Medication Routes Spanish Translations The Out
125. RUG GENERIC NAME TRAZO Lookup GENERIC NAME dL TRAZODONE 100MG TAB N F 2 TRAZODONE 50MG TAB CHOOSE 1 2 1 TRAZODONE 100MG TAB N F ck ck ck ccce ee eee ee ce ce e cec ce cce e ccce ce cec ccc cce ccc ccc cec ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck sk sk kx kx kx kx This entry is marked for the following PHARMACY packages Outpatient Non VA Med GENERIC NAME TRAZODONE 100MG TAB VA CLASSIFICATION DEA SPECIAL HDLG 6 ANSWER MUST BE 1 6 CHARACTERS IN LENGTH THE SPECIAL HANDLING CODE IS A 2 TO 6 POSTION FIELD IF APPLICABLE A SCHEDULE CODE MUST APPEAR IN THE FIRST POSITION FOR EXAMPLE A SCHEDULE 3 NARCOTIC WILL BE CODED 3A A SCHEDULE 3 NON NARCOTIC WILL BE CODED 3C AND A SCHEDULE 2 DEPRESSANT WILL BE CODED 2L THE CODES MANUFACTURED IN PHARMACY SCHEDULE 1 ITEM SCHEDULE 2 ITEM SCHEDULE 3 ITEM SCHEDULE 4 ITEM SCHEDULE 5 ITEM LEGEND ITEM OVER THE COUNTER DEPRESSANTS AND STIMULANTS NARCOTICS AND ALCOHOLS DATED DRUGS INVESTIGATIONAL DRUGS BULK COMPOUND ITEMS CONTROLLED SUBSTANCES NON NARCOTIC RESTRICTED ITEMS SUE ICES ALLOW REFILL SCH 3 4 5 ONLY NOT RENEWABLE NON REFILLABLE ELECTRONICALLY BILLABLE NUTRITIONAL SUPPLEMENT SENSITIVE DRUG BW N WHNWARBRHUPE c zt DEA SPECIAL HDLG U 28 Pharmacy Data Management V 1 0 February 2009 User Manual DEA SPECIAL HDLG field effe
126. Request Change to Dose Unit PSS DOSE UNIT REQUEST The Request Change to Dose Unit option is provided for users to request additions or changes to the DOSE UNITS file 51 24 The request is directed to an Outlook mail group VAOITVHITPSDOSEUNITREQ Q V A GOV that will review and act on the requests A of the request is also sent to the user s VistA email account The following information about the request will be needed e Dose Unit to be added or modified required e References or Reason for Request required If the user is not ready to send the request answering No at the transmit prompt will send the request just to the user s VistA email account Once ready to send the request and if no changes are needed the VistA email message can be retrieved and forwarded to the Outlook mail group VAOITVHITPSDOSEUNITREQ Q V A GOV If the VistA email message is no longer available for retrieval the request must be reentered and transmitted The option will use whatever editor line or screen the user has defined for Preferred editor in the NEW PERSON file 200 Example Request Change to Dose Unit Select Enhanced Order Checks Setup Menu Option REQUEST CHANGE TO DOSE UNIT Select one of the following N New Dose Unit C Change to Existing Dose Unit Request New Dose Unit or Change existing Dose Unit N ENTER ew Dose Unit Enter Dose Unit name GRAIN S You must now enter a reason or references for thi
127. S ANTES DEL DESAYUNO Y LA CENA 30M 30 MINUTES 30 MINUTOS 34D 3 4 TIMES A DAY 3 4 VECES AL DIA 3D INSTILL 3 DROPS ECHAR 3 GOTAS 3HS AND 3 AT BEDTIME Y TRES AL ACOSTARSE 3l THREE INHALATIONS TRES INHALACIONES 3PA NO MORE THAN 3 DOSES PER ATTACK MAXIMO 3 DOSIS POR ATAQUE 4D INSTILL 4 DROPS ECHAR 4 GOTAS 4HS AND FOUR AT BEDTIME Y CUATRO AL ACOSTARSE 4 FOUR INHALATIONS CUATRO INHALACIONES 5D INSTILL 5 DROPS ECHAR 5 GOTAS 5PM AT 5 00 PM ALAS 5 00 PM 6PM AT 6 00 PM A LAS 6 00 PM 7AM AT 7 00 AM ALAS 7 00 AM 9PM AT 9 00 PM A LAS 9 00 PM A1 APPLY 1 INCH TO THE CHEST APLICAR 1 PULGADA EN EL PECHO A1P APPLY ONE PATCH APLICAR UN PARCHO A2 APPLY 2 INCHES TO THE CHEST APLICAR 2 PULGADAS EN EL PECHO A8 AT 8PM ONLY A LAS 8 00 PM SOLAMENTE AA AVOID ALCOHOL WHILE TAKING THIS MEDICINE EVITE USO DE BEBIDAS ALCOHOLICAS AAA AVOID ANTACIDS USE WITH THIS MEDICATION EVITAR USO DE ANTIACIDOS JUNTO CON EL MEDICAMENTO AB AFTER BREAKFAST DESPUES DEL DESAYUNO ABM AFTER EACH BOWEL MOVEMENT DESPUES DE CADA EVACUACION ABT AT BREAKFAST TIME A LA HORA DEL DESAYUNO AC BEFORE MEALS ANTES DE LAS COMIDAS 186 Pharmacy Data Management V 1 0 February 2009 User Manual MED INSTRUCTIONS IEXPANSION SPANISH EXPANSION ACD AT ONSET OF HEADACHE AL COMENZAR EL DOLOR DE CABEZA AD INTO RIGHT EAR EN OIDO DERECHO ADA AFFECTED AFECTADA ADACID ADJUST INTA
128. SCHEDULE file 51 1 contains administration schedule names and standard dosage administration times The name is a common abbreviation for an administration schedule e g QID Q4H PRN The administration time is entered in military time A VistA computer software package called Computerized Patient Record System CPRS is an application in VistA that allows the user to enter all necessary orders for a patient in different packages from a single application Functionality that allows the Pharmacy Enterprise Customization System PECS to send out custom and standard commercial off the shelf COTS vendor database changes to update the two centralized databases at Austin and Martinsburg The Dispense Drug is pulled from DRUG file 50 and usually has the strength attached to it e g Acetaminophen 325 mg Usually the name alone without a strength attached is the Pharmacy Orderable Item name The DOSAGE FORM file 50 606 contains all dosage forms and associated data that are used by Pharmacy packages and CPRS The dosage form is used in SIG construction default values and in the determination of the type of each dosage created for each application The DOSE UNIT file 51 24 was created to accomplish the mapping to First DataBank FDB AII entries in this file have been mapped to an FDB Dose Unit Although this file has not yet been standardized by Standards and Terminology Services SRS no local editing will be allowed W
129. SH EXPANSION MO WE FR MONDAY WEDNESDAY AND FRIDAY LUNES MIERCOLES Y VIERNES MO WE FR MONDAY WEDNESDAY AND FRIDAY LUNES MIERCOLES Y VIERNES MO WE FR MONDAY WEDNESDAY AND FRIDAY LUNES MIERCOLES Y VIERNES MO WE FR SA MONDAY WEDNESDAY FRIDAY AND SATURDAY LUNES MIERCOLES VIERNES Y SABADO MO WE SA MONDAY WEDNESDAY AND SATURDAY LUNES MIERCOLES Y SABADO MO WE TH FR MONDAY WEDNESDAY THURSDAY AND FRIDAY LUNES MIERCOLES JUEVES Y VIERNES MONDAY MONDAY LUNES MONTHLY MONTHLY MENSUALMENTE NOW NOW AHORA ONGE ONCE UNA SOLA VEZ ONE TIME ONE TIME UNA SOLA VEZ PC amp HS AFTER MEALS AND AT BEDTIME DESPUES DE LAS COMIDAS Y AL ACOSTARSE PM DAILY IN THE AFTERNOON DIARIAMENTE EN LA TARDE Q12H EVERY 12 HOURS CADA DOCE HORAS Q12WEEKS EACH TWELVE WEEKS CADA 12 SEMANAS Q15D EVERY 15 DAYS CADA 15 DIAS Q1H EVERY HOUR CADA HORA Q20D EVERY 20 DAYS CADA 20 DIAS Q21D EVERY 21 DAYS CADA 21 DIAS Q24H EVERY 24 HOURS CADA 24 HORAS Q28D EVERY 28 DAYS CADA 28 DIAS Q29D EVERY 29 DAYS CADA 29 DIAS Q2H EVERY 2 HOURS CADA DOS HORAS Q2MONTHS EVERY TWO MONTHS CADA DOS MESES Q2WEEK EVERY TWO WEEKS CADA DOS SEMANAS Q30D EVERY 30 DAYS CADA 30 DIAS Q30MIN EVERY 30 MINUTES CADA 30 MINUTOS Q3D EVERY 3 DAYS CADA 3 DIAS Q3H EVERY 3 HOURS CADA 3 HORAS Q3MONTHS EVERY THREE MONTHS CADA TRES MESES Q3WEEK EVERY THREE WEEKS CADA TRES 3 SEMANAS Q48H EVER
130. SULE 5 CAP SPRINKLE CAPSULE S CAP SPRINKLE SA CAPSULE 5 CAP INJ No Nouns CATHETER CATHETER CHAMBER CHAMBER Report Continues Te G Tes 20 59 1 2 PO Te 1 2 qoc TOSTA 1 2 TO gt TOSA 1 2 Ig gt 1 2 TOS Toss 1 2 poco Ios 1 2 O gt IUe Pharmacy Data Management V 1 0 BEADS BELT BLOCK 1 CAPSULE 2 CAPSULES 1 CAPSULE 2 CAPSULES 1 CAPSULE 2 CAPSULES CAPSULE 2 CAPSULES 1 CAPSULE 2 CAPSULES CAPSULE 2 CAPSULES CATHETER CHAMBER User Manual February 2009 1 2 6 Review Dosages Report PSS DOSAGE REVIEW REPORT The Review Dosages Report option shows the Possible Dosages and Local Possible Dosages for selected Dispense Drugs If the strength of the drug does not match the strength of the VA Product to which it is matched to it will be noted on the report The VA Product Name will be displayed as well as the Dose Unit and Numeric Dose for Local Possible Dosages Example Review Dosages Report Select Dosages Option REVIEW Dosages Report Select one of the following A ALL s SELECT A RANGE Print Report for A 11 or S elect a Range S ALL Thais report will for drugs Is this correct Y lt ENTER gt ES This report is designed for 132 column format DEVICE HOME lt ENTER gt Dosage report for all drugs SSS 10 FREE AMINE SOLUTION W O ELECT NFS 106 5 5 DIPHENYLHYDANTOIN
131. See Appendix G for a list of Spanish equivalents for some of the more common medication routes The Medication Route File Enter Edit option allows the user to map remap their Local Medication Routes that are marked for All Packages to an active Standard Medication Route This is the only option that allows a Standard Medication Route mapping to be deleted When dosage checks are performed the software will use this mapping to pass the equivalent FDB Route for the Local Medication Route that was specified in the medication order for the drug to the interface If the Local Medication Route is not mapped dosage checks will not be performed A user will not be prompted to map to a Standard Medication Route if the Local Medication Route is not marked for All Packages 54 Pharmacy Data Management V 1 0 February 2009 User Manual Example 1 demonstrates how to enter a new medication route Note that if an entry has been mapped to a mapped to a Standard Medication Route the option to remap is offered If an entry has not been Standard Medication Route and the user bypasses the prompt without mapping a warning is displayed that dosing checks will not be performed Example 1 Enter Medication Route File Select Pharmacy Data Management Option medication routes Management Select Medication Routes Management Option med 1 2 3 Medication Route File Enter Fdit Medication Route Mapping Report Medication Route Mapping History Repo
132. Strength can also be edited in the DRUG file 50 If the strength is edited then all of the doses are automatically re calculated based on the DISPENSE UNITS PER DOSE and new STRENGTH entry It is recommended that the strength only be edited in the rare case that the Dispense Drug must be matched to a VA Product with an inappropriate strength This scenario is discussed in further detail later in this document In summary by adding new DISPENSE UNITS PER DOSE of 5 and 3 to the PROPRANOLOL HCL 20MG TAB entry and by deleting the DISPENSE UNITS PER DOSE of 2 for the PROPRANOLOL HCL 40MG TAB entry the following Possible Dosages now exist for PROPRANOLOL TAB Orderable Item See Diagram D February 2009 Pharmacy Data Management V 1 0 121 User Manual Diagram D DRUG file 50 PROPRANOLOL HCL 20MG TAB TAB Dispense Units per Dose Packaqe STRENGTH Dr Selects UNIT MG D gt the Medication Orderable Item PROPRANOLOL TAB Dispense Units Package Y Dose 10MG 9 10 20 20MG VA PRODUCT file 40MG PROPRANOLOL PROPRANOLOL HCL 40MG TAB pe 60MG Ten TUNIS eS DOSAGE FORME Wispense Units Dose Package PROPRANOLOL HCL 40MG TAB 40 10 Au DOSAGE FORM TAB 122 Pharmacy Data Management V 1 0 February 2009 User Manual Diagram D Though the list of dosages is all that the provider will see for selection each of the dosages is associated with a Dispense Drug For example if the 60MG is selec
133. T IEN CHOOSE 1 4 4 TIMOLOL MALEATE 0 5 OPH SOUN OP101 NATL REVIEW 5 ML BT February 2009 Pharmacy Data Management V 1 0 47 User Manual Example 1 Lookup Drug continued TIMOLOL MALEATE 0 5 OPH SOLN VA PRINT NAME TIMOLOL MALEATE 0 5 OPH SOLN CMOP ID T0056 VA PRODUCT NAME TIMOLOL MALEATE 0 5 SOLN OPH CMOP DISPENSE NO ORDERABLE ITEM TIMOLOL SOLN OPH NDEDET SOLN OPH ORDERABLE ITEM TEXT SYNONYM 5 5 Trade TAS Quick Code Tao Quick Code 024208032405 Drug Accountability 1557 9 Quick Code MESSAGE NATL REVIEW 5 ML BT IEN DEA SPECIAL HDLG 6P NDC GLAD 05 DAW CODE 5 SUBSTITUTION ALLOWED BRAND DRUG DISPENSED AS A GENERIC CS FEDERAL SCHEDULE INACTIVE DATE QUANTITY DISPENSE MESSAGE ML 5 BT WARNING LABEL SOURCE is set to NEW NEW WARNING LABEL 22N For the eye Pharmacy fill card display DRUG WARNING 22N ORDER UNIT BT PRICE ORDER UNIT 15215 DTSPENSE UNIT ML VA DISPENSE UNIT ML DISPENSE UNITS ORDER UNIT 5 PRICE DISPENSE UNIT 0 2900 APPL PKG USE Outpatient Unit Dose STRENGTH UNIT POSSIBLE DOSAGES LOCAL POSSIBLE DOSAGES LOCAL POSSIBLE DOSAGE 1 DROP PACKAGE IO BCMA UNITS PER DOSE 1 NUMERIC DOSE 1 DOSE UNIT DROP S LOCAL POSSIBLE DOSAGE 2 DROPS PACKAGE IO BCMA UNITS PER DOSE 1 NUMERIC DOSE 2 DOSE UNIT DROP 5 VA CLASS OP101 BETA BLOCKERS TOPICAL OPHTHALMIC LOCAL NON FORMULARY VISN NON FORMULARY National F
134. T exported as part of the main Pharmacy Data Management PSS MGR menu option The examples provided are for technical personnel only Example 1 Disabling the Vendor Database Link Select OPTION NAME PSS ENABLE DISABLE DB LINK Enable Disable Vendor Database Link Enable Disable Vendor Database Link The connection to the Vendor database is currently ENABLED Do you wish to DISABLE the connection to the Vendor database NO y Yes NO Drug Drug Interactions Duplicate Therapy or Dosing Order Checks will be performed while the connection is disabled Are you sure you want to DISABLE the connection to the Vendor Database NO y Yes Vendor database connection DISABLED REMEMBER to ENABLE the Vendor database connection AFTER task completed Press Return to Continue Example 2 Enabling the Vendor Database Link Select OPTION NAME PSS ENABLE DISABLE DB LINK Enable Disable Vendor Database Link Enable Disable Vendor Database Link WARNING The connection to the Vendor database is currently DISABLED NO Drug Drug Interactions Duplicate Therapy or Dosing Order Checks will be performed while the connection rs disabled Do you wish to ENABLE the connection to the Vendor database YES y Yes Vendor database connection ENABLED Connected to Vendor database successfully Press Return to Continue February 2009 Pharmacy Data Management V 1 0 103 User Manual 1 21 2 Other Language Translation Setup PSS OTHER LANGUAGE SETUP This is a stand
135. TA T10 TAKE TEN TOMAR DIEZ T11 2T TAKE ONE AND A HALF TABLET TOMAR UNA Y MEDIA TABLETA T11 2TBL TAKE ONE AND A HALF TABLESPOONFUL TOMAR UNA CUCHARADA Y MEDIA T12 TAKE ONE OR TWO TOMAR UNA O DOS T1E TAKE ONE ENVELOPE TOMAR EL CONTENIDO DE UN SOBRE T2 TAKE TWO TOME DOS T23 TAKE TWO OR THREE TOMAR DOS O TRES T3 TAKE THREE TOME TRES T4 TAKE FOUR TOME CUATRO T5 TAKE FIVE TOME CINCO T6 TAKE SIX TOME SEIS T7 TAKE SEVEN TOME SIETE T8 TAKE EIGHT TOME OCHO T8W TAKE WITH 8 OZ OF WATER TOMAR CON 8 ONZAS DE AGUA TAA TO AFFECTED AREA EN AREA AFECTADA TAB TABLET TABLETA TABS TABLETS TABLETAS TBL TABLESPOONFUL CUCHARADA TBLS TABLESPOONFULS CUCHARADAS TC1L TAKE CONTENT OF ONE CAN TOMAR EL CONTENIDO DE UNA LATA TEA TEASPOONFUL CUCHARADITA TEAS TEASPOONFULS CUCHARADITAS TELY TAKE THE ENTIRE CONTENTS AS DIRECTED TOMAR EL CONTENIDO EN 4 HORAS SEGUN INDICADO TESTO INJECT 1 ML INTRAMUSCULAR EVERY 2 WEEKS INYECTAR 1 ML INTRAMUSCULAR CADA 2 SEMANAS 196 Pharmacy Data Management V 1 0 February 2009 User Manual MED INSTRUCTIONS IEXPANSION SPANISH EXPANSION TGEN TO GENITAL AREA EN AREA GENITAL TGLU IN THE GLUTEUS EN LAS NALGAS TIA TO INGUINAL AREA EN AREA INGUINAL TID 3 TIMES A DAY 3 VECES AL DIA TIDAC 3 TIMES A DAY BEFORE MEALS 3 VECES AL DIA ANTES DE LAS COMIDAS TIDHS 3 TIMES A DAY AND AT BEDTIME 3 VECES AL DIA Y AL ACOSTA
136. TAMINOPHEN SUPP REL 264 Dispense Drug gt ACETAMINOPHEN 650MG RTL SUPP 2117 ACETAMINOPHEN BUTALBITAL CAFFEINE CAP ORAL B293 Dispense Drug gt APAP 325MG BUTALBITAL 50MG CAFN 40MG CAP 6 ACETAMINOPHEN CHLORZOXAZONE TAB 1808 Dispense Drug gt CHLORZOXAZONE amp ACETAMINOPHEN TAB 8 ACETAMINOPHEN CODEINE TAB 341 Dispense Drug gt ACETAMINOPHEN WITH CODEINE 60MG 342 Dispense Drug gt ACETAMINOPHEN WITH CODEINE 30MG TAB 343 Dispense Drug gt ACETAMINOPHEN WITH CODEINE 15MG TAB 2029 Dispense Drug gt ACETAMIN W CODEINE 30MG TYLENOL 3 TAB UD 7 ACETAMINOPHEN CODEINE ELIXIR 228 Dispense Drug ACETAMINOPHEN AND CODEINE ELIXIR ML 401 Dispense Drug ACETAMIN W CODEINE 30MG 12 5ML LIQ UD 9 ACETAMINOPHEN HYDROCODONE CAP ORAL 1728 Dispense Drug HYDROCODONE ACETAMINOPHEN LORCET HD 10 ACETAMINOPHEN HYDROCODONE TAB 3293 Dispense Drug HYDROCODONE 5MG ACETAMINOPHEN 500MG TAB 4099 Dispense Drug HYDROCODONE 7 5MG ACETAMINOPHEN 750MG TB 1762 ACETAMINOPHEN HYDROCODONE LIQUID ORAL 1572 Dispense Drug HYDROCODONE ACETAMIN 2 5MG 167MG 5ML LIQ 72 Pharmacy Data Management V 1 0 User Manual February 2009 Example Orderable Item Report continued 2730 ACETAMINOPHEN OXYCODONE CAP ORAL 344 Dispense Drug ACETAMINOPHEN amp OXYCODONE TYLOX CAP 2614 ACETAMINOPHEN OXYCODONE TAB 1452 Dispense Drug OXYCODONE ACETAMINOPHEN PERCOCET TAB 1510 Dispe
137. TE LIST YES lt Enter gt Select SYNONYM lt Enter gt February 2009 Pharmacy Data Management V 1 0 User Manual 40a This side left blank for two sided copying 40b Pharmacy Data Management V 1 0 February 2009 User Manual Example 5 Drug Enter Edit Editing Controlled Substances Select DRUG GENERIC NAME morphine sulf 15mg cr tab MORPHINE SULF 15MG CR TAB CN101 WRITTEN RX REQUIRED ck ck ck ck KKK KKK KKK KKK KKK KKK KKK KKK KKK KKK KKK KK KKK KKK KKK KKK KKK KKK KKK KKK KKK KKK KK ko ko ko This entry is marked for the following PHARMACY packages Outpatient Unit Dose Controlled Substances GENERIC NAME MORPHINE SULF 15MG CR TAB Replace lt Enter gt VA CLASSIFICATION CN101 lt Enter gt DEA SPECIAL HDLG 2C lt Enter gt The CS Federal Schedule associated with this drug in the VA Product File represents a DEA Special Handling code of 2A DEA SPECIAL HDLG 2C 2A NATIONAL FORMULARY INDICATOR YES Example 6 Drug Enter Edit Dispense As Written DAW Code Editing Select OPTION NAME PSS DRUG 1 PSS DRUG ENTER EDIT Drug Enter Edit 2 PSS DRUG TEXT FILE REPORT Drug Text File Report CHOOSE ZE TESST PRUG ENTER ERDAN Drug Enter Edit Drug Enter Edit Select DRUG GENERIC NAME METAPROTERENOL 5 SOLUTION 10ML RE102 OK Yes lt Enter gt Yes ck ck ck ck ck kx ke ka This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med GENERIC NAME METAPROT
138. TEM file 50 7 entries were automatically linked with DRUG TEXT file 51 7 February 2009 Pharmacy Data Management V 1 0 77 User Manual Example Drug Text Enter Edit continued 78 DRUG TEXT NAME COPD DRUG TEXT Refer to VA DoD COPD treatment guidelines NATIONAL FORMULARY RESTRICTION TEXT Refer to VA DoD COPD treatment guidelines DRUG file entries Enter RETURN to continue or to exit Enter Drug Text Report for drug text COPD Date printed JUL 16 2002 Page 2 DIGOXIN 0 1295MG THEOPHYLLINE 200MG SUS REL TABS THEOPHYLLINE 100MG SUS REL TABS ORDERABLE ITEM file entries End of Report Press Return to continue Enter Do you want to edit the Drug Text Name NO Enter IMPORTANT After editing the Drug Text Name OR Text review the drugs and orderable items linked to this entry for accuracy Do you want to edit the text for this entry YES Enter TEXT Refer to VA DoD COPD treatment guidelines Edit NO Enter Select SYNONYM Enter INACTIVATION DATE Enter Select DRUG TEXT NAME Pharmacy Data Management V 1 0 User Manual February 2009 1 11 2 Drug Text File Report PSS DRUG TEXT FILE REPORT This Drug Text File Report option will display the Drug Text Name Synonyms Drug Text Inactive date if inactive and list all drug and Pharmacy orderable items linked to it The report is printable for one or all entries For a list of the original ent
139. TION TOP APPLY APLICAR TO EN AS DIRECTED SEGUN INDICADO 174 Pharmacy Data Management V 1 0 User Manual February 2009 VERB IN PREPOSITION IN DOSAGE FORM VERB SPANISH PREPOSITION SPANISH NOUN NOUN IN SPANISH LOZENGE DISSOLVE DISOLVER IN ENLA LOZENGE TABLETA MASK USE UTILIZAR AS INDICATED SEGUN INDICADO MISCELLANEOUS USE USAR AS DIRECTED SEGUN INDICADO MOUTHWASH USE UTILIZAR FOR PARA TEASPOONFUL S CUCHARADITA S NEEDLE USE UTILIZAR AS DIRECTED SEGUN INDICADO OIL TAKE TOMAR BY POR TEASPOONFUL S CUCHARADITA S OIL TOP APPLY APLICAR FOR PARA AS DIRECTED SEGUN INDICADO OINT DENT APPLY APLICAR FOR PARA USO THIN FILM UNA CAPA FINA OINT OPH APPLY APLICAR TO A THIN FILM UNA CAPA FINA OINT RTL INSERT INSERTAR TO AL ONE APLICATORFUL UN APLICADOR LLENO OINT TOP APPLY APLICAR TO PARA A THIN FILM UNA CAPA FINA OINTMENT INSERT INSERTAR FOR PARA USO THIN LAYER UNA CAPA FINA OPH USE UTILIZAR DROP S GOTA S OPH IRR USE USE TO EN IRRIGATION S IRRIGACION ES OPHTHALMIC CRC PLACE PONER INTO EN THIN FILM CAPA FINA PAD USE UTILIZAR AS DIRECTED SEGUN INDICADO PAD TOP USE UTILIZAR AS DIRECTED SEGUN INDICADO PASTE APPLY APLICAR FOR PARA THIN FILM UNA CAPA FINA PATCH APPLY APLICAR TO EN PATCH PARCHO PELLET INSERT INSERTAR BY POR PELLET S BOLITA S PILL TAKE TOMAR BY POR PILL S PILDORA S POUCH USE UTILIZAR AS DIRECTED SEGUN INDICADO POW
140. TRACAVITY INTRACAVITY DENTRO DE LA CAVIDAD INTRADERMAL INTRADERMAL DENTRO DE LA PIEL February 2009 Pharmacy Data Management V 1 0 199 User Manual MEDICATION ROUTE OUTPATIENT EXPANSION SPANISH OUTPATIENT EXPANSION INTRAFOLLICULAR INTRAFOLLICULAR DENTRO DEL FOLICULO INTRALESIONAL LOCALIZED LESION DENTRO DE LA LESION INTRAMUSCULAR INTRAMUSCULAR VIA INTRAMUSCULAR INTRAOCULAR INTRAOCULAR DENTRO DEL OJO INTRAPERITONEAL INTRAPERITONEAL USE VIA INTRAPERITONEAL INTRAPLEURAL INTRAPLEURAL INTRAPLEURAL INTRASYNOVIAL INTRASYNOVIAL INTRASYNOVIAL INTRATHECAL INTRATHECAL INTRATECAL INTRATHORACIC INTRATHORACIC DENTRO DEL TORAX INTRATRACHEAL INTRATRACHEAL USE DENTRO DE LA TRAQUEA INTRAUTERINE INTRAUTERINE DENTRO DEL UTERO INTRAVENOUS FOR INTRAVENOUS USE VIA INTRAVENOSA INTRAVESICAL INTRAVESICAL INTRAVESICAL IRRIGATION IRRIGATION IRRIGACION IRRIGATION OPHTHALMIC OPHTHALMIC IRRIGATION IRRIGACION OFTAMICA IV PIGGYBACK INTRAVENOUS USE VIA INTRAVENOSA JEJUNOSTOMY JEJUNOSTOMY JEJUNOSTOMIA JEJUNOSTOMY TUBE JEJUNOSTOMY TUBE TUBO DE JEJUNOSTOMIA LEFT EAR LEFT EAR OIDO IZQUIERDO LEFT EYE LEFT EYE EN OJO IZQUIERDO MOUTHWASH MOUTHWASH ENJUAGUE BUCAL NASAL IN NOSTRILS LA NARIZ NASAL IN NOSTRILS LA NARIZ NG TUBE NASOGASTRIC TUBE TUBO NASOGASTRICO OPHTHALMIC FOR OPHTHALMIC USE PARA USO OFTALMICO ORAL MOUTH BOCA ORAL INHALATION ORAL INHALATION INHALACION ORAL
141. UPOSITORIO 1 TABLET 1 TABLETA 1 STRIP AS DIRECTED 1 TIRILLA SEGUN INDICADO 1 TROCHE 1 TROCISCO 1 2 MILLION UNITS 1 2 MILLONES DE UNIDADES 1 25 GRAMS 1 25 GRAMOS 1 25 MILLILITERS 1 25 MILILITROS 1 5 MILLIGRAMS 1 5 MILIGRAMOS 10 DROPS 10 GOTAS 10 MILLIGRAMS 10 MILIGRAMOS 10 UNITS 10 UNIDADES 100 MILLIGRAMS 100 MILIGRAMOS 1000MG 1000 MILIGRAMOS 1000 UNITS 1000 UNIDADES 10MG 0 2 MILLILITERS 10MG 0 2 MILILITROS 10MG 1 MILLILITER 10MG 1 MILILITRO 12 5 MILLIGRAMS 0 5 MILLILITER 12 5 MILIGRAMOS 0 5 MILILITRO 1200MG 1200 MILIGRAMOS 180 Pharmacy Data Management V 1 0 User Manual February 2009 LOCAL POSSIBLE DOSAGE SPANISH LOCAL DOSAGE 15 MILLIGRAMS 15 MILIGRAMOS 15 UNITS 15 UNIDADES 150000 UNITS 0 3ML 150000 UNIDADES 0 3ML 2 SPRAYS 2 ATOMIZACIONES 2 CAPSULES 2 CAPSULAS 2 TABLESPOONFULS 2 CUCHARADAS 2 TEASPOONFULS 2 CUCHARADITAS 2 DROPS 2 GOTAS 2 GRAMS 2 GRAMOS 2 PUFFS 2 INHALACIONES 2 MILLIGRAMS 2 MILIGRAMOS 2 MILLILITERS 2 MILILITROS 2 PIECES 2 PIEZAS 2 INCH 2 PULGADAS 2 PACKETS 2 SOBRES 2 TABLETS 2 TABLETAS 2 4 MILLION UNITS 2 4 MILLONES DE UNIDADES 2 5 MILLIGRAMS 2 5 MILIGRAMOS 2 5 MILLILITERS 2 5 MILILITROS 20 UNITS 20 UNIDADES 200 MCG 4 MU 1ML 200 MCG 4 MU 1ML 200 MILLIGRAMS 200 MILIGRAMOS 200 MILLIGRA
142. UTILIZAR FOR PARA SOLN ORAL TAKE TOMAR BY POR TEASPOONFUL S CUCHARADITA S SOLN OTIC INSTILL ECHAR IN PARA DROP S GOTA S SOLN RTL INSTILL INSERTAR BY POR EL CONTENT S CONTENIDO SOLN SPRAY NASAL USE UTILIZAR IN EN SPRAY S ATOMIZACION ES SOLN TOP APPLY APLICAR TO PARA SPIRIT USE UTILIZAR SPONGE USE UTILIZAR AS DIRECTED SEGUN INDICADO SPRAY TOP SPRAY ROCIAR FOR PARA AS DIRECTED SEGUN INDICADO STOMA CAP USE UTILIZAR AS DIRECTED SEGUN INDICADO STRIP USE UTILIZAR STRIP AS DIRECTED TIRILLA SEGUN INDICADO STRIP OPH USE UTILIZAR IN EN STRIP AS DIRECTED TIRILLA SEGUN INDICADO SUPP RTL INSERT INSERTAR BY POR EL SUPPOSITORY SUPOSITORIO 176 Pharmacy Data Management V 1 0 February 2009 User Manual VERB IN PREPOSITION IN DOSAGE FORM VERB SPANISH PREPOSITIONSPANISH NOUN NOUN IN SPANISH SUPP VAG INSERT INSERTAR IN EN LA SUPPOSITORY SUPOSITORIO SUPPOSITORY INSERT INSERTAR INTO EN SUPPOSITORY SUPOSITORIO SUSP TAKE TOMAR BY POR TEASPOONFUL S 5 SUSP SF TAKE TOMAR BY POR TABLESPOONFUL S CUCHARADA S SUSP INTRATHECAL INJECT INJECTAR BY POR VIA SUSP OPH INSTILL ECHAR IN EN DROP S GOTA S SUSP ORAL TAKE TOMAR BY POR TEASPOONFUL S 5 SUSP OTIC INSTILL ECHAR IN EN DROP S GOTA S SUSP RTL INSERT INSERTAR IN EN EL CONTENT S CONTENIDO SUSP SA TAKE TOMAR BY POR TABLESPOONFUL S CUCHARADA S SWAB TOP APPLY APLIC
143. User selects only unmapped Local Medication Routes Medication Route Mapping Report This report will print Medication Route mapping information for Medication Routes marked for All Packages in the PACKAGE ROUTES 51 2 File Select one of th A ALL MEDICAT ONLY UNMAPP 051 3 Field of the following ION ROUTES Enter A for All Routes MEDICATION ROUTES en itor Only ED MEDICATION ROUTE Unmapped Routes S This report is designed for 132 column format EDICATION O ENTER NLY UNMAPPED DEVICE HOME ENTER MEDICATION ROUTES APPING EXCEPTION REPORT Page 1 MEDICATION ROUTES File 51 2 OUTPATIENT EXPANSION BOTH EYES DES JES G TUBE ORAL BY MOUTH BY MOUTH SUBCUTANEOUS MEDICATION ROUTES MAPPING EXCEPTION REPORT Page 2 MEDICATION ROUTES File 51 2 OUTPATIENT EXPANSION TOTAL UNMAPPED MEDICATION ROUTES 4 End of Report 58 Pharmacy Data Management V 1 0 February 2009 User Manual 1 8 3 Medication Route Mapping History Report PSS MED ROUTE MAPPING CHANGES The Medication Route Mapping History Report option tracks all mapping changes between Local Medication Routes and Standard Medication Routes The report can be run for a single medication route or for all medication routes over a specified time frame Exampl
144. VA Product that has the OVERRIDE DF DOSE CHK EXCLUSION field set to Yes e Drug is marked as a supply item S in DEA SPECIAL HDLG field or assigned a VA Drug Class starting with an XA e Drug does not have any Local Possible Dosages defined Example Local Possible Dosages Report for Only Local Possible Dosage with Missing Data Select Enhanced Order Checks Setup Menu Option LOCAL POssible Dosages Report This report will print Local Possible Dosage information only for Drugs for which Dosage Checks can be performed Drugs that are inactive marked and or classed as supply items not matched to NDF or excluded from dosage checks due 69 lowers MEO NKO ERVAN LO AUC MOUS BENEN wg Lil mor Jos Gin tnis Users Fill be able GO primt Local POSSWlolSs Dosage ami euma teym for all SilacAllole drugs or only for drugs with missing data in the Numeric Dose and Dose Unit fields These two fields must be populated to perform Dosage Checks for a Local Possible Dosage selected when placing a Pharmacy order Select one of the following A ALL LOCAL POSSIBLE DOSAGES O ONLY LOCAL POSSIBLE DOSAGE WITH MISSING DATA Enter A for All O for Only O lt ENTER gt NLY LOCAL POSSIBLE DOSAGE WITH MISSING DATA Manis e eo r PF clesalejiastcl sree eco mee osten DEVICE HOME lt ENTER gt February 2009 Pharmacy Data Management V 1 0 23 User Manual 24 Pharmacy Data Management V 1 0 User Manual February 2009 1 2 8
145. VE DATE DAY MED ROUTE Enter SCHEDULE TYPE SCHEDULE Enter PATIENT INSTR OTHER LANGUAGI E INSTRUCTIONS Enter ASSOCIATED T Select SYNONYM Note The ASSOCIATED IMMUNIZATION field is only presented when at least one of the Enter UNIZATION INFLUENZA FLU 3 YRS INFLUENZA dispense drugs tied to the selected orderable item is in a VA Drug Class in the IM100 to IM900 range Immunizations are typically found in VA Drug Classes IM100 IMIOS IM109 IM700 or IM900 February 2009 Pharmacy Data Management V 1 0 User Manual 65b 1 9 3 Orderable Item Dosages Report PSS ORDERABLE ITEM DOSAGES The Orderable Item Dosages Report option prints a report that displays Inpatient Medication and Outpatient Pharmacy dosages for each Pharmacy Orderable Item These are the dosages that will display for selection through CPRS when an Orderable Item is selected through CPRS at the time an Orderable Item is selected for a medication order Due to the length of this report it must be queued to a printer This option prints a report sorted by Pharmacy Orderable Item that displays Inpatient Medication and Outpatient Pharmacy dosages for Pharmacy Orderable Items These dosages will display for selection through CPRS when an Orderable Item is selected for a medication order Along with each dosage that is displayed on the report the name of the drug entry from the DRUG file 50 that provided the dosage is
146. VECES AL DIA MEDIA HORA ANTES DE LAS COMIDAS TID 1 2HR AC amp HS HALF HOUR BEFORE MEALS AND AT BEDTIME MEDIA HORA ANTES DE LAS COMIDAS Y AL ACOSTARSE TID 1HR PC amp HS ONE HOUR AFTER MEALS AND AT BEDTIME UNA HORA DESPUES DE LAS COMIDAS Y AL ACOSTARSE TU TUESDAY MARTES TU FR TUESDAY AND FRIDAY MARTES Y VIERNES TU SA TUESDAY AND SATURDAY MARTES Y SABADO TU SA TUESDAY AND SATURDAY MARTES Y SABADO TU TH TUESDAY AND THURSDAY MARTES Y JUEVES TU TH FR TUESDAY THURSDAY AND FRIDAY MARTES JUEVES Y VIERNES TU TH SA TUESDAY THURSDAY AND SATURDAY MARTES JUEVES Y SABADO 168 Pharmacy Data Management V 1 0 February 2009 User Manual ADMIN SCHEDULE OUTPATIENT EXPANSION OUTPATIENT SPANISH EXPANSION TU TH SA TUESDAY THURSDAY SATURDAY MARTES JUEVES Y SABADO TU WE FR SA TUESDAY WEDNESDAY FRIDAY SATURDAY MARTES MIERCOLES VIERNES Y SABADO TU WE TH TUESDAY WEDNESDAY AND THURSDAY MARTES MIERCOLES Y JUEVES TUESDAY TUESDAY MARTES WE WEDNESDAY MIERCOLES WE FR WEDNESDAY AND FRIDAY MIERCOLES Y VIERNES WE SA WEDNESDAY AND SATURDAY MIERCOLES Y SABADO WE TH FR WEDNESDAY THURSDAY AND FRIDAY MIERCOLES JUEVES Y VIERNES WE TH FR SA WEDNESDAY THRU SATURDAY DE MIERCOLES A SABADO WEDNESDAY WEDNESDAY MIERCOLES WEEKLY WEEKLY SEMANALMENTE February 2009 Pharmacy Data Management V 1 0 169 User Manual This page left blank for two sided copying 1
147. VIERNES SU MO TU FR SA SUNDAY MONDAY TUESDAY FRIDAY SATURDAY DOMINGO LUNES MARTES VIERNES Y SABADO SU MO TU SA SUNDAY MONDAY TUESDAY AND SATURDAY DOMINGO LUNES MARTES Y SABADO SU MO TU TH FR SUNDAY MONDAY TUESDAY THURSDAY AND FRIDAY DOMINGO LUNES MARTES JUEVES Y VIERNES SU MO TU TH FR SA SUNDAY MONDAY TUESDAY THURSDAY FRIDAY AND SATURDAY DOMINGO LUNES MARTES JUEVES VIERNES Y SABADO SU MO TU TH SA SUNDAY MONDAY TUESDAY THURSDAY AND SATURDAY DOMINGO LUNES MARTES JUEVES Y SABADO SU MO TU WE FR SUNDAY MONDAY TUESDAY WEDNESDAY FRIDAY DOMINGO LUNES MARTES MIERCOLES Y VIERNES SU MO TU WE FR SA SUNDAY MONDAY TUESDAY WEDNESDAY FRIDAY SATURDAY DOMINGO LUNES MARTES MIERCOLES VIERNES Y SABADO SU MO TU WE TH SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY DOMINGO LUNES MARTES MIERCOLES Y JUEVES February 2009 Pharmacy Data Management V 1 0 User Manual 167 ADMIN SCHEDULE OUTPATIENT EXPANSION OUTPATIENT SPANISH EXPANSION SU MO TU WE TH FR SUNDAY THRU FRIDAY DE DOMIGO A VIERNES SU MO TU WE TH SA SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY SATURDAY DOMINGO LUNES MARTES MIERCOLES JUEVES Y SABADO SU MO WE SUNDAY MONDAY AND WEDNESDAY DOMINGO LUNES Y MIERCOLES SU MO WE FR SUNDAY MONDAY WEDNESDAY AND FRIDAY DOMINGO LUNES MIERCOLES Y VIERNES SU MO WE FR SA SUNDAY MONDAY WEDNESDAY FRIDAY AND SATURDAY DOMINGO LUNES
148. VPB TAB IN BCMA 54 PROMPT FOR INJ SITE IN BCMA 54 Check PEPS Services Setup 100 Check Vendor Database Link 99 CMOP Mark Unmark Single drug option 3 5 6 Complex Local Possible Dosages 139 Convertible Dosage Form Unit Combinations 155 Creating the Sig 139 DEA Special Handling Code 28 Default Med Route For OI Report 62d Dispense Drug Orderable Item Maintenance 65 Dosage Form Enter Edit 8 Dosage Forms Spanish Translations 171 Dosages 7 113 February 2009 Pharmacy Data Management V 1 0 203 User Manual Drug Enter Edit 26 Drug Enter Edit option 6 Drug Text Enter Edit 77 Drug Text File Report 79 Drug Text Management 77 DSPLY ON IVP IVPB TAB IN BCMA 54 Edit Orderable Items 63 Enable Disable Vendor Database Link 103 Enter Edit Dosages 9 Formulary Information Report 75 Glossary 151 Introduction 1 IV Additive Report 90 IV Solution Report 90c Local Possible Dosages 113 Local Possible Dosages Report 23 Local Possible Dosages Spanish Translations 179 Lookup into Dispense Drug File 47 Mail Message following completion of Auto Create Dosages 7 Mark PreMix Solutions 90e Marking a CMOP Drug Single drug 6 Medication Instruction File Add Edit 49 Medication Instruction File Report 51 Medication Instruction Management 49 Medication Instructions Spanish Translations 185 Medication Route File Enter Edit 54 Medication Route Mapping History Report 59 204 Pharmacy Da
149. Y 48 HOURS CADA 48 HORAS Q4D EVERY 4 DAYS CADA 4 DIAS Q4H EVERY 4 HOURS CADA 4 HORAS Q4WEEK EVERY FOUR WEEKS CADA CUATRO 4 SEMANAS 166 Pharmacy Data Management V 1 0 February 2009 User Manual ADMIN SCHEDULE OUTPATIENT EXPANSION OUTPATIENT SPANISH EXPANSION Q5D EVERY 5 DAYS CADA 5 DIAS Q5MIN EVERY 5 MINUTES CADA 5 MINUTOS Q6H EVERY 6 HOURS CADA 6 HORAS Q72H EVERY 72 HOURS CADA 72 HORAS Q7D EVERY 7 DAYS CADA 7 DIAS Q8H EVERY 8 HOURS CADA 8 HORAS Q96H EACH 96 HOURS CADA 96 HORAS QAM EVERY MORNING DIARIAMENTE EN LA MANANA QD DAILY DIARIAMENTE QD1300 EVERY DAY AT 1 00 PM CADA DIA A LA 1 00 PM QD5 FIVE TIMES A DAY CINCO VECES AL DIA QDAM EVERY MORNING CADA MANANA QDHS DAILY AT BEDTIME DIARIAMENTE AL ACOSTARSE QDI DAILY DIARIAMENTE QDMD DAILY AT NOON DIARIAMENTE AL MEDIODIA QDPM DAILY IN THE EVENING DIARIAMENTE EN LA TARDE QH EVERY HOUR CADA HORA QID FOUR TIMES A DAY CUATRO VECES AL DIA QOD EVERY OTHER DAY UN DIA SI Y OTRO NO QWEEK WEEKLY CADA SEMANA SATURDAY SATURDAY SABADO SU FR SUNDAY AND FRIDAY DOMINGO Y VIERNES SU FR SA SUNDAY FRIDAY AND SATURDAY DOMINGO VIERNES Y SABADO SU MO FR SUNDAY MONDAY AND FRIDAY DOMINGO LUNES Y VIERNES SU MO TH SUNDAY MONDAY THURSDAY DOMINGO LUNES Y JUEVES SU MO TU SUNDAY MONDAY AND TUESDAY DOMINGO LUNES Y MARTES SU MO TU FR SUNDAY MONDAY TUESDAY AND FRIDAY DOMINGO LUNES MARTES Y
150. action Enter message action in IN basket Ignore QD Query Detailed Subj New Drug Interaction Request 89442 05 28 08 12 51 4 lines From PHARMACIST TWENTYTHREE In IN basket Local Message ID 89442 PEPCACHE FO BIRM MED VA GOV 2 recipients PHARMACIST TWENTYTHREE Last read 05 28 08 12 52 First read 05 28 08 12 51 Enter message action in IN basket Ignore 46 Pharmacy Data Management V 1 0 User Manual prompt this February 2009 Example 2 Requesting a Drug Interaction Severity Change Select Pharmacy Data Management Option ORDER CHECK Management Select Order Check Management Option REQuest Changes to Enhanced Order Check Database Select one of the following N New Drug Interaction S Drug Interaction Severity Change T Duplicate Therapy Change D Dosing Change Select one of the choices above for instance 8 Drug Interaction Severity Change Enter Interacting Drug Names free text Drug A amp Drug B Select one of the following d Ceetee einen Change Severity To You must now enter a reason or references for this request lt word processing gt A Press Return to continue to exit gt Mts She a Drug Interaction severity change request 2 gt EDIT Option NOTE This is a test account Regardless of your response to the Transmit prompt this request will NOT be sent forward for national review Mail message transmitted for review Transmit Drug Interaction Sev
151. acy Data Management V 1 0 User Manual February 2009 LOCAL POSSIBLE DOSAGE SPANISH LOCAL DOSAGE 6 MILLILITERS 6 MILILITROS 60 MILLIGRAMS 60 MILIGRAMOS 600 MGS 2 TABLESPOONFULS 600 MGS 2 CUCHARADAS 600 000 UNITS 600 000 UNIDADES 75 MILLIGRAMS 3 MILLILITERS 75 MILIGRAMOS 3 MILILITROS 8 TABLESPOONFULS 8 CUCHARADAS 8 MILLIGRAMS 8 MILIGRAMOS 80 MILLIGRAMS 80 MILIGRAMOS 80 MILLIGRAMS 80 MILIGRAMOS LOCAL CARE CUIDADO LOCAL DISSOLVE WITH 0 7 ML STERILE WATER AND INJECT XX ML DISOLVER CON 0 7ML DE AGUA ESTERIL E INYECTAR XX ML TWO APPLICATORSFUL DOS APLICADORES LLENOS TWO AND A HALF TEASPOONFULS DOS Y MEDIA CUCHARADITAS THE CONTENT OF THE BOTTLE EL CONTENIDO DE LA BOTELLA THE CONTENT OF ONE GALLON EL CONTENIDO DE UN GALON THE CONTENT OF ONE PACKET EL CONTENIDO DE UN SOBRE THE CONTENT OF ONE AMPULE EL CONTENIDO DE UNA AMPOLLETA THE CONTENT OF ONE BOTTLE EL CONTENIDO DE UNA BOTELLA THE CONTENT OF ONE CAN EL CONTENIDO DE UNA LATA HALF TEASPOONFUL MEDIA CUCHARADITA HALF INCH MEDIA PULGADA HALF TABLET MEDIA TABLETA HALF MILLILITER MEDIO MILILITRO AS DIRECTED SEGUN INDICADO THE WHOLE CONTENT TODO EL CONTENIDO 1 APPLICATOR UN APLICADOR ONE APPLICATORFUL UN APLICADOR LLENO A THIN FILM UNA CAPA FINA ONE AND A HALF TEASPOONFUL UNA CU
152. age per Dose VA PRODUCT file 50 68 N PROPRANOLOL HCL 20MG TAB STRENGTH 20 gt UNITS DOSAGE FORM TAB February 2009 Pharmacy Data Management V 1 0 117 User Manual Diagram B Diagram B shows the drug entry with the new data Two new fields STRENGTH and UNIT have been added to the DRUG file 50 These two fields are populated with data based on the data contained in the STRENGTH and UNITS fields of the VA PRODUCT file 50 68 match The DOSE field of the POSSIBLE DOSAGE sub file of the DRUG file 50 is populated by multiplying the entry in the DISPENSE UNITS PER DOSE field of the POSSIBLE DOSAGE sub file of DRUG file 50 by the numeric value of the STRENGTH field in the DRUG file 50 DOSE DISPENSE UNITS PER DOSE x STRENGTH Diagram C shows dosage selections for a PROPRANOLOL TAB Orderable Item when one or more drugs are matched to that Orderable Item See Diagram C 118 Pharmacy Data Management V 1 0 February 2009 User Manual Diagram C PROPRANOLOL HCL 20MG TAB STRENGTH UNIT Dr Selects the Medication Orderable Item PROPRANOLOL Dispense Units Dose Package TAB Dose Y 1 20 20MG 2 40MG 80MG PROPRANOLOL HCL 40MG TAB STRENGTH UNIT Dose 40 80 February 2009 Pharmacy Data Management V 1 0 User Manual DOSAGE FORM file 450 606 TAB Dispense Units per Dose 1 0 2 0 Package Units Package MG PRODUCT file 50 68 PROPRANOLOL HCL
153. al Possible Dosages BCMA UNITS PER DOSE NUMERIC DOSE DOSE UNIT 2 DROP 5 PACKAGE BCMA UNITS PER DOSE NUMERIC DOSE DOSE UNIT Do you want to merge new Local Possible Dosages Y NO Just a reminder you are editing TIMOLOL 0 5 OPTH SOL 10ML LOCAL POSSIBLE DOSAGES 1 DROP PACKAGE BCMA UNITS PER DOSE NUMERIC DOSE DOSE UNIT 2 DROP 5 PACKAGE BCMA UNITS PER DOSE NUMERIC DOSE DOSE UNIT Do you want to edit Local Possible Dosages N YES This drug has the following Local Possible Dosages 1 DROP PACKAGE BCMA UNITS PER DOSE NUMERIC DOSE DOSE UNIT 2 DROP 5 PACKAGE BCMA UNITS PER DOSE NUMERIC DOSE DOSE UNIT Do you want to merge new Local Possible Dosages Y NO 44b Pharmacy Data Management V 1 0 User Manual February 2009 Example 2 Editing Additive Frequency for IV Additive Select Pharmacy Data Management Option Drug Enter Edit Select DRUG GENERIC NAME CIMETIDINE 150MG ML MDV INJ 8ML GA301 OK Yes ENTER Yes kk k ck This entry is marked for the following PHARMACY packages Ward Stock GENERIC NAME CIMETIDINE 150MG ML MDV INJ 8ML Replace lt ENTER gt VA CLASSIFICATION GA301 lt ENTER gt DEA SPECIAL HDLG lt ENTER gt DAW CODE lt ENTER gt TET SETET ese ese koq jose de II ke EE ICI Se ke a IC IRI ESS SSE Sie kok This entry is
154. ame print name status drug information synonym s volume and electrolytes Local Possible Dosages are free text dosages that are associated with drugs that do not meet all of the criteria for Possible Dosages The MEDICATION INSTRUCTION file 51 is used by Unit Dose and Outpatient Pharmacy It contains the medication instruction name Outpatient Pharmacy expansion and intended use as well as other fields Pharmacy Data Management V 1 0 February 2009 User Manual Medication Routes File Medication Routes Abbreviations MOCHA National Drug File Non Formulary Drugs Orderable Item Orderable Item File The MEDICATION ROUTES file 51 2 contains medication route names The user can enter an abbreviation for each route to be used at their site The abbreviation will most likely be the Latin abbreviation for the term The MEDICATION ROUTES file 51 2 contains the medication routes and abbreviations which are selected by each Department of Veterans Affairs Medical Centers VAMC The abbreviation cannot be longer than five characters to fit on labels and the Medical Administration Record MAR The user can add new routes and abbreviations as appropriate Medication Order Check Healthcare Application The National Drug File provides standardization of the local drug files in all VA medical facilities Standardization includes the adoption of new drug nomenclature and drug classification and links the local dru
155. ame when displaying the dosage list through CPRS For example the dosage 1 TEASPOONFUL GUAIFENESIN WITH DEXTROMETHORPHAN SYRUP would display as 1 TEASPOONFUL OF GUAIFENESIN WITH DEXTROMETHORPHAN SYRUP in CPRS after the conjunction OF was provided using the Dosage Form File Enter Edit option The Dosage Form File Enter Edit option allows the user to associate one or more local medication routes with a dosage form The user will only be able to select a local medication route that has already been defined in the MEDICATION ROUTES file 51 2 The Dosage Form File Enter Edit option allows the user to enter a noun verb or preposition in a language other than English PDM does not translate English terms into another language instead it allows the user to enter a translation of a term If a value has not been entered in the OTHER LANGUAGE VERB OTHER LANGUAGE PREPOSITION or OTHER LANGUAGE NOUN fields PDM defaults to the values entered in the VERB PREPOSITION or NOUN fields If the VERB PREPOSITION or NOUN fields do not contain data for the selected item the system will not display default values for those fields during CPRS or Outpatient Pharmacy prescription order entry processing However when building the SIG Outpatient Pharmacy will default to the values the user input during order entry See Appendix D for a list of Spanish equivalents for some of the more common dosage forms February 2009 Pharmacy Data Management V 1 0 7 User Ma
156. and ending with items starting with the letter N Is this correct Y Enter ES Should report only include Orderable Items with Patient Instructions Y Enter ES DEVICE HOME TELNET DEVICE Instructions report for items from N through N PAGE 1 NAPROXEN TAB WITH FOOD NITROGLYCERIN TAB SUBLINGUAL FOR CHEST PAIN CALL PHYSICIAN IF NO RELIEF AFTER 3 DOSES End of Report Press Return to continue Select Orderable Item Management Option Pharmacy Data Management V 1 0 February 2009 User Manual 1 9 5 Orderable Item Report PSS ORDERABLE ITEM REPORT The Orderable Item Report option lists items from the PHARMACY ORDERABLE ITEM file 50 7 along with the associated Dispense Drugs Due to the length of this report it must be queued to a printer Example Orderable Item Report Select Pharmacy Data Management Option ORDER 1 Orderable Item Management 2 Orderable Item Report CHOOSE 1 2 2 Orderable Item Report Select one of the following M Drugs that are matched N Drugs that are not matched Enter M to see all the IV Solutions IV Additives and Dispense Drugs that are matched to an Orderable Item Enter N to see all IV Additives IV Solutions and Dispense Drugs that are not matched to an Orderable Item Enter M or N M Drugs that are matched WARNING THIS REPORT MAY BE VERY LONG WARNING Due to the length of this report and to avoid tying up a terminal for a long time this report must be QUEUED t
157. appear as part of the SIG on the prescription label exactly as the Outpatient Pharmacy expansion was entered in MEDICATION ROUTES file 51 2 The IV FLAG field 6 in the MEDICATION ROUTES file 51 2 is used to determine that the order can be processed through the IV portion of the Inpatient Medications package The PROMPT FOR INJ SITE IN BCMA field 8 in the MEDICATION ROUTES file 51 2 is used to send information to be displayed on the BCMA Virtual Due List and Coversheet and to verify whether the user should be prompted for an injection site The DSPLY ON IVP IVPB TAB IN BCMA field 9 in the MEDICATION ROUTES file 51 2 is used to send information to be displayed on the BCMA IVP IVPB Tab and Coversheet The Medication Route File Enter Edit option allows the user to enter an interpretation of the OUTPATIENT EXPANSION field in a language other than English PDM does not translate English terms into another language instead it allows the user to enter a translation of a term If a value has not been entered in the OTHER LANGUAGE EXPANSION field PDM will default to the value entered in the OUTPATIENT EXPANSION field If no values exist in the OUTPATIENT EXPANSION and OTHER LANGUAGE EXPANSION fields the system will not display default values for those fields during CPRS or Outpatient Pharmacy prescription order entry processing However when building the SIG Outpatient Pharmacy will default to the value the user input during order entry
158. ated for every Dispense Units Per Dose for that drug For example Diagram E shows an entry in the DRUG file 50 of METOPROLOL TARTRATE 25MG TAB No entries with a strength of 25 exist in the VA PRODUCT file 50 68 for that drug so it is matched instead to a VA Product entry with a strength of 50 See Diagram E February 2009 Pharmacy Data Management V 1 0 123 User Manual Diagram E TAB Dispense Units Package DRUG file 450 METOPROLOL TARTRATE 25MG TAB STRENGTH bet Dose r Selects the Medication UNIT MC 10 Orderable Itern METOPROLOL Dispense Units TAB Dose wv 50 50MG 2 100MG VA PRODUCT file 450 68 METOPROLOL TARTRATE 50MG TAB STRENGTH 50 UNITS DOSAGE FORM TAB 124 Pharmacy Data Management V 1 0 February 2009 User Manual Diagrams E and F In Diagram E the Possible Dosages created are 50 MG 1 tablet and 100MG 2 tablets but the drug is actually METOPROLOL TARTRATE 25MG TAB These Possible Dosages were created because the strength of the VA PRODUCT file 50 68 entry is 50 As displayed in Diagram F the strength in the DRUG file 50 can simply be edited from 50 to 25 and when that strength is edited the Possible Dosages for all Dispense Units Per Dose in this case 1 and 2 will be recalculated See Diagram F February 2009 Pharmacy Data Management V 1 0 125 User Manual Diagram F Dr Selects the Medication Orderable Item METOPROLOL TAB
159. atient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Pharmacy Data Management V 1 0 February 2009 INJ SUSP DRY SA INJ IMPLANT INSERT CONT REL INSERT CONT REL OPH INSERT VAG LIQUID LIQUID ORAL LOZENGE OPHTHALMIC CRC PELLET POWDER POWDER ORAL February 2009 MG ML MG MG VIAL MG MG MG CAP MG UNT MG GM MEQ 15ML MG MG 15ML MG 5ML MG GTT MG ML GM GM 10ML GM UNT MEQ 15ML MG MG 0 6ML 15 MG 2 5ML MG 4ML MG 5ML MG MIN MG ML UNT 0 1ML UNT ML MCG MG UNT MG UNT MG GM GM 1 7GM GM 5GM GM 9GM GM BAG GM BTL GM CUP GM PKT MG UNT VIL GM GM 5GM Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Pharmacy Data Management V 1 0 User Manual 159 POWDER TOP PWDR EFFERVSC PWDR RENST ORAL RING VAG SOLN SOLN CONC SOLN INHL SOLN IRRG SOLN NASAL SOLN ORAL SOLN RTL 160
160. ble dosage will be auto created for the package specified by the new PACKAGE field and the following message will be displayed Due to National Drug File settings only one possible dosage will be auto created If other dosages are needed create POSSIBLE DOSAGES or LOCAL POSSIBLE DOSAGES as appropriate e IfPOSSIBLE DOSAGES TO CREATE field is B 1x and 2x possible dosages will be auto created for the package specified by the new PACKAGE field and the following message will be displayed Due to National Drug File settings TWO possible dosages were auto created Example 1 Supra Therapeutic Drugs Enter Edit Dosages Messages displayed when Create Default Possible Dosage is No and Possible Dosages To Create is No in the National Drug File Select Dosages Option Enter Edit Dosages Select Drug NIACIN 100MG TAB VT103 This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med NIACIN 100MG TAB Inactive Date This drug can have Possible Dosages but currently does not have any This drug has been set within the National Drug File to not auto create possible dosages Do you want to manually enter possible dosages N This drug meets the criteria to have Possible Dosages but it currently does not have any If you answer YES Possible Dosages can be manually entered for this drug Do you want to manually enter possible dosages N YES lt lt Prompt displayed when no poss
161. blet every morning AND take 2 tablets at bedtime THEN is used for consecutive doses in a complex order for example Take 2 tablets daily for one week THEN take tablet daily for five days EXCEPT can be used in a complex order to describe any dosing order that is not routine as in Take 1 tablet every day EXCEPT take no tablets Wednesday Example 1 Complex Local Possible Dosage APPLY THIN FILM TO AFFECTED AREAS FOUR TIMES DAILY FOR 1 WEEK THEN APPLY DAILY AS NEEDED DOSAGE FORM file APPLY 50 606 THIN FILM DRUG FILE 50 DOSAGE FORM file Preposition TO 450 606 Fired MEDICATION ROUTES AFFECTED AREAS from MEDICATION ROUTE file 451 2 file 451 2 ADMINISTRATION Schedule SCHEDULE file 51 1 or FOUR TIMES DAILY Expansion MEDICATION INSTRUCTION file 51 IN DAYS HOURS FOR 1 WEEK ue Z EN THEN Conjunction AND THEN DOSAGE FORM file 150 606 ADMINISTRATION SCHEDULE file 51 1 or MEDICATION INSTRUCTION file 51 Schedule Expansion DAILY AS NEEDED February 2009 Pharmacy Data Management V 1 0 149 User Manual 150 This page left blank for two sided copying Pharmacy Data Management V 1 0 User Manual February 2009 Glossary Administration Schedule File CPRS DATUP Dispense Drug Dosage Form File Dose Unit File February 2009 The ADMINISTRATION
162. cked 62c 1 8 5 Default Med Route for OI Report PSS DEF MED ROUTE OI RPT The Default Med Route for OI Report option is listed on the Medication Routes Management PSS MEDICATION ROUTES MGMT menu This report can be used to help identify the current default medication routes for the orderable items The following is an example of the report Patch PSS 1 153 added the ability to include printing the POSSIBLE MED ROUTES multiple If the DEFAULT MED ROUTE field is populated then that value will be returned as the default value If the DEFAULT MED ROUTE field is not populated and the POSSIBLE MED ROUTES multiple is populated with a single entry and the USE DOSAGE FORM MED ROUTE LIST field is set to NO the single entry will be returned as the default value If the DEFAULT MED ROUTE field is not populated and the POSSIBLE MED ROUTES multiple is populated with more than one entry and the USE DOSAGE FORM MED ROUTE LIST field is set to NO no value will be returned as the default value The med routes selection list in CPRS will be populated with all the medication routes associated with the orderable item s dosage form if the USE DOSAGE FORM MED ROUTE LIST field is set to YES otherwise it will be populated from the POSSIBLE MED ROUTES multiple These conditions are shown in the following table and examples are provided DEFAULT MED POSSIBLE MED USE DOSAGE VALUE RETURNED MED ROUTES ROUTE FIELD ROUTES FIELD FO
163. continue Strength from National Drug File match 10 MG Strength currently in the Drug File gt 10 MG Strength 10 Unit gt MG POSSIBLE DOSAGES DISPENSE UNITS PER DOSE 1 DOSE 10 MG PACKAGE TO DISPENSE UNDIS PER DOSE 2 DOSE 20 MG PACKAGE IO LOCAL POSSIBLE DOSAGES This drug has been set within the National Drug File to auto create two possible dosages Do you want to edit the dosages N February 2009 Pharmacy Data Management V 1 0 441 User Manual Multiple Automated Dispensing Devices ADD Patch PSS 1 156 in conjunction will PSO 7 354 allows sites to send prescriptions to multiple automated dispensing devices Defining a dispensing device at the drug level for a division will override the dispensing device settings in the OUTPATIENT SITE File 59 If populated the drug will be sent to the dispensing device for that division There are two types of automated dispensing devices window and mail and these are based on the route of the prescription The prompt OP EXTERNAL DISPENSE must be YES for an automated dispensing device to be added to a drug The following example illustrates the set up for the drug CIMETIDINE 200MG TAB to be sent to the dispensing device SCRIPTPROI for window prescriptions and SCRIPTPRO2 for mail prescriptions Example 1 Assigning Dispensing Device for a Drug Select OPTION NAME PSS DRUG ENTER EDIT Drug Enter Edit Select DRUG GENERIC NAME CIMETIDINE 200MG TAB GA301 So ONB Ws
164. cts on ePharmacy Billing Ifthe DEA SPECIAL HDLG field contains an T Investigational S Supply or 9 OTO the drug is NOT billable However if the same drug also contains the E electronically billable the drug becomes BILLABLE e Ifthe DEA SPECIAL HDLG field contains an M or 0 both designating a Compound Drug the drug is NOT billable If the same drug contains the E electronically billable the drug is STILL NOT billable e Ifthe DEA SPECIAL HDLG field is NULL empty the drug is NOT billable e Ifthe DEA SPECIAL HDLG field contains a U Sensitive Drug the drug is only billable if there is a signed Release of Information ROI on file This functionality works in conjunction with ROI modifications made in IB 2 384 Follow these guidelines to ensure proper electronic billing e item is to be billed then there must be an entry in the DEA SPECIAL HDLG field It is not necessary to include a numeric value any value other than the non billable codes listed above will allow ePharmacy to submit a bill e Add an E to all items that contain 9 or S but are actually billable This will most often occur with Insulin and Glucose test strips which are usually marked with a 9 but are in fact billable for most insurance companies e Add a U to items that are used to treat a diagnosis deemed sensitive Specifically the VA may not disclose a
165. d changes to the associated First DataBank Med Route and or Replacement Term None The following entries in the Medication Routes 451 2 File were to be mapped remapped to a Standard Medication Route 451 23 File entry but could not occur because the Medication Route 451 2 File entry was locked None The following entries in the Medication Routes 451 2 File were to be unmapped from a Standard Medication Route 451 23 File entry but could not occur because the Medication Route 451 2 File entry was locked None February 2009 Pharmacy Data Management V 1 0 62a User Manual Example 3 Remapping Subs From Standard Medicat STANDARD MEDICAT The following entries 51 23 File INTRA URETHRAL FDB Route INTRA The following entries Routes 451 235 File URETHRAL FDB Route INTRA Replacement Term Replacement Term INTRAVITREAL II BASE MS Replacement Term Replacement Term The following entries Routes 451 23 File None The following entries mapped remapped to a S None PLEASE REVIEW MAY REQ The following entries unmapped from a Standa None The following entries changes to the associa None The following entries mapped remapped to a Standard Medication Route could not occur becaus URETHRAL Current Standard Route Recommend mapping The following entries unmapped from a Standa could not occur becaus INTRAVITREAL Current Standard Route New Standard
166. d Order Check Database PSS ORDER CHECK CHANGES The Request Changes to Enhanced Order Check Database option allows Pharmacy users to request custom changes to the Enhanced Order Check drug interaction duplicate therapy and dosing vendor database The user can request the following custom changes e Add a new drug interaction e Change an existing drug interaction severity e Change to a duplicate therapy e Change to a dosing record for a drug Note that although the ability to request a custom dosing record change is available with the release of MOCHA V1 0 the introduction of dosing order checks via backdoor Pharmacy will be available only with MOCHA V2 0 Depending on the request the user is prompted for different pieces of information The request is directed to an Outlook mail group VAOITVHITPSCUSTOMREQ VA GOV that will review and act on the requests A copy of the request is also sent to the user s VistA email account If the user is not ready to send the request just yet answering at the transmit prompt will send the request just to the user s VistA email account Once the user is ready to send the request if no changes are needed the user can retrieve the VistA email message and forward it to the Outlook mail group VAOITVHITPSCUSTOMREQ If the VistA email message is no longer available for retrieval the user must reenter and transmit the request NOTE The option will use whatever editor line or screen the use
167. d in IV Fluid Order Entry YES PreMix oe 5 EXTROSE Volume 500 ML Print Name 20 Print Name 2 Synonyms Generic Drug DEXTROS Pharmacy Orderable Item DEXTROSI Inactivation Date Used in IV Fluid Order Entry Y PreMix 20 IN WATER 500ML INJ SOLN Fl n Print Name METRONIDAZOLE 500MG IN NACL Volume 100 ML Print Name 2 Synonyms Generic Drug M Pharmacy Orderable Item M Inactivation Date TRONIDAZOLE 500MG 100ML NACL TRONIDAZOLE SODIUM CHLORIDE INJ SOLN Used in IV Fluid Order Entry YES PreMix YES End of Report 90d Pharmacy Data Management V 1 0 February 2009 User Manual 1 17 3 Mark PreMix Solutions PSS MARK PREMIX SOLUTIONS The Mark PreMix Solutions option allows a user to quickly mark an IV Solution as a PreMix The following data fields can be edited Print Name Print Name 2 Generic Drug Volume Inactivation Date PreMix Used in IV Fluid Order Entry After an entry has been edited successfully the user is prompted to enter another IV Solution to edit Press ENTER to Example User chooses Mark PreMix Solutions to mark an IV Solution as premixed exit out of the option Select IV Additive Solution Option MARK Select IV SOLUTIONS PRINT NAME HEP 1 HEPARIN 1 0 2 HEPARIN 25 3 HEPARIN 250 RINT NAME 2 ENERIC DRUG HEPARI LUM
168. dditive Solution Reports Option Page 1 CALCIUM GLUCONATE MEQ CAGLUC CALCIUM GLUCONATE 1GM CALCIUM GLUCONATE INJ SOLN YES POTASSIUM CHLORIDE MEQ KCL POTASSIUM CL 2MEQ ML 10ML INJ POTASSIUM CHLORIDE INJ SOLN YES This report displays entries in the IV ADDITIVES to display only entries marked with 1 BAG DAY Example 2 User Selects Only IV Additives marked with 1BAG DAY in the Additive Frequency Field IV ADDitive Report 52 6 File in the ADDITIVE You can select FREQUENCY 18 Field or only those entries with nothing entered in the ADDITIVE FREQUENCY 18 Field or all entries can be displayed Select one of the following 1 Print entries marked as 1 BAG DAY for ADDITIVE FREQUENCY N Print entries marked as Null for ADDITIVE FREQUENCY A Print all IV Additives Disse alen UW sxoleblitcbw eg A marked as gb BEND Tor ADDITIVE FREQUENCY This report is designed for 80 column format D EVICE HOME lt ENTER gt IV Additives marked as 1 BAG DAY for ADDITIVE FREQUENCY Page 1 No IV Additives marked as End of Report Example 3 User selects all IV Additives Select IV Additive Solution Reports Option 1 BAG DAY This report displays entries in the IV ADDITIVES IV Additive Report 452 6 File You can s
169. define how various sample SIGs were created using this formula Simple Possible Dosage Formula Outpatient j form h 1 Preposition MEDICATION 4 Expansion Dispense j file P Units Dose 51 2 A SIG for a Simple Possible Dosage can be created utilizing the above formula Prior to creating a SIG the SIG must first be broken down into each of the elements in its respective Dosage Formula The table below outlines each element of the desired SIG By identifying the element symbol to the right of the SIG entry it is easy to identify which element that word or phrase represents For example to the right of the SIG entry in the table the Verb symbol is displayed By referencing the third column it is apparent that Verb entries are taken from the DOSAGE FORM file 50 606 Patient Instructions or Provider Comments The following tables define each element of the SIG for each of the four types of dosages Simple Possible Dosages Complex Possible Dosages Simple Local Possible Dosages and Complex Local Possible Dosages and identify which files provide each element s information The complete SIG is displayed at the top of each table February 2009 Pharmacy Data Management V 1 0 143 User Manual Each part of the SIG is constructed by extracting data from a designated file within the Pharmacy software The verb entry is derived from the DOSAGE FORM file 50 606 entry of the Dosage Form t
170. displayed Not every dosage from the DRUG file 50 will display on this report For example if there are duplicate Possible Dosages for a Pharmacy Orderable Item and there are different Dispense Units Per Dose only the Possible Dosage with the lowest Dispense Units Per Dose will display on the report If there are package specific Possible Dosages and Local Possible Dosages for drugs tied to the Pharmacy Orderable Item only the Possible Dosages will display on the report because Possible Dosages always override Local Possible Dosages In summary this report will screen out Possible Dosages and Local Possible Dosages when appropriate so only the dosages selectable through CPRS will display on this report Additionally the report will display in parenthesis the dosage as it will appear on the Outpatient Pharmacy prescription label if the dosage is a Possible Dosage 66 Pharmacy Data Management V 1 0 February 2009 User Manual Example Orderable Item Dosages Report Select Orderable Item Management Option ORDerable Item Dosages Report Select one of the following A ALL S SELECT A RANGE Print Report for A 11 or S elect a Range S Enter ELECT A RANGE There are entries in the Orderable Item file with leading numerics Print report for Orderable Items with leading numerics N lt Enter gt O To see items beginning with the letter A enter A or whichever letter you wish to see To see items in a range for example items
171. dministration Schedule File Report esee eee eene nennen nennen ener enne 64b 1 14 Synonym Enter Edit 1 15 Controlled Substances PKI Reports 1 16 Send Entire Drug File to External Interface 89 1 17 IV Additive Solution eee eee aa aaa senses senses senses 80 1 17 1 IV Additive Report ii De nce pei eiue per edet o E lende 90 1 17 2 TV SolutiOmReDoOri sa RD EPA RH E MEUM 90c 1 17 3 Mark PreMix Solutions 1 18 Warning Builder 1 19 Warning Mapping OT 1 20 Pharmacy Enterprise Product System PEPS Services Menu 99 1 20 1 Check Vendor Database Link a nennen rennen ener rennen een nnne 99 February 2009 Pharmacy Data Management V 1 0 User Manual 1 20 2 Check PE PS Services Setup aversie a RR de RR Ode e Es 100 1 20 3 Schedule Reschedule Check PEPS Interface eese eese nnne nnne 101 1 21 Stand Alone Menu Options 103 1 21 1 Enable Disable Vendor Database Link 103 1 21 2 Other Language Translation Setup
172. dor database and notifies the user when the connection goes down This sub menu contains the following options e Check Vendor Database Link e Check PEPS Services Setup e Schedule Reschedule Check PEPS Interface 1 20 4 Check Vendor Database Link PSS CHECK VENDOR DATABASE LINK The Check Vendor Database Link option allows you to check whether VistA can or cannot communicate with the vendor database If the communication link is up and running the vendor database version build version and date it was issued will be displayed for both standard and custom databases Standard data is as received from the vendor while custom data is modified standard or new data provided by the VA The date and time of the connection will also display If the connection could not be made this status is displayed with the date and time a successful connection was last made Example 1 Successful Connection Made to Vendor Database Select Pharmacy Data Management Option PEPS Services Select PEPS Services Option CHECK VENDOR Database Link Database Version 6 Build Version 3 2 Issue Date 01 29 2010 Custom Database Version 6 CUS POM pumas s Tomas Custom Issue Date 08 07 2009 Connected to Vendor database successfully FEB 22 2010 16 31 Press Return to Continue Select PEPS Services Option February 2009 Pharmacy Data Management V 1 0 99 User Manual Note If no data has been installed in the custom table the connection check returns
173. e 1 User selects single medication route Select Enhanced Order Checks Setup Menu Option Medication Route Mapping History Report This report displays changes made to the mapping of Medication Routes in the MEDICATION ROUTES 51 2 File to Medication Routes in the STANDARD MEDICATION ROUTES 51 23 File Select one of the following S Single Med Route A All Med Routes Print report for a Single Med Route or All Med Routes S ENTER ingle Med Route Select Med Route BOTH EYES il BOTH EYES OU 2 BOTH EYES RE ONEENS OU Beginning Date T 30 APR 28 2008 Ending Date T MAY 28 2008 DEVICE HOME lt ENTER gt edication Route mapping changes for BOTH EYES made between APR 28 2008 and MAY 28 2008 PAGE 1 Medication Route BOTH EYES This depicts a Date Time MAY 28 2008 09 57 58 remapping from Edited By PHARMACIST ONE ORAL to Old Value ORAL OPHTHALMIC New Value OPHTHALMIC Medication Route BOTH EYES Date Time MAY 28 2008 12 12 59 This depicts a deletion Edited By PHARMACIST ONE of a Standard Medication a Old Value OPHTHALMIC ee Route mapping New Value no new value q End of Report February 2009 Pharmacy Data Management V 1 0 59 User Manual Example 2 User selects all medication routes 60 Select Enhanced Order Check
174. e software will look at when deriving a FREQUENCY IN MINUTES for the daily dosage checks If a FREQUENCY IN MINUTES cannot be determined for an order the daily dosage check cannot occur for that order Select one of the following A All Schedules Only Schedules with a missing frequency Print All Schedules or Only Schedules without a frequency A Only Schedules with a missing frequency Select one of the following 80 80 Column 132 132 Column Print report in 80 or 132 column format 80 lt ENTER gt Column DEVICE HOME lt ENTER gt ADMINISTRATION SCHEDULE WITHOUT FREQUENCY REPORT PAGE 1 BID W MEAL STANDARD ADMINISTRATION TIMES 09 17 OUTPATIENT EXPANSION TWICE DAILY WITH MEAL OTHER LANGUAGE EXPANSION SCHEDULE TYPE FREQUENCY IN MINUTES Q12H STANDARD ADMINISTRATION TI OUTPATIENT EXPANSI OTHER LANGUAGE EXPANSI SCHEDULE TY FREQUENCY IN MINUTE S3 2S1 O0 SEV ER ene ZHOU S End of Report 1 14 Synonym Enter Edit PSS SYNONYM EDIT The Synonym Enter Edit option allows the user to enter synonym information into the SYNONYM field for a selected Dispense Drug Synonyms are used to easily identify drugs for the BCMA package and the Drug Accountability package and to simplify medication order entry
175. e to fail until it is scheduled by another user other than POSTMASTER February 2009 Pharmacy Data Management V 1 0 101 User Manual IMPORTANT A device must be entered in the DEVICE FOR QUEUED JOB OUTPUT field If a device is not entered then the job can result in a failure generating the mail message indicating the Order Check system is not available when the system really was never unavailable Most sites have a NULL type entry in the DEVICE 3 5 File as that is the recommended device since the tasked job does not write any data Additionally it is recommended that Startup Persistent be entered in the SPECIAL QUEUING field This will queue the job to run whenever the TaskMan computer is started i e at System Boot and will restart the task if it stops unexpectedly If this type of restart does occur the task could be set by Kernel to be run by POSTMASTER which as stated in the previous paragraph could cause the job to fail If this occurs then someone would need to reschedule the job with the identity of any user besides POSTMASTER Also as stated a few paragraphs earlier this POSTMASTER issue is resolved by patch PSS 1 0 163 by replacing 5 with a 0 in the interface message To check the link start up the PEPS Services Option Menu PSS PEPS SERVICES Check Vendor Database Link Check PEPS Services Setup Schedule Reschedule Check PEPS Interface Select PEPS Se rvices Option
176. ebruary 2009 User Manual 1 2 4 Most Common Dosages Report PSS COMMON DOSAGES The Most Common Dosages Report option displays the most common dosages administered over a specified time period for Unit Dose orders Example Most Common Dosages Report Select Dosages Option MOst Common Dosages Report This report displays common dosages of Dispense Drugs for Unit Dose orders based on the time frame entered Unit Dose orders without a Dosage Ordered are not included on this report If there are multiple Dispense Drugs associated with an order only the first Dispense Drug of the order will print with the Dosage Ordered AV Press Return to continue to exit lt Enter gt Enter start date for gathering Dosages T 365 JAN 23 2000 Do not print Dosage if frequency is less than LOO o Because of the length of this report and the time needed to gather the information this report must be queued to a printer DEVICE HOME QUEUED DEVICE HOME PRINTER 1 This report must be sent a printer COMMON DOSAGES REPORT STARTING FROM 01 23 00 PAGE 1 DRUG DOSAGE FREQUENCY ACETAMINOPHEN 325MG TAB U D 325 650MG TAB 12 650 mg 16 650MG 25 650MG TAB 66 650mg 38 ACETAMINOPHEN 500MG TAB U D 1000 mg 20 1000MG 11 1000MG TAB 33 1000mg 2 500 1000MG TAB 7 ALBUTEROL 0 5 INHL SOLN 0 5 NEB SOLN 10 0 5CC SOLN 40 0 5ML SOLN 12 ALBUTEROL 90MCG 200D ORAL INHL 2 PUFFS 52 2 JES ALLOPURINOL 300MG TAB U D 300MG TAB
177. ed You are NOW Marking Unmarking for NON VA MEDS SE l A Non VA Med ITEM No Y Yes You are NOW in the ORDERABLE ITEM matching for the dispense drug There are other Dispense Drugs with the same VA Generic Name and same Dose Form already matched to orderable items Choose a number to match or enter AT to enter a new one Disp drug GINGER ROOT TAB CAP 1 GINGER CAP TAB Choose number of Orderable Item to match or to enter a new one alt Matching GINGER ROOT TAB CAP to GINGER CAP TAB Is this OK YES lt Enter gt Match Complete Now editing Orderable Item GINGER CAP TAB FORMULARY STATUS lt Enter gt Enter an up arrow at the Select OI DRUG TEXT ENTRY lt Enter gt FORMULARY STATUS INACTIVE DATE lt Enter gt prompt to jump to the Select DAY nD Om DOSE nL LIMIT lt Enter gt SYNONYM prompt DEFAULT MED ROUTE Enter List of med routes associated with the DOSAGE FORM of the orderable item NO MED ROUTE DEFINED If you answer YES to the next prompt the DEFAULT MED ROUTE if populated 40 Pharmacy Data Management V 1 0 February 2009 User Manual Example 4 Drug Enter Edit Editing Non VA Medications continued and this list if populated will be displayed as selectable med routes during medication ordering dialog If you answer NO the DEFAULT MED ROUTE if populated and POSSIBLE MED ROUTES list will be displayed instead USE DOSAGE FORM MED ROU
178. elect to display only entries marked with 1 BAG DAY in the ADDITIVE FREQUENCY 418 Field or only those entries with nothing entered in the ADDITIVE FREQUENCY 18 Field or all entries can be displayed Pharmacy Data Management V 1 0 90a User Manual Select one of the following 1 Print entries marked as 1 BAG DAY for ADDITIVE FREQUENCY N Print entries marked as Null for ADDITIVE FREQUENCY A Print all IV Additives Print which IV Additives A ENTER Print all IV Additives This report is designed for 80 column format DEVICE HOME ENTER All IV Additives Page 1 Print Name AMINOPHYLLINE Drug Unit MG Synonyms Generic Drug AMINOPHYLLINE 25MG ML 20ML INJ Pharmacy Orderable Item AMINOPHYLLINE INJ SOLN Inactivation Date Used am MY miuic Oroli XES Additive Frequency ALL BAGS Print Name CALCIUM GLUCONATE D ej UJ is MRO Synonyms CAGLUC Generic Drug CALCIUM GLUCONATE 1GM Pharmacy Orderable Item CALCIUM GLUCONATE INJ SOLN Inactivation Date Used in IV Fluid Order Entry YES Additive Frequency Print Name HEPARIN Drug Unit UNITS Synonyms Generic Drug HEPARIN 10 000 UNITS 4ML Pharmacy Orderable Item HEPARIN INJ SOLN Inactivation Date Used in IV Fluid Order Entry YES Additive Frequency ALL BAGS Print Name TRACE ELEMENTS Drug Un
179. ement V 1 0 64a User Manual Example 3 Edit Orderable Items with USE DOSAGE FORM MED ROUTE LIST set to YES Select PHARMACY ORDERABLE ITEM NAME INSULIN INJ Orderable Item INSULI Dosage Form gt TUNG List all Drugs Additives Solutions tied to this Orderable Item YES Y Y En Orderable Item gt INSULIN Dosage Form gt IN Dispense Drugs INSULIN REGULAR U 100 INJ Are you sure you want to edit this Orderable Item NO Y Y n Now editing Orderable Item INSULIN INJ Orderable Item Name INSULIN This Orderable Item is Formulary This Orderable Item is marked as a Non VA Med Select OI DRUG TEXT ENTRY INACTIVE DATE DAY nD or DOSE nL LIMIT DEFAULT MED ROUTE SUBCUTANEOUS List of med routes associated with the DOSAGE FORM of the orderable item INTRAVENOUS INTRAMUSCULAR If you answer YES to the next prompt the DEFAULT MED ROUTE if populated and this list if populated will be displayed as selectable med routes during medication ordering dialog If you answer NO the DEFAULT MED ROUTE if populated and POSSIBLE MED ROUTES list will be displayed instead USE DOSAGE FORM MED ROUTE EIST Y YES SCHEDULE TYPE SCHEDULE PATIENT INSTRUCTIONS Select SYNONYM 64b Pharmacy Data Management V 1 0 February 2009 User Manual If the orderable item bein
180. ends updated information for every entry in the DRUG file 50 to the external interface for Outpatient Pharmacy dispensing systems using HL7 standard V 2 4 messages All entries are sent regardless of how they are marked for Application Package Use To use this option the following items must be set up properly in the OUTPATIENT SITE file 59 e Inthe AUTOMATED DISPENSE field 105 the value should be set to V 2 4 This enables sending data through the Interface Engine using HL7 V 2 4 standard e Inthe ENABLE MASTER FILE UPDATE field 105 2 the value should be set to YES e Inthe DISPENSE DNS NAME field 2006 there should be some value defined This value sends the DNS name of the dispensing system for example dispensemachinel vha med va gov to the Interface Engine so that the Interface Engine knows where to route the HL7 messages Example Send Entire Drug File to External Interface Select Pharmacy Data Management Option PSS MASTER FILE ALL Send Entire Drug File to External Interface Send Entire Drug File to External Interface Press RETURN to continue The Enhanced Order Checks Setup Menu options are located here on the main menu Because this menu will be removed when PRE V 0 5 is released the descriptions have been moved to the end of this chapter 1 23 Current functionality in the PDM package is that when a new drug is entered information is sent to the OPAI if one is defined Patches PSS 1 156 and PSO 7 35
181. enne 59 1 84 Request Change to Standard Medication 61 1 85 Default Med Route for Ol Report innreise enoei ea a a Ea aia iaaa niin 62d 1 9 Orderable Item Managemetnt 63 1 91 Edit Orderable Hlems 192 Dispense Drug Orderable Item Maintenance a enne neret enne 65 1 9 3 Orderable Item Dosages Report 68 1 94 Patient Instructions 22200 2 2 00000 0000 70 1 95 Orderable Item 71 1 10 Formulary Information Report 75 1 11 Drug Text Management 1 11 1 Drug Text Enter Edit 1 11 2 Drug Text File Report s a aee eR INN AR e LUE Na EEG 79 1 12 Pharmacy System Parameters Edit 81 1 13 Standard Schedule Managemoent 83 1 13 1 Standard Schedule Edit ee i NR hin Nee Home aaa Mee an as Hous eden 63 1 13 2 A
182. er NDC CODE 000006 3367 10 Enter Select SYNONYM Enter MESSAGE Enter RESTRICTION Enter FSN Enter NDC 6 3367 10 Enter INACTIVE DATE Enter WARNING LABEL SOURCE is NEW The following WARNING LABEL may continue to be used for a limited time for some external interfaces WARNING LABEL Enter Current Warning labels for TIMOLOL MALEATE 0 5 OPH SOLN Labels will print in the order in which they appear for local and CMOP fills 22N For the eye 290N If you are using other eye medications wait at least 10 minutes before applying them unless directed otherwise 245N Date opened Pharmacy fill card display DRUG WARNING 22N 290N 245N NOTE Because the NEW WARNING LABEL LIST field is empty the warnings above are the warnings that our national data source distributes for this drug Would you like to edit this list of warnings N Enter ORDER UNIT BT Enter PRICE PER ORDER UNIT 89 Enter DISPENSE UNIT ML Enter DISPENSE UNITS PER ORDER UNIT 5 Enter NCPDP DISPENSE UNIT EACH Enter NCPDP QUANTITY MULTIPLIER 1 Enter PRICE PER DISPENSE UNIT 0 1780 points to TIMOLOL MALEATE 0 5 SOLN OPH in the National Drug file This drug has already been matched and classified with the National Drug file In addition if the dosage form changes as a result of rematching you will have to match rematch to Orderable Item 36 Pharmacy Data Management
183. er Edit Message displayed when Create Default Possible Dosage is Yes and 1 possible dosage auto created Do you wish to match rematch to NATIONAL DRUG file Deleting Possible Dosages Match local drug LOMUSTINE 100MG CAP ORDER UNIT DISPENSE UNITS ORDER UNITS DISPENSE UNIT DO ty maten MLG LI SOS to NDF Local drug LOMUSTINE 100MG CAP matches LOMUSTINE 100MG CAP PACKAGE SIZE 20 PACKAGE TYPE BOTTLE this s match 2 Enter Yes or Nor YES YES LOCAL DRUG NAME LOMUSTINE 100MG CAP ORDER UNIT DISPENSE UNITS ORDER UNITS DISPENSE UNIT VA PRODUCT NAME VA PRINT NAME LOMUSTINE 100MG CAP LOMUSTINE 100MG CAP VA DISPENSE UNIT GAP PACKAGE SIZE 20 PACKAGE ATYRE BOLELE VA CLASS AN100 ANTINEOPLASTICS ALKYLATING AGENTS CS FEDERAL SCHEDULE INGREDIENTS LOMUSTINE 100 MG NATIONAL FORMULARY INDICATOR YES NATIONAL FORMULARY RESTRICTION lt Entrer WEL VIND for yes EOE MOD gt Towersa meteen FAC Novy YES Yes BT 20 BT 20 CMOP ID L0055 MARKABLE FOR CMOP YES You have just VERIFIED this match and MERGED the entry Resetting Possible Dosages Press Return to continue Just a reminder Strength from National Drug File match gt 100 MG Strength currently in the Drug File gt 100 MG Strength gt 100 Unit gt MG Press Return to V 7 V to exit POSSIBLE DOSAGES DISPENSE UNITS PER DOSE T DOSE 100MG LOCAL POSSIBLE DOSAGES Due to National Drug File settings only O
184. er Edit option display to include the new ADDITIVE FREQUENCY field Updated Table of Contents and Index J Freese DM K Lowry Tech Writer 1 64a b 65 65a b PSS 1 141 Added ASSOCIATED IMMUNIZATION field to Edit 66 Orderable Items option and Dispense Drug Orderable Item Maintenance option Reorganized content within sections to accommodate new information R Singer DM D Dertien R Silverman Tech Writer iii iv 53 PSS 1 140 Added DEFAULT MED ROUTE FOR CPRS field and Default 62a b 63 81 203 Med Route For OI Report PSS DEF MED ROUTE OI RPT option for the enhancement of default medication route being defined for an orderable item G Tucker PM S B Scudder Tech Writer PSS 1 131 Added explanations of DEA special handling code U for sensitive drug M Anthony PM C Liles Tech Writer PSS 1 137 Added Automate CPRS Refill field to the Pharmacy System Parameters Edit PSS MGR option G Tucker PM S B Scudder Tech Writer PSS 1 129 Pages renumbered to accommodate added pages Pharmacy Reengineering PRE V 0 5 Pre Release Restructured Pharmacy Data Management menu Grouped related options under the following new sub menus Drug Text Management Medication Instruction Management Medication Routes Management and Standard Schedule Management Added temporary Enhanced Order Checks Setup Menu Added the following options Find Unmapped Local Medication Routes Find Unmapped Local Possible Dosages
185. erapeutic range Certain drugs with an automatically calculated dosage of one time or two times the base strength that is supra or sub therapeutic will be adjusted to not auto create those default possible dosages Such changes will be distributed during the Monthly NDF Updates PSS 1 155 uses the three new fields added to the VA PRODUCT file 50 68 by PSN 4 261 to prevent the inadvertent creation of supra therapeutic possible dosages for high risk medications during the dosage creation segment of Pharmacy Data Management and National Drug File updates These fields will be used during the Match Rematch process of the Drug Enter Edit PSS DRUG ENTER EDIT option to determine if possible dosages should be auto created or not The three fields are CREATE DEFAULT POSSIBLE DOSAGE field 40 POSSIBLE DOSAGES TO CREATE field 41 PACKAGE field 42 When CREATE DEFAULT POSSIBLE DOSAGE field is YES then the existing functionality of auto creating possible dosages will be retained When this field is NO it will be used in combination with the value in POSSIBLE DOSAGES TO CREATE field to determine the auto creation of possible dosages Example 1 Supra Therapeutic Drugs Drug Enter Edit Message displayed when Create Default Possible Dosage is Yes and no possible dosages auto created Do you wish to match rematch to NATIONAL DRUG file No YES Yes Deleting Possible Dosages Match local drug INSULIN NPH U 100 INJ ORDE
186. eria for use of becalpermin Refer to PBM MAP Depression treatment guidelines Refer to PBM MAP guidelines for use of albumin Refer to VA DoD Hypertension treatment and PBM MAP CHF treatment guidelines Refer to PBM MAP Hypertension treatment and CHF treatment guidelines and PBM TAG Diabetes treatment guidelines Refer to PBM MAP Hypertension treatment guidelines Class review in progress Refer to PBM MAP Hypertension treatment and CHF treatment guidelines Refer to Pharmacologic Management of Cognitive Changes in Alzheimer s Disease Refer to PBM MAP benign Prostatic Hyperplasia treatment and Hypertension treatment guidelines February 2009 Appendix C Administration Schedules Spanish Translations The Outpatient Language Modifications patch PSS 1 47 provides the functionality to print prescription labels in a language other than English Enabling this functionality requires setting certain flags and completing several setup steps including populating fields used for the Sig with equivalent terms in the specified other language The following table provides Spanish equivalents for some of the more common Administration Schedules The translations in this table may require modifications for different dialects ADMIN SCHEDULE OUTPATIENT EXPANSION OUTPATIENT SPANISH EXPANSION AM DAILY IN THE MORNING DIARIAMENTE EN LA MANANA AM HS AT MORNING AND AT BEDTIME EN LA
187. erity Change Request Y YES Press Return to continue Example of Email Message Subj Drug Interaction Severity Change Request 89442 05 28 08 12 51 4 lines From PHARMACIST TWENTYTHREE In IN basket Page 1 Drug Drug Interaction DRUG A NAME amp DRUG B NAME Severity Change To CRITICAL This is a Drug Interaction severity change request Enter message action in IN basket Ignore QD Query Detailed Subj Drug Interaction Severity Change Request 89442 05 28 08 12 51 4 lines From PHARMACIST TWENTYTHREE In IN basket Local Message ID 89442 PEPCACHE FO BIRM MED VA GOV 2 recipients PHARMACIST TWENTYTHREE Last read 05 28 08 12 52 First read 05 28 08 12 51 Enter message action in IN basket Ignore February 2009 Pharmacy Data Management V 1 0 46a User Manual Example 3 Requesting a Duplicate Therapy Change Select Pharmacy Data Management Option ORDER CHECK Management Select Order Check Management Option REQuest Changes to Enhanced Order Check Database Select one of the following New Drug Interaction Drug Interaction Severity Change Duplicate Therapy Change Dosing Change 2 I select of the choices above for instance Duplicate Therapy Change You must now enter a description of the change problem lt word processing gt Press Return to continue to exit 1 This is a Duplicate Therapy change request 2 EDIT Option Transmit Duplicate Therapy Change Request
188. es that are not in the correct day of week order The correct order is SU MO TU WE TH FR SA The system shall display an error message if the user does not enter the correct order The error message The day of the week schedule must be in the correct day of week order The correct order is SU MO TU WE TH FR SA shall appear February 2009 Pharmacy Data Management V 1 0 84a User Manual 1 13 2 Administration Schedule File Report PSS SCHEDULE REPORT The Administration Schedule File Report option prints out entries rom the ADMINISTRATION SCHEDULE file 51 1 in order to check to see if a frequency is defined A report can be run for all administration schedules or only the administration schedules without a defined frequency Only administration schedules with a PACKAGE PREFIX field 4 in the ADMINISTRATION SCHEDULE file 51 1 set to PSJ will be included in the report The report can be set to print in either an 80 or 132 column format 84b Pharmacy Data Management V 1 0 February 2009 User Manual Example Only administration schedules without a frequency defined Select Enhanced Order Checks Setup Menu Option ADMINistration Schedule File Report This report displays entries from the ADMINISTRATION SCHEDULE 51 1 File It can be run for all Schedules or only Schedules without a FREQUENCY IN MINUTES Only schedules with a PSJ Package Prefix will be displayed since they are the only schedules th
189. es to display all Local Medication Routes If only unmapped Local Medication Routes are chosen the total for the number of unmapped entries will be displayed The report is formatted for 132 column width and can be sent to the screen or printer Example 1 User selects all Local Medication Routes Medication Route Mapping Report This report will print Medication Route mapping information for Medication Routes marked for All Packages in the PACKAGE USE 3 Field of the MEDICATION ROUTES 51 2 File Select one of the following A ALL MEDICATION ROUTES ONLY UNMAPPED MEDICATION ROUTE Enter A for All Routes O for Only Unmapped Routes O ALL MEDICATION ROUT This report is designed for 132 column format DEVICE HOME lt ENTER gt MEDICATION ROUTES MAPPING REPORT Reger 1 MEDICATION ROUTES File 51 2 STANDARD ROUTE FDB ROUTE OUTPATIENT EXPANSION BY MOUTH ORAL ORAL DENTAL DENTAL DENTAL EPIDURAL EPIDURAL EPIDURAL INTRA URETHRAL URETHRAL INTRA URETHRAL ORAL BY MOUTH MEDICATION ROUTES MAPPING REPORT Page 2 MEDICATION ROUTES File 51 2 STANDARD ROUTE FDB ROUTE OUTPATIENT EXPANSION TOTAL LOCAL MEDICATION ROUTES 5 TOTAL UNMAPPED LOCAL MEDICATION ROUTES 1 End of Report February 2009 Pharmacy Data Management V 1 0 57 User Manual Example 2
190. et Page 1 New The following entries have been added to the Standard Medication Routes 51 23 File None The following entries have been inactivated in the Standard Medication Routes 451 23 File None The following entries have been reactivated in the Standard Medication Routes 451 23 File INTRADUCTAL FDB Route INTRADUCTAL The following entries in the Medication Routes 451 2 File have been mapped remapped to a Standard Medication Route 451 23 File entry None PLEASE REVIEW MAY REQUIRE YOUR ATTENTION The following entries in the Medication Routes 451 2 File have been unmapped from a Standard Medication Route 451 23 File entry None The following entries in the Standard Medication Routes 451 23 File have had changes to the associated First DataBank Med Route and or Replacement Term INTRADUCTAL Replacement Term deleted The following entries in the Medication Routes 451 2 File were to mapped remapped to a Standard Medication Route 451 23 File entry could not occur because the Medication Route 451 2 File entry was None The following entries in the Medication Routes 451 2 File were to unmapped from a Standard Medication Route 451 23 File entry but could not occur because the Medication Route 451 2 File entry was None Enter message action in IN basket Ignore February 2009 Pharmacy Data Management V 1 0 User Manual be but locked be lo
191. found the report will display No IV Additives marked as 1 BAG DAY or No IV Additives marked as null respectively Example 1 User selects only IV Additives marked with no value in the Additive Frequency Field Select IV Additive Solution Reports Option IV ADditive Report This report displays entries in the IV ADDITIVES 452 6 File You can select to display only entries marked with 1 BAG DAY in the ADDITIVE FREQUENCY 418 Field or only those entries with nothing entered in the ADDITIVE FREQUENCY 18 Field or all entries can be displayed Select one of the following UN Print entries marked as 1 BAG DAY for ADDITIVE FREQUENCY N Print entries marked as Null for ADDITIVE FREQUENCY A Print all IV Additives Print which IV Additives A N Print entries marked as Null for ADDITIVE FREQUENCY This report is designed for 80 column format DEVICE HOME ENTER 90 Pharmacy Data Management V 1 0 February 2009 User Manual February 2009 IV Additives marked as null for ADDITIVE FREQUENCY Print Name PruggUnte Synonyms Generic Drug Pharmacy Orderable Item Inactivation Date Entry Additive Frequency Used in IV Fluid Order Print Name Digi Synonyms Generic Drug Pharmacy Orderable Item Inactivation Date ENET Additive Frequency RU decedens End of Report Select IV A
192. g edited is matched to any dispense drugs that are in VA drug classes IM100 through IM900 an additional prompt will appear to permit mapping for the orderable item to an associated immunization file entry This feature is Introduced with the Immunizations Documentation by BCMA application in patches PSS 1 141 and PSB 3 47 Example Editing Immunization Related Pharmacy Orderable Items Select PHARMACY ORDERABLE ITEM NAME INFLUENZA INFLUENZA INJ Orderable Item INFLUENZA Dosage Form gt List all Drugs Additives Solutions tied to this Orderable Item YES lt Enter gt Orderable Item INFLUENZA Dosage Form JENIJI Dispense Drugs INFLUENZA VACCIN F Are you sure you want to edit this Orderable Item NO YES Now editing Orderable Item Note The ASSOCIATED IMMUNIZATION field 9 is only presented when at least one of the INFLUENZA INJ Orderable Item Name INFLUENZA lt Enter gt This onde Tiem is Wemamlaszsz dispense drugs tied to the selected orderable item is in a VA Drug Class This Orderable Item is marked as a Non VA Med in the IM100 to IM900 range Select OI DRUG TEXT ENTRY lt Enter gt er INACTIVE DATE Enter Immunizations are typically found in DAY nD or DOSE nL LIMIT lt Enter gt VA Drug Classes IM100 IM105 DEFAULT MED ROUTE Enter IM109 IM700 or IM900 List of med routes associated with
193. g file entries to data in the National Drug File For drugs approved by the Food and Drug Administration FDA VA medical facilities have access to information concerning dosage form strength and unit package size and type manufacturer s trade name and National Drug Code NDC The NDF software lays the foundation for sharing prescription information among medical facilities Drugs that are not available for use by all providers An Orderable Item is pulled from the PHARMACY ORDERABLE ITEM file 50 7 and usually has no strength attached to it e g Acetaminophen The name with a strength attached is the Dispense Drug name e g Acetaminophen 325mg The ORDERABLE ITEM file 101 43 is a CPRS file that provides the Orderable Items for selection within all Pharmacy packages Pharmacy Orderable Items are a subset of this file February 2009 Pharmacy Data Management V 1 0 153 User Manual PECS Pending Order PEPS Pharmacy Orderable Item File Possible Dosages Prompt Standard Medication Route File Pharmacy Enterprise Customization System A Graphical User Interface GUI web based application used to research update via DATUP maintain and report VA customizations of the commercial off the shelf COTS vendor database used to perform Pharmacy order checks such as drug drug interactions duplicate therapy and dosing A pending order is one that has been entered by a provider through CPRS without Pharmac
194. glish 2 Spanish PMIS LANGUAGE 1 English WARNING LABEL SOURCE Enter N for NEW to use commercial data source for warning labels Choose from N NEW WARNING LABEL SOURCE N NEW CMOP WARNING LABEL SOURCE Enter N for NEW to use commercial data source for CMOP warning labels Choose from N NEW CMOP WARNING LABEL SOURCE OPAI WARNING LABEL SOURCE Enter N for NEW to use commercial data source for OPAI warning labels Choose from N NEW OPAI WARNING LABEL SOURCE N NEW AUTOMATE CPRS REFILL Enter Y to process CPRS refills automatically or N to process manually in Pharmacy backdoor Choose from 0 NO T YES AUTOMATE CPRS REFILL NO DEFAULT MED ROUTE FOR CPRS YES Enter Y to display only the default med route in CPRS or N to continue with the current functionality Choose from 0 NO dl YES NEW 2 Select Pharmacy Data Management Option February 2009 Pharmacy Data Management V 1 0 User Manual 81 82 This page left blank for two sided copying Pharmacy Data Management V 1 0 User Manual February 2009 1 13 Standard Schedule Management PSS SCHEDULE MANAGEMENT The Standard Schedule Management option was created to provide an umbrella for all the options related to working with standard schedules 1 13 1 Standard Schedule Edit PSS SCHEDULE EDIT The Standard Schedule Edit option allows the user to enter or edit entries in the ADMINISTRATION SCHEDULE file 3551 1 The set of times a
195. harmacy Data Management V 1 0 User Manual if you wish Yes February 2009 Example 6 Enter Edit Dosages Drug not eligible for dosage checks Dose Unit amp Numeric Dose fields not displayed Select Dosages Option ENTER EDIT Dosages Select Drug HYDROCORTISONE alg HYDROCORTISONE 0 5 CR DE200 2 HYDROCORTISONE 1 CREAM DE200 3 HYDROCORTISONE 1 CREAM PKT DE200 4 HYDROCORTISONE 1 LOTION DE200 5 HYDROCORTISONE 1 OINT DE200 Press lt RETURNS see more YOU to exit Chis Tist OR CHOOSE 1 5 2 HYDROCORTISONE 1 CREAM DE200 This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med HYDROCORTISONE 1 CREAM Inactive Date This drug has the following Local Possible Dosages SMALL AMOUNT PACKAGES MODERATE AMOUNT PACKAGE IO LIBERAL AMOUNT PACKAGE IO Do you want to merge new Local Possible Dosages Y NO Strength 1 Ume Select LOCAL POSSIBLE DOSAGE SMALL AMOUNT 10 LOCAL POSSIBLE DOSAGE SMALL AMOUNT lt ENTER gt PACKAGE Both lt ENTER gt BCMA UNITS PER DOSE lt ENTER gt Strength 1 Wies 5 Select LOCAL POSSIBLE DOSAGE Patch PSS 1 155 addresses supra therapeutic and sub therapeutic dosages supra therapeutic dosage is one that far exceeds the normal therapeutic range A sub therapeutic dosage is one that is far below the normal therapeutic range Certain drugs with an automatically calculated dosage of one time or two times the base strength that is supra or
196. hat is associated with the Pharmacy Orderable Item The Dispense Units Per Dose of 2 is a component of the Possible Dosage and is also provided by the software Example Simple Possible Dosage TAKE TWO TABLETS BY MOUTH EVERY 12 HOURS AFTER MEALS TAKE DOSAGE FORM file 50 606 2 DRUG file 50 Units Dose TABLETS DOSAGE FORM file 50 606 BY DOSAGE FORM file 50 606 Outpatient xpansion MEDICATION ROUTES fil MOUTH fion MEDICATION 51 2 e ROUTE file 4551 2 y ADMINISTRATION SCHEDULE file EVERY 12 Elen 51 1 or MEDICATION HOURS INSTRUCTION file 51 Tm PHARMACY ORDERABLE ITEM file AFTER MEALS NOM od Comments CPRS 144 Pharmacy Data Management V 1 0 February 2009 User Manual Required elements for every Possible Dosage are the Dosage Dispense Units Per Dose and Noun and the schedule Any other element may be deleted from the SIG If a SIG contains a medication route and that medication route is changed or deleted a new order will be created due to the change to the MEDICATION ROUTES file 51 2 A change to the dosage and or schedule will also create a new order Example Simple Possible Dosage TAKE TWO TABLETS EVERY 12 HOURS TAKE Q DOSAGE FORM file 50 606 is TABLETS DOSAGE FORM file 50 606 ADMINISTRATION SCHEDULE file EVERY 12 alen 51 1 or MEDICATION HOURS INSTRUCTION file 51 February 2009 Pharmacy Data Management V 1 0 145 User Manual The SIG of an o
197. he following five options were deleted Find Unmapped Local Medication Routes Map Local Medication Route to Standard Find Unmapped Local Possible Dosages Map Local Possible Dosages Strength Mismatch Report Pages 107 112 have been removed from the manual because of lack of content and the need to keep the next chapter starting on page 113 February 2009 Pharmacy Data Management V 1 0 106a User Manual This page left blank for two sided copying 106b Pharmacy Data Management V 1 0 February 2009 User Manual Chapter Two Understanding Dosages Dosages are compiled by collecting information that was previously entered in various files and gathering that information to populate individual fields within the DRUG file 50 Two types of dosages Possible Dosages and Local Possible Dosages are now stored in the DRUG file 50 Explanations of what determines a Possible Dosage and a Local Possible Dosage are included below along with diagrams to aid the user in understanding which files and fields contribute to constructing Possible Dosages and Local Possible Dosages More detailed information on Possible Dosages and Local Possible Dosages is contained in the Pharmacy Ordering Enhancements Pharmacy Data Management Pre Release Implementation Guide located on the VistA Documentation Library VDL web page at http vista med va gov vdl 2 1 Possible Dosages The PROPRANOLOL TAB example in Diagram A is an example of a drug that can have
198. he report to print if you wish DEVICE VIRTUAL Right Margin 80 LOCALLY ADDED DRUG INTERACTION LIST FEB 22 2010 15 26 PAGE 1 NAME SEVERITY DIGITALIS DIPHENHYDRAMINE SIGNIFICANT ALPRAZOLAM COLCHICINE CRITICAL AMOXICILLIN CISAPRIDE CRI CAN AMINOPHYLLINE AZITHROMYCIN AZITHROMYCIN THEOPHYLLINE CRITICAL AZITHROMYCIN OXTRIPHYLLINE CREAN AMPICILLIN ASCORBIC ACID CRITICAL ASCORBIC ACID ATENOLOL SIGNIFICANT ACACIA ACETIC ACID SIGNIFICANT AMIKACIN ASPIRIN SIGNIFICANT ASCORBIC ACID ASPIRIN CHLORPHENIRAMINE HYDROXYZINE Select Order Check Management Option February 2009 Pharmacy Data Management V 1 0 46c User Manual This side left blank for two sided copying 46d Pharmacy Data Management V 1 0 February 2009 User Manual 1 5 Electrolyte File IV PSSJI ELECTROLYTE FILE The Electrolyte File IV option allows the contents of the DRUG ELECTROLYTES file 50 4 to be altered This file contains the names of anions cations and their concentration units The file provides the ability for sites to enter intravenous IV orders for electrolytes as individual ingredients so that the IV label will print the total of individual electrolytes rather than the additive names The ELECTROLYTES sub file in the IV ADDITIVES file 52 6 and IV SOLUTIONS file 52 7 point to this Electrolyte file Example 1 Electrolyte File Adding Select Pharmacy Data Management Option ELectrolyte File IV
199. he system shall present an error message to the user if more than one administration time is entered The error message This schedule has a frequency greater than one day 1440 minutes More than one Administration Time is not permitted shall appear if more than one administration time is entered Schedule Edit Validation Three In the Standard Administration Times and the Ward Administration Times fields in the PSS SCHEDULE EDIT option for a schedule that has a Schedule Type of Continuous the system shall prevent a user from entering administration times to Odd Schedules a schedule whose frequency is not evenly divisible by or into 1440 minutes 1 day The system shall present an error message to the user if an administration time is entered The error message This is an odd schedule that does not require administration times BCMA will determine the administration times based off the start date time of the medication order shall appear Schedule Edit Validation Four A validation to TYPE OF SCHEDULE field in the PSS SCHEDULE EDIT was added to remove frequency from the schedule file entry if the TYPE OF SCHEDULE is changed from CONTINUOUS to ONE TIME PRN ON CALL or DAY OF WEEK The warning message The Type of Schedule has changed The frequency will be removed shall appear Schedule Edit Validation Five In the PSS SCHEDULE EDIT option the system shall prevent a user from creating Day of Week DOW schedul
200. hen populating the Dose Unit field for a Local Possible Dosage selection will be from this new file Pharmacy Data Management V 1 0 151 User Manual Drug Electrolytes File Drug File Drug Text File IV Additives File IV Solutions File Local Possible Dosages Medication Instruction File 152 The DRUG ELECTROLYTES file 50 4 contains the names of anions and their cations and concentration units The DRUG file 50 holds the information related to each drug that can be used to fill a prescription or medication order It is pointed to from several other files and should be handled carefully usually only by special individuals in the Pharmacy Service Entries are not typically deleted but rather made inactive by entering an inactive date The DRUG TEXT file 51 7 stores national and or drug restrictions guidelines and protocols to help assure medications are being used according to defined specifications The IV ADDITIVES file 52 6 contains drugs that are used as additives in the IV room Data entered includes drug generic name print name drug information synonym s dispensing units cost per unit days for IV order usual IV schedule administration times electrolytes and quick code information The IV SOLUTIONS file 52 7 contains drugs that are used as primary solutions in the IV room The solution must already exist in the DRUG file 50 to be selected Data in this file includes drug generic n
201. ible dosages were auto created Strength from National Drug File match gt 100 MG Strength currently in the Drug File gt 100 MG Edit Strength N O Strength gt 100 Unit gt Select DISPENSE UNITS PER DOSE You may enter a new POSSIBLE DOSAGES if you wish Type a Number between 0 and 99999999 4 Decimal Digits Select DISPENSE UNITS PER DOSE 16 Pharmacy Data Management V 1 0 February 2009 User Manual Example 2 Supra Therapeutic Drugs Enter Edit Dosages Messages displayed when resetting possible dosages when Create Default Possible Dosage is No and Possible Dosages To Create is O in the National Drug File Select Drug NIACIN 100MG TAB SUITES This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med NIACIN 100MG TAB Inactive Date This drug can have Possible Dosages but currently does not have any This drug has been set within the National Drug File to auto create only one possible dosage Create Possible Dosages for this drug N YES Resetting Possible Dosages Due to National Drug File settings only ONE possible dosage was auto created If other dosages are needed create POSSIBLE DOSAGES or LOCAL POSSIBLE DOSAGES as appropriate Press Return to continue Strength from National Drug File match 100 MG Strength currently in the Drug File 100 MG Edit Strength N O Strength 100 Unit MG Select DISPENSE UNITS PER DOSE Answer with
202. ient Medications and also can be converted to a patient readable Outpatient Pharmacy SIG Other Dosage Form Unit Combinations such as SYRUP MG 5ML can only be converted for Inpatient Medications since they cannot be easily changed to an Outpatient Pharmacy readable SIG In this example PROPRANOLOL TAB is selected as the Orderable Item in CPRS therefore the dose selection would be 20MG 40MG 80MG Notice that there is only one 40MG selection for the provider yet both the PROPRANOLOL HCL 20MG TAB drug and the PROPRANOLOL HCL 40MG TAB drug entries have doses of 40MG In this case the 40MG dose is associated with the PROPRANOLOL HCL 40MG TAB drug because it has a lower Dispense Units Per Dose 1 than the Dispense Units Per Dose 2 associated with the 40MG dose for the PROPRANOLOL HCL 20MG TAB y 4 For Possible Dosages when the software encounters two doses that are the same the lowest Dispense Units Per Dose will be used to determine the Dispense Drug 120 Pharmacy Data Management V 1 0 February 2009 User Manual Additionally another screen that is used for duplicate doses is the non formulary screen S If there are two of the same doses and one is formulary and the other is non formulary the formulary entry is the one that is used regardless of which dose has the lower Dispense Units Per Dose value The non formulary drug filter is executed prior to the lowest Dispense Units Per Dose filter So in this e
203. ing to display drugs that match that criteria to examine or edit their drug warnings 1 Drug has WARNING LABEL filled in but there are no FDB warnings for the drug 2 Drug has WARNING LABEL numbers higher than 20 3 Select by range of drug names 4 Drug has more than 5 warning labels 5 Drugs containing specific WARNING LABEL number 6 Drug has WARNING LABEL that does not map to new data source 7 Drugs containing specific new data source warning number 8 Drugs containing gender specific warnings 9 Drugs with warning mapping but drug doesn t contain mapped to number Enter selection 4 GREATER THAN 5 WARNINGS Exclude drugs with NEW WARNING LABEL LIST filled in Y lt Enter gt ES NOTE Only the first 5 warnings will print on the yellow auxillary labels Do you want to see the warning text for all warnings Y lt Enter gt ES Warnings gt 5 that won t print and won t be sent to CMOP will be marked with a on the following screens Current Warning labels for ACETAMINOPHEN AND CODEINE 30MG Labels will print in the order in which they appear for local and CMOP fills 1N May cause drowsiness Alcohol may intensify this effect Use care when operating a car or dangerous machines 62N May cause dizziness 45N Taking more of this medication than recommended may cause serious breathing problems 8N Do not drink alcoholic beverages when taking this medication 20 CAUTION Federal law prohibits the transfer of this drug
204. iption Number changed 151 Request Changes to Enhanced Order Check 153 154 added Database PSS ORDER CHECK CHANGES and 154a b updated changed text Changed example in Report of Locally Entered Interactions option Section deleted e Deleted Enhanced Order Checks Setup Menu and all its sub menu items Find Unmapped Local Medication Routes Map Local Medication Route to Standard Medication Route Mapping Report Medication Route File Enter Edit Medication Route Mapping History Report Request Change to Standard Medication Route Find Unmapped Local Possible Dosages Map Local Possible Dosages Local Possible Dosages Report Strength Mismatch Report Enter Edit Dosages Request Change to Dose Unit Mark PreMix Solutions IV Solution Report Administration Schedule File Report Medication Instruction File Report The deleted Enhanced Order Checks Setup Menu and its submenus is replaced by the following addition e Added PEPS Services menu and its submenus Check Vendor Database Link Check PEPS Services Setup and Schedule Reschedule PEPS Interface Added a heading for Stand Alone Menu Options with the description for the Enable Disable Vendor Database Link option and a short description for the Other Language Translation Setup option Added definitions in the glossary for PECS and PEPS and updated the index Jim Pollard Project Manager Ron Ruzbacki Bill Tatum Developers Marella Colyvas Technical Writer 1 1 38 40 6
205. ispense Unit In addition if the user overwrites the local drug name with the VA Print Name the entry may not be edited The VA Print Name will be displayed on all profiles and prescription labels if the local drug name is overwritten with the VA Print Name The local drug name will no longer be selectable during order entry If the user chooses not to overwrite the local drug name with the VA Print Name the local drug name will continue to be displayed on all profiles and can be used for drug selection during order entry The VA Print Name will be displayed on all prescription labels regardless of the local drug name A drug cannot be marked for CMOP if It is inactive in DRUG file 50 or VA PRODUCT file 50 68 It is not marked for Outpatient Medications use It is not matched to National Drug File It is a Schedule I or II narcotic It is not marked for CMOP in National Drug File CA A US The ability to mark unmark a single drug for CMOP transmission is also available utilizing the Drug Enter Edit option Locked PSXCMOPMGR Without the PSXCMOPMGR key the CMOP Mark Unmark Single drug option will not appear on your menu February 2009 Pharmacy Data Management V 1 0 5 User Manual 9 I When using the CMOP Mark Unmark Single drug option to mark a drug for CMOP the user must update the cost information in the DRUG file 50 to ensure the cost data for each prescription fill will be correct Use the Drug
206. it prompt this request will NOT be sent forward for national review Transmit Dosing Change Request Y ES Mail message transmitted for review Press Return to continue Example of Email Message Subj Dosing Change Request 57209 08 12 10 10 55 3 lines From PHARMACIST TWENTYTHREE IN basket Page 1 Dosing Change Description Problem No dosing information available for a 81 yo on Drug A Enter message action in IN basket Ignore QD Query Detailed Subj Dosing Change Request 57209 08 12 10 10 55 3 lines From PHARMACIST TWENTYTHREE basket Local Message ID 57209 EVL DEV FO HINES MED VA GOV 1 recipient PHARMACIST TWENTYTHREE Last read 08 12 10 10 57 First read 08 12 10 10 55 Enter message action in IN basket Ignore 1 4 2 Report of Locally Entered Interactions PSS REPORT LOCAL INTERACTIONS The Report of Locally Entered Interactions option allows sites to print a report of locally entered drug interactions and their severity This information can be used to determine whether or not a change request needs to be made to the enhanced order check database Example Requesting to Print a Report of Locally Entered Drug Interaction and Their Severity Select Pharmacy Data Management Option ORDER CHECK Management Select Order Check Management Option REPort of Locally Entered Interactions This report gives you a printed copy of locally added drug interactions and their severity You may queue t
207. it ML Synonyms Generic Drug TRACE ELEMENTS 5ML INJ Pharmacy Orderable Item TRACE ELEMENTS INJ CONC SOLN Inactivation Date Used in IV Fluid Order Entry YE Additive Frequency 1 BAG DAY End of Report 90b Pharmacy Data Management V 1 0 February 2009 User Manual 1 17 2 IV Solution Report PSS IV SOLUTION REPORT The IV Solution Report option displays only IV solutions marked as PreMixes or all IV solutions The report will print the following data elements Print Name Print Name 2 Volume Synonyms Generic Drug Pharmacy Orderable Item Inactivation Date Used in IV Fluid Order Entry PreMix If the user chooses to print only the IV solutions marked as PreMixes and none are found the report will display No IV Solutions marked as PreMixes found Example 1 User selects only solutions marked as PreMix Select Enhanced Order Checks Setup Menu Option IV SOLUTION Report This report displays only those solutions in the IV Solutions 52 7 File that are marked as PreMix IV Solutions or it displays all Solutions Select one of the following E Print only IV Solutions marked as PreMix A ALL WW Solve ions Print report for PreMix P or All IV Solutions A P A Premix P ENTER rint only IV Solutions marked as PreMix This report is designed for 80 column format DEVICE HOME lt ENTER gt Solution PreMix report for IV Solutions marked as PreMix Page 1 Print
208. ith the letter A enter A or whichever letter you wish to see To see drugs in a range for example drugs starting with the eV Visi VED Amel V prenter Aa format Meu Select a Range S You have the choice to print the drug text information f you answer yes to the question you will print all the drug text information for both dispense drug and orderable items f you answer no you will print only formulary designations This report requires 132 columns You may queue the report to print if you wish nclude drug text information NO YES Report will be for drugs starting with the letter S and ending with drugs starting with the letter S Is this correct Y Enter ES DEVICE HOME C VT132 TELNET DEVICE February 2009 Pharmacy Data Management V 1 0 75 User Manual Example Formulary Date printed JUN 2 Generic Name Information Report continued Formulary Information Report for Drugs from 5 through 5 5 2004 Local Visn National Restriction STANOZOLOL 2MG Orderable Item Sy ERC SENS Orderable Item STERILE GLOVES Orderable Item STOMA CENTERING GUI Orderable Item STOMA GUTDE STRLE S Orderable Item XXX TAB STERI STRIE STERILE GLOVE DE STOMA CENTERING GUIDE MISCELLANEOUS G 603 STOMA GUIDE STRIP STOMAHESIVE COVERING 4X4 5S Orderable Item STRAP MONTGOMERY Orderable Item STREPTOKINASE 250 0 Orderable Item STREPTOKIONASE 750
209. l law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed 94N Herbal dietary supplement products may interact with this medication Discuss any such product with your doctor or pharmacist before taking Pharmacy fill card display DRUG WARNING 1N 82N 71N 14N 20 94N NOTE Because the NEW WARNING LABEL LIST field is empty the warnings above are the warnings that our national data source distributes for this drug Would you like to edit this list of warnings N YES NEW WARNING LABEL LIST 1 2 3N Current Warning labels for ALPRAZOLAM 0 25MG TABS Labels will print in the order in which they appear for local and CMOP fills dL MAY CAUSE DROWSINESS Alcohol may intensify this effect USE CARE when driving or when operating dangerous machinery 2 IMPORTANT Finish all this medication unless otherwise directed by prescriber 3N Take medication on an empty stomach one hour before or two to three hours after a meal unless otherwise directed by your doctor 20 CAUTION Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed Pharmacy fill card display DRUG WARNING 1 2 3N 20 NEW WARNING LABEL LIST 1 2 3N Would you like to edit this list of warnings N Enter Pharmacy Data Management V 1 0 User Manual February 2009 1 19 Warning Mapping PSS WARNING MAPPING The Warning Mapping option is used to match an entry fro
210. lcohol puede intensificar este efecto Tenga cuidado cuando conduzca vehiculos automotores u opere maquinaria peligrosa WARNING LABEL ENGLISH NUMBER 2 Important Finish all this medication unless otherwise directed by prescriber Spanish translation Importante Acabe todo este medicamento a menos que quien le escriba la receta le indique lo contrario WARNING LABEL ENGLISH NUMBER 3 Take medication on an empty stomach one hour before or two to three hours after a meal unless otherwise directed by your doctor Spanish translation Tome este medicamento con el est mago vac o una hora antes o dos a tres horas despu s de comer a menos que su m dico le indique lo contrario WARNING LABEL ENGLISH NUMBER 4 Do not take dairy products antacids or iron preparations within one hour of this medication Spanish translation Una hora antes de tomar este medicamento y hasta una hora despu s de tomarlo no tome productos l cteos anti cidos o preparados de hierro WARNING LABEL ENGLISH NUMBER 5 Medication should be taken with plenty of water Spanish translation Debe tomar este medicamento con mucha agua Report continues Pharmacy Data Management V 1 0 User Manual February 2009 Example Warning Builder continued This will print all warning labels in the commercial data source s warning file To save space only the first five warning labels are displayed in this example Select one of the follow
211. lowing PHARMACY packages Outpatient Unit Dose Non VA Med MARK THIS DRUG AND EDIT IT FOR Outpatient Unit Dose WY Ward Stock Drug Accountability Controlled Substances Non VA Med ALL PMxMQUAHGO I Enter your choice s separated by commas You are NOW in the ORDERABLE ITEM matching for the dispense drug ACETAMINOPHEN 120MG 5ML LIQUID is already matched to ACETAMINOPHEN ELIXIR Do you want to match to a different Orderable Item NO Select DRUG GENERIC NAME Example 2 Enter Edit Dosages Create a Local Possible Dosage Select Dosages Option ENter Edit Dosages Select Drug GUAIFENESIN 100MG 5ML SYRUP RE302 DEES DAB RN TN ERO ML MAX NON REFILLABLE mpr 1BT 120ML OTC DRUG 6 02 This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med GUAIFENESIN 100MG 5ML SYRUP Inactive Date Strength from National Drug File match 100 MG 5ML Strength currently in the Drug File gt 100 Edit Strength N Enter O Strength 100 Unit gt Select DISPENSE UNITS PER DOSE Answer with POSSIBLE DOSAGES DISPENSE UNITS PER DOSE Choose from db 100 2 2 200 1 You enter new POSSIBLE DOSAGES if you wish Type a Number between 0 and 99999999 4 Decimal Digits Select DISPENSE UNITS PER DOSE lt Enter gt This drug has the following Local Possible Dosages 2 TEASPOONFULS PACKAGE O 10 MLS PACKAGE I Do you want to merge new Local Possible Dosages
212. lternately the Dosage Form of TAB would most likely only have one NOUN TABLET S TABLET S In the TIMOLOL example a review of the Dosage Form entry for SOLN OPH shows that the Dispense Units Per Dose of 1 and 2 are designated and a Noun of DROP S is specified If the Auto Create Dosages option is rerun with the current setup no Possible Dosages for the two TIMOLOL drugs will be created because the drugs do not meet all four Possible Dosages criteria Local Possible Dosages will be created of 1 DROP and 2 DROPS February 2009 Pharmacy Data Management V 1 0 129 User Manual If a NOUN ends in 5 or s such as TABLET S or capsule s the 5 or s will be completely dropped from the Noun when building the SIGs as long as the Dispense Units Per Dose is 1 or less If the Dispense Units Per Dose is greater than 1 the parenthesis around the S will be eliminated creating a plural Noun such as TABLETS For this to happen the Noun must precisely end in the three characters S Keep in mind that if an Orderable Item is selected in CPRS and there are Possible Dosages for any of the Dispense Drugs tied to that Orderable Item only the Possible Dosages will be returned and any Local Possible Dosages will be ignored Local Possible Dosages will only be used when no Possible Dosages can be found for drugs tied to the selected Orderable Item and identified for use by the selected application Inpatient Medication
213. m the RX CONSULT file 54 to the WARNING LABEL ENGLISH file 50 625 to aid In using the Warning Builder option to identify local warnings that do not have an equivalent entry in the commercial data source The user can also enter a Spanish translation for an RX CONSULT file 54 entry if desired but whenever possible the commercial data source s warnings should be used Example Warning Mapping Select Pharmacy Data Management Option WARNING MApping Note Warning mapping is only used as an aid when using the warning builder If a DRUG WARNING is defined with a warning mapping of 0 that entry will be skipped when choosing option 6 Drug has WARNING LABEL that does not map to new data source Enter RETURN to continue or to sits CURRENT WARNING MAPPING DRUG WARNING Mapped to New data source number 1L DROWSINESS EN 2 FINISH 2 3 EMPTY STOMACH ES 4 NO DAIRY PRODUCTS 4 5 WATER 5 6 DISCOLORATION 6 qi DIURETIC K 8 NO ALCOHOL 8 9 ADVICE 9 0 WITH FOOD 10 1 SUNLIGHT Jb 2 SHAKE WELL iS 3 EXTERNAL 20 4 STRENGTH 5 REFRIGERATE 30 6 DUPLICATE 7 EXPIRATION DATE 8 NO REFILL 9 SAME DRUG 20 NO TRANSFER Enter a valid Rx Consult file number 1 DROWSINESS MAY CAUSE DROWSINESS Alcohol may intensify this effect USE CARE when driving or when operating dangerous machinery Rx Consult file number 1 is mapped to WARNING LABEL ENGLISH number 1 May cause drowsiness Alcohol may intensify this effect Use care when operating a car
214. marked for the following PHARMACY packages TV Ward Stock MARK THIS DRUG AND EDIT TT FOR Outpatient one Poss de c AEN Ward Stock D Drug Accountability C Controlled Substances X Non VA Med ALL Enter your 5 separated commas I BV You are NOW editing IV fields AN IV ITEM Yes ENTER Yes Edit Additives or Solutions Select one of the following A ADDITIVES S SOLUTIONS Enter responser nip mS Select IV SOLUTIONS PRINT NAME CIMETIDINE PRINT NAME CIMETIDINE ENTER GENERIC DRUG CIMETIDINE 150MG ML MDV INJ 8ML ENTER USED IN IV FLUID ORDER ENTRY YES ENTER DRUG UNIT MG ENTER NUMBER OF DAYS FOR IV ORDER ENTER USUAL IV SCHEDULE ENTER ADMINISTRATION TIMES ENTER Select QUICK CODE ENTER AVERAGE DRUG COST PER UNIT lt ENTER gt Select ELECTROLYTE ENTER Select SYNONYM ENTER DRUG INFORMATION ENTER INACTIVATION DATE lt ENTER gt CONCENTRATION lt ENTER gt ADDITIVE FREQUENCY ALL BAGS lt ENTER gt Edit Additives or Solutions lt ENTER gt Select one of the following February 2009 Pharmacy Data Management V 1 0 User Manual 44c A ADDITIVES S SOLUTIONS Enter response Patch PSS 1 155 addresses supra therapeutic and sub therapeutic dosages A supra therapeutic dosage is one that far exceeds the normal therapeutic range A sub therapeutic dosage is one that is far below the normal th
215. mit to CMOP If you choose to rematch it the drug will be marked NOT TO TRANSMIT to CMOP Do you wish to match rematch to NATIONAL DRUG file No No Just a reminder you are editing METAPROTERENOL SULFATE 0 6 INHL SOLN LOCAL POSSIBLE DOSAGES 1 AMPULE PACKAGE 2 AMPULES PACKAGE TO Do you want to edit Local Possible Dosages N O ck k K k ccce K K k eee ccc ccce ccc K k K K k K K k K K k lt K k K K k cc k lt K k lt K k K K k k lt K k ck K k lt k k lt kx k lt This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med MARK THIS DRUG AND EDIT IT FOR Outpatient Unit Dose TS Ward Stock Drug Accountability Controlled Substances Non VA Med ALL PeKAUAHGO I Enter your choice s separated by commas 42 Pharmacy Data Management V 1 0 February 2009 User Manual Example 6 Drug Enter Edit Dispense As Written DAW Code Editing continued You are NOW in the ORDERABLE ITEM matching for the dispense drug METAPROTERENOL SULFATE 0 6 INHL SOLN is already matched to METAPROTERENOL SULFATE 0 6 2 5ML SOLN INHL Do you want to match to a different Orderable Item NO February 2009 Pharmacy Data Management V 1 0 User Manual 43 With Patch PSS 1 92 the Drug Enter Edit option is modified to allow the user to enter a Service Code in the DRUG file 50 Note Service Codes are assigned by the Charge Description Master Change Con
216. n Instructions or only Medication Instructions without a FREQUENCY IN MINUTES If a FREQUENCY IN MINUTES cannot be determined for an order the daily dosage check cannot occur for that order Select one of the following A All Medication Instructions Only Medication Instructions with a missing frequency Print All Medication Instructions or Only Medication Instructions without a frequency A All Medication Instructions Select one of the following 80 80 Column 132 132 Column Print report in 80 or 132 column format 80 lt ENTER gt Column DEVICE HOME lt ENTER gt Report follows February 2009 Pharmacy Data Management V 1 0 51 User Manual Example 1 User selects all medication instructions MEDICATION INSTRUCTION FILE REPORT All PAGE AD SYNONYM EXPANSION RIGHT EAR OTHER LANGUAGE EXPANSION PLURAL INTENDED USE OUTPATIENT ONLY FREQUENCY IN MINUTES BID SYNONYM EXPANSION TWICE A DAY OTHER LANGUAGE EXPANSION PLURAL INTENDED USE IN amp OUTPATIENT FREQUENCY IN MINUTES 720 EGE 2 EXPANSION FOR CHEST PAIN OTHER LANGUAGE EXPANS B INTENDED USE IN amp OUTPATIENT FREQUENCY IN MINUTES Q12H SYNONYM Q12 EXPANSION EVERY TWELVE HOURS OTHER LANGUAGE EXPANSION PLURA
217. nistration Schedule within an order is designated as DAY OF THE WEEK the number of administration times will be used to determine the frequency in order to perform a daily dose range check If none are defined a frequency of 1 will be assumed p I Note A schedule name of OTHER is not allowed This name is used to allow building a Day of Week and or admin time schedule in CPRS Example Standard Schedule Edit Select Pharmacy Data Management Option STAndard Schedule Edit Select ADMINISTRATION SCHEDULE BID NAME BID lt Enter gt OUTPATIENT EXPANSION TWO TIMES A DAY lt Enter gt OTHER LANGUAGE EXPANSION DOS VECES AL DIA TYPE OF SCHEDULE CONTINUOUS lt Enter gt STANDARD ADMINISTRATION TIMES 0900 1700 lt Enter gt FREQUENCY IN MINUTES 720 lt Enter gt Select WARD ADMINISTRATION SCHEDULE lt Enter gt 1 13 1 1 PSS Schedule Edit Option Validation Validation checks were added to the Standard Schedule Edit PSS SCHEDULE EDIT option to prevent the Standard Administration Times Ward Administration Times Frequency and Schedule Type fields of a schedule from conflicting with one another Schedule Edit Validation One The system shall validate for schedules with a Schedule Type of Continuous and a frequency of 1 day 1440 minutes or less that the number of administration times is less than or equal to 1440 divided by the frequency For example a schedule frequency of 720 minutes must have at least one admi
218. nistration time and cannot exceed two administration times Similarly a schedule frequency of 360 minutes must have at least one administration time but cannot exceed four administration times The system shall present warning error messages to the user if the number of administration times is less than or greater than the maximum admin times calculated for the schedule or if no administration times are entered If the number of administration times entered is less than the maximum admin times calculated for the schedule the warning message The number of admin times entered is fewer than indicated by the schedule shall appear In this case the user will be allowed to continue after the warning If the number of administration times entered is greater 84 Pharmacy Data Management V 1 0 February 2009 User Manual than the maximum admin times calculated for the schedule the error message The number of admin times entered is greater than indicated by the schedule shall appear The user will not be allowed to accept the order until the number of admin times is adjusted If no admin times are entered the error message This order requires at least one administration time shall appear The user will not be allowed to accept the order until at least one admin time is entered Schedule Edit Validation Two The system shall validate for frequencies greater than one day 1440 minutes that only one administration time is permitted T
219. nse Drug gt ACETAMIN W OXYCODONE 5MG PERCOCET TAB UD 12 ACETAZOLAMIDE CAP SA 639 Dispense Drug ACETAZOLAMIDE 500MG T R C 2599 Dispense Drug ACETAZOLAMIDE 500MG CAP SA 13 ACETAZOLAMIDE INJ 640 Dispense Drug ACETAZOLAMIDE NA 500MG VIL INJ 14 ACETAZOLAMIDE TAB 638 Dispense Drug ACETAZOLAMIDE 250MG TAB 2156 ACETIC ACID LIQUID 2506 Dispense Drug DOUCHE VAGINAL VINEGAR 4184 Dispense Drug gt ACETIC ACID 5 18 ACETIC ACID SOLN OTIC 1665 Dispense Drug gt ZZACETIC ACID 2 VOSOL SOLN OTIC 30ML 4113 Dispense Drug ACETIC ACID 2 VOSOL OTIC SOLN 15 17 ACETIC ACID SOLN IRRG CETS Dispense Drug gt ACETIC ACID 0 25 SOLN IRRG 4108 Dispense Drug gt ACETIC ACID 0 25 IRRG SOLN 2201 ACETIC ACID GLACIAL LIQUID 1185 Dispense Drug ACETIC ACID GLACIAL LIQUID 15 ACETIC ACID ALUMINUM ACETATE SOLN OTIC 1193 Dispense Drug gt DOMEBORO SOLN OTIC 16 ACETIC ACID HYDROCORTISONE SOLN OTIC 1881 Dispense Drug ZZACETIC ACID HYDROCORT VOSOL HC OTIC 4112 Dispense Drug gt ACETIC ACID HYDROCORT VOSOL HC OTIC 10 19 ACETOHEXAMIDE TAB 961 Dispense Drug gt ACETOHEXAMIDE 250MG TAB 152222 Dispense Drug gt ACETOHEXAMIDE 500MG TAB 20 ACETONE LIQUID 1292 Dispense Drug gt ACETONE 1PT 21 ACETOPHENAZINE MALEATE TAB 383 Dispense Drug gt ACETOPHENAZINE MALEATE 20MG TAB 22 ACETYLCHOLINE CHLORIDE SOLN OPH 749 Dispense Dr
220. nstallation If you choose to delete your Local Possible Dosages when remapping to NDF then when redefining your Local Possible Dosages you will have to repopulate the and Dose Unit and Numeric Dose fields along with all other Local Possible Dosage fields 34 Pharmacy Data Management V 1 0 February 2009 User Manual Example 2 Drug Enter Edit Marking of an Outpatient Drug for Clozapine or Lab Monitor MARK THIS DRUG AND EDIT IT FOR Outpatient Unit Dose BE Ward Stock Drug Accountability Controlled Substances Non VA Med ALL PXOUSHTO I Enter your choice 5 separated by commas O OMROEP een You are NOW editing OUTPATIENT fields AN Outpatient Pharmacy ITEM Yes Enter Yes CORRESPONDING INPATIENT DRUG CLOZAPINE 100MG TAB Enter MAXIMUM DOSE PER DAY lt Enter gt LOCAL NON FORMULARY Enter NORMAL AMOUNT TO ORDER lt Enter gt SOURCE OF SUPPLY Enter CURRENT INVENTORY Enter ACTION PROFILE MESSAGE OP RESTRICTED TO NATIONALLY REGISTERED PATIENTS Replace Enter MESSAGE NATL RESTRICTED IEN Replace Enter QUANTITY DISPENSE MESSAGE Enter OP EXTERNAL DISPENSE Enter Do you wish to mark to transmit to CMOP Enter Yes or No NO lt Enter gt Do you wish to mark unmark as a LAB MONITOR or CLOZAPINE DRUG Enter Yes or No YES Mark Unmark for Lab Monitor or Clozapine Select one of the following L LAB MONITOR CLOZAPINE Enter
221. ntry processes through CPRS Outpatient Pharmacy and Inpatient Medications Pharmacy Orderable Item defaults can be entered for selected fields These defaults will be displayed to the user during the medication order entry processes for all applications through which medication orders can be entered The Edit Orderable Items PSS EDIT ORDERABLE ITEMS option allows the user to enter a default medication route and med route selection list The default medication route for CPRS will be derived from the DEFAULT MED ROUTE field 3 06 of the PHARMACY ORDERABLE ITEM file 50 7 if it is populated or from the POSSIBLE MED ROUTES multiple 50 711 of the PHARMACY ORDERABLE ITEM file 50 7 if it is populated with a single entry and the USE DOSAGE FORM MED ROUTE LIST field 10 is set to NO Additional med routes for selection in the drop down list in CPRS will be derived from the POSSIBLE MED ROUTES multiple 50 711 if the USE DOSAGE FORM MED ROUTE LIST field 10 is set to NO Otherwise the med routes associated with the orderable item s dosage form MED ROUTE FOR DOSAGE FORM multiple 50 6061 of the DOSAGE FORM file 50 606 will be returned The method of deriving the appropriate medication routes listed above will be for Inpatient Medications unit dose orders IV Fluids orders and Outpatient Pharmacy orders entered via CPRS orders dialog Additionally a report is available to view all current default medication routes as well as all
222. nual Example Dosage Form File Enter Edit Select Dosages Option DOSage Form File Enter Edit Select DOSAGE FORM NAME TAB NAME TAB lt Enter gt Select MED ROUTE FOR DOSAGE FORM ORAL lt Enter gt VERB TAKE lt Enter gt OTHER LANGUAGE VERB TOMAR PREPOSITION BY lt Enter gt OTHER LANGUAGE PREPOSITION POR Select NOUN TABLET S lt Enter gt NOUN TABLET S lt Enter gt OTHER LANGUAGE NOUN TABLETAS TABLETA S PACKAGE Both lt Enter gt Select NOUN lt Enter gt CONJUNCTION OF lt Enter gt 1 2 3 Enter Edit Dosages PSS EDIT DOSAGES The Enter Edit Dosages option allows you to edit Possible Dosages and Local Possible Dosages for a selected Dispense Drug These dosages may be specified for Inpatient Medications Outpatient Pharmacy or both packages The BCMA UNITS PER DOSE field is used by Inpatient Medications to populate the Units Per Dose information for Unit Dose orders This value will determine the number of times a medication must be scanned in order to document a medication administration through Bar Code Medication Administration BCMA This field is not required and an entry should be made only when multiple scans through BCMA appear to document erroneous dosages The Enter Edit Dosages option allows the user to enter a dosage in a language other than English PDM does not translate English terms into another language instead it allows the user to enter a translation of a term If a value has not
223. ny information on the following diseases without a signed Release of Information ROI HIV drug abuse alcohol abuse or sickle cell anemia Drugs to mark with a U include Antiretrovirals Disulfiram Naltrexone and Methadone for maintenance or detox p Note The NDF option Rematch Match Single Drugs out those items with DEA SPECIAL HDLG code of 0 T or M When sites receive NDF data updates that cause one of these items to be unmatched from NDF they cannot use the Rematch Match Single Drugs option to rematch if they have added 0 T or M to drugs like Antiretrovirals Disulfiram Naltrexone or Methadone for maintenance or detox Sites can either 1 Rematch to NDF using another option or 2 Remove the DEA SPECIAL HDLG code use the Rematch Match Single Drugs option and then add the DEA SPECIAL HDLG code back in February 2009 Pharmacy Data Management V 1 0 29 User Manual Patch PSS 1 90 adds a new multiple field to the DRUG file 50 to store the latest National Drug Code NDC numbers that have been dispensed at window as well as by CMOP for a specific division This way when the next prescription is entered by the division for the same drug the last used NDC is automatically retrieved from this new multiple saved in the PRESCRIPTION file 52 and sent to the third party payer through ECME This field is populated automatically and does not require user input Below
224. o a printer This report must be QUEUED to a printer DEVICE Printer 1 Requested Start Time NOW JUL 18 2001 13 59 39 February 2009 Pharmacy Data Management V 1 0 User Manual 71 Example Orderable Item Report continued ORDERABLE ITEM DISPENSE DRUG MATCHED REPORT 815 91 AS 1215 Dispense Drug gt A FIL CREAM 45GM 2798 ABACAVIR ZIAGEN TAB 4508 Dispense Drug ABACAVIR ZIAGEN 300MG TAB UD 2229 ABCIXIMAB INJ SOLN 3912 Dispense Drug ABCIXIMAB REOPRO 2MG ML INJ 1833 ABDOMINAL PAD 12159 Dispense Drug gt PAD ABDOMINAL 7 5 X 8 STERILE 2577 Dispense Drug gt PADS ABDOMINAL 5X9 3276 Dispense Drug gt COTTON WADDING 1944 ABDOMINAL BINDER BELT 2743 Dispense Drug gt ABDOMINAL BINDER 2101 ACARBOSE TAB 3764 Dispense Drug gt ACARBOSE PRECOSE 50MG TAB 3765 Dispense Drug gt ACARBOSE PRECOSE 25MG TAB 1 ACEBUTOLOL CAP ORAL 57 17 Dispense Drug ACEBUTOLOL 200MG CAP 3335 Dispense Drug gt ACEBUTOLOL 400MG CAP 1629 ACETAMINOPHEN TAB 263 Dispense Drug ACETAMINOPHEN 325MG TAB 2730 Dispense Drug gt ACETAMINOPHEN 325MG TAB UD 4429 Dispense Drug gt ZTEST 2663 ACETAMINOPHEN ELIXIR 2564 Dispense Drug gt ACETAMINOPHEN LIQ 650MG 20 3ML U D CUP 1681 ACETAMINOPHEN LIQUID ORAL 494 Dispense Drug gt ACETAMINOPHEN LIQ 160MG 5ML 407 1723 Dispense Drug gt ACETAMINOPHEN 500MG 15CC ELIXIR 4 ACE
225. o you wish to match rematch to NATIONAL DRUG file No No Just a reminder you are editing ACETAMINOPHEN 120MG 5ML LIQUID Strength from National Drug File match gt 160 MG 5ML Strength currently in the Drug File gt 120 Please note Strength of drug does not match strength of VA Product it is matched to Press Return to Continue Strength gt 120 Unit gt POSSIBLE DOSAGES DISPENSE UNITS PER DOSE 1 DOSE 120MG 3 75ML PACKAGE T DISPENSE UNITS PER DOSE 2 DOSE 240MG 7 5ML PACKAGE I LOCAL POSSIBLE DOSAGES LOCAL POSSIBLE DOSAGE 1 TEASPOONFUL PACKAGES LOCAL POSSIBLE DOSAGE 2 TEASPOONSFUL PACKAGE IO LOCAL POSSIBLE DOSAGE l TABLESPOONFUL PACKACH 0 LOCAL POSSIBLE DOSAGE 2 TABLESPOONSFUL PACKAGE IO Do you want to edit the dosages N YES Changing the strength will update all possible dosages for this Drug STRENGTH 120 Select DISPENSE UNITS PER DOSE Strength 120 Unit MG 5ML Select LOCAL POSSIBLE DOSAGE 1 TEASPOONFUL IO LOCAL POSSIBLE DOSAGE 1 TEASPOONFUL OTHER LANGUAGE DOSAGE NAME PACKAGE Both N DOSE UNITS MILLIGRAMS lt lt Fields displayed when drug eligible for dosage check NUMERIC DOSE 120 Strength 120 Unit MG 5ML Pharmacy Data Management V 1 0 February 2009 User Manual Select LOCAL POSSIBLE DOSAGE kk ck ck ck KKK KKK KKK KKK KK KKK KKK KKK KKK KKK KKK KKK KKK KKK KKK KKK KKK KKK KKK ck ck ck KKK ck ck KKK kk kk ko kx kx This entry is marked for the fol
226. of Units tablets capsules etc to be dispensed as a dose for an order Fractional numbers will be accepted for certain dosage forms i e tablets oral solutions etc VA Drug Class Code A drug classification system used by VA that separates drugs into different categories based upon their characteristics Some cost reports can be run for VA Drug Class Codes VA Product File The VA PRODUCT file 50 68 February 2009 Pharmacy Data Management V 1 0 154a User Manual This page left blank for two sided copying 154b Pharmacy Data Management V 1 0 February 2009 User Manual Appendix A Convertible Dosage Form Unit Combinations Dosage Form CAP EC CAP INHL CAP ORAL CAP SA CAP SPRINKLE CAP SPRINKLE SA DENTAL CONE DROPS ORAL ELIXIR EMULSION ENEMA ENEMA RTL FLUID EXTRACT GEL GRANULES February 2009 Unit MG MCG MG GM MCG MG MG PKG MIC MIL MIN ML UNT MEQ MG UNT MG MG MG MG 0 6ML MG ML UNT ML MEQ 15ML MEQ 5ML MG 10 15ML MG 15ML MG 5ML MG ML GM I5ML UNT MG 60ML MG 5ML GM ML MCG 0 1ML MG 2 5ML MG 3GM MG 5ML MG UNT GM GM PKT MG Package Both Both Both Both Both Both Both Both Both Both Both Both Both Both Both Both Both Both Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatien
227. on in IN basket Ignore 62 Pharmacy Data Management V 1 0 February 2009 User Manual Example 2 Inactivation of Standard Medication Routes one with a Replacement Route and the other without Subj Standard Medication Route File Update 136380 08 21 09 09 58 64 lines From STANDARD MEDICATION ROUTE FILE PROCESSOR basket Page 1 New The following entries have been added to the Standard Medication Routes 451 23 File INTRA URETHRAL FDB Route INTRA URETHRAL The following entries have been inactivated in the Standard Medication Routes 451 23 File URETHRAL FDB Route INTRA URETHRAL Replacement Term INTRA URETHRAL Replacement Term FDB Route INTRA URETHRAL INTRAVITREAL FDB Route INTRAVITREAL Replacement Term None Replacement Term FDB Route None The following entries have been reactivated in the Standard Medication Routes 451 23 File None The following entries in the Medication Routes 451 2 File have been mapped remapped to a Standard Medication Route 451 23 File entry URETHRAL Previous Standard Route URETHRAL New Standard Route INTRA URETHRAL PLEASE REVIEW MAY REQUIRE YOUR ATTENTION The following entries in the Medication Routes 451 2 File have been unmapped from a Standard Medication Route 451 23 File entry INTRAVITREAL Previous Standard Route INTRAVITREAL New Standard Route None The following entries in the Standard Medication Routes 451 23 File have ha
228. opriate e Up arrow caret or a circumflex and pressing Enter can be used to exit the present option 2 Pharmacy Data Management V 1 0 February 2009 User Manual Chapter One Pharmacy Data Management Options The PDM options listed below show the Menu structure following the installation of PSS 1 155 but before installing MOCHA V 1 0 PSS 1 117 Each of these options is explained in detail later in this user manual Mark Unmark Single drug Dosages The CMOP Mark Unmark Dosage Form File Enter Edit Single drug option is displayed Enter Edit Dosages before the Warning Builder Most Common Dosages Report EDM enn For documentation purposes it is Noun Dosage Form Report being left at the beginning of this Review Dosages Report Local Possible Dosages Report Request Change to Dose Unit Drug Enter Edit Drug Interaction Management Enter Edit Local Drug Interaction Report of Locally Entered Interactions Electrolyte File IV Lookup into Dispense Drug File Medication Instruction Management Medication Instruction File Add Edit Medication Instruction File Report Medication Routes Management Medication Route File Enter Edit Medication Route Mapping Report Medication Route Mapping History Report Request Change to Standard Medication Route Default Med Route for OI Report Orderable Item Management Edit Orderable Items Dispense Drug Orderable Item Maintenance Orderable Item Dosages Report Patient
229. or Database is down No Drug Drug Interactions Duplicate Therapy or Dosing Order Checks will be performed until the connection is reestablished Enter message action in IN basket Ignore Here is an example of the mail message when the database is back up Subj ORDER CHECK DATABASE IS BACK UP 457254 08 15 10 02 44 2 lines From PSS INTERFACE SCHEDULER In IN basket Automatic Deletion Date Aug 18 2010 Page 1 Priority Connection to Vendor Database has been restored Drug Drug Interactions Duplicate Therapy and Dosing Order Checks can now be performed Enter message action in IN basket Ignore 102 Pharmacy Data Management V 1 0 February 2009 User Manual 1 24 Stand Alone Menu Options This section describes the stand alone menu options that are not exported as part of the main menu 1 21 1 Enable Disable Vendor Database Link PSS ENABLE DISABLE DB LINK The Enable Disable Vendor Database Link is a stand alone option that exists ONLY as a way for technical personnel to turn on off the database connection if required for debugging When disabled NO drug drug interactions duplicate therapy or dosing order checks will be performed in Outpatient Pharmacy Inpatient Medication applications or in the Computerized Patient Record System CPRS Normally the link is enabled and the Vendor Database updates are performed centrally in Austin and Martinsburg not at the individual sites The option is rarely used It is NO
230. ormulary Indicator YES National Restriction Local Drug Text Example 2 Lookup into Dispense Drug File 48 Select Pharmacy Data Management Option LOOKUP INTO Dispense Drug File Select DRUG GENERIC NAME LOVASTATIN 20MG TAB CV350 N F RESTRICTED TO CARDIOLOGY SERVICE LOVASTATIN 20MG TAB VA PRINT NAME LOVASTATIN 20MG TAB CMOP ID L0060 VA PRODUCT NAME LOVASTATIN 20MG TAB CMOP DISPENSE YES ORDERABLE ITEM LOVASTATIN TAB N F NDF DF TAB ORDERABLE ITEM TEXT Refer to PBM MAP Hyperlipidemia treatment guidelines for use SYNONYM S MEVACOR Trade Name MESSAGE THIS IS RESTRICTED TO CARDIOLOGY SERVICE DEA SPECIAL HDLG 6 NDC 000006 0731 82 CS FEDERAL SCHEDULE INACTIVE DATE QUANTITY DISPENSE MESSAGE DISPENSE IN 30 S WARNING LABEL WITH FOOD ORDER UNIT PRICE ORDER UNIT 50 DISPENSE UNIT TAB VA DISPENSE UNIT TAB Pharmacy Data Management V 1 0 User Manual February 2009 Example 2 Lookup into Dispense Drug File continued DISPENSE UNITS ORDER UNIT 100 PRICE DISPENSE UNIT 0 500 APPL PKG USE Outpatient Unit Dose VA CLASS CV350 ANTILIPEMIC AGENTS LOCAL NON FORMULARY N F VISN NON FORMULARY N F National Formulary Indicator YES FORMULARY ALTERNATIVES SIMVASTATIN 20MG TAB PRAVASTATIN 20MG TAB National Restriction Refer to PBM MAP Hyperlipidemia treatment guidelines for use Local Drug Text Example 3 Lookup Drug Looking Up a Non VA Med Select DRUG GENERIC NAME GINKO TAB CAP HA00
231. ou are told that almost every prescription for Coumadin is being rejected you may choose to make the change at the DRUG file 50 level Editing the DAW Code field in the DRUG file 50 for the Coumadin entry will make a global change such that each ePharmacy prescription filled for that product will use the DAW code you specify Note Ask your Pharmacy ADPAC to make the change at the DRUG file 50 level When using the Drug Enter Edit option a warning message is displayed if a discrepancy is found between the CS FEDERAL SCHEDULE field 19 of the VA PRODUCT file 50 68 and the DEA SPECIAL HDLG field 3 of the DRUG file 50 The warning message says The CS Federal Schedule associated with this drug in the VA Product file represents a DEA Special Handling code of XX where XX is the DEA SPECIAL HDLG code mapped to corresponding CS FEDERAL SCHEDULE code defined as follows schedule I IV and V are identical CS FEDERAL DEA SPECIAL SCHEDULE HDLG Schedule I narcotics 1 1 Schedule II narcotics 2 2A Schedule II non narcotics 2n 2C Schedule III narcotics 3 3A Schedule III non narcotics 3n 3C Schedule IV narcotics 4 4 Schedule V narcotics 5 5 February 2009 Pharmacy Data Management V 1 0 31 User Manual Patch PSS 1 129 enhances the Drug Enter Edit option to allow editing of the Numeric Dose and Dose Unit fields defined for Local Possible Dosages If any of the following conditions can be determined at the time of entry
232. patient Language Modifications patch PSS 1 47 provides the functionality to print prescription labels in a language other than English Enabling this functionality requires setting certain flags and completing several setup steps including populating fields used for the Sig with equivalent terms in the specified other language The following table provides Spanish equivalents for some of the more common medication routes lt S The translations in this table may require modifications for different dialects MEDICATION ROUTE OUTPATIENT EXPANSION SPANISH OUTPATIENT EXPANSION BLADDER IRRIGATION BLADDER IRRIGATION IRRIGACION DE VEJIGA BOTH EARS BOTH EARS AMBOS OIDOS BOTH EYES BOTH EYES EN AMBOS OJOS BUCCAL CHEEK AND GUM UNTIL DISSOLVED LA QUIJADA Y LA ENCIA HASTA QUE SE DISUELVA CHEWABLE CHEWABLE MASTICAR Y TRAGAR DEEP IM DEEP INTRAMUSCULAR INTRAMUSCULAR PROFUNDO DENTAL DENTAL USE USO DENTAL GARGLE GARGLE GARGARAS GASTROSTOMY GASTROSTOMY GASTROSTOMIA GASTROSTOMY TUBE GASTROSTOMY TUBE TUBO DE GASTROSTOMIA INFILTRATION INFILTRATION INFILTRACION INHALATION INHALATION INHALACION INHALATION NASAL NASAL INHALATION INHALATION ORAL ORAL INHALATION INTRA ARTERIAL INTRA ARTERIAL VIA INTRA ARTERIAL INTRA ARTICULAR INTRA ARTICULAR INTRA ARTICULAR INTRA DYALISIS INTRA DYALISIS INTRA DYALISIS INTRABURSAL INTRABURSAL INTRABURSAL INTRACARDIAC INTRACARDIAC INTRACARDIACO IN
233. possible med routes for the listed orderable items See the section entitled Default Med Route For OI Report PSSDEF MED ROUTE OI RPT Example 1 Edit Orderable Items with USE DOSAGE FORM MED ROUTE LIST set to Select Orderable Item Management Option Edit Orderable Items Select PHARMACY ORDERABLE ITEM NAME INSULIN INJ Orderable Item INSULIN Dosage Form TENE List all Drugs Additives Solutions tied to this Orderable Item YES Y YES Orderable Item INSULIN Dosage Form February 2009 Pharmacy Data Management V 1 0 63 User Manual Example 1 Edit Orderable Items with USE DOSAGE FORM MED ROUTE LIST set to NO continued Dispense Drugs INSULIN REGULAR U 100 INJ Are you sure you want to edit this Orderable Item NO Y Y Fl n Now editing Orderable Item INSULIN INJ Orderable Item Name INSULIN This Orderable Item is Formulary This Orderable Item is marked as a Non VA Med ee legi OI DRUG TEXT ENTRY INACTIVE DATE DAY nD or DOSE nL LIMIT DEFAULT MED ROUTE SUBCUTANEOUS List of med routes associated with the DOSAGE FORM of the orderable item INTRAVENOUS INTRAMUSCULAR If you answer YES to the next prompt the DEFAULT MED ROUTE if populated and this list if populated will be displayed as selectable med routes during medication ordering dialog If you answer NO the DEFAU
234. qe O VA PRODUCT file 50 68 PROPRANOLOL HCL 20MG TAB STRENGTH 20 UNITS MG DOSAGE FORM TAB February 2009 Pharmacy Data Management V 1 0 115 User Manual Diagram A The VA Product match for this drug is PROPRANOLOL HCL 20MG TAB It is a single ingredient product with a numeric Strength 20 It has a Dosage Form of TAB and units of MG in the VA PRODUCT file 50 68 Additionally the non editable multiple field called UNITS from the DOSAGE FORM file 50 606 indicates which combination of Dosage Form and Units can be converted to Possible Dosages assuming that the product is a single ingredient drug with a numeric strength It also indicates the package Inpatient Medications Outpatient Pharmacy or both for which Possible Dosages can be created So in the first PROPRANOLOL example the Dosage Form Unit Combination of TAB MG is convertible for both Inpatient Medications and Outpatient Pharmacy The DISPENSE UNITS PER DOSE multiple of the DOSAGE FORM file 50 606 is a non editable field used to calculate dosages during the dosage creation process 1 or 1 and 2 were chosen for all Dosage Forms because they require the least amount of editing in the DRUG file 50 See Diagram B 116 Pharmacy Data Management V 1 0 February 2009 User Manual Diagram B DRUG file 50 PROPRANOLOL HCL 20MG TAB STRENGTH C20 UNIT Dispense Units Dose 1 DOSAGE FORM file 50 606 TAB Dispense Units Pack
235. r has defined for his or her Preferred editor in the NEW PERSON 200 File February 2009 Pharmacy Data Management V 1 0 45 User Manual Example 1 Requesting to Add a New Drug Interaction Select Pharmacy Data Management Option ORDER CHECK Management Select Order Change Management Option REQuest Changes to Enhanced Order Check Database Select one of the following N New Drug Interaction S Drug Interaction Severity Change T Duplicate Therapy Change D Dosing Change Select one of the choices above for instance N ew Drug Interaction Enter Interacting Drug Names free text Drug A amp Drug B Select one of the following Pe dengenen gal Tater Severitys peli You must now enter a reason or references for this request word processing TAN Press Return to continue Lo ekiti 1 This is a request to add a new Drug Drug Interaction 2 EDIT Option NOTE This is test account Regardless of your response to the Transmit request will NOT be sent forward for national review Transmit New Drug Interaction Request Y NO Mail message only sent to you in Vista Mail Press Return to continue Example of Email Message Subj New Drug Interaction Request 89442 05 28 08 12 51 4 lines From PHARMACIST TWENTYTHREE basket Page 1 Request New Drug Interaction DRUG A NAME amp DRUG B NAME Severity CRITICAL This is a request to add a new Drug Inter
236. rder for a medication with Local Possible Dosages may contain the same elements as a Possible Dosage except that the Local Possible Dosage replaces the Dispense Untts Per Dose and Noun elements Example Local Possible Dosage APPLY THIN FILM TO AFFECTED AREA TWICE DAILY AFTER WASHING THOROUGHLY DOSAGE FORM file 50 606 THIN FILM AFFECTED AREA Local Possible Dosage Outpatient Expansion from MEDICATION ROUTE file 51 2 DRUG FILE 50 DOSAGE FORM file 50 606 MEDICATION ROUTES file 51 2 TWICE DAILY Schedule Expansion ADMINISTRATION SCHEDULE file 51 1 or MEDICATION INSTRUCTIONS file 51 AFTER WASHING THOROUGHLY Patient Instructions or Provider Comments ORDERABLE ITEM file 50 7 or CPRS CPRS entered provider comments may be copied into the PATIENT INSTRUCTIONS field These Patient Instructions will then print at the end of the SIG If Patient Instructions exist at the Pharmacy Orderable Item level the CPRS provider will view them when the order is being entered and can select whether or not to include them as part of the order If the provider elects to not include the Pharmacy Orderable Item Patient Instructions as a part of the order they will not appear in the PATIENT INSTRUCTIONS field of the pending order 146 Pharmacy Data Management V 1 0 User Manual February 2009 The following Complex Local Possible Dosage would apply to a multi ingredient liq
237. required for external billing purposes only Answer must be between 600001 699999 SERVICE CODE The Charge Description Master CDM Change Control board assigns value for this field The value should be a number between 600001 699999 SERVICE CODE 699991 44 Pharmacy Data Management V 1 0 February 2009 User Manual Patch PSS 1 147 enhances the Drug Enter Edit option to display the Numeric Dose and Dose Unit fields defined for Local Possible Dosages and allows editing of the new Additive Frequency field in the IV ADDITIVES file Example 1 Drug Enter Edit Rematching of drug to NDF Select Pharmacy Data Management Option Drug Enter Edit Select DRUG GENERIC NAME TIMOPTIC Lookup SYNONYM 11 0 259 IIMOLOL 04255 OPIH SOL 10ML OPIOI 2 COTES OT SH OODSPEEL REMO OOS TOP ES ONO NU OPON kk ck ck ccc ccc ccc cc ccc ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck ck This entry is marked for the following PHARMACY packages Outpatient Unit Dose Non VA Med GENERIC NAME TIMOLOL 0 5 OPTH SOL 10ML Replace ENTER VA CLASSIFICATION OP101 ENTER DEA SPECIAL HDLG 6P ENTER DAW CODE ENTER PRICE PER DISPENSE UNIT 6 060 points to TIMOLOL MALEATE 0 5 SOLN OPH in the National Drug file This drug has already been matched and classified with the National Drug file In addition if the do
238. ries in the DRUG TEXT file 51 7 see Appendix B Example Drug Text File Report Select Pharmacy Data Management Option DRUG TEXT FILE REPORT This report shows each selected drug text entry and lists all drugs and orderable items linked to it Select one of the following A ALL S SINGLE ENTRY OR RANGE Print for 11 or S elect Single Entry or Range S Enter SINGLE ENTRY OR RANGE There are drugs in the drug text file with leading numerics Print report for drug text entries with leading numerics N Enter Enter a single drug text entry or to see all drug text entries beginning with the letter A for example enter A or whichever letter you wish to see To see drug text entries in a range for example starting with H I and J enter in the format H J Enter a single entry or select a range C Report will be for drug text starting with C and ending with drug text starting with C Is this correct Y Enter ES You may queue the report to print if you wish DEVICE HOME VIRTUAL Right Margin 80 Enter Drug Text Report for drug text from C through C Date printed JUL 16 2002 Page 1 PLEASE NOTE The National Formulary Restriction Text is the original text exported with the DRUG TEXT file 451 7 and automatically linked to the DRUG file 50 entries based on the VA product match No ORDERABLE ITEM file 450 7 entries were automatically linked with DRUG TEXT file 451 7 DRUG TEXT NAME
239. rt CHOOSE 1 3 1 Medication Route File Enter Edit Select M Press lt RETURN gt to see 1 AME SUBCUTANEOUS lt I SO EDICATION ROUTES NAME SUBCUTANEOUS SUBCUTANEOUS SC SUBCUTANEOUS SQ S S S UBCUTANEOUS EPIDURAL CAUDAL UBCUTANEOUS INTRA ARTICULAR SC UBCUTANEOUS INTRADERMAL SE 10 more U spo xb asic OR 5 SE ER l 1 SUBCUTANI gt ATIE H p iL PACKAGI ENTER ANSION E NT EXE R LANGUAG EXPANSION ENTER FLAG e ca rj p FJ YP ENTER ROMPT F OR INJ SITE IN BCMA ENTER DSPLY ON IVP IVPB TAB IN BCMA ENTER Already Stnd Rou Do you w Mapping Select NAME DE mapped to te SUBCUTANEOUS FDB Route SUBCUTANEOUS ant to remap to a different Standard Med Route N lt ENTER gt O Remains Unchanged EDICATION ROUTES NAME DEEP IM EP IM ENTER ABBRI A lt H TION lt ENTER gt USE All Packages R PACKAGE OUTP T EXPANSION lt ENTER gt OTHER LA GUAGE EXPANSION lt ENTER gt IV FLAG lt ENT PROMPT F DSPLY ON STANDARD KR
240. rvices Setup Checking Vendor Database Connection Connection could not be made to Vendor database Last reached MAR 02 2010 11 44 Press Return to Continue 1 20 3 Schedule Reschedule Check PEPS Interface PSS SCHEDULE PEPS INTERFACE CK The Schedule Reschedule Check PEPS Interface option allows you to schedule the Interface Scheduler PSS INTERFACE SCHEDULER option which tests the PEPS interface by sending a PING request If the PEPS Interface is not available a mail message will be sent to the G PSS ORDER CHECKS mail group This must be scheduled so constant monitoring takes place on the Mocha Interface to provide timely notification of any problems Please note that the next paragraph regarding the POSTMASTER is only applicable up until the installation of patch PSS 1 0 163 because PSS 1 0 163 includes functionality that will replace any Person s Internal Entry Number in the interface message that is not a whole number with the number 0 because the interface will accept 0 as a valid number PSS 1 0 163 will also do the same with Job Number and Station Number after stripping off any non numeric characters This conversion will also happen on all Order Check messages When scheduling this job the person that is doing the scheduling must NOT have assumed the identity of the POSTMASTER because the Internal Entry Number of the POSTMASTER is 5 and the decimal could cause the interface to fail so this job would continu
241. s it is Noun Dosage Form Report being left at the beginning of this Review Dosages Report menu Local Possible Dosages Report Request Change to Dose Unit Drug Enter Edit Order Check Management Request Changes to Enhanced Order Check Database Report of Locally Entered Interactions Electrolyte File IV Lookup into Dispense Drug File Medication Instruction Management Medication Instruction File Add Edit Medication Instruction File Report 4 Pharmacy Data Management V 1 0 February 2009 User Manual Medication Routes Management Medication Route File Enter Edit Medication Route Mapping Report Medication Route Mapping History Report Request Change to Standard Medication Route Default Med Route for OI Report Orderable Item Management Edit Orderable Items Dispense Drug Orderable Item Maintenance Orderable Item Dosages Report Patient Instructions Report Orderable Item Report Formulary Information Report Drug Text Management Drug Text Enter Edit Drug Text File Report Pharmacy System Parameters Edit Standard Schedule Management Standard Schedule Edit Administration Schedule File Report Synonym Enter Edit Controlled Substances PKI Reports DEA Spec Hdlg amp CS Fed Sch Discrepancy Controlled Substances Not Matched to NDF CS DRUGS Inconsistent with DEA Spec Hdlg CS Ord Item Inconsistent with DEA Spec Hdlg Send Entire Drug File to External Interface IV Additive Solution IV Additive Report IV Solution Repor
242. s the system will not present default values for those fields to the user during CPRS or Outpatient Pharmacy prescription order processing However when building the SIG Outpatient Pharmacy will default to the value the user input through Outpatient Pharmacy backdoor order entry See Appendix C for a list of Spanish equivalents for some of the more common administration schedules In order to perform a daily dose range check on a prescribed medication the software needs to determine how many times per day the single dosage is taken The schedule from an order will be used to obtain that information If the schedule is found the value in the FREQUENCY IN MINUTES field 2 in the ADMINISTRATION SCHEDULE file 51 1 will be used to calculate the frequency If a frequency cannot be determined a daily dose range check will not be performed The user will be informed of this and a reason given as to why A maximum single dose check will still be performed and general dosing information for the drug will be provided February 2009 Pharmacy Data Management V 1 0 83 User Manual If the type of schedule for an administration schedule used for an order is designated as ONE TIME or ON CALL or if the Schedule Type for a Unit Dose order is ONE TIME or ON CALL only a maximum single dosage check will be performed on the order and a frequency is not needed General dosing information for the drug will also be provided If the TYPE OF SCHEDULE for an Admi
243. s Setup Menu Option Medication Route Mapping History Report This report displays changes made to the mapping of Medication Routes in the MEDICATION ROUTES 51 2 File to Medication Routes in the STANDARD MEDICATION ROUTES 51 23 File Select one of the following S Single Med Route A All Med Routes Print report for a Single Med Route or All Med Routes S All Med Routes Beginning Date T 365 JAN 10 2007 Ending Date T JAN 10 2008 DEVICE HOME ENTER edication Route mapping changes for ALL Medication Routes Page 1 made between JAN 10 2007 and JAN 10 2008 edication Route BOTH EARS Date time JAN 9 2008015 18 Edited by PHARMACIST ONE Old Value BUCCAL ew Value OTIC Medication Route BOTH EYES This depicts a Date time NOV 30 2007 13 01 20 remapping from Edited by PHARMACIST TWO ORAL to Old Value ORAL F OPHTHALMIC ew Value OPHTHALMIC SEES Medication Route INTRADERMAL n Date time DEC 19 2007 14 43 49 This depicts a Local Medication Edited by AUTOMAPPED Route which was automapped during Old Value lt no previous value gt New Value INTRADERMAL the post init Medication Route INTRAMUSCULAR Date time JAN 9 2008 15 23 20 Edited by PHARMACIST ONE Old Value EPIDURAL ew Value lt no new value gt End Of Report Pharmacy Data Management V 1 0 February 2009 User Manual 1 8 4 Reques
244. s or Outpatient Pharmacy In the TIMOLOL example the Noun of DROP S and the Dosage Form of SOLN OPH produces the following results See Diagram H 130 Pharmacy Data Management V 1 0 February 2009 User Manual Diagram H DRUG file 50 DOSAGE FORM file 50 606 TIMOLOL 0 25 OPH SOLN 5ML SOLN OPH ham EEA STRENGTH Dispense Units Dr Selects the Medication UNIT per Dose Package Orderable Item 1 O TIMOLOL SOLN OPH 2 Noun Package DROP S O Conjunction OF 2 DROPS OF 0 25 2 DROPS VA PRODUCT file 50 68 1 DROP OF 0 5 TIMOLOL MALEATE 0 25 Y Local Possible Dosage Package 1 DROP OF 0 25 1 DROP 2 DROPS OF 0 5 SOLN OPH dicio SOLN SML STRENGTH O25 gt UNITS 5 UNIT DOSAGE FORM SOLN OPH Local Possible Dosage Package TIMOLOL MALEATE 0 5 SOLN OPH STRENGTH UNITS DOSAGE FORM SOLN OPH 1 DROP 2 DROPS February 2009 Pharmacy Data Management V 1 0 131 User Manual This page left blank for two sided copying 132 Pharmacy Data Management V 1 0 February 2009 User Manual 2 3 Possible Dosages and Local Possible Dosages The following dosage example is of a Dispense Drug that has Possible Dosages for Inpatient Medications and Local Possible Dosages for Outpatient Pharmacy The Dispense Drug is PROMETHAZINE HCL 25MG 5ML SYRUP The reason Possible Dosages were created only for Inpatient Medications is because the units of 25 MG SML for the SYRUP
245. s request Press Return to continue to exit ENTER WRAP INSERT lt References Reason for Request lt PF1 gt H Help Valid Dose Unit missing from file lt T T T T T 26 T ab T gt Do you want to save changes y Transmit Dose Unit Request Y lt ENTER gt ES Mail message transmitted for review Press Return to continue February 2009 Pharmacy Data Management V 1 0 25 User Manual Example Request Change to Dose Unit Request email Subj Dose Unit Request 89442 05 28 08 12 51 4 lines From PHARMACIST ONE In IN basket Page 1 Request New Dose Unit GRAIN S Valid Dose Unit missing from file Enter message action in IN basket Ignore QD Query Detailed Subj Dose Unit Request 89442 05 28 08 12 51 4 lines From PHARMACIST ONE In IN basket Local Message ID 89442 PEPCACHE FO BIRM MED VA GOV 2 recipients PHARMACIST ONE Siere adik 05 28 08 ENDE 56 We a di 28 SG VAOITVHITPSDOSEUNITREQ VA GOV Sent 05 28 08 12 51 Time 1 second Message ID 48343526 FORUM VA GOV Enter message action in IN basket Ignore 1 3 Drug Enter Edit PSS DRUG ENTER EDIT The Drug Enter Edit option allows users to make a new Dispense Drug entry into the DRUG file 50 or to make changes to existing DRUG file 50 Dispense Drug entries This option consolidates entries for all Pharmacy packages if the user possesses the proper package key
246. sage form changes as a result of rematching you will have to match rematch to Orderable Item Do you wish to match rematch to NATIONAL DRUG file No Y ENTER Yes Deleting Possible Dosages LOCAL POSSIBLE DOSAGES 1 DROP Package gt O 2 DROPS Package gt 0 Delete these Local Possible Dosages Y NO Local Possible Dosages not deleted Match local drug TIMOLOL 0 5 OPTH SOD 10ML ORDER UNIT BT DISPENSE UNITS ORDER UNITS 1 DISPENSE UNIT 2 wil prey BO match NDCI 650 JO NID Local drug TIMOLOL 0 5 OPTH SOL 10ML matches TIMOLOL MALEATE 0 5 SOLN OPH PACKAGE SIZE 10 ML PACKAGE TYPE BOTTLE IE edge Enter Yes or No YES lt ENTER gt February 2009 Pharmacy Data Management V 1 0 44a User Manual LOCAL DRUG NAME TIMOLOL 0 5 OPTH SOL 10ML ORDER UNIT BE DISPENSE UNITS ORDER UNITS 1 DISPENSE UNIT VA PRODUCT NAME TIMOLOL MALEATE 0 5 SOLN OPH VA PRINT NAME TIMOLOL MALEATE 0 5 OPH SOLN CMOP TD 10056 VA DISPENSE UNIT ML MARKABLE FOR CMOP YES PACKAGE SIZE 10 ML PACKAGE TYPE BOTTLE VA CLASS OP101 BETA BLOCKERS TOPICAL OPHTHALMIC CS FEDERAL SCHEDULE INGREDIENTS TIMOLOL MALEATE 0 5 NATIONAL FORMULARY INDICATOR YES NATIONAL FORMULARY RESTRICTION 55 meere WIA Heere vers NU Hei me gt 1s Eiser meten eer You have just VERIFIED this match and MERGED the entry Resetting Possible Dosages Press Return to continue lt ENTER gt This drug has the following Loc
247. sion ROUTE file 51 2 Outpatient Expansion Outpatient ioi Expansion S Repeat as chedule Dispense from Expansion Needed Provider Units Dose ROUTE file 51 2 Comments Outpatient Repeat as Patient Expansion Schedule Instruction from MEDICATION Expansion TA ROUTE file 51 2 February 2009 Pharmacy Data Management V 1 0 141 User Manual This page left blank for two sided copying 142 Pharmacy Data Management V 1 0 February 2009 User Manual 3 1 SIG Formulas Each of the four types of dosages Simple Possible Dosages Complex Possible Dosages Simple Local Possible Dosages and Complex Local Possible Dosages can be created using the dosage s respective SIG formula The formulas along with examples of various SIGs are explained in detail below Simple Possible Dosages Dosages that have a numeric dosage and numeric Dispense Units Per Dose appropriate for administration are called Possible Dosages For a drug to have Possible Dosages it must be a single ingredient product that is matched to a VA PRODUCT file 50 68 entry in the National Drug File The National Drug File entry must have a single numeric strength and the Dosage Form Unit Combination must be such that a numeric strength combined with the unit can be an administrable dosage selection The formula for creating a SIG for a Simple Possible Dosage is displayed below The charts following the formula
248. splays the Dosage Forms along with their associated Nouns and package use identifiers It also displays the Local Possible Dosage created by the software based on the Nouns and Instructions of each Dosage Form Example Noun Dosage Form Report Select Dosages Option NOUN Dosage Form Report This report shows the Dosage Forms and Nouns along with the package use for each Noun and the resulting Local Possible Dosage DEVICE HOME Enter TELNET DEVICE Dosage Form Dispense Units per Dose PAGE 1 Noun s Package gt Local Possible Dosage ADAPTER 61 ADAPTER gt 1 ADAPTER AEROSOL 1 PUFF S UO 1 PURE SPRAY S OS Il SUP RVANG AEROSOL ORAL il 2 PUFF 5 PUP P T gt MURS SPRAY S MOSS 11 SIPRVANG BOL 2 SPRAYS AEROSOL RTL 1 2 APPLICATORFUL S IO 1 APPLICATORFUL IO 2 APPLICATORFULS AEROSOL TOP 3 725 SPRAY S IO 1 SPRAY IO 2 SPRAYS AEROSOL VAG ily 2 SPRAY S IO 1 SPRAY IO 2 SPRAYS APPLICATOR 1 2 APPLICATOR IO 1 APPLICATOR IO 2 APPLICATOR BAG BAG IO BAG BANDAGE IO gt BANDAGE BAR CHEWABLE 819 5 gt 1 BAR BAR TOP No Nouns BARRIER BARRIER IO gt BARRIER February 2009 Pharmacy Data Management V 1 0 User Manual 19 Example Noun Dosage Form Report continued 20 BEADS TOP BEADS BELT BELT BLOCK CAP EC CAPSULE S CAP INHL CAPSULE 5 CAP ORAL CAPSULE S CAP SA CAP
249. ssociated with the standard dosage administration schedules can be assigned as can ward specific administration times This feature may be used to define the outpatient expansion to be used when the schedule is entered for an Outpatient Pharmacy medication order Entry of a frequency in minutes allows the software to calculate the interval between dosages for Inpatient Medication orders and BCMA and is used by Outpatient Pharmacy to calculate default quantities When the frequency is entered a message displays telling the user in hours how often the administration will occur If the schedule type is on call the system does not require a frequency Schedules with a frequency that is not evenly divisible into or by 24 hours are considered odd Odd schedules are not allowed to have administration times If the schedule type is continuous and it is an odd schedule the system does not allow the entry of administration times Continuous non odd schedules still require administration times The Standard Schedule Edit option allows the user to enter the outpatient expansion value in a language other than English PDM does not translate English terms into another language instead it allows the user to enter a translation of a term If a value has not been entered in the OTHER LANGUAGE EXPANSION field PDM defaults to the value entered in the OUTPATIENT EXPANSION field If no values exist in the OUTPATIENT EXPANSION and OTHER LANGUAGE EXPANSION field
250. t Inpatient Inpatient Pharmacy Data Management V 1 0 User Manual 155 GRNL EFFERVSC GRNL RCNST ORAL GUM CHEWABLE IMPLANT INJ 156 MG 5ML MEQ PKG GM PKG MG 2 5ML MG 5ML MG ML MG PKT MG MG GM GM 100ML GM 3ML GM 50ML GM BAG GM BTL GM ML GM VIAL MBq ML MBq VIL MCG 0 5ML MCG ML MCG VIL MEQ L MEQ ML MG MG 0 2ML MG 0 3ML MG 0 4ML MG 0 5ML MG 0 5ML MG 0 625ML MG 0 6ML MG 0 8ML MG 10ML MG 2ML MG 5ML MG AMP MG BAG MG ML MG VIAL MIC VIL MIL ML MIL VIL MILLION UNT VIL ML PNU Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Inpatient Pharmacy Data Management V 1 0 User Manual February 2009 INJ IN OIL INJ CONC INJ CONC W BUF INJ CONC SOLN INJ FROZEN INJ LYPHL INJ PWDR INJ REPOSITORY INJ SOLN February 2009 PNU ML UNT UNT 0 1ML UNT 0 2ML UNT 0 5ML UNT AMP UNT ML UNT TEST UNT VIL mgl ml nKatU ML MG ML MG 50ML MG 5ML MG VIAL MG ML MG ML MG VIAL MEQ ML MG 10ML MG ML MG ML GM VIAL MCG VIL MG AMP MG VIAL UNT AMP U
251. t Mark PreMix Solutions Warning Builder Warning Mapping PEPS Services Menu Check Vendor Database Link Check PEPS Services Setup Schedule Reschedule Check PEPS Interface NOTE The Enhanced Order Checks Setup Menu added with patch PSS 1 129 will be deleted when Pharmacy Reengineering PRE Version 0 5 is installed February 2009 Pharmacy Data Management V 1 0 4a User Manual Stand Alone Menu Options Enable Disable Vendor Database Link is a stand alone option that is to be used ONLY by technical personnel to turn on off the database connection if required for debugging Normally it is enabled and the Vendor Database updates are performed centrally in Austin and Martinsburg not at the individual sites This option is rarely used It is NOT exported as part of the main PDM menu PSS MGR Other Language Translation Setup is a stand alone option that must be assigned to the person s responsible for maintaining it 4b Pharmacy Data Management V 1 0 February 2009 User Manual 1 1 CMOP Mark Unmark Single drug PSSXX MARK The CMOP Mark Unmark Single drug option allows the user to mark unmark a single drug for transmission to the Consolidated Mail Outpatient Pharmacy CMOP Pertinent DRUG file 50 and VA PRODUCT file 50 68 fields shall be displayed to the user for review whenever a drug is marked or unmarked for CMOP transmission If the user marks the entry to transmit to CMOP it will replace the Dispense Unit with the VA D
252. t instructions in a language other than English PDM does not translate English terms into another language instead it allows the user to enter a translation of a term If a value has not been entered in the OTHER LANGUAGE INSTRUCTIONS field PDM will default to the value entered in the PATIENT INSTRUCTIONS field If the PATIENT INSTRUCTIONS field does not contain data for the selected orderable item the system will not present default patient instructions to the user during CPRS or Outpatient Pharmacy prescription order processing However when building the SIG Outpatient Pharmacy will default to the value the user input through backdoor Outpatient Pharmacy order entry February 2009 Pharmacy Data Management V 1 0 65 User Manual Example Dispense Drug Orderable Item Maintenance 65a Select Orderabl Item Management Option Dispense Drug Orderable Item Maintenance This option enables you to match Dispense Drugs to an entry in the Pharmacy Orderable Item f ile Dispense Drug DISPENSE DRUG I IBUPROFEN 800MG IBUPROFEN T Do you want There are other BUPROFEN 800MG TAB TAB is already matched to AB to match to a different Orderabl MS102 ltem Dispense Drugs with th already matched Disp drug 1 IBUPROFEN TAB Choose number of Matching IBUPROF TO IBUPROFEN TAB glas O42 dme Match Complete Now editing O IBUPROFE i This Orderable I A
253. t Change to Standard Medication Route PSS MEDICATION ROUTE REQUEST The Request Change to Standard Medication Route option was provided for users to request additions or changes to the STANDARD MEDICATION ROUTES file 51 23 PSS 1 147 changes this option to now refer the requestor to a web site to make the request A list of all Standard Medication Routes and corresponding FDB Route mapping initially released with the PRE V 0 5 Pre Release patch can be found in Appendix A of the Pharmacy Reengineering PRE Version 0 5 Pre Release Implementation Guide Since then there have been additions pushed out by the New Term Rapid Turnaround NTR T process For a complete listing use FileMan to print the NAME field 01 and FIRST DATABANK MED ROUTE field 1 from the STANDARD MEDICATION ROUTES file 51 23 Example 1 Request Change to Standard Medication Route Select Enhanced Order Checks Setup Menu Option Request Change To Standard Medication Route Standard Medication Route requests must now be made at the following website http vista med va gov ntrt Press Return to continue Standard Medication Routes File Update Notifications Updates to the Standard Medication Route File are made by the New Term Rapid Turnaround NTRT process Patch PSS 1 147 provides MailMan notifications to the mail group PSS ORDER CHECKS when changes occur The following changes will generate a notification e Inactivation of a standard medication route e
254. ta Management V 1 0 February 2009 User Manual Medication Route Mapping Report 56 Medication Routes Management 53 Medication Routes Spanish Translations 199 Menu Options 1 Most Common Dosages Report 17 New Term Rapid Turnaround NTR T 61 Non VA Meds Drug Enter Edit 39 40 Noun Dosage Form Report 19 Order Check Management 45 Orderable Item Management 63 Orderable Item Report 71 Original Drug Text File Entries Combinations 163 Other Language Translation Setup option 104 PEPS Services 99 Pharmacy Data Management options 3 Pharmacy System Parameters Edit 81 Possible Dosages 113 143 PROMPT FOR INJ SITE IN BCMA 54 PSXCMOPMGR key 5 PSXCOMPMGR key 1 Report of Locally Entered Interactions 46c Request Change to Standard Medication Route 61 Request Changes to Dose Unit 25 Request Changes to Enhanced Order Check Database 45 Rerun Auto Create Dosages 7 Review Dosages Report 21 Revision History i Schedule Reschedule Check PEPS Interface 101 Screen prompts 1 Sig formula 143 Sig Formulas Formulas 141 February 2009 Pharmacy Data Management V 1 0 205 User Manual Simple Local Possible Dosages 139 Simple Possible Dosage Formula 143 Simple Possible Dosages 139 Standard Schedule Management 83 89 Supra therapeutic Dosages 15 16b 44d j Synonym Enter Edit 85 Table of Contents v Unmarking a CMOP Drug Single drug 6 Warning Builder 91 Warning Mapping 97 206 Pharmacy Data
255. ted the Dispense Units Per Dose is 3 and the drug is PROPRANOLOL HCL 20MG TAB For Outpatient Pharmacy orders the SIG will be built in the same manner as it is today If the 60MG is chosen the SIG will begin with TAKE 3 TABLETS and the assigned Dispense Drug is PROPRANOLOL HCL 20MG TAB As demonstrated in the PROPRANOLOL example the key to populating the Possible Dosages in the DRUG file 50 is the information that is contained in the VA PRODUCT file 50 68 entry to which that drug is matched Earlier diagrams also show that dosages can be added deleted etc for a drug by editing the DISPENSE UNITS PER DOSE field for that drug In addition to creating Possible Dosages for a drug by editing the DISPENSE UNITS PER DOSE field appropriate Possible Dosages can be created by editing the STRENGTH field for a drug When Possible Dosages are created for a drug the strength information from the VA Product match is moved to the drug entry and stored in the STRENGTH field The only time this data would not be accurate would be if a VA PRODUCT file 50 68 entry with the correct strength did not exist and a different strength of the drug had to be selected for the drug s VA Product match however these instances should be rare If the desired strength does not exist for a particular drug the functionality exists to edit the STRENGTH field in the DRUG file 50 for that drug Once the strength edit is completed new Possible Dosages are cre
256. tion 66N This medicine contains ACETAMINOPHEN Taking more ACETAMINOPHEN than recommended may cause serious liver problems 70N Do not take other ACETAMINOPHEN containing products at the same time without first checking with your doctor Check all medicine labels carefully Pharmacy fill card display DRUG WARNING 8 66 70 NOTE Because the NEW WARNING LABEL LIST field is empty the warnings above are the warnings that our national data source distributes for this drug Would you like to edit this list of warnings N lt ENTER gt O ORDER UNIT lt ENTER gt PRICE PER ORDER UNIT lt ENTER gt TONNEN UNIT ENTER DIESEN UNITS PER ORDER UNIT 1 lt ENTER gt PRICESPERSDESDENSENUND TE points to ACETAMINOPHEN 160MG 5ML ELIXIR the National Drug file This drug has already been matched and classified with the National Drug file In addition if the dosage form changes as a result of rematching you will have to match rematch to Orderable Item Do you wish to match rematch to NATIONAL DRUG file No lt ENTER gt No Just a reminder you are editing ACETAMINOPHEN ELIX 120MG 5ML 402 Strength from National Drug File match gt 160 MG 5ML Strength currently in the Drug File gt 120 Please Note Strength of drug does not match strength of VA Product it is matched to Press Return to Continue lt ENT
257. tion Route File Deletions Not Allowed Select MEDICATION ROUTES NAME NEW INHALATION MED ROUTE EXAMPLE NIMRE NAME NEW INHALATION MED ROUTE EXAMPLE Replace DELETE ACCESS REQUIRED Required NAME NEW INHALATION MED ROUTE EXAMPLE Replace With lt Enter gt Replace lt Enter gt ELETE ACCESS REQUIRED Required EW INHALATION MED ROUTE EXAMPLE Replace lt Enter gt EVIATION NIMRE lt Enter gt AGE USE NATIONAL DRUG FILE ONLY lt Enter gt ATIENT EXPANSION AS NEEDED lt Enter gt R LANGUAGE EXPANSION lt Enter gt LAG lt Enter gt PT FOR INJ SITE IN BCMA lt Enter gt DSPLY ON IVP IVPB TAB IN BCMA lt Enter gt 1 8 2 Medication Route Mapping Report PSS MED ROUTE MAPPING REPORT The Medication Route Mapping Report option displays the mapping between the Local Medication Route the Standard Medication Route and the FDB Route for Medication Routes marked for Packages The report can be limited to unmapped Local Medication Routes or can display all Local Medication Routes that are marked for Packages Totals are displayed at the end of the report for the number of all Local Medication Routes marked for Packages and the number of unmapped Local Medication Routes if the user 56 Pharmacy Data Management V 1 0 February 2009 User Manual choos
258. trol Board No entry should be made without coordination of the Change Control Board to assign the code If a drug is matched to an entry in the VA PRODUCT file of the NDF package a Service Code need not be entered in the DRUG file If a Service Code is defined for drugs of this type in the DRUG file and is matched in the VA PRODUCT file the value defined in the VA PRODUCT file takes precedence The PSSCOMMON input template portion of the Drug Enter Edit PSS DRUG ENTER EDIT option is modified to allow entry of the new SERVICE CODE field The following is an incomplete example showing only the display when the drug is matched to NDF so there is no prompt for a Service Code Example 7 Drug Enter Edit Drug matched to NDF no prompt for Service Code NDC INACTIVE DATE lt gt Note here between inactive date and warning label is where the Service Code prompt would have been displayed if the drug had not been matched to NDF WARNING LABEL SOURCE is not NEW WARNING LABEL will be used until the WARNING LABEL SOURCE is set to NEW The following is an incomplete example showing only the display when the drug is not matched to NDF so a Service Code is entered Example 8 Drug Enter Edit Drug not matched to NDF entering a Service Code NDC INACTIVE DATE If you are planning to match to a NDF entry later or have no plan of using the external billing function you may skip the Service Code entry SERVICE CODE This is
259. ug ACETYLCHOLINE CL 1 SOLN OPH 2118 ACETYLCYSTEINE 10 SOLN OPH 2215 Dispense Drug gt ACETYLCYSTEINE 10 OPH DROPS 10ML 2119 ACETYLCYSTEINE 10 SOLN INHL 31733 Dispense Drug gt ACETYLCYSTEINE 10 INHL SOLN 10 23 ACETYLCYSTEINE 20 SOLN INHL 1218 Dispense Drug gt ACETYLCYSTEINE 20 INHL SOLN 30 1634 Dispense Drug gt ZZACETYLCYSTEINE 20 SOLN 10ML VI 4476 Dispense Drug ACETYLCYSTEINE 20 INHL SOLN 10 2443 ACITRETIN CAP ORAL 4193 Dispense Drug gt ACITRETIN 25MG CAP 4317 Dispense Drug gt ACITRETIN 10MG CAP 1881 ACRIVASTINE PSEUDOEPHEDRINE CAP ORAL 3490 Dispense Drug ACRIVASTINE 8 PSEUDOEPHEDRINE 60MG CAP February 2009 Pharmacy Data Management V 1 0 User Manual Example Orderable Item Report continued 2691 ACTIVE LIFE 0227 71 4254 Dispense Prato 24 ACYCLOVIR INJ 3045 Dispense 43 Additive DrUG MAG 2522 ACYCLOVIR 2154 Dispense 4308 Dispense TAB Drug MA Pipu INCXAC 28 ACYCLOVIR POP 2443 Dispense 4221 Dispense Drug gt ZZAC Drug 2 INCAS 26 ACYCLOVIR 2600 Dispense CAP ORAL Deug gt ANCA 25 ACYCLOVIR 3522 Dispense SUSE 29 ADAPETTES SOLN OPH 2271 Dispense POUCH OSTOMY ACTIVE LIFE CHO227 71 LOVIR ZOVIRAX 500MG INJ ACYCLOVIR ZOVIRAX LOVIR ZOVIRAX 800MG TAB LOVIR 800MG UD TAB YCLOVIR 5 ZOVIRAX OI
260. ug has been set within the National Drug File to not auto create possible dosages e IfPOSSIBLE DOSAGES TO CREATE field is O 1x possible dosage will be auto created for the package specified by the new PACKAGE field and the following message will be displayed This drug has been set within the National Drug File to auto create only one possible dosage e IfPOSSIBLE DOSAGES TO CREATE field is B 1x and 2x possible dosages will be auto created for the package specified by the new PACKAGE field and the following message will be displayed This drug has been set within the National Drug File to auto create two possible dosages Example 4 Supra Therapeutic Drugs Drug Enter Edit Message displayed when NDF is set to not auto create Possible Dosages Do you wish to match rematch to NATIONAL DRUG file No No Just a reminder you are editing LOMUSTINE 10MG CAP Strength from National Drug File match gt 10 MG Strength currently in the Drug File gt 10 MG Strength gt 10 Unit gt MG POSSIBLE DOSAGES LOCAL POSSIBLE DOSAGES This drug has been set within the National Drug File to not auto create possible dosages Do you want to manually enter possible dosages N 44h Pharmacy Data Management V 1 0 February 2009 User Manual Example 5 Supra Therapeutic Drugs Drug Enter Edit Message displayed when NDF is set to auto create 1 Possible Dosage Do you wish to match rematch to NATIONAL
261. uid product such as Mylanta or Maalox In this case 1 TABLESPOONFUL was entered as a Local Possible Dosage in DRUG file 50 February 2009 Pharmacy Data Management V 1 0 147 User Manual Example Complex Local Possible Dosage TAKE 1 TABLESPOONFUL BY MOUTH EVERY FOUR HOURS FOR 3 DAYS THEN TAKE 1 TABLESPOONFUL AS NEEDED ENTRY FILE DOSAGE FORM TAKE file 50 606 1 DRUG FILE 50 Local TABLESPOONFUL ms T DOSAGE FORM P t BY file 450 606 Eun MEDICATION Expansion MOUTH EE A ROUTES file 451 2 ADMINISTRATION SCHEDULE file EVERY FOUR Schedule 451 1 or HOURS Expansion MEDICATION INSTRUCTION file 51 IN DAYS HOURS FOR 3 DAYS MINUTES AND THEN QE or Conjunction d THEN NA EXCEPT DOSAGE FORM TAKE o file 450 606 1 DRUG FILE 50 Local TABLESPOONFUL Possible ADMINISTRATION SCHEDULE file Schedule 51 1 or AS NEEDED Expansion MEDICATION INSTRUCTION file 51 Pharmacy Data Management V 1 0 User Manual February 2009 The following complex order for a medication with Local Possible Dosages illustrates the elements utilized to build an order for a medication to be given for a specified duration before changing the frequency of administration The CONJUNCTION field is used to Join dosing sequences for a complex order The entries are limited to AND THEN or EXCEPT AND is used for concurrent doses in a complex order such as Take 1 ta
262. will be denoted with quotation marks around them Example the select drug prompt will display next e Responses in bold face indicate user input Example DRUG INTERACTION SEVERITY CRITICAL e Text centered between bent parentheses represents a keyboard key that needs to be pressed in order for the system to capture a user response or move the cursor to another field lt Enter gt indicates that the Enter key or Return key on some keyboards must be pressed Example Type Y for Yes or N for No and press lt Enter gt lt Tab gt indicates that the Tab key must be pressed Example Press lt Tab gt to move the cursor to the next field j ip fp Indicates especially important or helpful information 0 f Options are locked with a particular security key The user must hold the particular security key to be able to perform the menu option Example Without the PSXCOMPMGR key the Consolidated Mail Outpatient Pharmacy options cannot be accessed February 2009 Pharmacy Data Management V 1 0 1 User Manual e The page symbol indicates a referral to a diagram e 2 22 2 One two or three question marks can be entered at any of the prompts for online help One question mark elicits a brief statement of what information is appropriate for the prompt Two question marks provide more help plus the hidden actions and three question marks will provide more detailed help including a list of possible answers if appr
263. xample if the PROPRANOLOL HCL 40MG TAB is marked as non formulary and the PROPRANOLOL HCL 20MG TAB is formulary the 40MG dosage selection would be associated with the PROPRANOLOL HCL 20MG TAB even though it has a higher Dispense Units Per Dose 2 than the 40MG entry for PROPRANOLOL HCL 40MG TAB 1 Dispense Units Per Dose Once the Possible Dosages have been created doses can be deleted or added by editing the DISPENSE UNITS PER DOSE field using the Enter Edit Dosages option The DOSE field is automatically calculated by multiplying the DISPENSE UNITS PER DOSE field times the STRENGTH field For example if the PROPRANOLOL TABLET is commonly given in a 10MG dose and there is not a Dispense Drug entry in DRUG file 50 of PROPRANOLOL HCL 10MG TAB a Dispense Units Per Dose of 5 can be added for the PROPRANOLOL HCL 20MG TAB and a dose of 10MG will be created If a dose of 60MG is sometimes given for PROPRANOLOL TAB entering a Dispense Units Per Dose of 3 for the PROPRANOLOL HCL 20MG TAB drug will provide a 60MG dose Similarly if the 80MG dose is rarely given the Dispense Units Per Dose of 2 can be deleted for the PROPRANOLOL HCL 40MG TAB drug and the 80MG dose will be deleted The PACKAGE field can also be edited but this is a controlled type of edit If the Dosage Form Unit Combination is not marked as convertible in the DOS AGE FORM file 50 606 for the package then that package cannot be added as a package for that Possible Dosage
264. y finishing the order Once Pharmacy has finished and verified for Unit Dose only the order it will become active Pharmacy Enterprise Product Services A suite of services that includes Outpatient and Inpatient services The PHARMACY ORDERABLE ITEM file 50 7 contains the Order Entry name for items that can be ordered in the Inpatient Medications and Outpatient Pharmacy packages Dosages that have a numeric dosage and numeric Dispense Units Per Dose appropriate for administration For a drug to have possible dosages it must be a single ingredient product that is matched to National Drug File The National Drug File entry must have a numeric strength and the dosage form unit combination must be such that a numeric strength combined with the unit can be an appropriate dosage selection A point at which the system questions the user and waits for a response The STANDARD MEDICATION ROUTES file 51 23 was created to map Local Medication Routes in VistA to an FDB Route in order to perform dosage checks in PRE V 0 5 This file has been standardized by Standards and Terminology Service STS and is mapped to an FDB Route It cannot be edited locally Standard Schedule Standard medication administration schedules are stored in the ADMINISTRATION SCHEDULE file 51 1 and are commonly referred to as Standard Schedules 154 Pharmacy Data Management V 1 0 February 2009 User Manual Units Per Dose The Units Per Dose is the number

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