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User Guide For WinRx

1. Patient Buy Patient Label Reminder Label Signotf change Employee Roo feTums ip i Change Location Dr responsible Electronic Prescriptions Dug fot sales dOctor cataloG O8Nov06 08 51 AAEE THIRDPARTY JADE Rx 367258 dispense 2 refills Sig fsYstem Facility History pln Memos bon 1 Fe Employee EE ERx Txns Current patient Key Commands Esc exit Fl0 process F8 delete Last Rx accessed for any patient J start amp WinRx Microsoft Vis PHAROS Pharmacist Hitting the F10 key at a selected item will initiate the prescription filling process Prescriptions will not be removed from the electronic inbox until they are filled in some fashion The user may of course use the F8 delete key to remove items from the list without filling them but this results in losing the information completely 49 Applied Robotics Inc All rights reserved Central Fill Procedures If for any location you have set the home or ward field to Y then drugs may be exported to the packaging machine as they are filled Before using a packaging machine Browse Location hit F2 and generate the export options for each machine being used for that location i e ECEMR is the export type and specify the dispenser type and file path when creating each option Each patient may be assigned 2 dispensers although only the first will be used unless the first is set to R for remote dispensing The default dispenser for new patients will
2. The mandatory fields are Initials This will be filled in already with the initials entered in the previous screen Name Type in your first and last name Location Type in the letter A or the designation of any location you have previously created to serve as the default location for this employee Type Type in PHARM for pharmacist lt Tab gt to the Diploma No field Licence In this field pharmacists enter their license number as assigned by the College of Pharmacists of BC College Enter the CPHA designation for the employees professional college e g P1 for pharmacists in BC Password Enter up to 6 letters and or numbers 5 Press lt F10 gt to exit back to the Supervisors Menu saving changes or lt ESC gt to exit without recording any changes you have made The first time you log into the system after following the above procedure you will be given the employee update screen again to allow you to change your password to one of your own choosing Changing your Password You must change your password every 42 days this is a PharmaNet requirement that is built into the system If your password has expired you will be given the employee update screen again to allow you to change your password to a new one You can also change your password any time before it has expired by following the procedure below 1 Log in 2 Select Browse on the Main Menu by pressing the letter B or by pressing
3. Applied Robotics Inc 2 User Guide For WinRx Table of Contents Chapter 1 Starting the Program Logging In Log In Screen Navigating the Main Menu Logging Out Setting up an ID and Password Employee Screen Changing your Password General Pharmanet requirements Chapter 2 Patients Creating new patient Patient Network Profiles Patient Profile Creating New Patients Real patients Non Residents Non Patients Doctors Office Meds Patient Keywords Electronic Medical Record Problem Definition Standing Meds Chapter 3 Insurance and Billing Pricing Turn Off a Plan Turn Off Mark ups Turn off Pharmanet Adjudication Adjudication Report Unreconciled same day credit debits RX Missing from local profiles Reversing Rx that is missing from local profile Online Billing Plans o SHARED HEALTH including Assure RxPLUS MSA ONLINE including MSANet and PSA DVA IHS Indian Health Services BABY Newborn ESI Eclipse 800 563 3274 MANULIFE non ESI Alberta Blue Cross Medavie Blue Cross GreenShield OnLine cards only Cancer Agency Refugee Claimants Manitoba Blue Cross O O0 0O0OOOO OO OO Chapter 4 Drug Doctor Information Monographs Direct Cost Compounds LCA DIN Warning Field Shelf Life Narcotics Interactions Drug Access Screen Chapter 5 Prescriptions New Prescription Screen Doctor Access Screen Tips for Entering the Directions Discontinuing a Prescription Changes in Procedure Re
4. lt Enter gt 3 Select Employee by pressing the letter E Your Employee Record screen will POP up 4 Change your password and hit lt F10 gt General Pharmanet Requirements With the exception of patient education monographs and daily totals printing of any information returned from Pharmanet is not permitted Chapter 2 Before patients are entered they must present positive identification as per College of Pharmacist guidelines Only human patients may be entered i e prescriptions for animals should be entered under the owners name Entering a New Patient 1 Log in 2 Select New on the Main Menu by pressing the letter N or pressing the appropriate arrow key until you are at New then pressing lt Enter gt Select Patient by pressing the letter P or by pressing the appropriate arrow key until you are at Patient and pressing lt Enter gt You should now be in the Patient Screen with some default information already entered as shown below PHAROS Pharmacist Functions Create a New Patient Surname First Name Initial Sex Birthdate age i Doctor t i Street City 360 MOYNE DRIVE Prov BC Postal code Country ca Phone 604 Diagnosis Allergy 27Feb07 DRE Diet T Notes Set Pi Get new Status on 27 Feb 2007 Sas PIN NS Parent alternate PHN alternate PHN Insurance plans No Rx now M Key Commands Fll update Esc cancel F3 profilebynd F7 profilebydate F4 setdr
5. unalterable record of that information If one or more previous encounters for a patient have been recorded accessing the medical record will display the previous encounter information and in the date list will be a list of all previous encounters the date highlighted reflects the date of the encounter information displayed Clicking on any date in the date list will select it and display the encounter information for that item Hitting the New Encounter button will start the new encounter information with updated information from the most recent previous encounter If the most recent previous encounter is selected you may enter information in the Treatment section these will be notes associated with the care plan being followed This is the only information that may be altered for encounters that have been previously saved as final versions NOTE The EMR and Med Review modules are written in Microsoft NET and require higher screen resolution that the WinRx application They will display properly if you have a poor VGA card and a good monitor or a good VGA card and a bad monitor but not if you have a poor VGA card and a poor monitor If the screen on these applications does not display properly would suggest upgrading your VGA card it is an inexpensive solution that seems to work In addition NET framework must be installed on the computer to enable these programs to run it may be downloaded from the internet NOTE The
6. F e L Days supply bo sit fo aE 2359 1 Insure al Plant Use DIN Key Commands F10 continue PgDn previous day PgUp next day gt DIN ne wali Admin Labels Fr PRN Medtimes Note 12345678 EE 1 0800 2 1000 3 1200 4 1700 5 2200 6 0830 7 1030 8 1330 9 1830 0 2000 A 0900 B 0930 C 1030 D 1100 E 1130 D C F 1300 G 1330 H 1400 1 1430 J 1900 oncology Hospital Cancer Agency billing only Exit and complete the prescription Key Commands F2 set drug cost F interactions F12 electronic rx start a Ftp Ftp regenthealt cl manual doc Micros i PHAROS Pharmacist New prescription For On new prescriptions drugs with Central fill type set to P will not be sent to the packaging machine When doing a batch refill prescriptions with PRN or OTH in the PRN field will not be refilled items with anything else in the PRN field will not be refilled but will be sent to the packaging machine with output type U 53 Applied Robotics Inc All rights reserved Hit the Tx packaging button in the main pharmacy screen to send items that have been filled to the packaging machine The following Window will appear PHAROS Pharmacist Functions 12 November 2006 09 23 Location A Patient dOctor SSS LAJ TE ES Big SS 42820 SMITH JOHN TLK NC 999660 Friday 44670 SMITH JOHN TLK NC 9842435 Thursday 29 Jun 20 100 Facility r 44670 SMITH JOHN TLK NC 9842435 Thursda
7. s phn 27 July 2007 08 25 AM Location A Patient Buy Patient Label Chart Signoff change Employee Px reTums Rx Receipt lEview Change Location Dr responsible Drug otC sales kE Shortlabel reminder Bag Inventory on doctor ma Search for Patient Information Sig 2 Enter Surname BROX First Name DEXTER Initial Facility H Sex M Birthdste age 15 Mar1996 M pan Ml or PHN Location M Specify PIN if patient has provided ane to the network Employee el Street City Postal code Phone Current patient PAEA EEA Key Commands ESC cancel F9 search ig Start es WinRx Microsoft Vis tm WinRx ARI Commun cx Hndient Following input of the search data the user enters F9 to perform the search Once the patient is selected in the usual manner the rest of the patient s demographic information is displayed along with additional functions keys used to display the patient s network profile or set medical conditions Note that ER facilities displaying a patient s network profile are allowed to print that profile The screen below shows the results of effecting a network patient search 27 July 2007 08 26 AM Location A Browse New Print Admin online support chat Patient Buy Patient Label Chart Signott change Employee Rx reTurns Px Receipt lEview Change Location Dr responsible Drug otC sales
8. there is either an Rx missing from the insurer s system or missing from your local computer or the Rx prices are different As in any reconciliation process look at the items that are strange and make sure the insurer has them and is paying for them If the Rx is not on insurer s system credit the Rx and refill the prescription so both data bases match SETTING UP ON LINE BILLING PLANS When setting up any plan the following notes apply o carrier ID is unique for each insurer see individual plan setup o BIN isa six digit number unique to each adjudicator see individual plan setup o Store ID will be provided to each pharmacy by each insurer o IP Port are only used for the Pacific Blue Cross Alberta Blue Cross and Bigstone switches o first payer is set to Y for government plans only e g DVA RCMP IHS etc When inputting the plan data for individual patients always specify the plan claim number and group Most plans except Green Shield and Blue Cross which use a patient number require a dependent code from the following list 0 cardholder 1 spouse 2 underage child 3 overage child 4 disabled dependent See individual plans below for other variations SHARED HEALTH including Assure use BIN 600526 network switch NDC most prescriptions have a 34 day limit call 800 668 1608 for assistance O OOO RxPLUS Claim Secure o use BIN 610019 o network switch NDC o If you bill a senior to RxPlus
9. they will reject it unless you phone them and get pre authorization first o Phone number for RxPlus is 800 461 6579 Pacific Blue Cross use BIN 610519 network switch PBC ipaddress port are 142 30 226 194 3001 carrier ID is E1 Phone numbers are 800 487 3228 or 737 5591 in Vancouver O O OOO DVA RCMP Department of Defence o use carrier IDs V1 R1 and D1 respectively o first payer is set to Y o setup other fields the same as Medavie Blue Cross ESI Plans IHS Aetna Manulife etc use BIN 610068 network switch NDC no IP address first payer Y for IHS only carrier ID as per each insurer some examples 01 for AetnaScript 02 for ManuScript 04 for Pruscription 07 for CEI 09 for London Life 12 for Desjardins O O O O 15 for IHS 26 for MARS 27 for WSG 39 for Coug 40 for Rwan 43 for Flex o contact phone 800 563 3274 ESI requires additional information when you dispense a COMPOUND They need the DIN number of the principal ingredient and a descriptor number for the type of compound Put this information in the fields set aside for it in the new prescription screen Descriptor numbers for compounds are Topical Cream Topical Ointment External Lotion Internal use Liquid External use Powder Internal use Powder Injections Eye ear drops Suppositories Other OONOABRWN Indian Health Services BABY Newborn O OOO billing format IHSP billing interval D or M first pay
10. cognitive function Observed changes in mobility If resident is stable for 3 months antipsychotic dosage should be tapered down Physician should request reassessment of behavior at a scheduled time lt ASSESSFOLLOWUP gt 1 aggressive behaviour Document current behaviour Aggression Agitation Mood description of behavior in each 3 categories dated 2 Assessment medication Effectiveness Side Effects 3 Assessment of nonmedication treatment lt PLANFOLLOWUP gt 1 Non medication management Successful strategies 2 Medication management Atypical Antipsychotic 3 Scheduled behavioral reassessment interval If resident is stable for 3 months antipsychotic dosage should be tapered down lt PROBLEM gt Diabetes lt PROBLEM gt Bowel Regime lt REFERENCE gt c winrx references bowel doc lt PROBLEM gt Flu lt PROBLEM gt Macular Degeneration lt PROBLEM gt Schizophrenia lt PROBLEM gt Immunization lt PROBLEM gt lt REFERENCE gt lt ASSESSMENT gt lt PLAN gt lt ASSESSFOLLOWUP gt lt PLANFOLLOWUP gt
11. come from the default dispenser field in the location in which the patient is being created The available dispenser options will automatically be set from the export options available for that location When doing a new prescription refills will be handled according to the parameters set when the rx is originally filled or as they have been modified by the usual prescription update procedure you may leave the Order quantity blank or enter a value When the Order line is completed the following parameter Window will appear WinRx Test Nursing Home Pharmacy T New prescription for BACCHUS BROX ey DIN 2243351 Name AMOXI CLAV 500 125 MG APO gee 22 Jun 07 100 100 00 0 0 00 0 0 00 Central Fill Quantity Specification Date Monday Sep 24 2007 oe ss i ES Med time Quantity 0 0 0 0 0 0 0 0 0 0 Dispenseon any Dispense for jo days and repeat every fo days Dispense for days 0 means continue indefinitely PRN quantity of 0 ineach of 0 bags Exception drug DO NOT calculate balance from med time quantities I Key Commands Fll updete Esc cancel PgUP nextdefinition PgDn previous definition Exit and complete the prescription Key Commands F2 set drug cost F6 interactions 2 start Dh manual doc Microso WinRx Test Nursing New prescription For Here you will specify the quantity of medication to be dispensed at each med time which will cause the program to cal
12. data and the patient s Personal Health Record maintained by Excelleris When accessing a patient s EMR for the first time you will be placed in new encounter mode Create the list of problems the patient is being treated for by adding them with the add problem button Problems may be added by selecting from a set of predefined problems or by typing in your own problem description See the Problem Definition section below to see how predefined problems may be created You may select a problem from the problem list by clicking on it the currently selected problem will appear highlighted Hitting the Delete key on the currently selected problem will remove it from the list You may add medications pertinent to the currently selected problem by hitting the Add Med button The program will generate the list of patient medications from the local prescription file or if a med review has been saved from the current meds as specified within the review Select meds from the list presented by clicking on a med Holding the Ctrl key down and clicking on med items will allow you to select more than one med at a time Hit the Update button the add your selections to the problem s medication list You may delete a medication by clicking on it and hitting the Delete key You may bill a medical issue clinical intervention by double clicking a medication and selecting from the billing options screen Meds with billing information attached will appear
13. feature is PLAN SPECIFIC so for each plan to use DIRECT COST set the Direct Cost field in the desired plan to Y Markups will NOT be applied if Direct Cost is used COMPOUNDS Once a drug has been created locally you may retrieve it and in the case of compounds hit the compound function key to specify the ingredients it contains In that case the level 1 quantity field in the drug record must be specified because the drug cost for that quantity will be calculated using the ingredient quantities specified The cost sent to insurers will then be rx_quantity drug_quantity calculated cost LCA DIN If a DIN is entered in this field and the DIN exists in your drug file when you select this drug to fill a new Rx a window will appear informing you there is an alternate drug available for the one selected SHELF LIFE If there is text in the EXTENDED SIG FIELD Expires would be appropriate and there is a number in the SHELF LIFE field then the words Expires xx xx xx will appear after the SIG on the label Xx xx xx will be todays date PLUS the number of days in the Shelf Life field For an expiry date past 99 days use a minus sign in front of a single digit and 1 to 9 months will be added to todays date and printed NARCOTICS Narcotics including Methadone Rx s that require part fills must have the Drug Type R Both N and R drugs are recorded in the Narcotic register but R drugs may be
14. in green in the medication list You may add non drug items to the medication list associated with a problem by hitting the Add Other button Enter data in the encounter assessment and plan areas to complete the medical record for the current date Four types of plans are available for entry The first just called the care plan should be considered a composite nursing plan to be used by all practitioners unless circumstances warrant otherwise Information may be copied and pasted from any source into the text boxes used for entering this data If the currently selected problem has been defined with a Reference see the Problem Definition section below hitting the Reference button will bring up that document and the user may copy and paste information from it into the assessment and care plan areas Enter data associated with the patient s social history or vitals via the History and Vitals button If Lab access has been authorized by the patient the Lab button will retrieve the lab history for the patient Hitting the Memo button will allow you to enter reminders to perform actions outlined in the care plan of the encounter If you wish to save an interim version of the interview results for further update later hit the Save Draft button and exit the medical record by hitting the close button in the upper right hand corner of the window Hitting the Save Final Version button will record the results you have entered and create a permanent
15. menu Press P to select Print then L to select Label A box will pop up as follows Fase umber otlabels Rey Commands Fl0 print Ese cancel Note that the number for the last prescription filled is the default in the Specify Rx field and 1 is the default number of labels to be printed If the prescription number is correct and you want just 1 duplicate label press lt Enter gt three times and the label will print Otherwise type in the number of the prescription desired in the Specify Rx field and press lt Enter gt type in the number of duplicates you want in the No of copies field and press lt Enter gt twice and the label s will print Balance Owing Label When you short fill a prescription you should inform the patient and you will need a prescription label to put on the package when you dispense the balance owing Both these tasks are accomplished by printing out a Short label For instance for the prescription for Colleen Brady you may have only 20 capsules left in stock so will have to owe her 10 capsules which she will need to receive some time before she has taken the first 20 capsules in 6 days since she is taking 3 capsules daily To print a balance owing label Press P to select Print then S to select Short A box will pop up as follows short qty ooo call E paid E days Key Commands Fl0 print Esc cancel Note that the number for the last prescription fille
16. use the Update button to modify plan pricing parameters TURN OFF A 3 PARTY PLAN If you have assigned plan s to a patient and for some reason you don t want a prescription you are filling to be adjudicated by that insurer just set the in use indicator to N in the new prescription screen TURN OFF MARKUPS To turn off markups to a particular patient put the word NOUPCHARGE in the patient notes field type it in exactly as shown with capitals and no spaces To turn off markups for a plan Browse Plan in the pricing box specify the drug type you wish to affect and hit the Update button A 0 zero in the low limit of any range will disable use of that row and any subsequent rows in markup calculations TURN OFF PHARMANET ADJUDICATION To turn off Pharmanet Pricing Adjudication ie Patient wants to pay ALL of the cost with no price adjudication by pharmanet put DE in the intervention field and a zero cost and fee will be transmitted to pharmanet ADJUDICATION REPORT To obtain an adjudication report and deposit information sign on as a SUPERVISOR go to Reports and run the Settlement report If you fail to enter a plan to request totals from all plans will be assumed You may set in each plan record whether you wish totals only transactions and totals or totals plus a reconciliation of transactions UNRECONCILED SAME DAY CREDITS DEBITS On your adjudication report check for Rx s under this heading It means that
17. will handle the transaction correctly This will assign the DRUG dispensed to the PET s OWNER and may be confusing to pharmacists looking at the Local Profile Filling a Prescription You have received the following prescription to be filled Dr Arlene Billings 2806 W 41 Ave Vancouver BC V6R3Z2 For Colleen Brady Amoxicillin 250 mg Mitte 30 Sig caps i t i d A Billings In the main menu the name of the last patient accessed will be shown as the default patient at the bottom of the screen If this is the correct patient you can press the letter N to select New then the letter R to select Rx You will be taken directly to the New Prescription screen To select a patient other than the default patient press the letter B to select Browse then the letter P to select Patient A box will pop up requesting the patient s name Enter the patient s last name or the first few letters of the last name and press lt Enter gt You will now be at the Patient Selection Screen Use the lt Page Up gt lt Page Down gt or arrow keys to scan through the pages of entries to find your patient Use the function keys as indicated on the information line at the bottom of the Patient Selection Screen If you are not familiar with the patient you should press lt Enter gt to look at the Patient screen for information about the patient and view or add any patient notes You should also look at th
18. you discontinue a prescription in WinRx Browse Rx to discontinue it is assumed to be done for some clinical reason like an adverse reaction The discontinue is recorded on the local system and sent to pharmanet and cannot be undone once it is performed Stopping a prescription done in the local profile or in the Browse Rx function has exactly the same effect in terms of batch filling and mar printing but can be undone if necessary e OTCs should be entered at cost in the drug file in WinRx and the markup should be specified in each plan i e Browse Plan specify O as the drug type and hit the Update button to set the otc markup levels fee etc Appendix C Sample Problem Definition File Note In the sample data below not all sections associated with a problem need be present and there is an empty problem with all possible sections at the end of the file that may be used as a template to easily add new definitions lt PROBLEM gt Dementia lt ASSESSMENT gt Document behaviour Aggression Agitation Mood description of behavior in each 3 categories dated lt PLAN gt Non medication management Triggers Approach for Care document which environmental factors seem to contribute to behavior and strategies to manage the triggers Document which approaches to care are successful Medication management Atypical Antipsychotic amp Dose Effectiveness Side effects Measure BP weekly observe for sedation and reduction in
19. BROX PENICILLAMINE 250 MG MSD DIN 16055 Name Type Fills 1 Total qty filed 100 Original 25 Jul 06 Prev Order Refill o Usual qty 100 Days 35 Dr 276 College 91 Surname ANDERSON Given 3C Phone 7364911 Sig D C Stop Labels 1 PRN Medtimes 12345678 i il Oty ico Intvent Special services code i ii Price Acquisition 8250 Upchg l 0 00 Cmpd Charge 0 00 Fee oo Total 182 50 Cmpd Time 0 oncology Hospital Cancer Agency billing only Insurance plans Exit and complete the refill NO FILLS LEFT Refilling 20 days early Key Commands Esc cancel F2 reminder label If there are no pre authorized refills on the original prescription the warning NO FILLS LEFT appears at the top of the screen This means that you will need to get permission from the physician to refill this prescription And if you attempt to refill the rx before the previous days supply is exhausted the warning EARLY REFILL appears also This means you should stop and evaluate whether or not it is appropriate to refill the prescription now When you arrive at the Refilling Rx Screen the cursor will be at the Refill line If you wish to change the quantity to be refilled hit Enter and make the change After making any changes necessary to the refill data you will be positioned at the Exit button Press lt Enter gt or E to complete the refill and you will either be returned auto
20. Chinese entry with an attached image file name CTID BMP with the content shown below ASK BRA Take 1 three times daily Hit F10 to exit the Sig field and advanced to the next step As indicated in the information given in the Exit area press lt Enter gt or the letter E to complete the prescription filling process You will now be returned to the Main Menu and the label for this prescription will be printed Refilling a Prescription When a patient calls to request a refill you should obtain his or her name and the prescription number among other information This allows you to access the prescription either from the patient s record and prescription profile or from the individual prescription record There is more than one way you can go about refilling a prescription however it is good practice to always check the prescription profile before filling or refilling a prescription for a patient which is reflected in the following procedure to refill Rx 9883 for Colleen Brady on Sept 15 2002 To refill prescriptions by locating them in the patient s profile first locate the patient s record Browse Patient in the main pharmacy screen and select the patient Once you have selected the correct patient press F3 or F7 to view the patient s prescription profile Use the arrow keys to select the prescription you want to refill and press F5 You will now be at the Refilling Rx Screen Refilling Rx 367031 for DEXTER
21. F5 setplans F6 copy field F net profile F9 netsearch F setnetDUE Fll setnetaddress F12 mail profile a manual dac Microso amp WinRx Microsoft Vis im PHAROS Pharmacist im Create a New Patient Use the lt Tab gt key the Enter key or the arrow keys to navigate around this screen Fields with a red caption must be entered If you know the new patient s phn number enter it in the phn field and hit F9 to fill in the rest of the demographics from the pharmanet data base Otherwise enter the patient surname given name sex and birthdate or age and hit F9 to do aname search on the government database Select the patient from the search results or if the patient isn t in the database yet enter the fields manually into the screen Fields with red captions are mandatory and must be entered Hit F10 to complete registering the patient To create any patient on the PHARMANET network i e resident or nonresident you must enter the following e SURNAME e FIRST NAME e GENDER 13 Applied Robotics Inc All rights reserved e BIRTHDATE e COMPLETE ADDRESS amp POSTAL CODE for Canadians USA addresses put the US State Code in the Province field and USA in the Country Field and Zip code in the Postal Code field Notes e no nicknames and full first and last names not initials should be entered e the legal given and surname of a baby should be entered where known If unknown the name should be entered as Ba
22. access to the patient s profile Once the prescription upate Window is displayed enter the D C date and a note if you wish and hit the Save button Label Formats WinRx supports 2 modifiable label formats one for regular retail use and another for hospital The program to handle the first format is called winlabel exe and the hospital format is generated in nhlabel exe Different versions of this executables may be found on the ARI website Download the appropriate version of winlabel exe and nhlabel exe that you require and copy the files into the winrx folder on each computer running WinRx Printing Labels There are two functions in the Print menu that you may find particularly useful to re print a prescription label and to print out a message for the patient that you short filled their prescription and still owe them some medication Duplicate Labels There are a number of situations where you may want to print another copy of the prescription label e g when the original label was misaligned in the printer when dispensing multiple packages for one prescription when you need an extra label to put in the refill log etc It is important in all these situations to simply print a duplicate label and not to refill or reprocess the prescription which would result in a second entry on the medication profile a second billing to Pharmacare etc for the same prescription To print a duplicate label from the main pharmacy
23. ace whatever image there is for the rx with a new one Hitting the Cancel button will remove whatever image exists for the rx and returns you to WinRx In the scan rxs option select a date range and a list of original prescriptions created in that period which haven t been already scanned is prepared Hitting the scan command key will then bring up the scan menu for each unchecked item in the list sequentially The Scan Exit and Cancel buttons work the same as when scanning an individual rx except that hitting Esc when the Scan button is selected will return you to WinRx and terminate list scanning You may resume processing the same list by hitting the scan command key again Chapter 8 Emergency Room Functions Sites designated as ER in the Type field within the Location record will be automatically provided with the emergency room functionality required by Pharmanet Searching for a patient and displaying their network profile Although all the regular prescription functions like drug monographs practitioner searches etc are available to facilities designated as Emergency Rooms all the common functionality for ER may be accessed via the New Search net menu option in the main pharmacy screen After first selecting this function the user is requested to enter the parameters required to search for the patient in the Pharmanet system As shown below the user may specify either the name etc of the patient or the patient
24. aged and it is necessary to restore backup files the SQL Manager can be used to do that but it should be done under expert guidance HELP The program is designed to be easy to use but in the event of difficulties refer to the user manual available on the arirx ca website or phone or email technical support as shown on the Signon screen NETWORK FAILURE PROCEDURES In the event Pharmanet or your network connection is down continue filling prescriptions as usual A yellow button labeled send Failures will appear in the Admin section on the main screen Once operations return to normal hit that button and resend any items that failed to be transmitted originally To avoid a 50 second delay in network transactions when Pharmanet is unavailable Browse System and set the network timeout delay to something like 5 seconds Just be sure to reset the timeout delay back to at least 50 seconds when the network is restored to service In the event a transmission to Pharmanet succeeds but some error prevents your local system from being updated signon as a Supervisor go to Utilities and hit the button labeled reverse on network to reverse the transaction on Pharmanet Then redo the transactions as appropriate Chapter 7 Special Interfaces WinRx provides interfaces to a variety of special products none of which carry require additional monthly maintenance fee although there may be a small initial charge for hardware or ins
25. ake er CO JOC CS CE NN EE Plan1 Use DIN Type auth Plan 2 Use DIN Type auth Plan 3 Use DIN Type auth Labels fi PRN Medtimes Eu Note Cycle o D C Date Time Stop Date Save Key Commands ESC exit F3 txn history F4 patient F5 refill F6 callback F7 changes F8 reminder F9 primer F12 EPx Retransmit Original E E ssl 44 Applied Robotics Inc All rights reserved Press F3 to see the transaction history Window for this prescription shown below Use the arrow keys to select the transaction you wish to credit Press F2 to credit the prescription A Window will open which will permit you to enter a code to describe the reason for crediting the prescription Specify one of the codes shown and hit Enter to complete the reversal Press lt Esc gt to return to the prescription record and lt Esc gt again to return to the Main Menu Transactions for Rx 367031 25 Jul 06 DRE 100 0 82 50 0 00 100 00 182 50 PNET 0 00 Key Commands Esc cancel F2 reverserm F5 auxinfo F9 receipt Prescriptions not picked up by the patient must be reversed and returned to stock within 30 days of the dispensing date or as per the current bylaw Reversals due to billing adjustments must be done within 90 days of the dispensing date or as per the current bylaw To backdate a reversal use the Backdate key in the main pharmacy menu to set the transaction date and then do the prescription reversal Use the Backda
26. and the arrow keys within a page to select the correct patient Note the function keys indicated on the information line at the bottom of the screen i d press lt Enter gt if you wish to look at the Patient screen and perhaps do any editing of the information you previously entered press the space bar if you wish to fill a new prescription for the patient etc PHAROS Pharmacist Functions 27 February 2007 08 55 Location A ne oppor eat Patient Buy Patient Label Chart Signotf change Employee Select a Patient Rx esponsible Birth Date Ins 2 Ins 3 Drug Failures BROX MONTY 23 Sep 2004 dOctor BROX DENNIS 360 MOYNE VANCOUVER 10 Mar 1996 Sig q BROX ANYA NH 124 12 Jun 2078 Facility is BROX DEXTER 360 MOYNE DRIVE WEST VANCOUVER 15 Mar 1996 Plan BROX BELLA 360 MOYNE WEST VANCOUVER 01 Sep 2004 BROX DAISY MOYNE WEST VANCOUVER 01 Jan 2080 Location BROX BACCHUS 360 MOYNE WEST VANCOUVER Employee BROX MONTY 360 MOYNE DRIVE WEST VANCOUVER BROX DANIEL STREET WEST VANCOUVER Current patient lastPxeccessedl Key Commands Enter edit Space new Px F10 create new patient Esc cancel 2 start mi manual doc Microso 3 WinRx Microsoft vis PHAROS Pharmacist REGULAR PATIENTS Existing patients can be accessed by NAME PHN or TELEPHONE number When creating a new patient put in the patient s PHN if you know it and press F9 search key and the pati
27. are and operating system to run WinRx would be a Pentium 3 or 4 with a minimum of 512Mb of memory running XP Pro Media Center or Vista Business Edition Any laser printer with an option for edge to edge printing may be used as well as the Zebra or Citizen thermal printers A dot matrix printer may also be used as long as it can be installed with a Windows driver A high speed internet connection from a private ISP may be used but a static IP address is necessary to currently access Pacific Blue Cross Of course the current slow Span BC connection may be used as well Appendix B Functional Differences The major differences between WinRx and the previous DOS version of the software are as follows e A program called Hnclient is used in WinRx to communicate to pharmanet over high speed internet When your computer restarts hnclient will start automatically and request a password Enter the password provided and hit Enter at which point Hnclient will wait for connections Minimize the hnclient window at that point do not hit X to close it so it appears on the task bar If Hnclient is ever accidentally stopped you may go to Start Programs Startup on your desktop and double click the shortcut to restart it e Employees may have different security levels To conform with College requirements employees should have security level 3 Signon as a Supervisor go to Employees and update each pharmacist to have security level 3 e When
28. automatic Pharmanet billing for Med Reviews and medical issues is not activated in the current version awaiting negotiation of the amounts to be paid for various services PROBLEM DEFINITION You may create a plan text file with problem definitions that may be imported into WinRx via the New Problem Import button in the main pharmacy screen Each time you import a problem text file all previously entered problem data is replaced with data from the current file being imported A sample problem file is show in Appendix C of this manual Reference documents are currently restricted to Word format NOTE A sample problem definition file is available on the arirx ca website You may download it modify it as per your own requirements and import it into WinRx to populate your problem selection list STANDING MEDS To generate standing med orders for patients in a facility the following steps should be taken Create a document containing the standing med orders and use Wordpad or Word to save it in rtf format The document may contain tags which will be replaced with actual data when the standing med reports are generated The tags are lt lt DATE gt gt lt lt LASTNAME gt gt lt lt FIRSTNAME gt gt lt lt RB gt gt lt lt HOME gt gt lt lt BRANCHDESC gt gt lt lt BRADDR1 gt gt lt lt BRADDR2 gt gt lt lt DRSURNAME gt gt lt lt DRGIVEN gt gt lt lt DRADDR1 gt gt lt lt DRADDR2 gt gt lt lt CADESC gt
29. by Boy A for example e the age field is calculated and cannot be updated e billing plans are accessed and updated by pressing the F5 key e the alternate PHN field is used for doctors offices and situations where profile mailings are to be sent to a parent or someone other than the patient himself e allergies are NOT automatically sent to Pharmanet use set net DUE e the 2 lines describing hotkeys at the bottom of the screen describe local functions top line and network functions bottom line e address information can be updated in PharmaNet by using the F11 key e brackets may NOT appear in a patient name e g RAY RED but quotes may Hit F10 when you have finished entering data to create update the patient record ESC will allow you to exit the patient update screen without saving any changes you have made To check or edit the information entered for a patient press the letter B to select Browse from the Main Menu then press the letter P to select Patient A box will pop up requesting the patient s name Enter the patient s last name or the first few letters of the last name or a PHN and press lt Enter gt You will now be at the Patient Selection Screen as shown Use the cursor key to move down and choose the correct patient There may be many patients in the system with the same name Use the lt Page Up gt and lt Page Down gt keys to scan through the pages of entries to find your patient
30. ccepted directions for some common dosage forms are shown below Dosage Form Sig Directions on Prescription Label Oral tablets ibid TAKE ONE TABLET TWICE A DAY Sublingual tablets i p r n chest pain DISSOLVE ONE TABLET UNDER THE TONGUE AS NEEDED FOR CHEST PAIN Chewable tablets iq i d CHEW ONE TABLET FOUR TIMES A DAY Effervescent tablets TAKE ONE TABLET DISSOLVED IN A GLASS po FOF WATER EVERY MORNING 7 ONE CAPSULE THREE TIMES A DAY DAY 25mLhs Oral solutions 2 5 mL h s TAKE 2 5 ML AT BEDTIME Oral suspensions 5 mL q 6h for cough SHAKE WELL AND TAKE 5 ML EVERY SIX HOURS FOR COUGH Bulk powders 5 mL a m et h s TAKE 5 ML IN THE MORNING AND AT BEDTIME IN A GLASS OF WATER Divided powders i t i d TAKE THE CONTENTS OF ONE PACKET THREE TIMES A DAY IN A GLASS OF WATER Eye drops gtt ii o u q 3h while INSTIL TWO DROPS INTO EACH EYE EVERY awake THREE HOURS WHILE AWAKE Ear drops gtt iii a d o m INSTIL THREE DROPS INTO THE RIGHT EAR EVERY MORNING Nose drops gtt ii q i d INSTIL TWO DROPS IN THE AFFECTED NOSTRIL FOUR TIMES A DAY Nasal sprays ii each nostril q i d X INHALE TWO SPRAYS IN EACH NOSTRIL 10 days FOUR TIMES A DAY FOR TEN DAYS Inhalers ii up to q i d p r n INHALE TWO PUFFS UP TO FOUR TIMES asthma DAILY AS NEEDED FOR ASTHMA Rectal i h s INSERT ONE SUPPOSITORY RECTALLY AT suppositories BEDTIME Vaginal i h s INSERT ONE SUPPOSITORY VAGINALLY AT suppositories BEDTIME Vaginal cream i applicatorfu
31. culate the correct quantity being filled at this time or enter Y at the Treat as PRN field to use the quantity you have entered previously You may or may not specify med times when dispensing a PRN The Dispense for and Repeat fields may be used to automatically skip days or to dispense only on selected days If different days require a different quantity of medication to be dispensed use PgUp to specify a 2 3 etc parameter screen The program will go through the parameter definitions in the order created and use the first one that matches the start date to determine the quantity to dispense at any given refill event Example 7o dispense 5 tablets for 3 days 4 tablets for 2 days and 1 tablet thereafter In the first definition screen specify quantities in med times to add up to 5 put 3 in the Dispense for field and hit PgUp In the second definition screen specify quantities in med times to add up to 4 put 2 in the Dispense for field and hit PGUp In the third definition screen specify 1 in a med time field and hit F10 5 51 Applied Robotics Inc All rights reserved Example To dispense 1 tablet for 14 days and another tablet for 76 days to skip 1 day and then repeat Create 2 prescriptions For the first in the definition screen specify 1 in a med time field 14 in the Dispense for field and 91 in the repeat field Hit F10 For the second starting at a date 14 days past the sta
32. d is the default in the Specify Rx field and Y es is the default for the Paid and Call fields If the prescription number is correct press lt Enter gt otherwise type in the number of the prescription desired in the Specify Rx field and press lt Enter gt type in the quantity that the prescription is short e g 10 and press lt Enter gt three times then type in the Paid Field until the patient can pick up the balance e g when you stock arrives say in 2 days and press lt Enter gt A label sheet will print out that shows a quantity of 10 on the prescription label portion The Official Prescription Receipt portion of the label sheet will say BRADY 01A COLLEEN Sorry for the inconvenience We will have your 10 AMOXICILLIN 250MG APO on 10SEP02 Rx9883 This print out should be given to the patient along with the 20 capsules you are dispensing initially and the label for the 10 additional capsules should be kept handy for when the stock arrives Electronic Prescriptions WinRx is capable of receiving prescriptions electronically e g from the telephony system integrated with WinRx or from an Electronic Medical Record system When such data is captured an ERx warning message appears in the Browse frame on the main pharmacy screen Selecting the Erx button will retrieve the screen shown below x Pharmacist Functions 08 November 2006 08 54 Location A
33. done for the encounter the data is transmitted to the patient s physicians The general plan is sent for inclusion in the patient s own personal health record for viewing by the patient or designated individuals in the patient s electronic personal health record The pharmacist may also specify social and personal health history and vitals measurements There is a Labs interface for viewing patient laboratory results if the pharmacy has been set up to permit that and a scan function is present to allow attaching documents of a general nature to the patient record The pharmacist may use the add memo button to signal events to be reminded of e g redoing a med review after a specific interval Reminders will appear in the WinRx memos window or be seen in the EMR itself Once the final version of an encounter has been saved it and other previous encounters may be viewed only by selection from the dates window A new encounter will be initiated when the EMR module starts up if there are now previous encounters otherwise the previous encounter will be opened for viewing Hitting the new encounter button when a previous encounter is being viewed will either open a brand new encounter copying the problem list meds and notes from the previous encounter or open the previous encounter for revisions where necessary as might be occasioned by some error in billing for example in the modernization context Appendix A Hardware The hardw
34. e Phone number for GreenShield is 1 800 265 5615 ext 345 Greenshield cards have a two part claim number separated with a dash Put the first part in Claim field and the second part in the Issuer field Put whatever single digit is appropriate in the dependent field as usual use BIN 610052 network switch NDC LH Liberty Health O O Esorse use BIN 610055 network switch NDC o use BIN 610650 o network switch NDC JOHN Johnson Inc o use BIN 627265 o network switch NDC XGEN NexgenRx O O use BIN 610634 network switch NDC Olympia Trust o use BIN 604647 o network switch NDC Cancer Agency o Billing format CA o Hospital billing number in the provider field o Bill interval set to H o Sign on as a SUPERVISOR go to MOH periods and make sure your MOH periods start with the first period in current year ie 1998 and end with the first period in next year ie 1999 ONCE YOU HAVE BILLED FOR ALL OF current year ie 1998 MAKE SURE TO CHANGE ALL THE PERIODS BEFORE STARTING TO BILL IN the next year ie 1999 o When you fill a prescription for a cancer patient it will go to Pharmanet unless the facility is INPAT You will then get a Window on the screen If you have multiple vial sizes different DINS etc make the appropriate adjustments Make sure you set the dosage mg units etc and the times per day If you ever want to change this auxiliary billing information Browse Rx look a
35. e patient s profile on Pharmanet If you decide to change the Rx details or decide not to dispense then reverse the Rx correct and retransmit if necessary DUE results are provided to assist the pharmacist in making an informed professional decision to dispense or not DUE in no way replaces the pharmacists professional responsibilities nor do they shift liability from the pharmacist THE ABOVE SECTION supplied by PHARMANET Doctors search info Pharmanet uses doctor license Practitioner numbers not MSP billing numbers Searching for a doctor name on Pharmanet requires that you enter the FULL doctor surname and optionally a comma and first initial not part of the surname as is permitted by a doing a local Doctor search When creating a new doctor on your local system make sure you enter the correct license and college information Chapter 5 Prescription Information NEW PRESCRIPTIONS Each prescription filled be it cash or third party is submitted to Pharmanet for adjudication and patient record update A few special points need to be remembered The days supply field is mandatory make your best guess on prn medications You must also specify an intervention code if you are dispensing a trial prescription vacation supply or an unusual quantity for any other reason At the end of the process adjudication results and an interaction profile will be displayed if no error has occurred Be aware of Pharmanet requ
36. e patient s prescription medication profile To do this press F3 or F7 when you are in the Patient screen Review all the available information in order to detect and prevent drug related problems e g drug allergies drug drug interactions etc BEFORE proceeding to fill the prescription The key s to press to get to the New Prescription screen will depend on where you are Possibilities include a Patient Selection Screen set focus to the appropriate patient then press the Space bar to fill a new prescription for this patient b Prescription medication profile press F4 to fill a new prescription for this patient You will then be at the New Prescription screen shown below m New prescription for JADE THIRDPARTY LE oj xj Med pin Name Type Days Eu Refill o VAME 1st Qty o Acivelr Sub 2 Dr l College l Surname l Given l Price Acquisition 0 00 Upchg 0 00 Cmpd Charge 0 00 Fee 0 00 Total l 0 00 Cmpd Time o Intvent l Sig m D Col cor Plan1 Use DIN Type auth Plan 2 Use DIN Type auth Plan 3 Use DIN Type auth Insure Admin Labels fi PRN Medtimes Note y 12345678 D C oncology Hospital Cancer Agency billing only Exit and complete the prescription Key Commands F2 set drug cost F6 interactions F12 electronic rx where a box will ask you to enter the drug Enter Name or DIN of Drug to Locate m Key Com
37. edside administration of medications is supported within the WinRx product Any nurses using this function must be set up using the Supervisor Employee menu Nurses should be set up with employee type NURSE Also specify for each NURSE which nursing home facilities they are permitted to access The Location used for employees of type NURSE should be the one in which the patients for packaging reside When an employee of type NURSE signs in they will be presented with the Extended Care Clinical Support System menu Selecting the Med Admin menu option will display the following screen Extended Care Clinical Support System Med Admin TrackPRN Reorder Labs Reports 11 May 2009 15 54 EAST Administer Specify ward or So Date H1 May2009 Time Meds 2 start Th manual doc Microso i WinRx Microsoft Vis When doing a regular pass select the ward The Time list will be populated with med times appropriate to that facility Select the time and hit the Administer Meds button A warning message will appear if the user attempts to dispense a medication at a time outside of an interval from the scheduled med time That interval may be specified in the facility update menu accessed from the main WinRx pharmacy screen If dispensing meds only to a particular patient hit the Select Patient button and select the patient If prns or ward stock is being dispensed no Time selection should be made With a regular pass a list of patien
38. ent s address birthdate etc will be filled in automatically you still must use F5 to enter their plan data of course Never specify Pharmanet plans in the patient s plan information If you don t have the patient s PHN enter the patient s last name and at least the first initial birthdate or approximate age plus minus 5 yrs and sex and then hit the search key F9 A name search will be made on the network and a list of candidates matching the data you have input will be displayed Select the correct name from that list If you still don t have a match just strike F10 with the PHN field blank and a new PHN will be generated by the network 15 Applied Robotics Inc All rights reserved NONRESIDENTS Assigning NEW PHN s Follow the search procedure outlined above for Regular Patiients After the F9 search press F10 The computer will ask you if you have tried your best to acquire a PHN Answer Y to create the patient on both Pharmanet and your local computer CHECK YOUR PHARMANET PHARMACY REFERENCE GUIDE Section 3 1 4 regarding positive identification prior to assigning PHN numbers to patients NONPATIENTS In some cases you may wish to transfer drugs to another store or dispense for office use In those cases make up the patient number PHN yourself a phone number is a reasonable option The program will automatically create a patient when you hit F10 Prescription transactions are entered for such cust
39. er Technical Support call 604 628 6861 Email support arin ca Website wew arirx ca Emergency cell phone support 778 891 4300 Mailing address 360 Moyne Drive West Vancouver BC Y7S 1J5 2 Follow the prompts at the upper left hand part of the screen which will ask you to enter a User ID as shown above Here you will enter your initials b Password Here you will type in your password Press lt Enter gt or hit the Sign On button after typing in your password Your password will have to be changed every 42 days If your password and or ID number are incorrect you will get an error message If you make several unsuccessful attempts in a row to log in the computer will lock you out Press lt Ctril Alt Delete gt to restart the system and ask for assistance logging in When you have successfully logged in you will be at the Main Menu screen as shown below where there are four areas you can access Browse New Print and Admin WinRx ARI Community Pharmacy o x 18 Sep 2015 04 32 PM 99998 Location A Browse New Print Admin Patient Buy Patient Label Chart Signoff change Employee Rx reTurns Rx Receipt rEview Change location Dr responsible Drug otC sales refill Shortlabel New orders Inventory on faNouts dOctor cataloG reGularrefills chAnges cOmpound spec Refillresults Sig sYstem Searc
40. er is Y This plan must be billed manually hard copy billing and is done from the Supervisor Reports menu Printed billing is then mailed to Liberty Health Put the parent birthdate in the Other field when entering patient data and the parent name in the cardholder field MANULIFE non ESI O OOO O O Use BIN 610059 network switch NDC carrier ID unused On the Settlement report Manulife does NOT return transaction detail only TOTALS Also they clear their TOTALS stuff on Saturdays so you can t on Monday find out what you did for the previous week s Call them to make sure you are Electronically Connected USE THIS PLAN only if the MANULIFE card does NOT have ESI on it The Manulife ESI cards have ESI in the lower right corner Phone number for ManuLife non ESI is 519 747 7000 ext 5685 ALBERTA BLUE CROSS O O O O O O O Use BIN 111111 Network switch ABBC IP address port abc claimstream ca 4443 Carrier ID 11 Phone Blue Cross at 1 800 661 7671 or 1 403 498 8104 to request activation Put the patient surname in the cardholder field MEDAVIE BLUE CROSS O O O O 0 0 BIN 610047 IP address port medavie claimstream ca 4443 Carrier ID C1 Network switch ABBC Put the patient surname in the cardholder field GREENSHIELD OnLine cards only O MDM O O Use BIN 610065 Network switch NDC GreenShield requires additional information when you dispense a compound See ESI abov
41. ered selected from the reason for not doing so can be typed in or the list available Hitting Enter with focus at the Confirm Administration text box records the administration and returns to user to the point where they may select the next patient If a patient has no further regular meds to receive at the selected time they will appear in green in the patient selection window Applied Robotics Inc All rights reserved Extended Care Clinical Support System 11 May 2009 1680 Spani were or el BLUNT CLIFFORD Date 11 Mey2009 Time PREVACID 30MG If a prn has been administered and the pharmacist has designated in the facility update screen that prns are to be tracked the nurse may use the Track PRN menu option to bring up a list of the prn items that need results documented as per the screen below 73 Applied Robotics Inc All rights reserved Extended Car cal Support System Med Admin TrackPRN Reorder Labs Reports PRN Tracking min Patient Drug 11 May 1607 BLUNT CLIFFORD 1 AMOX CLAV 875 125 APO TAB A eons raat Key Commands Esc exitl E manual doc Microso es WinRx Mic s m Extended Care Clinic 74 Applied Robotics Inc All rights reserved Items administered more than 3 months in the past are kept in a separate archive table This is populated when the user runs the WinRx backup utility and indicates items are to be archived A complete audit of medications dispen
42. fusal to fill Refilling prescriptions Reversing prescriptions Label Formats Duplicate Prescription Labels Balance Owing Labels Electronic Prescriptions Central Fill Procedures Work Flow Interfaces Chapter 6 General Maintenance Back Dating Rx s Different PHN message Fan Outs Suppliers Wholesale Catalogs Electronic Ordering Reports E mail messages Backup Help Network failure procedures Chapter 7 Special Interfaces Telephony External Data Imports OSCAR BC Cancer Agency Dispensing Machines General Exports o Point of Sale PASI Mailing exports Primers Automed Work Flow O00 0 e Scanning Chapter 8 Emergency Room Functions e Searching for a patient and displaying their network profile e Submitting prescription samples Chapter 9 Inpatient Functions Chapter 10 Medication Administration at Bedside Chapter 11 Electronic Medical Record Appendix A e Minimum hardware specifications Appendix B e Operational differences between WinRx and DOS versions Appendix C e Sample problem definition file data CHAPTER 1 Starting the Program Logging In 1 Click on the WinRx icon on the Windows desktop You will now be at the log in screen Notice that the box in the middle of the screen tells you the version date of the program you are using WinRx Signon to SQL Server vwin10 sqlexpress winrx User ID Password Sign On Hit ESC to quit ARI WinRx Pharmacy System ene tae eee Vancouv
43. gt lt lt CAADDR1 gt gt Browse Patient and set the standing med order field to Y if there are standing meds for this patient Print the standing med order report in the Supervisor Reports menu You will be asked to specify the facility and the standing med document to use when you run it Chapter 3 Insurance amp Plans Typical Insurers Emergis 800 668 1608 Claim Secure RxPlus 800 461 6579 or 888 513 4464 Pacific Blue Cross 604 419 2699 DVA 604 419 2795 IHS NIHB 888 511 4666 ESI including Aetna Manuscript Prudential CrownLife Paul Revere etc Manulife Non ESI Alberta Blue Cross Medavie Blue Cross GreenShield OnLine cards only 888 711 1119 BigStone Band Johnson Inc 866 773 5467 Liberty Health Maritime Life or Mutual Life 888 268 3763 WCB Assure 605 231 8888 Cancer Agency Refugee Claimants Manitoba Blue Cross 204 788 6848 or 204 789 1726 PRICING Where there is a lower cost alternative and the trade name is dispensed the patient pays the difference including the markup if applicable on the trade name drug If the adjudication results in less than the requested cost being covered the copayment amount is displayed in a Window following adjudication and is available for editing The default fee for each location may be changed in the Location record Browse Location and edit Fees may also be assigned by drug type within individual plans Browse Plan edit the plan select the drug type and
44. h net Mail label Backdate send Message Faciliy Heug Fun Driebel TETE plAn Memos problems Typewriter View monograph turn packaging off Locatlon sUpplier Packslip Print monograph retrieve Labs Employee invoice Mxpackaging Current patient Last Rx accessed for any patient Navigating the Main Menu The easiest way to navigate around the Main Menu is to use the letters shown in upper case When you first get to this screen the curser will be on Browse Press the letter B to access the Browse menu If you now press the letter R you will go to Rx and can browse the prescriptions that have already been filled the letter P will take you to Patient where you can browse for patients already in the system etc Use the lt Esc gt key to get back to the Main Menu If you want to access the New menu options press the letter N then press the letter R to fill a new prescription the letter P to enter a new patient etc Note You can also navigate the Main Menu using the arrow keys along with the lt Enter gt key Logging Out It is critical that you log out after finishing your work on the computer Otherwise it is possible for other users to fill prescriptions using your ID and you will be held responsible for their errors 1 If you are not at the Main Menu screen already press lt Esc gt as many times as necessary to get to the Main Menu 2 Select Admin then the signoff option button Use
45. ics To utilize this report put a code in the drug Therapeutic category field Put this code in for ALL drugs you want included in the report When you run the report specify a date range the CODE above detail Y each occurrence of the drug will be printed and the HOME if home is blank retail patients will be processed If is in the HOME field ALL nursing home patients will be selected If a patient has more than one prescription for the same drug by the same doctor in the specified period that will count as ONE occurrence only Patient Financial Report Print Invoice Select a Patient Press P print invoice and enter a date range and optionally a Plan If you choose to Print the report You will get individual Rx s with amounts and a total If you do not print the report the Total will appear on the screen E MAIL MESSAGES to ALL APPLIED ROBOTICS USERS You can address an e mail note to ariphcy relcomsys com and the contents of your message will go to every ARI pharmacy client BACKUP PROCEDURES When you sign on into the WinRx program you will be warned if you have not made a current backup of your files To backup your data signon as a Supervisor go to Utilities and hit the Backup button When the backup is complete you will be told the name and location of the backup file that has been created Copy that file to a CD DVD USB fob or similar device and take it off site If your computer gets dam
46. irements for NEW prescriptions There may be a 30 day limit on some or all first time medications Some hints on filling a 30 day limit on a drug written for 100 days are as follows Create the Rx with the 100 day supply as normal but put a N beside ACTIVE This will create a deferred Rx Now go in and refill it with a 30 day supply When you look at the patients profile you will see the Quantity remaining_displayed refills of course will show 0 TRIAL PRESCRIPTIONS When filling a trial prescription the drug being dispensed must have the word TRIAL in its warning field Browse Drug select drug press enter you must set the 1st quantity field to the TRIAL amount and the intervention field must be set to MT REFUSAL TO FILL To obtain the special fee associated with not filling a prescription first fill it FOR THE FIRST TIME then reverse it then refill it again using an appropriate intervention code AND SSC special services code 1 On the refill if you leave the cost nonzero the program will attempt to bill Zero cost and double the fee Double Fee for Interventions applies to all claims where Pharmacare has claimed monetary responsibility REFILLING PRESCRIPTIONS Refill procedures do not change with Pharmanet with the exception of special services fees Prescriptions done with a batch refill procedure in nursing home or other special dispensaries will be individually adjudicated as the label prints Adjudica
47. l h s INSERT ONE APPLICATORFUL INTO THE VAGINA AT BEDTIME Topical APPLY TO AFFECTED AREA S TWICE A preparations DAY Injectables 15 U s c a c INJECT 15 UNITS SUBCUTANEOUSLY BEFORE MEALS After you have typed the directions STOP and CHECK that all the information now entered for this prescription is correct the patient the drug the prescriber and the directions This is your chance to make any corrections before filling the prescription Fixing errors once the prescription is filled involves a number of steps so try to catch any mistakes now Note also that the diagnosis and allergy lines from the Patient screen for this patient appear on the screen so you can double check these important details about the patient before you complete the prescription filling process In cases where you wish the instructions to appear in both English and a foreign language you must define a picture image usually 240 pixels wide x 90 pixels high which contains the instructions in both languages The image file should be saved as a bmp file should have a name starting with the symbol and be placed in the images folder associated with the application i e specified when you Browse System and hit F2 Once the image file is created it may be associated with a sig code reflective of both the instructions and the language that you create in the sig dictionary via Browse Sig e g TID may be a regular English sig entry CTID might be an English
48. m when your order comes in and add the value to your InStock amount To Order From the Buy List Browse Buy in the main pharmacy menu and press F10 to add a new item Select the drug to be order by hitting the Space bar as usual When the order Window appears select the quantity level usually 1 to order and hit F10 The order quantity specified in the drug record will be the quantity ordered by default If that is not the correct quantity edit the item in the Buy List afterwards InStock will not be adjusted automatically by place an order in this way Buy List Options The information line at the bottom of the Buy Windows displays the functions available when accessing the Buy List When you transmit an order you will be requested to specify the wholesale to be used and following that a number of parameters associated with the order The status of each successfully transmitted item is set to S REPORTS Reports for billing statistics etc are found in the Reports section available when you sign in as a Supervisor The general procedure for running one or more reports is to click the button designating any report to print and fill out the associated report parameter screen Hit F10 to indicate the report parameters are completed or Escape if the report is not to be printed Each time a report is selected for printing its button will appear green When all reports are selected print or view on the screen all of them by hit
49. mands Enter search Esc cancel 37 Applied Robotics Inc All rights reserved If it isn t an existing drug then press Escape and fill in the drug information manually Usually however you will enter the DIN of the drug you will be dispensing if you know it OR you can enter the name or the first few letters of the name of the drug Using the drug name rather than the DIN is preferred because you will be taken to the Drug Access Screen where you can see the selection of products available This will be a necessary step for compounds which do not normally have unique DINs For example if you are filling a prescription for amoxicillin and you type amoxi into the above screen and then press lt Enter gt the following screen will pop up Drugs Found 20649 100 22 74 AMOXICILLIN 250MG AMOXIL 02Apr02 UT se of someunevemonm mue AMOSXICILLIN AYE 250MG 5ML AMORICILLIN AVE BOOMG 6 61 AMOxIL PEDIATRIC DROPS 2 04 AMOXICAN 250MG AMOXICAN 250MG CAPS AMOXICILLIN 500MG ICN si sr fouet vos Key Commands Enter edit Space select F10 create F8 delete Esc cancel Alt F8 delete F2 quote F3 label 387126 1 34 AMOXICAN 125MG CHANGE ni As indicated on the information line at the bottom of the screen when you have highlighted the appropriate product press the Space bar to select that product for the prescription You will now be at the Order line in the New Prescription screen with the Med info
50. matically to the main menu and the label will print for the refill or you may get additional warnings from the system in which case you will have to decide whether to abort the refill or press the letter V for oVerride to continue Note After a receipt has been issued and provided to the patient no further electronic adjudication to 3 party carriers is permitted Reversing a Prescription You may not make any changes to a prescription to correct errors once it has been filled It is recommended that you credit the prescription instead and refill it For example suppose you accidentally filled the prescription for Colleen Brady twice One of those prescriptions should be credited whichever one was not actually dispensed to the patient To credit this prescription do the following Locate the prescription you wish to credit through the Browse menu You can browse for the prescription if you know the prescription number or you can browse for the patient and locate the prescription from the prescription profile Once you have located the prescription record press lt Enter gt You will now be at a screen that looks like the following Rx 367031 Prescribed for DEXTER BROX E DIN 16055 PENICILLAMINE 250 MG MSD Type Med Fills Name 100 25 Jul 06 25 Jul 06 Total qty filled Prev Remaining Dicker Refill o Aty 100 aty 100 Days 35 VAWE m w Active FA Sub 3 Dr 276 College sr Surname ANDERSON Given uc t
51. omers are done in a different screen format than for regular prescriptions DOCTORS OFFICE MEDS If you wish to dispense drugs to a doctor s office proceed as for NONPATIENTS above but input the doctor office use PHN Pharmanet assigns your pharmacy in the alternate PHN field PATIENT PROFILES The profile data returned by the network contains each transaction for the patient most recent data first Reversed transactions because of data entry error RE are NOT DISPLAYED Reversed Rx s for other reasons are included so do not be confused by the proliferation of items presented You can control the type of network profile automatically displayed when you fill a prescription You can skip your Rx s on the network profile by putting O beside Auto Profile Type in the System record or specify L if you want to see the last 15 rxs the patient had from any source Pressing F8 when viewing a patient record will ALWAYS display the FULL network profile The profile lookup does not involve any interaction checking On the network profile display a RX elsewhere message indicates the prescription was filled at another store Be careful with the sig displayed it is only 80 characters long and may not contain all the information the dispensing location entered PRINTING A PATIENT NETWORK PROFILE If the patient requests his printed profile from Pharmanet Browse the Patient to display the patient record hit F9 to do a netw
52. ork search and confirm you have the correct patient address and then hit F12 This notifies the College of Pharmacists to send a copy of the network profile to the patient PATIENT KEYWORDS If a patient wants to use a keyword to restrict access to his network profile or to permit him to telephone in refill requests Browse Patient and hit the Set Pin on Network button You will be requested to enter a patient pin to be used on the network If a patient comes in and has a network pin already set from access at another store merely set the current local PIN field in the patient record to allow network access Note The pin information provided to you by a patient may not be shared with any other provider or third party Prior to creating or changing a keyword you must take all reasonable steps to positively identify patients and patient s personal representatives ELECTRONIC MEDICAL RECORD You may enter and record information relevant to the patient s medical record by hitting the Electronic Medical Record button available when viewing the patient s demographic data This feature is also available from the Med Review module now also accessed from a button in the patient screen The meds available for inclusion in the EMR come the local pharmacy database unless a med review has been done in which case the med review medications comprise the selection set In future releases the med list will be supplemented from Pharmanet
53. part filled A control drug file copy label will be generated with a new pseudo Rx Number that you can put in with your other original narcotic Rx s INTERACTIONS Whenever a prescription is filled an adjudication results and an interaction profile is displayed at completion of the process The only interaction checked is between the drug being filled and OTHER DRUGS ON THE PATIENT PROFILE Patient medical conditions are not involved in the check and are displayed on an information only basis If you want to see if a drug interacts with others WHILE you are filling a prescription enter the drug quantity and days supply on a new prescription for the patient and hit the Interaction key F6 DUE Results Pharmanet performs a series of automatic checks on the prescription you are about to dispense against the information Pharmanet holds on the patient s profile The following checks are performed drug to drug interactions min max checking duration of therapy checking duplicate therapy checking compliance checking too soon too late very limited checking against prior adverse drug reactions Note that DUE results presented are INFORMATION provided for professional review and PharmaNet DOES NOT PREVENT dispensing the accuracy of your Rx input ie days supply directly affects the quality and accuracy of DUE results produced by pharmanet once the DUE results are returned the Rx has been stored on th
54. r ID and Password Setting up an ID and Password Get a supervisor to log in with a supervisor password From the Supervisor s Menu select Employee by pressing the letter E The Employee Access Screen will pop up Press lt F10 gt to create a new ID as per the information line at the bottom of the Employee Access Screen or hit lt Enter gt when you have scrolled down to an existing employee that you wish to update You should get an Employee screen that looks like the one below which shows the fields as they would be completed for a user named Dennis Brox Fill in the required fields as in the example below Use the lt Tab gt or lt Enter gt keys to move between fields Every pharmacist must be using a unique set of initials If there is already someone in the system with the same initials as you you will get a warning tone and the message Employee Already Exists If this happens try using two initials plus a number from 1 to 9 for your ID Update Existing Employee Information User initials DRB Name DENNIS BROX Phone 0 Default location A User type PHARM Licence 01410 College P1 16 1 id 2 id reason 4 no patient 8 no drug 16 location security 32 block productivity report 64 prescriber 128 n0 deferred refill Security Password Re enter password Narcotic password used for wholesale orders Security badge Network ID Last updated 21 Aug 2015 Key Commands Fl0 update Esc cancel
55. r method is X Kohl amp Frisch KF o ftp address is 207 164 60 100 o specify the userid and password for ftp access as provided by the wholesale o Order method is X McKesson MED o ftp address is ftp medispharm com o specify the userid and password for ftp access as provided by the wholesale o specify Machine ID provided by the wholesale o order method is X Set the Mail Server and Email Address fields in BROWSE SYSTEM lower case letters Make sure you have the STOCK numbers in your drug file for the wholesale of your choice ELECTRONIC ORDERING Make sure you have a Wholesale set up for party you wish to order from See above To order from a Wholesale Catalog Browse cataloG in the main pharmacy menu type in the catalog to use if not the default one enter a product Once the product displays in the selection screen set focus to it and hit Enter and then the quantity to order The select item will be placed on the Buy List Automatic stock replenishment Make sure in the DRUG Record information you have set a default wholesale Instock total Threshold level Order quantity and Stock number If you want the program to automatically add the reorder quantity to your Instock value when the item is added to the BUY list then put a Y beside AUTO INCREMENT STOCK LEVELS in each LOCATION press Browse Location and press Enter for EACH location on your screen Otherwise you will have to enter each ite
56. refill Shortlabel reminder Bag Inventory on doctor ca Search for Patient Information 0 Operation successful Sig Enter Surname ROX First Name DEXTER Initial Facility H Sex M Birthdate age 15 Mar 1996 te plAn MI or PHN 9897374399 Location M Specify PIN if patient has provided one to the network Employee el Street 360 MOYNE DRIVE City WEST VANCOUVER Prov BC Postal code V7S15 Cty CA Phone 604 Current patient ice CY Commands ESC cancel F9 search F8 full profile F7 lasti5rxs F2 setDUE ia manual doc Microso im Search for Patient Inf Submitting prescription samples ER functionality includes the ability to provide Pharmanet with information concerning any prescription samples that the patient may be given To do this the user must create the patient and fill a new prescription as normal Any new prescriptions filled in an ER location will be designated as samples when they are sent to Pharmanet Likewise prescriptions done as samples may be reversed in the usual manner Chapter 9 Inpatient Functions Sites designated as INPAT in the Type field within the Location record will be automatically provided with the inpatient functionality required by Pharmanet This comprises all the regular functionality provided for community pharmacy except that prescriptions filled or refilled are not sent to Pharmanet for adjudication or interaction checking Chapter 10 Medication Administration at Bedside B
57. reported on the current days Adjudication report but a Network Profile of the patient in question will show the Rx s filled on the backdate DIFFERENT PHN MESSAGE If you see this message after doing a network access of some sort the Pnet PHN will be displayed on the Main Screen Browse the patient and press F9 search to locate the correct PHN replace the one on your local system with the new one then press F10 FAN OUTS Fan out messages will print on your report printer Follow the instructions on the screen when you receive a fan out WHOLESALE CATALOGS Wholesale catalogs for a number of suppliers are available in electronic format To install a catalog from a particular wholesale on your system signon as a Supervisor go to Utilities and hit the Import Wholesale Catalog button You will be presented with a list of the catalogs available electronically Select the one you wish and hit the F10 button to import it SUPPLIERS To order electronically from a supplier you must have created a record for that wholesale in your local database In the main pharmacy menu Browse Wholesales and create select the supplier you wish to use The access parameters for each wholesale are shown below Unipharm UPH o Email address is uni_orders unipharm com o Order method is X Amerisource Bergen ABC o ftp address is 206 47 186 149 o specify the userid and password for ftp access as provided by the wholesale o Orde
58. rmation filled in based on your product selection Fill in the order information on the appropriate line using lt Tab gt or Enter to move between fields Enter the number of tablets capsules mL etc to be regularly dispensed in the Qty field Enter the number of days the prescription should last estimate if necessary in days supply The number of authorized refills defaults to O zero buf if there are preauthorized refills enter the number The V W E field is used for narcotics and electronic prescriptions Enter y for a verbal or w for a written prescriptions for reportable drugs The 1 qty field may be set to a partial quantity if the entire prescription is not to be filled initially Leave the Active field at Y if the rx is to be dispensed at this time otherwise enter N if the patient doesn t want the Rx filled now The Sub field defaults to a code value of 3 indicating the medication is the pharmacist s choice Enter 1 in this field if the doctor has indicated no substitution Pressing F10 at any time on the Order line will advance you to the doctor selection point When first arriving at the prescriber selection point a Prescriber Search Window will appear Prescriber Search As indicated in the Window you may search for a doctor based on a licence number or the doctor s name Press lt Enter gt which will take you to the Doctors Found screen
59. rting date of the first in the definition screen specify 1 in a med time field 76 in the Dispense for field and 91 in the repeat field Hit F10 If nothing is entered in the input screen the prescription will be treated as a regular nursing home prescription and will not be processed for packaging except that the label for items with something in the rx PRN field will contain a barcode for the ECEMR interface consisting of R followed by the prescription number If E is specified in the drug record central fill type field the item will be coded as an exception drug for Automed filling Drug items with a central fill type of C will be packaged by an Automed machine in their own envelope If the prn quantity and bag fields are set in the input screen the prescription will be filled by the Automed machine as a PRN with the specified number of bags Following parameter input hit F10 to specify the starting date and days supply for this fill as per in the Window below In this Window PgUp and PgDn are used to set the start date PHAROS Pharmacist Functions US New prescription for MONTY BROX si pin 288497 Name AMOXICILLIN 250MG AMOXIL Type 02 Apr 02 100 22 74 0 0 00 0 0 00 oer fay A Days 3 Mules vwe colo M D Subla Dr College Sumama Giver Price Acquisition 0 00 AT Input Required for Rx Quantity Calculation Tine intent Saturday Now 11 2006 Start date
60. sed e g by facility date user patient etc can be printed using the Reports Audit menu option selected that results in the screen below being displayed This results may be viewed or printed Extended Care Clinical Support System Med Administration Audit Facili ol SEN From date 11 May 2009 Todate 11 May 2009 Fromtime 0000 Totime 2400 Include meds CUZ ot Dispensed Nurse Ward Stock Dispensed PANs Dispensed Outside of 0 minute limit Patient PHN Key Commands ESC exit Fil printreport Fl2 view report 77 Start wi Mmanual doc Microso amp WinRx Microsoft Vis mm Extended Care Clinic Chapter 11 Electronic Medical Record When viewing a patient record the EMR button provides access to the patient s medical record The EMR module is provided to serve several purposes It replaces the Assurance program which was a Ministry pilot exercise in allow pharmacists to document patient interactions In conjunction with the Best Possible Medical History form it allows a pharmacist to document the clinical notes that must be provided when submitting claims for that service In the Pharmanet modernization software undergoing pilot the EMR module provides the data to bill med reviews and related med management issues and clinical services codes And when patients are suitably registered the module sends data to a central repository where the patient appropriate physicians and other designated parties ha
61. t the transactions go to the appropriate transaction and press the AUXILARY BILLING key o When you run billing from the SUPERVISOR menu your claims will be placed in a file named cafile txt located in the winrx folder on your computer Send that file to the Cancer Agency by whatever means you have agreed to with them Refugee Claimants o use BIN 610047 o carrier ID C1 o network switch NDC Manitoba Blue Cross use BIN 610530 carrier ID 02 ip address pharm mb bluecross ca port 4443 network switch MAN O O O O 0 0 Alberta Benefits Ltd o use BIN 610202 o network switch NDC no IP address o Help desk is 1 855 944 9166 ext 280 web cbproviders ca Chapter 4 Drug Doctor Information DRUG MONOGRAPHS Drug monographs retrieved from the network may be printed or displayed in several formats Browse Location and set the format you wish use In the Location screen you can also check the generics box if you wish the monograph to include generic alternatives If you print a drug monograph from the main pharmacy menu after filling a prescription the patient name will be included in the title To print a monograph WITHOUT the patient s name or dr s name press B rowse D rug select the drug by pressing Enter then press F6 view or F7 print the monograph DIRECT COST FIELD This is an Alternate Cost field Enter alternate cost for drug here based on quantity used in the first price level This
62. tallation Telephony ARI provides a telephone monitoring program which will intercept calls query patients for refill information and permit electronic filling of those requests This relies on the use of a telephony device which permits voice synthesis from computer generated text External Data Imports To support provincial Drug Information System requirements WinRx permits the import of patient demographic and prescription information from external web and hospital CIS systems currently only extended care data in the latter case Call for information on the features implemented and data formats required OSCAR BC Cancer Agency If the patient is on a plan with billing format CA the oncologY tab will be shown when filling a new prescription Selecting this button or attempting to complete a prescription without having hit this function will produce the cancer medication dispense screen shown below Cancer Agency 02 Dec 2006 AMOXICILLIN AYE 1 25MG 5ML Dosage form 1 mq 2 gm 3 units 4 megaunits 5 pfs 6 microgram 8 ml 100 Doses day f DIN Unit Size Unit Cost Quantity 1 288500 100 4 66 1 00 0 00 0 00 0 00 0 00 Key Commands Fl0 update Esc cancel When this auxiliary billing data is entered the prescription may be completed This information may be modified by editing the prescription data in the Browse Rx screen and is automatically used when refilling a prescription When billing is r
63. te key again to reset the date back to the current date Discontinuing a Prescription When patients receive many prescriptions their prescription profiles become very long and difficult to review When reviewing a profile it is therefore very helpful to know which prescriptions are active and which are no longer being taken or which were credited and never dispensed to the patient For example some medications are only taken for a short period of time but the prescription will remain on the profile Chronic medications may be adjusted over time and every time the drug or dose changes another prescription is added to the profile To reduce the number of prescriptions the pharmacist must review on a prescription profile it is recommended that prescriptions the patient is no longer taking be discontinued For example once Colleen Brady has completed her amoxicillin therapy this prescription should be discontinued as should the duplicate prescription that was credited When you discontinue a prescription on your local system the rx is also discontinued on Pharmanet and that status cannot be changed To prevent a prescription from being refilled and remove it from the MAR enter the STOP Date for the prescription rather than the D C Date that process will allow you to change the prescription status in case of error To discontinue a prescription Browse Rx from the main pharmacy screen and enter the rx number or edit the rx via
64. ting the print or view function key Report Notes Frequently a date is required when requesting a report The date may be entered by right clicking the date field and selecting it from the calendar provided To print the standing med report a file containing the standing med data must be created in RTF rich text format and named with the rtf extension The following fields may be present in the text and will be replaced with patient pharmacy physician or facility data as the report is printed for each patient lt lt DATE gt gt lt LASTNAME gt gt lt lt FIRSTNAME gt gt lt lt RB gt gt lt lt HOME gt gt lt lt BRANCHDESC gt gt lt lt BRADDR1 gt gt lt lt BRADDR2 gt gt lt lt DRSURNAME gt gt lt lt DRGIVEN gt gt lt lt DRADDR1 gt gt lt lt DRADDR2 gt gt lt lt CADESC gt gt lt lt CAADDR1 gt gt Billing Invoices for plans designated with billing format AR or MISC may be done automatically for all plans using the last billed and current date as per the plan setup details by leaving the plan and date fields blank in the billing parameter screen or for any date range for any plan by specifying the date range and plan code fields For plans where an export file is created the user is notified of the file name and location at the completion of the report run Drug Analysis Report Supervisor Reports There is a new report available for analyzing the database by DRUG TYPE le antibiot
65. tion and DUE results for all transactions will be presented automatically following completion of the batch run You may display these results anytime by pressing the Batch Results key in the Administration section of the main screen The batch refill procedure is initiated by accessing the New Batch Refill option in the main pharmacy screen 10 May 2009 10 45AM 03579 Location CNH Browse Batch Refill Patient of dosette labels to print i of mailing labels to print a Warning when refills reach a ge Employee aT Refill Extended Care Facility lesponsible Specify facility Startdate REFILL Drug 14 dOctor Facilities to process Sig Facility plAn CHANGES Location machine packaging only Employee PERIL Current patient Last Rx accessed Key Commands Esc cancel 3 Start amp WinRx Microsoft Vis mm WinRx CIVIC NURSI 2162 a 0 10 46 AM Facility refills are generated by completing the items in the first panel and hitting the Refill button Retail prescriptions dispensed on a regular basis may be batch refilled by using the second panel Applied Robotics Inc All rights reserved REVERSING PRESCRIPTIONS Partial credits are not allowed You must specify an intervention code for each reversal error ANIMALS A prescription for a pet must be filled using the patient who is the owner If a prescriber in the College of Veterinary Surgeons is used Pharmanet
66. ts in the ward is presented and each patient should be selected in turn Once a patient is selected their demographic and medications are presented as shown below The top medication window displays meds due to be dispensed at the selected time Items appearing in blue are not packaged Items appearing in the lower medication window are prns and again packaged items appear in white nonpackaged ones in blue At this point the user scans the envelope or vial bar code Extended Care Clinical Support System Med Admin TrackPRN Reorder Labs Reports Specify ward or BLUNT CLIFFORD D371 Room Sex M Age 49 Allergies SULFA ASA SSRI S PRAVAST RISP Diagnosis HTN HYPERLIPIDEMIA GERD POL RHEUMATICS DIVERTICULOSIS KI DISEASE STAGE 3 DEPRESSION patient display Scan 0400 A ga Select 11 May 2009 i 0600 Administer Patient Date y Time 0730 Meds 0600 Scheduled med Scan id PREVACID 30MG as 2027375 SEROQUEL 25MG QUETIAPINE 2027376 R1007422 PRN med Scan id ACETAMINOPHEN 500MG ROUND TYLENOL 4 TABLETS R1007710 13 Start i manual doc Microso 5 WinRx Microsoft Vis im Extended Care Clinic g a 40LPM Once an item is scanned the drug s appear on the right side of the screen If a prn or ward stock item is scanned the recent history of recent administrations of that drug is shown before the drug display screen appears If a drug shown is not to be administ
67. un OSCAR data is output to the file cafile txt located in the winrx folder on the current drive This data should then be transmitted to the Cancer Agency via some external process Dispensing Machines To send prescription information to the McKesson or Automed work flow systems select A as the dispensing machine in the Location record and specify the Workflow IP Address Port is completed in the System record Drugs with A in the Bin field will be transmitted when they are dispensed 63 Applied Robotics Inc All rights reserved General Exports WinRx can export information in a variety of formats when a prescription is filled or credited based on the Location in which the rx is being processed To initiate these exports from the Location screen Browse Location and select the location to export from hit the F2 key to display a list of the current exports defined Hit the F10 key to define a new export as per the screen shown below PHAROS Pharmacist Functions 04 December 2006 10 25 Location A Update Existing Location Patient Location ID Description ARI COMMUNITY PHARMACY EK Precinct atore Il Data Exports from Location A Description File Path pra ror POS interface POSITEC clwinn doctor Postal code Sig Usual fee Facility Medtimes on labe pl n New Export Definition ocaion Processing ID i Balen Es File Path p Extended Mail extract Employee Stack control Mail extract b
68. ve access to the problems meds and treatment plan information input by the pharmacy as well as labs physician notes and other pertinent clinical information from a variety of sources In the EMR module the user first inputs the patient problem list A problem may be selected from a predefined list of problems which the pharmacist may import or be typed in manually If a BPMH report has been generated the why column is not imported into the EMR it will soon be required to select the problems from a predetermined list so they may be coded ina manner to allow data analysis The user then selects a problem and adds the prescriptions or other medications pertinent to that diagnosis If a BPMH report has been done the meds are selected from the list of items in that report otherwise the selection is made from the patient s active profile In Pharmanet modernization software both Pharmanet and local meds are used in the BPMH report so the EMR has access to everything the patient has been dispensed In non modernization software the profile includes only local medications Once the patient problems and related meds are specified the user may complete the encounter by entering assessment and care plan data for each problem Care plans may be specified for different audiences doctor patient pharmacist or general use Where a care plan for a doctor is entered or when a general use plan is appropriately flagged when the final save is
69. which will allow you to select the correct prescriber a 8 91 SMITH J M 401 145 EAST 13 12 SMITH CAMERON 5305052 22242 48TH AVE 34 SMITH JAMES 4640345 3025 LOUGHHEED Hwy o SMITH STUART 3275014 5780 C4MBIE 9940 91 SMITH JANE C O VANCOUVER Key Commands Enter edit F10 create Space select Esc cancel F delete Use the arrow keys and lt Page Up gt and lt Page Down to navigate this screen Highlight the entry for the correct prescriber and press the Space bar You will now be returned to the New Prescription screen with the selected prescriber s information entered on the Doctor line Following doctor selection you will advance automatically to the Sig field Any word you type in this field will be looked up in the SIG table and if found expanded to the text cross referenced there Tips for Labelling the Directions According to the Dosage Form It is crucial that the directions on the label be clearly and simply stated so that the patient will use the medication properly The dosage form of the prescribed medication must be considered when phrasing the directions on the label For example the directions i q i d might be stated as Take one tablet four times a day for a regular oral tablet Dissolve one tablet under the tongue four times a day for a sublingual tablet and Take one tablet dissolved in a glass of water four times a day for an effervescent tablet The a
70. y 29 Jun 20 100 43106 AMY CINDY TUW NC 2242322 Friday 30 Jun 7 7 plAn d Location Employee Current patient LastPxaccessedford TransmitFaciliy iD Key Commands Fl0 transmit ESC cancel Start ca manual dac Microso WinRx Microsoft Vis im PHAROS Pharmacist N s Items of type U rxs with something in the PRN field other than PRN or OTH will be colored green Deleting a prescription at this time will also remove them from the transmission list Hitting F10 will cause items for the specified Transmit FacilityID to be removed from the list and placed in a file named pacmed txt in the winrx folder on the current terminal Work Flow Interfaces If you specify an IP address and port in the Workflow IP address port field of the System record Browse System any prescription filled will be sent to that address as input to the Automed or McKesson work flow modules 54 Applied Robotics Inc All rights reserved Chapter 6 Miscellaneous Miscellaneous functions you may find useful BACK DATING RX s To backdate PHARMANET prescriptions hit the Backdate button in the Admin section of the main pharmacy screen and enter the new date when requested Any Rx you refill or create will be entered with this date and the drug pricing and coverage that was effective on this date When you are done hit the button again to reset have the date revert to today s value The Rx s will be
71. y PHN 4 Narc location Counsellous Primers Key Commands ESC exit F10 create Current patie HOME or Drug table name WARD Key Commands ESC exit Fl0 create F8 delete Monograph source 17 ormat BRAY generics Key Commands F10 update F2 exportoptions Esc cancel a Start es WinRx Microsoft Vis ta PHAROS Pharmacist im manual doc Microso Select the export you wish to be activated and specify the folder where the file data is to be exported to hit F10 to add the new item to the current export list The Automed Work Flow export does not require a file path be specified To activate this feature in addition to specifying the export the drug being dispensed must have A in the BIN field and the IP address Port of the dispensing machine must be entered in the Location record 64 Applied Robotics Inc All rights reserved Scanning Prescription scanning may either be done in the Browse Rx screen via the F12 function key or by executing scan rxs function in the Supervisor Utilities menu In the former case hitting F12 brings up the scan menu Insert the document to be scanned in the scanner and click the scan button or hit enter when the scan button is green When the scan is complete hit the Exit button to return to WinRx If you hit Esc when the scan button is green no scan will take place and the rx image already in place if there is one is unaffected Hitting the Exit button will repl

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