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SAIC/CHCS Doc. TC-4.5-0359
29 Jul 1996
PHR: OUTPATIENT PHARMACY FUNCTIONS
Copyright 1996 SAIC
License is granted under Contract DAHC94-88-D-0005 and the provisions of
DFAR 52.227-7013 (May 1987) to the U.S. Government and third parties under its employ
to reproduce this document, in whole or in part, for Government purposes only.
Submitted in Response to
Contract DAHC94-88-D-0005, CDRL Item B047
U.S. Army Information System Section & Acquisition Agency
and Composite Health Care System Program Office
Science Applications International Corporation (SAIC)
Health Care Technology Sector (HCTS)
10260 Campus Point Drive, San Diego, CA 92121
SAIC/CHCS Doc. TC-4.5-0359 Reference copyright on title page.
This document includes the specific pages cited below.
The "Date" column indicates the date carried in the header of the subject page, thereby identifying the current issue of each page in this document.
If change pages are issued, insert as specified in the change notice. Dispose of superseded pages in accordance with applicable regulations.
A-1 — (plus two 2-sided forms) SAIC/CHCS Doc. TC-4.5-0359 This record is maintained throughout the life of the document; each published update is recorded. A Change Package (re-issue of changed pages only) carries change bars in the page margins to identify differences from the preceding issue. Due to the scope of change that necessitates a Revision (re-issue of entire docu-ment), a Revision does not carry change bars.
Summary Description 29 Jul 1996 Initial submittal.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Table of Contents
Presenter's Guide Overview . . . . . . . . . . . . . . . . .
THE CHCS TRAINING SYSTEM . . . . . . . . . . . . . .
II. TRAINING DOCUMENTATION OVERVIEW . . . . . . . . .
III. CLASS SPECIFICATIONS . . . . . . . . . . . . . . . . .
VI. COMMONLY ASKED QUESTIONS . . . . . . . . . . . . .
II. EXPANDED PRESENTATION . . . . . . . . . . . . . . .
REGISTER A NEW OUTPATIENT . . . . . . . . . . . . .
ENTER A PHARMACY PATIENT COMMENT. . . . . . . . .
ENTER A NEW PRESCRIPTION. . . . . . . . . . . . . .
MODIFY AN ACTIVE PRESCRIPTION . . . . . . . . . . .
FORWARD A PRESCRIPTION . . . . . . . . . . . . . . .
HOLD/REACTIVATE A PRESCRIPTION . . . . . . . . . . .
DISCONTINUE AN ACTIVE PRESCRIPTION . . . . . . . .
BATCH PRINT PRESCRIPTION LABELS . . . . . . . . . .
REFILL AN ACTIVE PRESCRIPTION . . . . . . . . . . . .
ENTER NONCOMPLIANCE DATA . . . . . . . . . . . . .
REPRINT A PRESCRIPTION LABEL . . . . . . . . . . . .
PERFORM CLINICAL SCREENING . . . . . . . . . . . . .
PERFORM OUTPATIENT DISPENSING FUNCTIONS . . . . .
DISPLAY PRESCRIPTION INFORMATION . . . . . . . .
DISPLAY A PATIENT EDUCATION MONOGRAPH . . . . .
DISPENSE THE PRESCRIPTION . . . . . . . . . . . .
PERFORM GENERAL DRUG DATA INQUIRY . . . . . . . .
PERFORM A DRUG INFORMATION INQUIRY . . . . . . .
PERFORM A FORMULARY INQUIRY . . . . . . . . . . .
PERFORM A REACTION/INTERACTION INQUIRY . . . . . .
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Table of Contents (continued)
PERFORM AN ADVERSE REACTION INFORMATION PERFORM AN INTERACTION INFORMATION INQUIRY . .
PERFORM A TEST DRUGS FOR WARNINGS INQUIRY . . .
PERFORM A PATIENT TEST FOR DRUG ENTER A MANUALLY PROCESSED PRESCRIPTION . . . . .
PRINT A GROUP OF LOST OR DAMAGED LABELS . . . . . .
DISPLAY AND REVIEW THE PROVIDER INQUIRY SCREEN. .
REGISTER A NEW OUTPATIENT . . . . . . . . . . . . .
ENTER A PHARMACY PATIENT COMMENT. . . . . . . . .
ENTER A NEW PRESCRIPTION. . . . . . . . . . . . . .
MODIFY AN ACTIVE PRESCRIPTION . . . . . . . . . . .
FORWARD A PRESCRIPTION . . . . . . . . . . . . . . .
HOLD/REACTIVATE A PRESCRIPTION . . . . . . . . . . .
DISCONTINUE AN ACTIVE PRESCRIPTION . . . . . . . .
BATCH PRINT PRESCRIPTION LABELS . . . . . . . . . .
REFILL AN ACTIVE PRESCRIPTION . . . . . . . . . . . .
ENTER NONCOMPLIANCE DATA . . . . . . . . . . . . .
REPRINT A PRESCRIPTION LABEL . . . . . . . . . . . .
PERFORM CLINICAL SCREENING . . . . . . . . . . . . .
PERFORM OUTPATIENT DISPENSING FUNCTIONS . . . . .
DISPLAY PRESCRIPTION INFORMATION . . . . . . . .
DISPLAY A PATIENT EDUCATION MONOGRAPH . . . . .
DISPENSE THE PRESCRIPTION . . . . . . . . . . . .
PERFORM GENERAL DRUG DATA INQUIRY . . . . . . . .
PERFORM A DRUG INFORMATION INQUIRY . . . . . . .
PERFORM A FORMULARY INQUIRY . . . . . . . . . . .
PERFORM A REACTION/INTERACTION INQUIRY . . . . . .
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Table of Contents
PERFORM AN ADVERSE REACTION PERFORM AN INTERACTION INFORMATION INQUIRY . .
PERFORM A TEST DRUGS FOR WARNINGS INQUIRY . . .
PERFORM A PATIENT TEST FOR DRUG WARNING INQUIRY 1-92 ENTER A MANUALLY PROCESSED PRESCRIPTION . . . . .
PRINT A GROUP OF LOST OR DAMAGED LABELS . . . . . .
DISPLAY AND REVIEW THE PROVIDER INQUIRY SCREEN. .
Section 3
Master Practice . . . . . . . . . . . . . . . . . . . . . . .
Section 5
Reference Materials . . . . . . . . . . . . . . . . . . . . .
Section 6
Transparencies . . . . . . . . . . . . . . . . . . . . . . .
Appendix A
Class Evaluation Forms . . . . . . . . . . . . . . . . . . .
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Presenter's Guide Overview
THE CHCS TRAINING SYSTEM
The CHCS Training System is composed of training documentation and the Training Database, which are designed to support classroom training for the presenter and students. For more complete class information, refer to the CHCS Class Descriptions, TC-[4]-07201 and TC-4-07292.
The training documentation and Training Database are the basic tools for conducting CHCS training; however, you are the key to making the training sessions successful learning experiences for the students. Refer to the Facility Trainer Preparation class (Lesson 1: Teaching/Learning Strategies) for detailed information on presentation skills.
The following documents are used to teach this class: Presenter's Guide Subsystem-Specific Reference Manual The Training Database, also referred to as the Training Software, is designed to support directed training in conjunction with the Presenter's and Student Guides. The Training Database includes pre-positioned (previously entered) data that supports the specific CHCS functionality presented in these training materials. The Training Database contains all of the application software the students will use at their workcenters, and pre-positioned data to support all CHCS classes. Because the pre-positioned data supports only the documented classes, the Training Database cannot be used for free practice or for demonstrations other than those outlined in the Presenter's Guides. Refer to the Facility Trainer Preparation class (Lesson 7: The Training Database) for more detailed information on the structure and refresh capability of the Training Database.
1 The middle digit changes according to the CHCS software version.
2 Subject to revision.
SAIC/CHCS Doc. TC-4.5-0359 TRAINING DOCUMENTATION OVERVIEW
The training documentation for this CHCS class is composed of three different manuals: the Presenter's Guide, the Student Guide, and a subsystem-specific Reference Manual.
The Presenter's Guide provides the lesson plans, class preparatory activities, and demonstration outlines you will need to present the specific CHCS class. It also contains copies of the Practices, the Master Practice, Evaluation Criteria, and the data cards for use with the Training Database. Graphics (figures) are provided as appropriate to support your class presentation.
The Presenter's Guide contains the following sections: Presenter's Guide Overview
This section contains an overview of the CHCS training system; class-specific information; checklists of presenter activities before, during, and after class; and commonly asked questions. It lists two types of questions relating to the class presentation: These are questions you will need to ask at every location where you teach this class, whether a site or regional training center. They generally deal with workflow procedures. Management representatives of the target audience can provide answers for site-specific issues. These answers may affect how the class materials are customized for use at the site.
Other Questions Students Might Ask
These are questions that students may generate during classroom training. Answers are provided for this type of question.
SAIC/CHCS Doc. TC-4.5-0359 Section 1. Class Outline
This section contains the actual class presentation material.
This subsection outlines purpose, specifications, and objectives.
II. Expanded Presentation
This subsection contains detailed directions and explanations regarding the topics and activities covered in the class.
III. Brief Presentation
This subsection contains a skeletal version of the Expanded Presentation. Detailed information is left out, and only the presentation steps are listed. This version of the presentation, edited slightly, becomes the Presentation for the Student Guide. You may choose to use this subsection for presenting the class once you become familiar with it.
IV. Closure
This subsection discusses what the students have learned and how it fits with other training.
Section 2. Practices
The practices include scenarios similar to those used in the presentation. In some classes, the scenarios are specific to a particular student group (e.g., target audience). Evaluation Criteria are provided.
Section 3. Master Practice
The Master Practice is a cumulative activity for the students that addresses the objectives covered. You will evaluate the students' skill levels based upon their ability to complete this practice, using the Evaluation Criteria provided.
SAIC/CHCS Doc. TC-4.5-0359 Section 4. Data Cards
The data cards are used with the Training Database. They contain the data that should be entered to support the Presentation, Practices, and Master Practice. Data cards are provided for the presenter and 10 students. For some classes, there is enough pre-positioned data for two sessions of a class to be conducted concurrently, and the data cards are marked accordingly.
Section 5. Reference Materials
This section contains class-specific supporting materials, such as output samples, sample reports, keyboard templates, Medication Instruction List for writing prescriptions, Procedure Flowcharts, and Quick Reference Guides. If certain functionalities use information or perform calculations supported by scientific literature, references to the literature are included herein.
Section 6. Transparencies
This section contains transparency masters of figures and tables. The students do not receive this section.
Appendix A. Class Evaluation Forms
This appendix contains evaluation forms to be completed at the end of every CHCS class. Refer to the Facility Trainer Preparation class (Lesson 5) for detailed explanations of each form and instructions on how to distribute the forms. Briefly, the Class Evaluation Forms are as follows: Students use this form to evaluate the class.
Student Attendance and Performance Summary
Use this form to document student attendance and level of achievement in reference to the Master Practice.
SAIC/CHCS Doc. TC-4.5-0359 The Student Guide is provided for classroom use. At the discretion of the site, the guides may be retained by the student when the class is over, or the guides may need to remain in the classroom for use by other sessions for the same class. Additional materials may be available to support the class presentation. These materials will often be a benefit at workcenters. Some of the materials will be reproduced and provided as handouts.
The Student Guide contains the following sections: Student Guide Overview
This section contains an overview of the Student Guide, class specifications, and conventions used in the documentation.
Section 1. Class Outline
Slightly edited, this section is the same as in the Presenter's Guide. It contains the presentation objectives, topics, activities, and steps.
Section 2. Practices
These are the same practices that appear in the Presenter's Guide; however, the Evaluation Criteria are not included in the Student Guide.
Section 3. Master Practice
This is the same Master Practice that appears in the Presenter's Guide; however, the Evaluation Criteria are not included in the Student Guide.
Section 4. Data Cards
This section contains all of the same data cards that appear in the Presenter's Guide.
SAIC/CHCS Doc. TC-4.5-0359 Section 5. Reference Materials
This section contains all of the Reference Materials that appear in the Presenter's Guide.
In addition to the Student Guide, students should be provided with a handout containing class-specific Quick Reference Guides extracted from the Reference Materials.
SAIC/CHCS Doc. TC-4.5-0359 SUBSYSTEM REFERENCE MANUAL
The Subsystem Reference Manual is designed to support and augment classroom training. Both the Presenter's Guide and the Student Guide are dependent upon use of the Reference Manual. Copies of this manual should be available to all students for use during classroom training. There will be additional copies available at the workcenters for the students to use when they begin using CHCS on the job.
The Reference Manual contains the following sections: Section 1. Subsystem Overview
Section 2. Menu Diagrams & Definitions
This section contains menu diagrams for the entire subsystem, and definitions of every menu option in the diagrams.
The first part of this section is the Option Finder, where every menu option in the subsystem is listed alphabetically by option name (not synonym). The page number where the option definition is found is listed at the right margin, opposite the option name.
A diagram of the main subsystem menu immediately follows the Option Finder. Beginning on the page following this diagram, options on the main subsystem menu are briefly defined in the order they appear on the menu.
Options on the main subsystem menu that lead to additional menus are also diagrammed to show all menu layers. On a separate page, associated option definitions immediately follow each main option diagram, also in the order they appear on the successive menus.
Section 3. Procedure Flowcharts
Flowcharts are a visual representation of the steps required to complete a procedure.
SAIC/CHCS Doc. TC-4.5-0359 Section 4. Quick Reference Guides
This section contains "at a glance" information, including option or action definitions, screen displays, entry path, and other "need to know" information, for commonly used options and actions. Most of the guides are specific to the subsystem; however, some of the guides in each Reference Manual apply to all subsystems. The titles of these common Quick Reference Guides all begin with "CHCS." The guides are displayed sideways on the paper so that the sites can have the guides bound into a pocket-size quick reference for users.
Section 5. Subsystem Glossary
This section contains CHCS and subsystem terminology and definitions. The terms are arranged alphabetically for easy reference.
Section 6. Sample Output Reports
This section contains sample copies of subsystem reports. You may want to refer students to this section during class as you discuss the various reports available.
SAIC/CHCS Doc. TC-4.5-0359 III. CLASS SPECIFICATIONS
PHR: Outpatient Pharmacy Functions
This class presents the procedures for Outpatient Pharmacy workflow and inquiry activities.
TARGET AUDIENCE: Pharmacy SupervisorsPharmacistsPharmacy TechniciansSelected Staff – Register a new outpatient.
– Enter a pharmacy patient comment.
– Enter a new prescription. – Edit a prescription.
– Modify an active prescription. – Forward a prescription.
Hold/Reactivate a prescription.
– Discontinue an active prescription.
– Batch print prescription labels. – Refill an active prescription.
– Enter noncompliance data.
– Reprint a prescription label. – Perform clinical screening.
– Perform outpatient dispensing functions.
SAIC/CHCS Doc. TC-4.5-0359 PHR: Outpatient Pharmacy Functions (continued)
– Perform general drug data inquiry.
– Perform a reaction/interaction inquiry.
– Perform drug testing.
– Enter a manually processed prescription.
– Print a group of lost or damaged labels.
Display and review the Provider Inquiry Screen.
ORT: CHCS Orientation Module 1 - Getting StartedModule 3 - MailMan CLASS PRESENTATION OVERVIEW
PHR: Outpatient Pharmacy Functions is designed for supervisors, pharmacists, pharmacy technicians, and selected staff working in the Outpatient Pharmacy, so that students can observe options in use, and hear related discussions of the functionality before performing the Practices and Master Practice. Students should log on to the system when instructed, and remain logged on until the class has been completed. Scenarios have been written to help the students relate the functionality to their real-life workflow and activities.
The sequence of the class presentation is very important. Some activities are based on successful completion of prior objectives (i.e., for a user to reprint dispensing information it must first be printed). The Practices and the Master Practice should also be used in the sequence in which they have been written.
Allow a 10-minute break after approximately every 50 minutes of class time.
Ask students to complete and turn in the Class Critique along with the Master Practice when their requirements for the class have been met (e.g., at the end of a module).
SAIC/CHCS Doc. TC-4.5-0359 Remember to check the Class Presentation Checklist for items applicable to all CHCS training classes.
Refer to Section 4: Data Cards, for printer information.
CLASSROOM TRAINING MATERIALS
The following materials are specific to the presentation of this class: PHR: Outpatient Pharmacy Functions Presenter's Guide PHR: Outpatient Pharmacy Functions Student Guide Pharmacy Reference Manual Refer to the Preclass Checklist for equipment and supporting materials that may be needed.
SAIC/CHCS Doc. TC-4.5-0359 ■ designates objectives. The activities following the solid box support that ❑ designates subobjectives. The activities following the open box support that ALL CAPS AND BOLD text at the left margin indicates a topic. A topic appears
within the text of an objective or subobjective and can include information that is
independent or supportive of an objective or subobjective.
Initial Caps and Bold text at the left margin indicates a level 1 subtopic. A
level 1 subtopic appears within the text of a topic. It includes information that is
supportive of the topic.
Initial Caps and Bold text at one indent indicates a level 2 subtopic. A level 2
subtopic appears within the text of a level 1 subtopic and includes information
that is supportive of the level 1 subtopic.
Initial Caps and Bold text at two indents indicates a level 3 subtopic. A
level 3 subtopic appears within the text of a level 2 subtopic and includes
information that is supportive of the level 2 subtopic.
▲ designates a procedure. Numbered steps following the solid triangle support that procedure.
Bullets (•) with an action verb indicate activity steps.
Following a prompt, text in ALL CAPS AND BOLD indicates specific data to be
entered (typed or selected from the screen) by the student. This specific (or
constant) data is usually the same for all students or for the activity.
Variable data is represented by [text in square brackets]. Variable data can be
data provided on the appropriate data card, or it can be data that you choose to
support the scenario. This variable data is different for each student.
SAIC/CHCS Doc. TC-4.5-0359 The complete menu path is always included each time a menu option is accessed,
starting at the subsystem primary menu. The synonym for the menu where the
last objective or activity ended is listed in bold. If the last activity was a practice,
the lowest menu common to both the practice and the current objective is listed in
bold.
Primary Menu ➔ ME ➔ IOP
Scenarios appear in italics for easy recognition.
When a bold, uppercase letter appears in the left margin, it signifies that the corresponding content is to be presented to a specific group. (C) represents the Clerk group, (T) represents the Technician group, (P) represents the Pharmacists group, and (S) represents Selected Staff. Objectives without an identifier may be presented to all groups.
SAIC/CHCS Doc. TC-4.5-0359 Determine the target audience and associated specialties.
Review Class Outline, Practices, and Data Cards. Note that the Class Outline is broken into four sections: Introduction, Brief Presentation, Expanded Presentation, and Closure.
Review Subsection VI of the Presenter's Guide Overview (Commonly Asked Questions) for site issues and questions commonly asked by students.
Contact the management representatives of the target audience to determine how they plan to incorporate CHCS into the workflow for each of the specialty areas.
Customize the class presentation to be site- or specialty-specific. Be prepared to discuss the manner in which the site has chosen to deal with a particular activity.
Reproduce graphics to use in class as viewgraphs, as appropriate.
Reproduce the Quick Reference Guides from Section 5 for all students attending this class.
Reproduce the Class Critique (see Appendix A) for distribution after completion of the Master Practice.
Determine Area, Username, and the availability of Training Database and class-specific data.
Determine if the following equipment is available and functioning properly: Overhead Projector VT Series Terminal (for the presenter) VT Series Terminals (one for each student) LA Series Companion Printer(s) Electrohome Projection Monitor or LCD Display Tablet SAIC/CHCS Doc. TC-4.5-0359 PRECLASS CHECKLIST (continued)
Check the site policy on whether students are allowed to retain their Student Guides. If not, duplicate the paper-and-pencil tests as handouts or instruct the students to write their answers on the blank paper provided.
Determine that the following training materials are available for use: Presenter's Guide Student Guides (one copy per training station) Subsystem Reference Manual (one copy per training station) Quick Reference Guide handout Additional reference materials (as applicable) Blank paper (as applicable for note-taking or practices) Chalk/Greaseboard (whiteboard) pens Place the following at each student's terminal: Subsystem Reference Manual Quick Reference Guide handout Additional reference materials (as applicable) SAIC/CHCS Doc. TC-4.5-0359 CLASS PRESENTATION CHECKLIST
At the beginning of the class, show the students how to use the Student Guide and Subsystem Reference Manual. Encourage them to use the materials during class.
Encourage students to take notes. Inform students that blank paper is available, or they may write on their Quick Reference Guide handout.
Remind students about secondary menu options (covered in ORT: CHCS Orientation).
Have students log on when indicated in the Class Outline.
Remind students of the preferred method for accessing patient records at Select Patient prompts. Explain that, due to restrictions of the Training Database, during training they may be required to use patient name instead.
During class, refer students to the appropriate sections of the Reference Manual as indicated in the Class Outline.
Direct students to perform scenario-based practices at the appropriate times noted in the Class Outline. Note that some classes offer different practice scenarios that address specific specialty areas.
Remember to allow students to take a 10-minute break for every 50 minutes of class time.
SAIC/CHCS Doc. TC-4.5-0359 Direct students to complete the Master Practice.
Direct students to complete the Class Critique.
Distribute additional handouts, as applicable.
Remind students to take the Quick Reference Guide handout with them and any additional reference materials distributed at the beginning of the class.
Inform students that the copy of the Reference Manual remains in the classroom, and that another copy of the Reference Manual will be located at the workcenter for extended help or information after training is completed.
Remind students to use the Online Users Manual as needed at their workcenter.
Give the attendance roster and all samples of student performance to the Facility Training Coordinator when the class is over.
SAIC/CHCS Doc. TC-4.5-0359 COMMONLY ASKED QUESTIONS
The following is a list of issues that might affect the way students use CHCS. Once it is determined how students will deal with specific activities, the training materials can be customized to reflect these issues.
• Are any of the students for this class, other than pharmacists, going to be involved in clinical screening? Answer: If so, those students should also perform the clinical screening
objective, which is usually restricted to pharmacists.
Note: This question was included based on input from DMSSC.
• If patient files must be merged, are you likely to be involved in this process? Answer: If so, refer to Quick Reference Guide: Patient Merge Procedures.
OTHER QUESTIONS STUDENTS MIGHT ASK:
To be determined.
SAIC/CHCS Doc. TC-4.5-0359 OUTPATIENT PHARMACY
Section 1
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Section 1. Class Outline
Welcome to Outpatient Pharmacy Functions.
The purpose of this class is to demonstrate the options which allow the pharmacy staff to register and maintain patient information, enter and maintain prescription data, view and print outpatient pharmacy information, and resume normal work flow functions following system problems. This class will familiarize you with the menu options, displays, prompts, fields, and appropriate responses. This class is scheduled to last approximately 6 hours.
The target audience includes: Pharmacy Supervisors Pharmacy Technicians Prerequisites include: ORT: CHCS Orientation Module 1 - Getting StartedModule 3 - MailMan There are no recommended classes.
OVERVIEW OF OUTPATIENT PHARMACY FUNCTIONS
The activities for this class will include a demonstration of procedures for PHR: Outpatient Pharmacy Functions.
Practices will follow demonstration or lecture. A Master Practice will be given at the end of the class to demonstrate proficiency in the objectives presented.
SAIC/CHCS Doc. TC-4.5-0359 Register a new outpatient.
Enter a pharmacy patient comment.
Enter a new prescription.
Edit a prescription.
Modify an active prescription. Forward a prescription.
Hold/Reactivate a prescription.
Discontinue an active prescription.
Batch print prescription labels.
Refill an active prescription.
Enter noncompliance data.
Reprint a prescription label (P,S) –
Perform clinical screening.
Perform outpatient dispensing functions.
Perform general drug data inquiry.
Perform a reaction/interaction inquiry.
Perform drug testing.
Enter a manually processed prescription.
Print a group of lost or damaged labels.
Display and review the Provider Inquiry screen.
SAIC/CHCS Doc. TC-4.5-0359 INTRODUCE THE PHARMACY SYSTEM MENU
• Log on to CHCS and access the Pharmacy System Menu.
The Pharmacy System Menu is the primary menu for pharmacy-related functions using CHCS.
INTRODUCE THE PHARMACY REFERENCE MANUAL
A reference manual is available at each terminal for use in the classroom.
The manual is also available at your workcenter.
All menu definitions are contained in the manual.
• Refer to the Pharmacy Reference Manual for applicable menu diagrams and definitions and procedural flowcharts.
• Enter ??? (to access the menu option descriptions online).
INTRODUCE THE OUTPATIENT MENU
• Access the Outpatient Menu (OPM) on the Pharmacy System Menu; for Pharmacy: MAIN, label printer: NL-OP
Pharmacy System Menu ➔ OPM
• Describe the Outpatient Menu options.
Scenario: You are a pharmacy employee who works in an outpatient pharmacy.
Your daily routine includes a variety of tasks; some performed on a regular basis,
some less often.
Today's activities are pretty typical of the workflow you may normally do, including the following: SAIC/CHCS Doc. TC-4.5-0359 ■ REGISTER A NEW OUTPATIENT
Scenario: An outpatient, who cannot be identified through the multiple patient
search methods, presents a prescription to be filled at your outpatient pharmacy.
You must register the patient before you can fill the prescription.
• Access the Modified Registration (MOR) option on the Patient Demographics Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔
NOTE TO PRESENTER: At the LABEL PRINTER prompt you may press
<Return> to place labels in suspense for later batch printing, or enter an
outpatient label printer device identifier.
• Refer to Quick Reference Guide: Mini Registration. Explain that this option is used to register a new patient, add to existing patient or sponsor data, or change patient or sponsor data.
• Refer to Quick Reference Guide: Patient Lookup.
Explain that this Quick Reference Guide demonstrates the preferred method of Patient Lookup.
REVIEW PATIENT LOOKUP
When you access the Mini-Registration option, you are prompted for a patient name and a sponsor name.
It is extremely important to identify a patient correctly.
Adding a duplicate patient to the database can have a significant impact on patient safety.
• Refer to Quick Reference Guide: Patient Merge Procedures.
SAIC/CHCS Doc. TC-4.5-0359 Attempt to locate a patient name a minimum of three ways before adding a new patient to the database: Enter the first letter of the last name and the last four digits of the Social Security number (SSN).
Enter the full SSN.
Enter the full patient name.
• Specify patient and sponsor: Enter Patient Name: A6666 (ATWOOD,JAMES)
This is the first step in the Patient Lookup Procedure.
Patients already in the system with a last name beginning with A (in this case) and whose last four SSN digits are 6666 are displayed as a selection list.
Review the list carefully. If the patient information for any of the listed patients matches information provided by the person currently requesting service, that person is already registered in the system.
If no patients with a a last name beginning with S and whose last four SSN digits are 6666 are registered, the system returns two question marks (??) and repeats the prompt to select patient.
When no match is found using the first step, try the second step.
Enter Patient Name: 666 66 6666 (ATWOOD,JAMES)
This is the second step (i.e., entering the sponsor's full SSN).
Enter the SSN as one long nine-digit number without spaces or dashes.
The system searches for any patients already registered whose SSN matches the nine digit entry in this field.
If information for one or more patients is displayed, check the display closely. If one of the patients listed matches the person requesting service, the person is already registered on the system.
SAIC/CHCS Doc. TC-4.5-0359 If the system returns two question marks (??) and repeats the prompt to select patient name, try the third step. Enter Patient Name: ATWOOD (ATWOOD,JAMES)
When a person's last name only is entered at a prompt to select patient name, the system searches and displays a selection list of all registered patients with that last name.
Again, check the display carefully. If none of the patients on the selection list matches the person requesting service, return to the prompt to select patient name, use proper format to enter the person's full name and proceed with the registration.
Enter Patient Name: ATWOOD,JAMES
The correct format for entering a patient name in CHCS is: No space is left between the comma and the first name, and the middle initial does not include a period.
Confirm that you are adding ATWOOD,JAMES as a new Patient: YES
Explain that if you decide not to add this patient, enter N(O) instead of Y(ES) at the prompt.
Enter Sponsor Name: spacebar, then <Return>
Since the patient is his own sponsor, you can avoid typing in the sponsor name incorrectly by pressing the spacebar, then <Return> to reenter the last patient name that you entered into CHCS (ATWOOD,JAMES).
If the patient is his or her own sponsor, you must still enter the patient's name as the sponsor name.
If the sponsor is also new to the facility, you must register the sponsor first.
SAIC/CHCS Doc. TC-4.5-0359 • Complete the Sponsor - Initial Information screen: Sponsor FMP: 20
Explain that FMP stands for family member prefix and indicates the patient's relation to the sponsor.
Sponsor DOB: 11-22-60
Explain that this is the sponsor's date of birth.
Sponsor SSN: 666 66 6666
Verify Sponsor SSN: 666 66 6666
Sponsor PATCAT: A11 (USA AD Officer)
Explain that the patient category determines the services a patient may receive.
• File the data.
NOTE TO PRESENTER: Explain that at this point the DEERS (Defense
Enrollment Eligibility Reporting System) link message appears which allows
the MTF personnel to determine a patient's eligibility to receive medical
services.
• Process DEERS Request: NOTE TO PRESENTER: If the DEERS check finds that the patient is
DEERS Ineligible, the system prompts you to decide whether or not to
continue with the registration. If you choose to continue, you must specify a
DEERS Eligibility code.
Do you want to Override the DEERS Ineligibility and continue? NO// YES
Select DEERS Eligibility Override Code: 6
Do you want to print eligibility data? NO// <Return>
• Refer to Quick Reference Guide: DEERS Reference Information.
SAIC/CHCS Doc. TC-4.5-0359 • Complete the modified registration: Explain that if the patient and sponsor are the same the information in these three fields will be filled automatically from information provided earlier.
Home Phone: (703) 555-8899
Explain that this is the sponsor's home phone number.
Work Phone: (703) 222-2323
Explain that this is the sponsor's work phone number.
Pt. Addr: 1122 MONROE STREET
Explain that this is the patient's home address.
Zip: 23126
Explain that if the Zip Code is in the data base, the system automatically enters the city and state for that Zip Code allowing you to bypass the next two fields.
Explain that this field is filled automatically from information provided earlier.
Explain that this field is filled automatically from information provided earlier.
Cmd Sec.: PSP
Explain that this refers to the sponsor's level of Command security (i.e., Presidential Support Program, Sensitive Compartmented Info, etc.).
SAIC/CHCS Doc. TC-4.5-0359 Rank: CPT
Explain that this is the sponsor's Military Duty Station Unit.
Dty Addr: 1234 MILITARY WAY
Explain that this is the Duty Address of the sponsor's Military Duty Station.
Zip: 22102
Explain that if the Zip Code is in the data base, the system automatically enters the city and state for that Zip Code allowing you to bypass the next two fields.
Duty Phone: (703) 222-2323
Explain that this is the sponsor's Duty Phone.
DSN stands for the Defense Switching Network.
The entry into this field must be 3 to 8 characters in length.
O/P Rec Loc: OUTPATIENT RECORDS
Explain that this field describes the current location of the patient's Outpatient record.
O/S Rec Loc: <Return>
Primary Phy: <Return>
Explain that you may enter the physician in charge of the patient's case, or press <Return> to bypass the field.
Reg Comment: FOR TRAINING
Explain that you may enter any comments regarding the medical record or its location.
SAIC/CHCS Doc. TC-4.5-0359 Does [patient name] want to be an organ donor? <Return>
This is not a require field.
If the patient wants to be listed as an organ donor enter YES in this filed.
A default of YES or NO displays at this prompt only if the information was entered during the initial registration or an update of registration information.
• File the data.
NOTE TO PRESENTER: Explain that when registering a dependent the
Move Demographic Data FROM screen will allow you to automatically fill
demographic information fields by using the up-arrow or down-arrow keys to
move to the sponsor. You may then press <Select>, then <Return>. The only
field that will require an entry will be the Sex of the patient.
NOTE TO PRESENTER: After filing registration information, several
prompts may display according to how each site has defined its parameters.
Of these post registration prompts, only Enter EDIT ALLERGY
INFORMATION? NO// is appropriate to the Pharmacy subsystem.
• Define allergy information: Enter/Edit allergy information? NO// YES
Explain that this prompt will display only for those sites that have chosen this post registration option.
Select Allergy: CODEINE
Explain that allergy information is site defined and does not have to be a medication. It can be any allergen; such as dairy products, ragweed, bee sting, eggs, etc.
SAIC/CHCS Doc. TC-4.5-0359 Allergy Comments: <Return>
Explain that you may enter any comments related to the allergy, or press <Return> to bypass the field.
Select Allergy: <Return>
Explain that you may enter another substance to which the patient is allergic, or press <Return> to bypass the field.
• File the data.
• Return to the Patient Demographics Menu.
• Discuss data cards (i.e., username, password, area, access, and verify codes).
• Log on to the training software and use specified data.
Practice 1 - Register a patient.
SAIC/CHCS Doc. TC-4.5-0359 ■ ENTER A PHARMACY PATIENT COMMENT
Scenario: You wish to record some vital patient information which will display
when the patient's prescriptions are processed.
• Access the Pharmacy Patient Comment (PPC) option on the Patient Demographics Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PDM ➔ PPC
• Refer to Quick Reference Guide: Pharmacy Patient Comment.
Explain that this option allows you to enter specific data for a patient.
• Refer to Quick Reference Guide: Patient Lookup.
• Specify patient and comment: Select Patient: A6666 (ATWOOD,JAMES)
This must be a registered outpatient.
To recall the previously used patient name, press the spacebar, then <Return>.
Patient Comment: PRESCRIBE ONLY MEDS WITH NO ALCOHOL.
Explain that this is a free-text field and holds comments that are up to 60 characters long.
• File the data.
Select Patient: <Return>
Explain that you may enter another patient or press <Return> to bypass the Select Patient prompt.
• Return to the Outpatient Menu.
Practice 2 - Enter a pharmacy patient comment.
SAIC/CHCS Doc. TC-4.5-0359 ■ ENTER A NEW PRESCRIPTION
Scenario: A patient brings a prescription to the pharmacy to be filled. You must
enter the prescription into CHCS.
DISCUSS MIN/MAX DOSAGE CHECKING FOR MG/ML
Minimum and maximum (Min/Max) dosage checking for milligrams and milliliters (MG/ML) for outpatient prescriptions is being added to allow for understandable patient instructions on pediatric doses and to compare the dosage ordered for a medication against the minimum and maximum daily dosages defined for that drug and patient age.
Discuss the Impact of this Functionality on SIGs
The SIG of an outpatient Rx is to be written in a form that the patient can understand and act upon. Patient instructions to take 12.5 MG of Diphenhydramine twice a day, would not be appropriate. For this reason, doses in MG and ML were not previously accepted or parsed, and it was inappropriate for Pharmacy and Clinical users to write SIGs with those units of measurement.
The capability has been added to allow understandable patient instructions for pediatric doses. This change supports giving instructions for pediatric doses from measuring devices such as droppers, oral syringes or small cups, that could be marked in MG or ML. This change does not affect other standard units of measurement for expression of dosage, including; CAP, CC, GM, GTTS, MCG, OZ, TAB, TSP and TBSP.
The dosage ordered for a medication is compared against the minimum and maximum daily dosages defined for that drug and patient age. A clinical screening is created if the dosage is under the minimum or over the maximum daily dosage defined.
Discuss the Impact of this Functionality on SIG Format
The syntax of a SIG, determines whether or not the calculations will be accurate. Spaces need to be used as delimiters between all components of the SIG. Components need to include the amount, unit, and timing, or a specific entry from the Medication Instruction file. An example of a correct SIG would be "T 12.5 MG BID" For accurate (min/max) dosage checking to occur, drug file and table build must be complete and accurate. The drug dosage form, dosage strength, content unit, and min/max unit of measure must be defined and compatible with each other.
SAIC/CHCS Doc. TC-4.5-0359 The PSD OPTIONS security key restricts access to the Add New Drug to Formulary (ADN) and Min/Max Dose Parameters (MMP) options where the min/max information is defined. The parameters defined in the Add New Drug to Formulary (ADN) and the Min/Max Dose Parameters (MMP) options are not formulary specific and the data applies to all divisions.
The following criteria must be met if dosage checking is to be performed: The patient?s age must be present in the database.
Minimum and maximum daily dosage must be defined for age ranges for that drug.
The SIG written for the Rx must contain an amount, a unit of measurement, and a timing.
The unit used in the SIG must be compatible with the content unit of the drug.
When these conditions are not met, dosage checking is not performed and the system displays one of the following messages: No dosage range defined No dosage range defined for this patient?s age Unable to perform dosage checking (SIG).
Discuss User Responsibilities and Software Impacts
The Pharmacy Supervisor is responsible for completing file and table build for each drug and updating the drug database as different strengths become available or min/max dosage standards change.
Pharmacy and Clinical users are responsible for entering complete and valid SIGs.
After an order is filed, min/max dosage checking is evoked. If the dosage is under the daily minimum or over the daily maximum dose, clinical screening is generated.
When a clinical screening is generated, users holding the PSGRPH key can cleared the screening. If the clinical screening is not cleared, the prescription goes into suspense.
When the label is printed for a prescription with a clinical screening, via the Batch Print Labels (BPL) option, a warning label is generated.
SAIC/CHCS Doc. TC-4.5-0359 Discuss Accessing the ADN and MMP Options to Set Minimum and
Maximum Dosage Parameters
Minimum and maximum dosage parameters are defined in the Drug file based on age using the Add New Drug to Formulary (ADN) and Min/Max Dose Parameters (MMP) options.
The following fields must be defined using the Add New Drug to Formulary (ADN) option for dosage checking to calculate: Dosage Strength field - This field contains the numeric portion of the content unit.
Content Unit - This field contains the common unit of measure for all the ingredients in the drug.
Dosage Form - This field defines the form of the drug.
The following fields must be defined using the Min/Max Dose Parameters (MMP) option for dosage checking to occur: Age Range field - This field is used to define each patient age range for dosage parameters.
Unit of Measure field - The entry in this field must be compatible with the content unit entered in the Add New Drug to Formulary (ADN) option.
Minimum Dose per Day, Maximum Dose per Day - The entries in these fields are based on the unit of measure entered in the Unit of Measure field.
• Access the New Prescription Entry (RX) option on the Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔
• Refer to Quick Reference Guides: New Prescription Entry and Entering a Prescription Using Min/Max Dosage Checking.
Explain that this option allows you to enter new prescriptions for a selected patient.
• Specify Patient: spacebar, then <Return> (ATWOOD,JAMES)
SAIC/CHCS Doc. TC-4.5-0359 • Enter at Selection: B (both active/inactive)
Explain the selections: A For Active Prescriptions Only B For Active and Inactive Prescriptions <Return> to bypass profile • Refer to Quick Reference Guides: One-Line Order Entry, and Drug Lookup.
• Enter drug information: Drug Name: PROCARDIA (NIFEDIPINE--PO 10MG TAB)
Explain that the New Prescription Entry screen will display and that the Prescription number should be recorded to allow easier access.
Confirm drug: <Return>
Explain that a default Sig Code may be defined by your site or you may enter a Sig Code of up to 220 characters.
Refills Allowed: 2
Confirm provider: <Return>
MEPRS Code: [deafult MEPRS] <Return>
Explain that the MEPRS Code is the Medical Expense and Performance Reports code. This is required information used for accounting.
Days Supply: <Return>
Order Date/Time: <Return>
Explain that this is the date the prescription was entered into the Prescription database.
SAIC/CHCS Doc. TC-4.5-0359 Expiration Date: <Return>
Explain that this is the date the prescription expires.
Child Resistant Container: <Return>
Explain you may press <Return> to accept the child resistant container, or delete YES and enter NO to indicate use of a regular container.
Explain you may enter a comment or press <Return> to advance through the field.
Queue the label for printing: YES// <Return>
Explain that you may enter another patient or press <Return> to return to the Prescriptions Menu.
• Enter a prescription for a different patient.
Specify patient: MITCHEL,AMY
Confirm patient name: <Return>
Review the allergy information displayed on the New Prescription screen.
Select active prescriptions: A
Enter the drug name: ROBITUSSIN DM ((or subst)--PO SYRP 120ML/
BT)
Enter SIG: T 40ML Q6
Quantity: 2
Refills allowed: 2
• File the data.
Explain the drug and dosage information.
When the prescription is filed, messages display informing you whether drug and dosages warnings are present.
If a drug warning is present the following message displays: SAIC/CHCS Doc. TC-4.5-0359 Performing Drug checks. All checks enable Drug warning present If a dosage warning is present the following message displays: Performing Dosage checks.
Dosage warning present • Press <Return> to display the Warnings screen.
Discuss the information displayed in each section of the screen.
The top section includes the order number, patient name, the name of the drug, the total number of warnings, and the number of each type of warning.
>>> ORDER# NEW -- [patient name] <<< NEW DRUG-1: ROBITUSSIN DM(OR SUBST)--PO SYRUP1-WARNINGS: 0-INTERACT 0-DUPLICATE 0-ALLERGY 0-OVERLAP 1-DOSAGE The middle section displays the warning number, type of warning, and number of reports.
# WARNING DRUG / ALLERGY / DOSE REPORTSDosage-Above Maximum Daily = 160ML > 120ML 1 The bottom section contains the prescription and warning information.
ENTER WARNING # FOR REPORT: 1 =PRESCRIPTION A11144 Drug: ROBITUSSIN DM(OR SUBST)--PO SYRUP Qty: 1HCP: [provider name] Refills left: 2 of 2 Last fill: (Never filledSig: 40ML Q6Daily Dosage outside Minimum/Maximum range:Ages: 12-99 Min: 30ML Max: 120ML • Override the dosage warning and return to the Prescriptions Menu.
Do not review the patient profile: <Return>
Override the warning: YES
Enter justifying comments: DEMONSTRATION OF MIN/MAX
Queue the prescription label for printing: <Return>
Select patient: <Return>
The Prescriptions Menu displays.
Practice 3 - Enter new prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ EDIT A PRESCRIPTION
Scenario: While reviewing a prescription, you notice an error on the label. You
must edit the prescription to correct the error.
• Access the Edit a Prescription (EAP) option on the Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ EAP
• Refer to Quick Reference Guide: Edit a Prescription.
Explain that this option allows you to edit a prescription for the purpose of correcting entry errors and cannot be used if the prescription has been dispensed. This option cannot be used to change the intent of a prescription. When a prescription is edited an Activity Log entry will be recorded and an edited version of the label will be generated.
• Specify patient or RX #: M5555 (MACON,AMY)
NOTE TO PRESENTER: Entering the RX# (if known) will allow the fastest
access and enable you to bypass the next two prompts.
• Select the order: Selection: A
Review selections: For Active Prescriptions Only For Active and Inactive Prescriptions <Return> to bypass profile Select prescription: 1
Explain that you may not edit the Patient, RX#, or Pharmacy Comment fields.
SAIC/CHCS Doc. TC-4.5-0359 DISCUSS THE PRESCRIPTION STATUSES DISPLAYED ON THE
PATIENT PROFILE
For each prescription on a patient's profile, one of the following statuses is displayed: Two additional statuses in the system are not displayed in the patient profile: A cancelled prescription is not displayed in the patient's profile. However, cancelled prescriptions can be viewed using the Medication Profile Inquiry (MPR) option.
Renewed prescriptions are displayed on the patient profile as Active, a new prescription number is assigned to the renewed prescription and the original prescription is listed as discontinued.
• Refer to Quick Reference Guide: Drug Lookup.
• Perform the edit: Explain you may edit the Sig field or press <Return> to move the cursor
to a field you wish to edit.
SAIC/CHCS Doc. TC-4.5-0359 Refills Allowed: 1
Explain that after making the necessary edits you may press <Return> to advance through the fields to Activity Log Comments. • Specify Activity Log Comments: DEMONSTRATION
Explain that you may enter a free-text message up to 80 characters in length.
• File the data.
Explain that when a prescription is edited, a new label is generated with EDT in the top right-hand corner of the label.
• Queue labels for printing? YES// <Return>
• Return to the Prescriptions Menu.
Practice 4 - Edit a prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ MODIFY AN ACTIVE PRESCRIPTION
Scenario: In the process of picking up an original prescription for Ibuprofen, the
patient mentions an allergy to Motrin that the doctor wasn't told about. You contact
the doctor, and he recommends a change to Parafon Forte, and requests that you
make the modification because he doesn't have access to a terminal.
• Access the Modify a Prescription (MAP) option on the Secondary Prescriptions Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ SPM ➔ MAP
• Refer to the Quick Reference Guide: Modify a Prescription.
Explain that this option allows you to modify existing prescriptions if the prescription has been dispensed but the intent of the prescription has changed. A prescription can be modified even after it has been refilled. The prescription being modified will be discontinued and a new prescription and RX# created.
• Specify patient or RX #: RXM513 (MACON,AMY)
You may not modify the Patient Name, RX#, or original Pharmacy Comment.
Note: When selecting by RX #, the first two characters must be RX (i.e.,
RXM532).
• Refer to Quick Reference Guide: Drug Lookup.
• Modify the Drug: PARAFON FORTE
(DSC (or subst) PO 500MG TAB)
Explain that after you have made the desired changes you may press <Next Screen> to advance to the Activity Log Comments.
• Specify Activity Log Comments: PER VERBAL ORDER OF PHYSICIAN.
Explain that you may enter a free-text message up to 80 characters in length. The prescription number changes and a label will be printed for this prescription. SAIC/CHCS Doc. TC-4.5-0359 • File the data.
Explain that a message displays: Prescription #_ _ _ _ _ Discontinued.
Stored as prescription # _ _ _ _ _ _ .
• Queue the label for printing: YES// <Return>
• Return to the Secondary Prescriptions Menu.
Practice 5 - Modify an active prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ FORWARD A PRESCRIPTION
Scenario: An outpatient with a prescription to be filled at your pharmacy calls
and asks if his prescription can be filled at a site closer to his home. You forward
the prescription to a different pharmacy site.
• Access the Forward a Prescription (FAP) option on the Secondary Prescription Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ SPM ➔ FAP
• Refer to Quick Reference Guide: Forward a Prescription.
Explain that this option allows you to forward a prescription from one pharmacy site to another. Only prescriptions that have not been dispensed should be forwarded.
• Specify patient or RX#: M1943 (MACRAE,DOUG)
NOTE TO PRESENTER: Entering the RX# (if known) will allow the fastest
access and enable you to bypass the next two prompts.
• Select and forward the order: Selection: A
Specify prescription: 1
Explain that you may select a prescription by entering the number from the far left column. You may enter more that one prescription by placing commas between the entries.
• Forward the prescription: Forward Prescription to: CENTRAL PHARMACY
Explain that you may forward an undispensed prescription to any site within the medical treatment facility (MTF) that is set up to receive prescriptions from the forwarding site.
SAIC/CHCS Doc. TC-4.5-0359 OK to Forward to [receiving site]? YES// <Return>
Activity Log Comments: CLOSER TO PATIENT'S HOME.
You may enter a free-text message up to 80 characters in length.
After forwarding a prescription, the prescription number changes, and the original prescription is discontinued.
• Return to the Secondary Prescriptions Menu.
Practice 6 - Forward a prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ HOLD/REACTIVATE A PRESCRIPTION
Scenario: A patient reports that a rash appears after taking a prescribed drug.
You place a hold on the prescription until the physician can be notified and the
situation researched further.
• Access the Hold/Reactivate a Prescription (HRP) option on the Secondary Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ SPM ➔ HRP
• Refer to Quick Reference Guide: Hold/Reactivate a Prescription.
Explain that this option allows you to temporarily discontinue or put on hold a prescription and later to reactivate that prescription.
• Select patient and prescription to place on hold: Specify Patient or RX#: RXM516 (MACE,INEZ)
Remind students that the prescription number must be prefixed by RX.
Do you want to put Prescription RXM516 on HOLD? YES// <Return>
Authorizing Provider: [provider]// <Return>
Activity Log Comments: PATIENT REPORTS A RASH.
You may enter a free-text message up to 80 characters in length.
The screen will display a message indicating that the selected prescription is now on hold.
NOTE TO PRESENTER: The same procedure is used to reactivate a
prescription on hold. A message explaining that this prescription is on hold
and the reason entered appears. A reactivate prompt allows you to reactivate
the prescription and the remaining prompts displayed are the same as the
hold process.
SAIC/CHCS Doc. TC-4.5-0359 • Reactivate prescription: Specify Patient or RX #: RXM516
Reactivate prescription: YES// <Return>
Authorizing provider: [provider]// <Return>
Activity Log Comments: PER DR.'S VERBAL ORDER.
• Return to the Prescriptions Menu.
Practice 7 - Hold/Reactivate a prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ DISCONTINUE AN ACTIVE PRESCRIPTION
Scenario: A patient reports that she develops nausea from a prescribed drug. You
contact the physician who asks you to discontinue the prescription.
• Access the Discontinue a Prescription (DAP) option on the Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ DAP
• Refer to Quick Reference Guide: Discontinue a Prescription.
Explain that this option allows you to discontinue one or more prescriptions for a patient. This option is used to stop an active order for which action towards implementation/completion has occurred.
• Select prescription to discontinue: Specify RX#: RXM516 (MACE,INEZ)
Are you sure you want to discontinue this prescription? YES// <Return>
Activity Log Comments: PER DR.'S VERBAL ORDER.
You may enter a free-text message up to 80 characters in length.
The screen will display a message indicating that the selected prescription is now discontinued.
• Return to the Prescriptions Menu.
Practice 8 - Discontinue an active prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ BATCH PRINT PRESCRIPTION LABELS
Scenario: You return from a break and decide to print labels for the new
prescriptions that were entered into CHCS while you were away.
• Access the Batch Print Labels (BPL) option on the Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ BPL
• Refer to Quick Reference Guide: Batch Print Labels.
Explain that this allows you to print a batch of labels for prescriptions entered by the HCPs, by the Pharmacy, or by both. New prescriptions or refills generated by the pharmacy can be printed in batch if the labels were not queued directly to a printer at processing time.
• Specify printing parameters: Enter Selection: A// <Return>
Explain selections: To print HCP entered orders To print Pharmacy entered orders To print All orders Select Baker Cell: [default Baker Cell]// <Return>
Explain that this prompt only appears if a Baker Cell has been defined within the system.
Requested Start Time: NOW// <Return>
• Remain at the Prescriptions Menu.
Practice 9 - Batch print prescription labels.
SAIC/CHCS Doc. TC-4.5-0359 ■ REFILL AN ACTIVE PRESCRIPTION
Scenario: A patient comes to the outpatient pharmacy where you work and asks
for a refill of an active prescription.
• Access the Refill a Prescription (RAP) option on the Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ RAP
• Refer to Quick Reference Guide: Refill a Prescription.
Explain that this option allows you to refill a prescription that is active and has valid refills remaining.
• Select patient and prescription to refill: Specify Patient: M9074 (MACPHERSON,JOHN)
NOTE TO PRESENTER: Entering the RX# (if known) will allow the fastest
access and enable you to bypass the next two prompts.
Selection: A
Specify Prescription: 1
You may select a prescription by entering the number from the far left column. You may enter more than one prescription by placing commas between the entries.
Students should record RX# to use in later objectives.
Refill Date: TODAY// <Return>
Explain that if the refill is early a warning message will display.
Continue processing this refill? YES// <Return>
• Refer to Quick Reference Guides: Partial Quantity Dispensed, and Remove a Refill Error.
Queue label for Printing? YES// <Return>
• Return to the Prescriptions Menu.
Practice 10 - Refill an active prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ ENTER NONCOMPLIANCE DATA
Scenario: You notice a prescription on the shelf that has been there beyond its
allotted holding time. You record that the prescription was not picked up by the
patient.
• Access the Enter Noncompliance Data (NON) option on the Secondary Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ SPM ➔ NON
• Refer to Quick Reference Guide: Enter Noncompliance Data.
Explain that this option allows you to record a prescription as Noncompliant. • Specify patient: M5555 (MACON,ALEX)
NOTE TO PRESENTER: Entering the RX# (if known) will allow the fastest
access and enable you to bypass the next two prompts.
• Specify noncompliant data: Selection: A
Specify Prescription: 1
You may select a prescription by entering the number from the far left column. You may enter more than one prescription by placing commas between the entries.
Students should record RX# to use in later objectives.
Would you like to enter this as Noncompliant Data? YES// <Return>
Activity Log Comments: PATIENT DOES NOT WANT RX.
Explain that you may enter a free-text message up to 80 characters in length.
• Return to the Prescriptions Menu.
Practice 11 - Enter noncompliance data.
SAIC/CHCS Doc. TC-4.5-0359 ■ REPRINT A PRESCRIPTION LABEL
Scenario: When printing prescription labels, the labels in the printer become
misaligned. After the labels are aligned correctly, you reprint the ruined labels.
• Access the Label Reprint (LRP) option on the Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ LRP
• Refer to Quick Reference Guide: Label Reprint.
Explain that the Label Reprint option allows you to reprint an individual label without affecting the status of the medication order.
• Define parameters for printing new label: Patient or RX #: RXM528 (MACON, ALEX) (THEOPHYLLINE)
Device: NL:
• Return to the Prescriptions Menu.
Practice 12 - Reprint a prescription label.
SAIC/CHCS Doc. TC-4.5-0359 ■ PERFORM CLINICAL SCREENING
Scenario: When a batch of labels is printed, a positive clinical screening label
prints which indicates a prescription is in warning status. You view the clinical
screening information and decide to override the warning so the prescription can
be processed.
• Access the Clear Clinical Screening (CCS) option on the Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ CCS
• Refer to Quick Reference Guide: Outpatient Clinical Screening.
Explain that this option is used by the pharmacist to view drug interactions, drug allergy contraindications and drug duplication warnings that have been overridden by the ordering provider.
• Display and override drug warning: Specify RX#: M12063 (MOUNDS,ALLAN A)
Explain that the Warning Information screen will display.
Specify Warning Report #: 1
Explain that the warning information will display on the screen.
Specify Warning Report #: <Return>
Explain that you may enter another report number or press <Return> to
advance.
Do you wish to review the patient profile? NO// YES
Explain that viewing the profile assists you in deciding whether a drug warning should be overridden, the prescription discontinued, and/or a new prescription written.
Selection: A (active prescriptions only)
Select Prescription: <Return>
Explain that pressing <Return> allows you to exit the profile screen.
SAIC/CHCS Doc. TC-4.5-0359 RX# [RX#]: Override Warning (Y/N)? NO// YES
Comments: PER DR.'S VERBAL ORDER.
Explain that this is a mandatory free-text field.
Device: NL:
• Return to the Prescriptions Menu.
Practice 13 - Perform clinical screening.
SAIC/CHCS Doc. TC-4.5-0359 ■ PERFORM OUTPATIENT DISPENSING FUNCTIONS
Scenario: A patient has arrived to pick up a prescription. Review the patient's
prescription information, print a patient education monograph, and dispense the
prescription.
• Access the Dispense a Prescription (DRX) option on the Prescription Menu.
Pharmacy System Menu ➔ OPM ➔ PM ➔ DRX
• Refer to Quick Reference Guide: Dispensing Option.
• Select patient: MITCHEL,AMY
DISCUSS THE DISPENSING ACTION BAR
The Dispensing option action bar displays after selecting the DRX option and entering a patient name or prescription number The actions displayed on the action bar are determined by the presence of prescriptions and the status of those prescriptions, for the selected patient.
If the selected patient does not have active prescriptions (RXs entered after the latest dispensing enable date) Inquiry and eXit are the only options displayed and the following message is present: No prescriptions to dispense.
When the selected patient has active prescriptions displayed: Prescriptions for the current division are highlighted, numbered, and the Dispense action is available.
Prescriptions in suspense are numbered, dim, and cannot be selected.
Prescriptions for a division other than the current division are dim, un-numbered, and cannot be selected.
Active prescriptions, entered prior to the latest Dispensing option enable date, are displayed by selecting the Inquiry option.
The Correction action displays if prescriptions have been dispensed for a patient. Selecting the Correction action displays a secondary action bar containing the Undispense action.
The Inquiry and eXit actions always display.
SAIC/CHCS Doc. TC-4.5-0359 In addition to the dispense and undispense actions the following frequently used pharmacy options are available when active prescriptions are present on the Dispense Prescriptions screen: Monograph - Patient Education Monograph (presented in this objective) Noncompliant - Mark a prescription as noncompliant (presented in an earlier objective) Clear Clinical Screening (presented in an earlier objective).
Activity Log/Modify Fill Activity Log When a Dispensed or Undispense transaction is completed, the Fill Type field in the PHR Fill Activity Log is updated.
When a Dispensed or Undispensed transaction is completed, the following fields are populated in the PHR Activity Log: Reason, Date/Time, Site, Logged By, and Comment.
Note: When the Dispensing option is enabled, ALL prescriptions should be
processed using the Dispense a Prescription (DRX) option.
When dispensing a partial prescription, ensure that both the partial and the completed prescription are dispensed using the DRX option. ❑ DISPLAY PRESCRIPTION INFORMATION
Scenario: Prior to dispensing a prescription, review the patient's prescription
information.
Explain that you can display prescription information using the Prescription Inquiry option, menu path: PHR ➔ OPM ➔ PM ➔ PRI.
• Select, display, and review the prescription inquiry information.
Select Inquiry from the action bar: I(nquiry), <Return>
SAIC/CHCS Doc. TC-4.5-0359 If no prescriptions are selected before the Inquiry action item is chosen, you are prompted to select the prescriptions to display: Active prescriptions only Both active and inactive prescriptions A range of dates.
An action bar item can be selected by: Entering the highlighted letter Moving the cursor across the action bar to the desired action and pressing <Return>.
Select active prescriptions: A(ctive)
All active prescriptions for the selected patient display.
If a prescription has been renewed (R) or modified (M), the indicator displays adjacent to the status indicator.
Select prescription 1: 1
The Dispensing Profile also displays prescriptions in suspense. These prescriptions are non-selectable, and are displayed un-numbered and dim. The status column displays an R or an F. The Fill Date column displays the word Suspense.
If prescriptions are selected, the Prescription Inquiry screen displays.
If more than one prescription is selected, each prescription displays successively by pressing <Return>.
After viewing the prescription information, you are returned to the Dispensing Profile.
Display prescription to the screen: HOME
• Return to the Dispense Prescriptions screen: <Return>
SAIC/CHCS Doc. TC-4.5-0359 ❑ DISPLAY A PATIENT EDUCATION MONOGRAPH
Scenario: The patient education monograph for the drug needs to be discussed
with the patient prior to dispensing the prescription.
Explain that patient monograph information can also be displayed using the Prescription Education Monograph option, menu path: PHR→ OPM→ DDI→ OPM.
• Display the patient education monograph for the selected prescription.
Select the prescription: <Select> (do not press <Return>)
Individual prescriptions can be selected and un-selected using <Select>.
All eligible prescriptions on the Dispense Prescriptions screen can be selected and un-selected by pressing <F11>.
Select Monograph from the action bar: M(onograph)
If no prescriptions are selected, a message displays prompting you to make a selection. The select cursor is redisplayed.
Select device: HOME
Entering a device name at this prompt will print Patient Education Monographs for the prescriptions selected. After the monographs have been printed or displayed you are returned to the Dispensing Profile.
If an NDC number is not assigned to the drug, a patient education monograph will not be available and the following message displays: This drug does not have a primary NDC number defined.
The patient education information can not be generated.
The Plus (+) sign at the top or bottom of the information display indicates additional information is available by scrolling toward the Plus (+) sign using the up- and down-arrow keys.
Pressing <Return>, presents the next monograph. If no additional monographs were selected, the Dispense Prescriptions screen displays.
SAIC/CHCS Doc. TC-4.5-0359 • Return to the Dispensing Prescription screen.
❑ DISPENSE THE PRESCRIPTION
Scenario: The patient education monograph has been discussed with the patient.
Dispense the prescription.
• Dispense prescriptions.
Select prescriptions to be dispensed: <Select>
Prescriptions selected previously will continue to be selected.
Individual prescriptions can be selected and un-selected using <Select>.
All prescriptions on the Dispense Prescriptions screen can be selected and un-selected by pressing <F11>.
If a prescription in warning is selected (either individually or by pressing <F11>) and the Dispense action item is selected, an error message displays stating that screenings must be cleared before the prescription can be dispensed unless the outpatient site parameter Clinical Screen Label is set to Active Label.
If a prescription is in warning status, users holding the PSO CLINICAL security key may choose the Clear action item on the Action Bar, and access the Clear Clinical Screening Functionality.
Select the Dispense action: D(ispense)
If no prescriptions are selected the following message displays: No prescriptions selected. Press <Return> to continue.
All selected prescriptions are filed as being dispensed and the Select Patient prompt displays.
The Dispense Prescriptions screen re-displays if all active prescriptions have not been dispensed. i.e., prescriptions in a warning status.
The Correction action displays on the action bar if the Dispense option is re-accessed for this patient.
SAIC/CHCS Doc. TC-4.5-0359 Reselect the patient: spacebar, then <Return>
The Dispense Prescriptions screen re-displays.
The correction action displays on the action bar.
• Display the undispense action.
Select the correction action: cOrrection
The Undispense Prescriptions screen and undispensed action display. Only prescriptions that have been dispensed display.
Selecting the exit action returns you to the Dispense Prescriptions screen.
DISCUSS THE UNDISPENSE OPTION
The undispense action can only be accessed if dispensed prescriptions exist for the selected patient.
All prescriptions dispensed for the patient during the display period, or since the most recent Dispensing option enable date, displays.
If the selected patient has no dispensed prescriptions that fit this criteria the Correction action does not display.
Prescriptions are sorted by division and by site within the division. Your current site displays first. Prescriptions are chronologically listed within each site.
When prescriptions are selected individually, a comment may be entered for each. The comment displays in the Activity log.
If more than one prescription is selected, only one comment can be entered. The comment displays in the Activity Log of each prescription.
After completing the undispence action, the Select Patient prompt redisplays.
SAIC/CHCS Doc. TC-4.5-0359 • Return to the Dispense Prescriptions screen: eXit
• Return to the Outpatient Pharmacy Menu.
Practice 14 - Perform outpatient dispensing functions
SAIC/CHCS Doc. TC-4.5-0359 ■ PERFORM GENERAL DRUG DATA INQUIRY
Scenario: A physician has requested some drug information from your pharmacy.
You use CHCS to quickly access the desired drug information.
• Access the Drug Data Inquiry Menu (DDI) on the Outpatient Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔
NOTE TO PRESENTER: This menu contains several options that query
the drug data base. You may test drugs for interactions, review allergy
information, see the classification structure for a particular drug, or view site
specific drug data such as quick codes.
❑ PERFORM A DRUG INFORMATION INQUIRY
Scenario: Part of the information requested by the physician was information on
the subclass for a particular drug.
• Access the Drug Information (DRU) option on the Drug Data Inquiry Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ DDI ➔ DRU
• Refer to Quick Reference Guide: Drug Information.
Explain that this option is a general display about a particular drug in the formulary. The display includes the route, form, classification, and component(s) of the drug specified.
• Refer to Quick Reference Guide: Drug Lookup.
• Specify the drug to be investigated: THEOPHYLLINE (--PO 100MG CPSR
Explain that you can display any entry in the MTF formulary; whether it is active or inactive, or currently in formulary or non-formulary status.
Point out elements of the screen display.
• Display the drug inquiry information.
SAIC/CHCS Doc. TC-4.5-0359 Right Margin: <Return>
Enter a device name to print the data.
Press <Return>, enter 0 or HOME to display the drug inquiry information.
Press the up- and down- arrow keys to view drug information.
The plus sign (+) at the top or bottom of the information display indicates additional information is available by scrolling toward the plus sign (+) using the up- and down-arrow Press <Return> to return to the Drug Data Inquiry Menu.
• View the information display.
• Return to the Drug Data Inquiry Menu.
❑ PERFORM A FORMULARY INQUIRY
Scenario: You need to find the Trade Name for a drug you are investigating for a
physician.
• Access the Formulary Inquiry (FIN) option on the Drug Data Inquiry Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ DDI ➔ FIN
• Refer to the Quick Reference Guide: Formulary Inquiry.
Explain that this option allows you to display formulary group information for a particular drug from the information defined within the Formulary Maintenance option.
• Refer to Quick Reference Guide: Drug Lookup.
• Define the Formulary Inquiry: Formulary Group Name: FIRST FORMULARY GROUP// <Return>
Explain that you may accept the default formulary group or specify a new formulary group to access drug information.
SAIC/CHCS Doc. TC-4.5-0359 Drug name: THEOPHYLLINE (--PO 100MG SR TAB)
Explain that you may use this option for any drug in the MTF's main formulary.
• View the information display.
Explain that the display includes drug information established in the formulary by Pharmacy personnel, including General Drug Parameters, Outpatient Data, Inpatient Data, IV Drug Data, and Ordering Restriction Data as it has been defined within the Formulary.
• Return to the Drug Data Inquiry Menu.
• View the information displayed.
• Return to the Drug Data Inquiry Menu.
Practice 15 - Perform a drug information inquiry.
SAIC/CHCS Doc. TC-4.5-0359 ■ PERFORM A REACTION/INTERACTION INQUIRY
Scenario: You are investigating some possible adverse drug reactions and
interactions for an intern at the hospital. Use CHCS to help you in your
investigation.
NOTE TO PRESENTER: The Drug Data Inquiry Menu contains several
options that query the drug data base, two of which will be used for this
objective (Adverse Reaction Information and Interaction Information).
❑ PERFORM AN ADVERSE REACTION INFORMATION INQUIRY
Scenario: The benefits of a patient's drug therapy are being weighed against
possible side effects of the therapy. You decide to investigate the likely adverse
reactions for the drug.
• Access the Adverse Reaction Information (ARI) option on the Drug Data Inquiry Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ DDI ➔ ARI
• Refer to Quick Reference Guide: Adverse Reaction Information.
Explain that this option allows you to obtain descriptions of any possible adverse reactions to a particular drug. The description includes reported reactions, drugs involved, and clinical discussions.
• Select Allergy/Adverse Reactions: PENICILLAMINE (382290)
The allergy information is derived from the American Hospital Formulary Service (AHFS).
A picklist displays containing the sections of the Allergy/Adverse Reactions monograph available for the drug selected.
The allergy monograph for Ampicillin, Ampicillin Sodium, Ampicillin Trihydrate (385002) displays the following sections: Caution paragraph Precautions and contraindications SAIC/CHCS Doc. TC-4.5-0359 Pregnancy and lactation No citations referenced • Refer to Quick Reference Guide: Allergy Sections • Select the sections of the report to be displayed: <Select>, <Return>
The following sections of the allergy monograph are available for Penicillamine: Caution paragraph Sensitivity reactionsRenal effectsHematologic effectsMucocutaneous effectsGI effectsHepatic effectsEffects on tasteOther adverse effectsPrecautions and contraindicationsPediatric precautions874 pregnancy and lactation2 citations referenced.
Only Sensitive reactions was selected.
To select all of the displayed sections press <F11>, an asterisk (*) displays at each item in the list.
• Display and view the drug information: Select device: <Return>
Right Margin: 80// <Return>
The following is a partial output of Sensitivity reactions: Penicillamine causes allergic reactions in about one-third of patients receiving the drug. When therapy is interrupted for even a few days, sensitivity reactions may occur when therapy is reinstituted. The most common allergic reaction is a generalized pruritic, erythematous, maculopapular, or morbilliform rash which occurs early in therapy and is often controlled by concomitant administration of an antihistamine. SAIC/CHCS Doc. TC-4.5-0359 This early rash usually disappears within a few days after penicillamine is discontinued and seldom recurs when the drug is restarted at a lower dosage. Less commonly, late rash (usually circumscribed, scaly macular lesions on the trunk of the body) with intense pruritus may occur after 6 months or more of therapy. Late rash may persist for weeks after the drug is discontinued, is usually unresponsive to topical corticosteroids, and usually recurs if penicillamine is restarted. Most forms of pemphigus have been reported in patients receiving penicillamine.
+ Pemphigus vulgaris and
The plus sign (+) at the bottom of the output indicates that more data is available. Use the down-arrow key to display the rest of the information.
• Return to the Drug Data Inquiry Menu.
❑ PERFORM AN INTERACTION INFORMATION INQUIRY
Scenario: The benefits of a patient's drug therapy are being weighed against
possible side effects of the therapy. You decide to check the drug against another
drug classification that appears to have been prescribed for the patient.
• Access the Interaction Information (DII) option on the Drug Data Inquiry Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ DDI ➔ DII
• Refer to Quick Reference Guide: Interaction Information.
Explain that this option allows you to obtain descriptions of drug-drug interactions. The descriptions include a summary, description of effects, mechanism of action, management, and discussion of the interaction.
• Drug-Drug Interaction Report: PENICILLINS (AMINOGLYCOSIDES)
Explain that you can enter the name and then select the type of available selection under the name from the pick list, or enter the coded interaction number.
SAIC/CHCS Doc. TC-4.5-0359 • Display and view the drug information: Right Margin: 80// <Return>
Press the up- and down-arrow keys to view monograph information.
The plus sign (+) at the top or bottom of the information display indicates adenyl information is available by scrolling toward the plus sign (+) using the up- and down-arrow keys.
• Press <Return> to return to the Drug Data Inquiry Menu.
• Return to the Drug Data Inquiry Menu.
Practice 16 - Perform a reaction/interaction inquiry.
SAIC/CHCS Doc. TC-4.5-0359 ■ PERFORM DRUG TESTING
Scenario: A physician asks you to check for possible interactions between a unique
or unusual combination of drugs which he is considering ordering for a patient.
You decide to test the combination using CHCS functionality.
NOTE TO PRESENTER: The Drug Data Inquiry Menu contains several
options that query the drug data base, two of which will be used for this
objective (Test Drugs for Drug Warnings and Patient Test for Drug Warnings).
❑ PERFORM A TEST DRUGS FOR WARNINGS INQUIRY
Scenario: You are investigating the possibility of an interaction between a
combination of drugs that a physician is considering ordering for a patient.
• Access the Test Drugs for Warnings (TFW) option on the Drug Data Inquiry Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ DDI ➔ TFW
• Refer to Quick Reference Guide: Test Drugs for Warnings.
Explain that this option allows you to test a new drug against a combination of other drugs that a patient may take. The system searches and displays any drug/drug interactions that exist between the various drugs entered.
• Refer to Quick Reference Guide: Drug Lookup.
• Enter at Do you want to display the drug check parameters? NO// YES
A list of the drug site parameters for the user's current site is displayed.
This is display only; the site parameters cannot be edited while using this option.
• Enter at Do you want to bypass the drug check parameters and run this test to display all possible interaction information? NO// YES
When you want to see all levels of interaction information, enter YES. This turns off the filtering defined in the site parameters.
SAIC/CHCS Doc. TC-4.5-0359 Accepting the default of NO causes interaction information to be displayed based on the setup of the site parameters.
• Test a drug against another drug: New/Test Drug: DIAZEPAM (--PO 5MG TAB)
Explain that you may enter any drug within the MTF's formulary to test against any other drug within the MTF's formulary.
Old Drug #1: ALPRAZOLAM (--PO .5MG TAB)
Explain that you may enter up to nine other ‘old' drugs, individually, to include in the test.
Point out that the system displays the status of the drug checks.
Old Drug #2: <Return>
Explain that once you have entered all of the drugs you wish to test against each other, you may press <Return> for the system to perform the drug test.
Point out that the system displays a message which indicates that the test is being performed, as follows: Performing Drug Checks.
[Drug warning status][type/qty] Site Checks Enabled Explain that if the test produces a warning it will automatically display.
• Investigate the drug warning: Warning # for Report: 1
Duplicate, overlap, and dosage warnings will display automatically on the screen if selected; if the warning is for an interaction or allergy, you will be prompted to select a device on which to print the information.
Press <Return> to continue or < > to escape.
Point out key elements of the screen display.
SAIC/CHCS Doc. TC-4.5-0359 • Return to the Drug Data Inquiry Menu.
Warning # for Report: <Return>
If there is more than one warning listed, you have the opportunity to display another warning report.
Pressing <Return> backs up one step within the option and allows you another opportunity to perform a drug test.
New/Test Drug: <Return>
This prompt displays once again as the final opportunity to perform another drug/drug test while in this option.
Pressing <Return> returns you to the Drug Data Inquiry Menu.
❑ PERFORM A PATIENT TEST FOR DRUG WARNING INQUIRY
Scenario: You are investigating the possibility of an interaction between a
combination of drugs which a physician is considering ordering for a patient. The
patient is presently on one of the drugs, so you check the additional drug against
the patient's medication profile.
• Access the Patient Test for Drug Warnings (PTW) option on the Drug Data Inquiry Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ DDI ➔ PTW
• Refer to Quick Reference Guides: Patient Test for Drug Warnings, and Drug For outpatient pharmacy - The PTW option is used to check a patient's inpatient profile against new/test drugs.
The PTW option can be used by outpatient pharmacy personnel to check discharge prescriptions against medications the patient was receiving during their inpatient stay.
SAIC/CHCS Doc. TC-4.5-0359 • Enter at Do you want to display the drug check parameters? NO// YES
A list of the drug site parameters of the user's current site is displayed.
This is display only; the site parameters cannot be edited while using this option.
• Enter at Do you want the drug check parameters and run this test to display all possible interaction information? NO// YES
When you want to see all levels of interaction information, enter YES. This turns off the filtering defined in the site parameters.
Accepting the default of NO causes interaction information to be displayed based on the setup of the site parameters.
• Test a drug against a patient's profile: Patient Name: M7101 (MITCHEL,AMY)
Explain that you may enter the name of any patient presently registered.
Remind students to enter ?? to see various methods of patient selection.
Point out that it takes a little time for the system to retrieve the patient's profile.
New/Test Drug: PENICILLIN (V K--PO 250MG TAB)
Remind students that you may specify any drug within your MTF formulary.
Point out that the system displays a message which indicates that the test is being performed as follows: Performing Drug Checks.
[Drug warning status][type/qty] Site Checks Enabled Remind students that if the test produces a warning it will automatically display.
SAIC/CHCS Doc. TC-4.5-0359 • Investigate the drug warning: Warning # for Report: 1
Remind students that duplicate, overlap, and dosage warnings will display automatically on the screen if selected; if the warning is for an interaction or allergy, you will be prompted to select a device on which to print the information.
Select desired sections: <Select> then <Return>
• View displayed information: Right Margin: 80// <Return>
Press the up- and down-arrow keys to view monograph information.
The plus sign (+) at the top or bottom of the information displays indicates additional information is available by scrolling toward the plus sign (+) using the up- and down-arrow keys.
Press <Return> to return to the Drug Inquiry Menu.
Warning # for Report: <Return>
Remind students: If there is more than one warning listed you have the opportunity to display another warning report.
Pressing <Return> backs up one step within the option and allows you another opportunity to perform a drug test.
New/Test Drug: <Return>
Remind students this prompt displays once again as the final opportunity to perform another drug test while in this option.
SAIC/CHCS Doc. TC-4.5-0359 Patient Name: <Return>
This prompt displays once again as the final opportunity to perform another drug test while in this option.
Pressing <Return> returns you to the Drug Data Inquiry Menu.
• Return to the Outpatient Menu.
Practice 17 - Perform drug testing.
SAIC/CHCS Doc. TC-4.5-0359 ■ ENTER A MANUALLY PROCESSED PRESCRIPTION
Scenario: An electrical blackout in the area caused a system shutdown. Pharmacy
personnel continued to manually issue prescriptions. Now that the system is back
up and running, the prescriptions that were manually issued have to be entered
into CHCS.
• Access the Manual Prescription Entry (MPE) option on the Secondary Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔
PM ➔ SPM ➔ MPE • Refer to Quick Reference Guide: Manual Prescription Entry.
Explain that this option is used following a system shut-down to enter prescriptions into the system that were filled manually while the system was down.
• Specify Patient: M1945 (MACE,INEZ)
• Select Prescription Profile: A (active prescriptions only)
• Refer to Quick Reference Guides: One-Line Order Entry, and Drug Lookup.
• Define drug information: Drug Name: ENTEX ((or SUBST) -- PO CAP)
Prescription Number: 3001
Explain that the New Prescription Entry screen will display.
Quantity: 28
Refills Allowed: 1
MEPRS Code: [default MEPRS] <Return>
Explain that the MEPRS Code is the Medical Expense and Performance Reports code and that it is mandatory information for financial charging.
SAIC/CHCS Doc. TC-4.5-0359 Days Supply: 14
Order Date/Time: <Return>
Explain that this is the date the prescription was entered into the Prescription database.
Expiration Date: <Return>
Explain that this is the date the prescription expires.
Child Resistant Container: <Return>
Explain you may press <Return> to accept the child resistant container, or delete YES and enter NO to indicate use of a regular container.
Comments: TAKE TO RELIEVE CONGESTION.
Explain you may enter a comment or press <Return> to advance
through the field.
• File the data.
Explain that you may enter another patient or press <Return> to return to the Prescriptions Menu.
• Return to the Outpatient Menu.
Practice 18 - Enter a manually processed prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ PRINT A GROUP OF LOST OR DAMAGED LABELS
Scenario: Due to a defective printer, a group of labels was destroyed and cannot
be printed on the same printer until the printer is repaired. You must reassign label
printing to another printer to reprint the lost labels.
• Access the Change Label/Text Printer (CLT) option on the Outpatient Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔
• Refer to Quick Reference Guide: Change Label/Text Printer.
Explain that this option allows you to reprint a group of lost or damaged labels.
• Specify device and pharmacy site: Failed Device: NL:
Explain that this is the malfunctioning device.
Pharmacy Site [pharmacy site]// <Return>
Explain that the system defaults to the pharmacy site you are logged into.
• Specify prescriptions to reprint: Starting RX number: M727
Explain that the starting prescription is the last legible label preceding the destroyed or lost label.
Ending RX number: ALL// <Return>
Explain that this will print all labels from the starting prescription number to the end of the labels.
Requested Start Time: NOW// <Return>
• Return to the Pharmacy System Menu.
Practice 19 - Print a group of lost or damaged labels.
SAIC/CHCS Doc. TC-4.5-0359 ■ DISPLAY AND REVIEW THE PROVIDER INQUIRY SCREEN
Scenario: You have been asked to review the information on the Provider Inquiry
screen to determine if the Provider flag is set for one of the HCP's. Access the Health
Care Provider Inquiry option and review the data.
• Access the Health Care Provider Inquiry (HCP) option on the Outpatient Pharmacy System Menu ➔ Outpatient Pharmacy Site [site] ➔
• Select the provider name to be displayed.
Provider name: MYERS,MIKE
Explain that the name entered in this field must be a valid entry in the Provider file.
Confirm the provider name: YES
• Display and review the provider data.
Device: HOME
Explain that the information can be displayed to the screen or printed.
Review the Provider Inquiry screen.
The Provider Flag cannot be edited using the HCP option.
To edit the Provider Flag access the Health Care Provider Maintenance (HCM) option on the Supervisory Functions Menu.
• Return to the Outpatient Menu.
Practice 20 - Display and review the Provider Inquiry screen.
SAIC/CHCS Doc. TC-4.5-0359 III. BRIEF PRESENTATION
INTRODUCE THE PHARMACY SYSTEM MENU
• Log on to CHCS and access the Pharmacy System Menu.
The Pharmacy System Menu is the primary menu for pharmacy-related functions using CHCS.
INTRODUCE THE PHARMACY REFERENCE MANUAL
A reference manual is available at each terminal for use in the classroom.
The manual is also available at your workcenter.
All menu definitions are contained in the manual.
• Refer to the Pharmacy Reference Manual for applicable menu diagrams and definitions and procedural flowcharts.
• Enter ??? (to access the menu option descriptions online).
INTRODUCE THE OUTPATIENT MENU
• Access the Outpatient Menu (OPM) on the Pharmacy System Menu; for Pharmacy: MAIN, label printer: NL-OP
Pharmacy System Menu ➔ OPM
• Describe the Outpatient Menu options.
Scenario: You are a pharmacy employee who works in an outpatient pharmacy.
Your daily routine includes a variety of tasks; some performed on a regular basis,
some less often.
Today's activities are pretty typical of the workflow you may normally do, including the following: SAIC/CHCS Doc. TC-4.5-0359 ■ REGISTER A NEW OUTPATIENT
Scenario: An outpatient, who cannot be identified through the multiple patient
search methods, presents a prescription to be filled at your outpatient pharmacy.
You must register the patient before you can fill the prescription.
• Access the Modified Registration (MOR) option on the Patient Demographics Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔
NOTE TO PRESENTER: At the LABEL PRINTER prompt you may press
<Return> to place labels in suspense for later batch printing, or enter an
outpatient label printer device identifier.
• Refer to Quick Reference Guide: Mini Registration. • Refer to Quick Reference Guide: Patient Lookup.
REVIEW PATIENT LOOKUP
When you access the Mini-Registration option, you are prompted for a patient name and a sponsor name.
It is extremely important to identify a patient correctly.
Adding a duplicate patient to the database can have a significant impact on patient safety.
• Refer to Quick Reference Guide: Patient Merge Procedures.
Attempt to locate a patient name a minimum of three ways before adding a new patient to the database: Enter the first letter of the last name and the last four digits of the Social Security number (SSN).
Enter the full SSN.
Enter the full patient name.
SAIC/CHCS Doc. TC-4.5-0359 • Specify patient and sponsor: Enter Patient Name: A6666 (ATWOOD,JAMES)
Enter Patient Name: 666 66 6666 (ATWOOD,JAMES)
Enter Patient Name: ATWOOD (ATWOOD,JAMES)
Enter Patient Name: ATWOOD,JAMES
Confirm that you are adding ATWOOD,JAMES as a new Patient: YES
Enter Sponsor Name: spacebar, then <Return>
• Complete the Sponsor - Initial Information screen: Sponsor FMP: 20
Sponsor DOB: 11-22-60
Sponsor SSN: 666 66 6666
Verify Sponsor SSN: 666 66 6666
Sponsor PATCAT: A11 (USA AD Officer)
• File the data.
NOTE TO PRESENTER: Explain that at this point the DEERS (Defense
Enrollment Eligibility Reporting System) link message appears which allows
the MTF personnel to determine a patient's eligibility to receive medical
services.
• Process DEERS Request: NOTE TO PRESENTER: If the DEERS check finds that the patient is
DEERS Ineligible, the system prompts you to decide whether or not to
continue with the registration. If you choose to continue, you must specify a
DEERS Eligibility code.
SAIC/CHCS Doc. TC-4.5-0359 Do you want to Override the DEERS Ineligibility and continue? NO// YES
Select DEERS Eligibility Override Code: 6
Do you want to print eligibility data? NO// <Return>
• Refer to Quick Reference Guide: DEERS Reference Information.
• Complete the modified registration: Home Phone: (703) 555-8899
Work Phone: (703) 222-2323
Pt. Addr: 1122 MONROE STREET
Zip: 23126
Cmd Sec.: PSP
Rank: CPT
Dty Addr: 1234 MILITARY WAY
Zip: 22102
Duty Phone: (703) 222-2323
O/P Rec Loc: OUTPATIENT RECORDS
O/S Rec Loc: <Return>
SAIC/CHCS Doc. TC-4.5-0359 Primary Phy: <Return>
Reg Comment: FOR TRAINING
Does [patient name] want to be an organ donor? <Return>
• File the data.
NOTE TO PRESENTER: Explain that when registering a dependent the
Move Demographic Data FROM screen will allow you to automatically fill
demographic information fields by using the up-arrow or down-arrow keys to
move to the sponsor. You may then press <Select>, then <Return>. The only
field that will require an entry will be the Sex of the patient.
NOTE TO PRESENTER: After filing registration information, several
prompts may display according to how each site has defined its parameters.
Of these post registration prompts, only Enter EDIT ALLERGY
INFORMATION? NO// is appropriate to the Pharmacy subsystem.
• Define allergy information: Enter/Edit allergy information? NO// YES
Select Allergy: CODEINE
Allergy Comments: <Return>
Select Allergy: <Return>
• File the data.
• Return to the Patient Demographics Menu.
SAIC/CHCS Doc. TC-4.5-0359 • Discuss data cards (i.e., username, password, area, access, and verify codes).
• Log on to the training software and use specified data.
Practice 1 - Register a patient.
SAIC/CHCS Doc. TC-4.5-0359 ■ ENTER A PHARMACY PATIENT COMMENT
Scenario: You wish to record some vital patient information which will display
when the patient's prescriptions are processed.
• Access the Pharmacy Patient Comment (PPC) option on the Patient Demographics Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PDM ➔ PPC
• Refer to Quick Reference Guide: Pharmacy Patient Comment.
• Refer to Quick Reference Guide: Patient Lookup.
• Specify patient and comment: Select Patient: A6666 (ATWOOD,JAMES)
Patient Comment: PRESCRIBE ONLY MEDS WITH NO ALCOHOL.
• File the data.
Select Patient: <Return>
• Return to the Outpatient Menu.
Practice 2 - Enter a pharmacy patient comment.
SAIC/CHCS Doc. TC-4.5-0359 ■ ENTER A NEW PRESCRIPTION
Scenario: A patient brings a prescription to the pharmacy to be filled. You must
enter the prescription into CHCS.
DISCUSS MIN/MAX DOSAGE CHECKING FOR MG/ML
Minimum and maximum (Min/Max) dosage checking for milligrams and milliliters (MG/ML) for outpatient prescriptions is being added to allow for understandable patient instructions on pediatric doses and to compare the dosage ordered for a medication against the minimum and maximum daily dosages defined for that drug and patient age.
Discuss the Impact of this Functionality on SIGs
The SIG of an outpatient Rx is to be written in a form that the patient can understand and act upon. Patient instructions to take 12.5 MG of Diphenhydramine twice a day, would not be appropriate. For this reason, doses in MG and ML were not previously accepted or parsed, and it was inappropriate for Pharmacy and Clinical users to write SIGs with those units of measurement.
The capability has been added to allow understandable patient instructions for pediatric doses. This change supports giving instructions for pediatric doses from measuring devices such as droppers, oral syringes or small cups, that could be marked in MG or ML. This change does not affect other standard units of measurement for expression of dosage, including; CAP, CC, GM, GTTS, MCG, OZ, TAB, TSP and TBSP.
The dosage ordered for a medication is compared against the minimum and maximum daily dosages defined for that drug and patient age. A clinical screening is created if the dosage is under the minimum or over the maximum daily dosage defined.
Discuss the Impact of this Functionality on SIG Format
The syntax of a SIG, determines whether or not the calculations will be accurate. Spaces need to be used as delimiters between all components of the SIG. Components need to include the amount, unit, and timing, or a specific entry from the Medication Instruction file. An example of a correct SIG would be "T 12.5 MG BID" For accurate (min/max) dosage checking to occur, drug file and table build must be complete and accurate. The drug dosage form, dosage strength, content unit, and min/max unit of measure must be defined and compatible with each other.
SAIC/CHCS Doc. TC-4.5-0359 The PSD OPTIONS security key restricts access to the Add New Drug to Formulary (ADN) and Min/Max Dose Parameters (MMP) options where the min/max information is defined. The parameters defined in the Add New Drug to Formulary (ADN) and the Min/Max Dose Parameters (MMP) options are not formulary specific and the data applies to all divisions.
The following criteria must be met if dosage checking is to be performed: The patient?s age must be present in the database.
Minimum and maximum daily dosage must be defined for age ranges for that drug.
The SIG written for the Rx must contain an amount, a unit of measurement, and a timing.
The unit used in the SIG must be compatible with the content unit of the drug.
When these conditions are not met, dosage checking is not performed and the system displays one of the following messages: No dosage range defined No dosage range defined for this patient?s age Unable to perform dosage checking (SIG).
Discuss User Responsibilities and Software Impacts
The Pharmacy Supervisor is responsible for completing file and table build for each drug and updating the drug database as different strengths become available or min/max dosage standards change.
Pharmacy and Clinical users are responsible for entering complete and valid SIGs.
After an order is filed, min/max dosage checking is evoked. If the dosage is under the daily minimum or over the daily maximum dose, clinical screening is generated.
When a clinical screening is generated, users holding the PSGRPH key can cleared the screening. If the clinical screening is not cleared, the prescription goes into suspense.
When the label is printed for a prescription with a clinical screening, via the Batch Print Labels (BPL) option, a warning label is generated.
SAIC/CHCS Doc. TC-4.5-0359 Discuss Accessing the ADN and MMP Options to Set Minimum and
Maximum Dosage Parameters
Minimum and maximum dosage parameters are defined in the Drug file based on age using the Add New Drug to Formulary (ADN) and Min/Max Dose Parameters (MMP) options.
The following fields must be defined using the Add New Drug to Formulary (ADN) option for dosage checking to calculate: Dosage Strength field - This field contains the numeric portion of the content unit.
Content Unit - This field contains the common unit of measure for all the ingredients in the drug.
Dosage Form - This field defines the form of the drug.
The following fields must be defined using the Min/Max Dose Parameters (MMP) option for dosage checking to occur: Age Range field - This field is used to define each patient age range for dosage parameters.
Unit of Measure field - The entry in this field must be compatible with the content unit entered in the Add New Drug to Formulary (ADN) option.
Minimum Dose per Day, Maximum Dose per Day - The entries in these fields are based on the unit of measure entered in the Unit of Measure field.
• Access the New Prescription Entry (RX) option on the Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔
• Refer to Quick Reference Guides: New Prescription Entry and Entering a Prescription Using Min/Max Dosage Checking.
• Specify Patient: spacebar, then <Return> (ATWOOD,JAMES)
SAIC/CHCS Doc. TC-4.5-0359 • Enter at Selection: B (both active/inactive)
• Refer to Quick Reference Guides: One-Line Order Entry, and Drug Lookup.
• Enter drug information: Drug Name: PROCARDIA (NIFEDIPINE--PO 10MG TAB)
Confirm drug: <Return>
Refills Allowed: 2
Confirm provider: <Return>
MEPRS Code: [deafult MEPRS] <Return>
Days Supply: <Return>
Order Date/Time: <Return>
Expiration Date: <Return>
Child Resistant Container: <Return>
Queue the label for printing: YES// <Return>
• Enter a prescription for a different patient.
Specify patient: MITCHEL,AMY
Confirm patient name: <Return>
Review the allergy information displayed on the New Prescription screen.
Select active prescriptions: A
Enter the drug name: ROBITUSSIN DM ((or subst)--PO SYRP 120ML/
BT)
Enter SIG: T 40ML Q6
SAIC/CHCS Doc. TC-4.5-0359 Quantity: 2
Refills allowed: 2
• File the data.
• Press <Return> to display the Warnings screen.
Discuss the information displayed in each section of the screen.
The top section includes the order number, patient name, the name of the drug, the total number of warnings, and the number of each type of warning.
>>> ORDER# NEW -- [patient name] <<< NEW DRUG-1: ROBITUSSIN DM(OR SUBST)--PO SYRUP1-WARNINGS: 0-INTERACT 0-DUPLICATE 0-ALLERGY 0-OVERLAP 1-DOSAGE The middle section displays the warning number, type of warning, and number of reports.
# WARNING DRUG / ALLERGY / DOSE REPORTSDosage-Above Maximum Daily = 160ML > 120ML 1 The bottom section contains the prescription and warning information.
ENTER WARNING # FOR REPORT: 1 =PRESCRIPTION A11144 Drug: ROBITUSSIN DM(OR SUBST)--PO SYRUP Qty: 1HCP: [provider name] Refills left: 2 of 2 Last fill: (Never filledSig: 40ML Q6Daily Dosage outside Minimum/Maximum range:Ages: 12-99 Min: 30ML Max: 120ML • Override the dosage warning and return to the Prescriptions Menu.
Do not review the patient profile: <Return>
Override the warning: YES
Enter justifying comments: DEMONSTRATION OF MIN/MAX
Queue the prescription label for printing: <Return>
Select patient: <Return>
The Prescriptions Menu displays.
Practice 3 - Enter new prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ EDIT A PRESCRIPTION
Scenario: While reviewing a prescription, you notice an error on the label. You
must edit the prescription to correct the error.
• Access the Edit a Prescription (EAP) option on the Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ EAP
• Refer to Quick Reference Guide: Edit a Prescription.
• Specify patient or RX #: M5555 (MACON,AMY)
NOTE TO PRESENTER: Entering the RX# (if known) will allow the fastest
access and enable you to bypass the next two prompts.
• Select the order: Selection: A
Review selections: For Active Prescriptions Only For Active and Inactive Prescriptions <Return> to bypass profile Select prescription: 1
DISCUSS THE PRESCRIPTION STATUSES DISPLAYED ON THE
PATIENT PROFILE
For each prescription on a patient's profile, one of the following statuses is displayed: SAIC/CHCS Doc. TC-4.5-0359 Two additional statuses in the system are not displayed in the patient profile: A cancelled prescription is not displayed in the patient's profile. However, cancelled prescriptions can be viewed using the Medication Profile Inquiry (MPR) option.
Renewed prescriptions are displayed on the patient profile as Active, a new prescription number is assigned to the renewed prescription and the original prescription is listed as discontinued.
• Refer to Quick Reference Guide: Drug Lookup.
• Perform the edit: Refills Allowed: 1
• Specify Activity Log Comments: DEMONSTRATION
• File the data.
• Queue labels for printing? YES// <Return>
• Return to the Prescriptions Menu.
Practice 4 - Edit a prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ MODIFY AN ACTIVE PRESCRIPTION
Scenario: In the process of picking up an original prescription for Ibuprofen, the
patient mentions an allergy to Motrin that the doctor wasn't told about. You contact
the doctor, and he recommends a change to Parafon Forte, and requests that you
make the modification because he doesn't have access to a terminal.
• Access the Modify a Prescription (MAP) option on the Secondary Prescriptions Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ SPM ➔ MAP
• Refer to the Quick Reference Guide: Modify a Prescription.
• Specify patient or RX #: RXM513 (MACON,AMY)
• Refer to Quick Reference Guide: Drug Lookup.
• Modify the Drug: PARAFON FORTE
(DSC (or subst) PO 500MG TAB)
• Specify Activity Log Comments: PER VERBAL ORDER OF PHYSICIAN.
• File the data.
• Queue the label for printing: YES// <Return>
• Return to the Secondary Prescriptions Menu.
Practice 5 - Modify an active prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ FORWARD A PRESCRIPTION
Scenario: An outpatient with a prescription to be filled at your pharmacy calls
and asks if his prescription can be filled at a site closer to his home. You forward
the prescription to a different pharmacy site.
• Access the Forward a Prescription (FAP) option on the Secondary Prescription Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ SPM ➔ FAP
• Refer to Quick Reference Guide: Forward a Prescription.
• Specify patient or RX#: M1943 (MACRAE,DOUG)
NOTE TO PRESENTER: Entering the RX# (if known) will allow the fastest
access and enable you to bypass the next two prompts.
• Select and forward the order: Selection: A
Specify prescription: 1
• Forward the prescription: Forward Prescription to: CENTRAL PHARMACY
OK to Forward to [receiving site]? YES// <Return>
Activity Log Comments: CLOSER TO PATIENT'S HOME.
• Return to the Secondary Prescriptions Menu.
Practice 6 - Forward a prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ HOLD/REACTIVATE A PRESCRIPTION
Scenario: A patient reports that a rash appears after taking a prescribed drug.
You place a hold on the prescription until the physician can be notified and the
situation researched further.
• Access the Hold/Reactivate a Prescription (HRP) option on the Secondary Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ SPM ➔ HRP
• Refer to Quick Reference Guide: Hold/Reactivate a Prescription.
• Select patient and prescription to place on hold: Specify Patient or RX#: RXM516 (MACE,INEZ)
Do you want to put Prescription RXM516 on HOLD? YES// <Return>
Authorizing Provider: [provider]// <Return>
Activity Log Comments: PATIENT REPORTS A RASH.
NOTE TO PRESENTER: The same procedure is used to reactivate a
prescription on hold. A message explaining that this prescription is on hold
and the reason entered appears. A reactivate prompt allows you to reactivate
the prescription and the remaining prompts displayed are the same as the
hold process.
• Reactivate prescription: Specify Patient or RX #: RXM516
Reactivate prescription: YES// <Return>
Authorizing provider: [provider]// <Return>
Activity Log Comments: PER DR.'S VERBAL ORDER.
• Return to the Prescriptions Menu.
Practice 7 - Hold/Reactivate a prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ DISCONTINUE AN ACTIVE PRESCRIPTION
Scenario: A patient reports that she develops nausea from a prescribed drug. You
contact the physician who asks you to discontinue the prescription.
• Access the Discontinue a Prescription (DAP) option on the Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ DAP
• Refer to Quick Reference Guide: Discontinue a Prescription.
• Select prescription to discontinue: Specify RX#: RXM516 (MACE,INEZ)
Are you sure you want to discontinue this prescription? YES// <Return>
Activity Log Comments: PER DR.'S VERBAL ORDER.
• Return to the Prescriptions Menu.
Practice 8 - Discontinue an active prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ BATCH PRINT PRESCRIPTION LABELS
Scenario: You return from a break and decide to print labels for the new
prescriptions that were entered into CHCS while you were away.
• Access the Batch Print Labels (BPL) option on the Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ BPL
• Refer to Quick Reference Guide: Batch Print Labels.
• Specify printing parameters: Enter Selection: A// <Return>
Select Baker Cell: [default Baker Cell]// <Return>
Requested Start Time: NOW// <Return>
• Remain at the Prescriptions Menu.
Practice 9 - Batch print prescription labels.
SAIC/CHCS Doc. TC-4.5-0359 ■ REFILL AN ACTIVE PRESCRIPTION
Scenario: A patient comes to the outpatient pharmacy where you work and asks
for a refill of an active prescription.
• Access the Refill a Prescription (RAP) option on the Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ RAP
• Refer to Quick Reference Guide: Refill a Prescription.
• Select patient and prescription to refill: Specify Patient: M9074 (MACPHERSON,JOHN)
NOTE TO PRESENTER: Entering the RX# (if known) will allow the fastest
access and enable you to bypass the next two prompts.
Selection: A
Specify Prescription: 1
Refill Date: TODAY// <Return>
Continue processing this refill? YES// <Return>
• Refer to Quick Reference Guides: Partial Quantity Dispensed, and Remove a Refill Error.
Queue label for Printing? YES// <Return>
• Return to the Prescriptions Menu.
Practice 10 - Refill an active prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ ENTER NONCOMPLIANCE DATA
Scenario: You notice a prescription on the shelf that has been there beyond its
allotted holding time. You record that the prescription was not picked up by the
patient.
• Access the Enter Noncompliance Data (NON) option on the Secondary Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ SPM ➔ NON
• Refer to Quick Reference Guide: Enter Noncompliance Data.
• Specify patient: M5555 (MACON,ALEX)
NOTE TO PRESENTER: Entering the RX# (if known) will allow the fastest
access and enable you to bypass the next two prompts.
• Specify noncompliant data: Selection: A
Specify Prescription: 1
Would you like to enter this as Noncompliant Data? YES// <Return>
Activity Log Comments: PATIENT DOES NOT WANT RX.
• Return to the Prescriptions Menu.
Practice 11 - Enter noncompliance data.
SAIC/CHCS Doc. TC-4.5-0359 ■ REPRINT A PRESCRIPTION LABEL
Scenario: When printing prescription labels, the labels in the printer become
misaligned. After the labels are aligned correctly, you reprint the ruined labels.
• Access the Label Reprint (LRP) option on the Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ LRP
• Refer to Quick Reference Guide: Label Reprint.
• Define parameters for printing new label: Patient or RX #: RXM528 (MACON, ALEX) (THEOPHYLLINE)
Device: NL:
• Return to the Prescriptions Menu.
Practice 12 - Reprint a prescription label.
SAIC/CHCS Doc. TC-4.5-0359 ■ PERFORM CLINICAL SCREENING
Scenario: When a batch of labels is printed, a positive clinical screening label
prints which indicates a prescription is in warning status. You view the clinical
screening information and decide to override the warning so the prescription can
be processed.
• Access the Clear Clinical Screening (CCS) option on the Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ PM ➔ CCS
• Refer to Quick Reference Guide: Outpatient Clinical Screening.
• Display and override drug warning: Specify RX#: M12063 (MOUNDS,ALLAN A)
Specify Warning Report #: 1
Specify Warning Report #: <Return>
Do you wish to review the patient profile? NO// YES
Selection: A (active prescriptions only)
Select Prescription: <Return>
RX# [RX#]: Override Warning (Y/N)? NO// YES
Comments: PER DR.'S VERBAL ORDER.
Device: NL:
• Return to the Prescriptions Menu.
Practice 13 - Perform clinical screening.
SAIC/CHCS Doc. TC-4.5-0359 ■ PERFORM OUTPATIENT DISPENSING FUNCTIONS
Scenario: A patient has arrived to pick up a prescription. Review the patient's
prescription information, print a patient education monograph, and dispense the
prescription.
• Access the Dispense a Prescription (DRX) option on the Prescription Menu.
Pharmacy System Menu ➔ OPM ➔ PM ➔ DRX
• Refer to Quick Reference Guide: Dispensing Option.
• Select patient: MITCHEL,AMY
DISCUSS THE DISPENSING ACTION BAR
The Dispensing option action bar displays after selecting the DRX option and entering a patient name or prescription number The actions displayed on the action bar are determined by the presence of prescriptions and the status of those prescriptions, for the selected patient.
If the selected patient does not have active prescriptions (RXs entered after the latest dispensing enable date) Inquiry and eXit are the only options displayed and the following message is present: No prescriptions to dispense.
When the selected patient has active prescriptions displayed: Prescriptions for the current division are highlighted, numbered, and the Dispense action is available.
Prescriptions in suspense are numbered, dim, and cannot be selected.
Prescriptions for a division other than the current division are dim, un-numbered, and cannot be selected.
Active prescriptions, entered prior to the latest Dispensing option enable date, are displayed by selecting the Inquiry option.
The Correction action displays if prescriptions have been dispensed for a patient. Selecting the Correction action displays a secondary action bar containing the Undispense action.
The Inquiry and eXit actions always display.
SAIC/CHCS Doc. TC-4.5-0359 In addition to the dispense and undispense actions the following frequently used pharmacy options are available when active prescriptions are present on the Dispense Prescriptions screen: Monograph - Patient Education Monograph (presented in this objective) Noncompliant - Mark a prescription as noncompliant (presented in an earlier objective) Clear Clinical Screening (presented in an earlier objective).
Activity Log/Modify Fill Activity Log When a Dispensed or Undispense transaction is completed, the Fill Type field in the PHR Fill Activity Log is updated.
When a Dispensed or Undispensed transaction is completed, the following fields are populated in the PHR Activity Log: Reason, Date/Time, Site, Logged By, and Comment.
Note: When the Dispensing option is enabled, ALL prescriptions should be
processed using the Dispense a Prescription (DRX) option.
When dispensing a partial prescription, ensure that both the partial and the completed prescription are dispensed using the DRX option. ❑ DISPLAY PRESCRIPTION INFORMATION
Scenario: Prior to dispensing a prescription, review the patient's prescription
information.
Explain that you can display prescription information using the Prescription Inquiry option, menu path: PHR ➔ OPM ➔ PM ➔ PRI.
• Select, display, and review the prescription inquiry information.
Select Inquiry from the action bar: I(nquiry), <Return>
Select active prescriptions: A(ctive)
Select prescription 1: 1
Display prescription to the screen: HOME
• Return to the Dispense Prescriptions screen: <Return>
SAIC/CHCS Doc. TC-4.5-0359 ❑ DISPLAY A PATIENT EDUCATION MONOGRAPH
Scenario: The patient education monograph for the drug needs to be discussed
with the patient prior to dispensing the prescription.
• Display the patient education monograph for the selected prescription.
Select the prescription: <Select> (do not press <Return>)
Select Monograph from the action bar: M(onograph)
Select device: HOME
• Return to the Dispensing Prescription screen.
❑ DISPENSE THE PRESCRIPTION
Scenario: The patient education monograph has been discussed with the patient.
Dispense the prescription.
• Dispense prescriptions.
Select prescriptions to be dispensed: <Select>
Select the Dispense action: D(ispense)
Reselect the patient: spacebar, then <Return>
• Display the undispense action.
Select the correction action: cOrrection
DISCUSS THE UNDISPENSE OPTION
The undispense action can only be accessed if dispensed prescriptions exist for the selected patient.
All prescriptions dispensed for the patient during the display period, or since the most recent Dispensing option enable date, displays.
If the selected patient has no dispensed prescriptions that fit this criteria the Correction action does not display.
Prescriptions are sorted by division and by site within the division. Your current site displays first. Prescriptions are chronologically listed within each site.
SAIC/CHCS Doc. TC-4.5-0359 When prescriptions are selected individually, a comment may be entered for each. The comment displays in the Activity log.
If more than one prescription is selected, only one comment can be entered. The comment displays in the Activity Log of each prescription.
After completing the undispence action, the Select Patient prompt redisplays.
• Return to the Dispense Prescriptions screen: eXit
• Return to the Outpatient Pharmacy Menu.
Practice 14 - Perform outpatient dispensing functions
SAIC/CHCS Doc. TC-4.5-0359 ■ PERFORM GENERAL DRUG DATA INQUIRY
Scenario: A physician has requested some drug information from your pharmacy.
You use CHCS to quickly access the desired drug information.
• Access the Drug Data Inquiry Menu (DDI) on the Outpatient Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔
NOTE TO PRESENTER: This menu contains several options that query
the drug data base. You may test drugs for interactions, review allergy
information, see the classification structure for a particular drug, or view site
specific drug data such as quick codes.
❑ PERFORM A DRUG INFORMATION INQUIRY
Scenario: Part of the information requested by the physician was information on
the subclass for a particular drug.
• Access the Drug Information (DRU) option on the Drug Data Inquiry Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ DDI ➔ DRU
• Refer to Quick Reference Guide: Drug Information.
• Refer to Quick Reference Guide: Drug Lookup.
• Specify the drug to be investigated: THEOPHYLLINE (--PO 100MG CPSR
• Display the drug inquiry information.
Right Margin: <Return>
• View the information display.
• Return to the Drug Data Inquiry Menu.
SAIC/CHCS Doc. TC-4.5-0359 ❑ PERFORM A FORMULARY INQUIRY
Scenario: You need to find the Trade Name for a drug you are investigating for a
physician.
• Access the Formulary Inquiry (FIN) option on the Drug Data Inquiry Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ DDI ➔ FIN
• Refer to the Quick Reference Guide: Formulary Inquiry.
• Refer to Quick Reference Guide: Drug Lookup.
• Define the Formulary Inquiry: Formulary Group Name: FIRST FORMULARY GROUP// <Return>
Drug name: THEOPHYLLINE (--PO 100MG SR TAB)
• View the information display.
• Return to the Drug Data Inquiry Menu.
• View the information displayed.
• Return to the Drug Data Inquiry Menu.
Practice 15 - Perform a drug information inquiry.
SAIC/CHCS Doc. TC-4.5-0359 ■ PERFORM A REACTION/INTERACTION INQUIRY
Scenario: You are investigating some possible adverse drug reactions and
interactions for an intern at the hospital. Use CHCS to help you in your
investigation.
NOTE TO PRESENTER: The Drug Data Inquiry Menu contains several
options that query the drug data base, two of which will be used for this
objective (Adverse Reaction Information and Interaction Information).
❑ PERFORM AN ADVERSE REACTION INFORMATION INQUIRY
Scenario: The benefits of a patient's drug therapy are being weighed against
possible side effects of the therapy. You decide to investigate the likely adverse
reactions for the drug.
• Access the Adverse Reaction Information (ARI) option on the Drug Data Inquiry Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ DDI ➔ ARI
• Refer to Quick Reference Guide: Adverse Reaction Information.
• Select Allergy/Adverse Reactions: PENICILLAMINE (382290)
• Refer to Quick Reference Guide: Allergy Sections • Select the sections of the report to be displayed: <Select>, <Return>
• Display and view the drug information: Select device: <Return>
Right Margin: 80// <Return>
• Return to the Drug Data Inquiry Menu.
SAIC/CHCS Doc. TC-4.5-0359 ❑ PERFORM AN INTERACTION INFORMATION INQUIRY
Scenario: The benefits of a patient's drug therapy are being weighed against
possible side effects of the therapy. You decide to check the drug against another
drug classification that appears to have been prescribed for the patient.
• Access the Interaction Information (DII) option on the Drug Data Inquiry Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ DDI ➔ DII
• Refer to Quick Reference Guide: Interaction Information.
• Drug-Drug Interaction Report: PENICILLINS (AMINOGLYCOSIDES)
• Display and view the drug information: Right Margin: 80// <Return>
• Press <Return> to return to the Drug Data Inquiry Menu.
• Return to the Drug Data Inquiry Menu.
Practice 16 - Perform a reaction/interaction inquiry.
SAIC/CHCS Doc. TC-4.5-0359 ■ PERFORM DRUG TESTING
Scenario: A physician asks you to check for possible interactions between a unique
or unusual combination of drugs which he is considering ordering for a patient.
You decide to test the combination using CHCS functionality.
NOTE TO PRESENTER: The Drug Data Inquiry Menu contains several
options that query the drug data base, two of which will be used for this
objective (Test Drugs for Drug Warnings and Patient Test for Drug Warnings).
❑ PERFORM A TEST DRUGS FOR WARNINGS INQUIRY
Scenario: You are investigating the possibility of an interaction between a
combination of drugs that a physician is considering ordering for a patient.
• Access the Test Drugs for Warnings (TFW) option on the Drug Data Inquiry Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ DDI ➔ TFW
• Refer to Quick Reference Guide: Test Drugs for Warnings.
• Refer to Quick Reference Guide: Drug Lookup.
• Enter at Do you want to display the drug check parameters? NO// YES
• Enter at Do you want to bypass the drug check parameters and run this test to display all possible interaction information? NO// YES
• Test a drug against another drug: New/Test Drug: DIAZEPAM (--PO 5MG TAB)
Old Drug #1: ALPRAZOLAM (--PO .5MG TAB)
Old Drug #2: <Return>
• Investigate the drug warning: Warning # for Report: 1
SAIC/CHCS Doc. TC-4.5-0359 • Return to the Drug Data Inquiry Menu.
Warning # for Report: <Return>
New/Test Drug: <Return>
❑ PERFORM A PATIENT TEST FOR DRUG WARNING INQUIRY
Scenario: You are investigating the possibility of an interaction between a
combination of drugs which a physician is considering ordering for a patient. The
patient is presently on one of the drugs, so you check the additional drug against
the patient's medication profile.
• Access the Patient Test for Drug Warnings (PTW) option on the Drug Data Inquiry Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔ DDI ➔ PTW
• Refer to Quick Reference Guides: Patient Test for Drug Warnings, and Drug • Enter at Do you want to display the drug check parameters? NO// YES
• Enter at Do you want the drug check parameters and run this test to display all possible interaction information? NO// YES
• Test a drug against a patient's profile: Patient Name: M7101 (MITCHEL,AMY)
New/Test Drug: PENICILLIN (V K--PO 250MG TAB)
• Investigate the drug warning: Warning # for Report: 1
Select desired sections: <Select> then <Return>
• View displayed information: Right Margin: 80// <Return>
SAIC/CHCS Doc. TC-4.5-0359 Press <Return> to return to the Drug Inquiry Menu.
Warning # for Report: <Return>
New/Test Drug: <Return>
Patient Name: <Return>
This prompt displays once again as the final opportunity to perform another drug test while in this option.
Pressing <Return> returns you to the Drug Data Inquiry Menu.
• Return to the Outpatient Menu.
Practice 17 - Perform drug testing.
SAIC/CHCS Doc. TC-4.5-0359 ■ ENTER A MANUALLY PROCESSED PRESCRIPTION
Scenario: An electrical blackout in the area caused a system shutdown. Pharmacy
personnel continued to manually issue prescriptions. Now that the system is back
up and running, the prescriptions that were manually issued have to be entered
into CHCS.
• Access the Manual Prescription Entry (MPE) option on the Secondary Prescriptions Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔
PM ➔ SPM ➔ MPE • Refer to Quick Reference Guide: Manual Prescription Entry.
• Specify Patient: M1945 (MACE,INEZ)
• Select Prescription Profile: A (active prescriptions only)
• Refer to Quick Reference Guides: One-Line Order Entry, and Drug Lookup.
• Define drug information: Drug Name: ENTEX ((or SUBST) -- PO CAP)
Prescription Number: 3001
Quantity: 28
Refills Allowed: 1
MEPRS Code: [default MEPRS] <Return>
Days Supply: 14
Order Date/Time: <Return>
Expiration Date: <Return>
Child Resistant Container: <Return>
Comments: TAKE TO RELIEVE CONGESTION.
• File the data.
SAIC/CHCS Doc. TC-4.5-0359 • Return to the Outpatient Menu.
Practice 18 - Enter a manually processed prescription.
SAIC/CHCS Doc. TC-4.5-0359 ■ PRINT A GROUP OF LOST OR DAMAGED LABELS
Scenario: Due to a defective printer, a group of labels was destroyed and cannot
be printed on the same printer until the printer is repaired. You must reassign label
printing to another printer to reprint the lost labels.
• Access the Change Label/Text Printer (CLT) option on the Outpatient Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer] ➔
• Refer to Quick Reference Guide: Change Label/Text Printer.
• Specify device and pharmacy site: Failed Device: NL:
Pharmacy Site [pharmacy site]// <Return>
• Specify prescriptions to reprint: Starting RX number: M727
Ending RX number: ALL// <Return>
Requested Start Time: NOW// <Return>
• Return to the Pharmacy System Menu.
Practice 19 - Print a group of lost or damaged labels.
SAIC/CHCS Doc. TC-4.5-0359 ■ DISPLAY AND REVIEW THE PROVIDER INQUIRY SCREEN
Scenario: You have been asked to review the information on the Provider Inquiry
screen to determine if the Provider flag is set for one of the HCP's. Access the Health
Care Provider Inquiry option and review the data.
• Access the Health Care Provider Inquiry (HCP) option on the Outpatient Pharmacy System Menu ➔ Outpatient Pharmacy Site [site] ➔
• Select the provider name to be displayed.
Provider name: MYERS,MIKE
Confirm the provider name: YES
• Display and review the provider data.
Device: HOME
Review the Provider Inquiry screen.
• Return to the Outpatient Menu.
Practice 20 - Display and review the Provider Inquiry screen.
SAIC/CHCS Doc. TC-4.5-0359 Do you have any questions about the concepts covered in this class? In summary, the following content was presented: Performing Outpatient Pharmacy inquiries.
Performing recovery procedures.
Remember that Procedure Flowcharts, Menu Diagrams and Definitions, Quick Reference Guides, output samples, and a Subsystem Glossary are included in the Reference Manual, and may be used to complete the Master Practice.
This concludes the PHR: Outpatient Pharmacy Functions class. You now have the opportunity to demonstrate proficiency in the topics or skills presented.
Please complete the Class Critique before leaving the classroom.
Thank you for attending.
SAIC/CHCS Doc. TC-4.5-0359 OUTPATIENT PHARMACY
Section 2
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Section 2. Practices
The information you need to complete each practice is supplied in the instructions, scenarios, and associated data cards. Data cards are found in Section 4 of the Student Guide.
Notify the presenter when directed to do so in the practice. This allows the presenter to verify that you have successfully completed an activity.
You may use any reference materials available in the classroom to complete your practices.
You may ask questions or request assistance at any time during the practices.
Device identifiers are site-specific, and will be provided by the presenter.
Refer to your data cards for any specific information that is required, but not listed within the practice scenario or listed data.
Information is only specified for those fields and prompts which require specific data entry. To advance past fields/prompts which are not specified, enter data you know to be correct, or press <Return>.
The practices for this class must be completed in the order in which they are presented. Please complete all parts of each practice before proceeding.
NOTE TO PRESENTER: Tell students whether they may write in their
Student Guides while performing the practices/Master Practice. If the
Student Guides must be used for another class session, you may not want
students to write in their documents.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 1 - Register a patient.
INSTRUCTIONS: You have approximately 25 minutes to complete this practice.
Scenario: A family not identified in CHCS through the multiple search methods
present prescriptions to be filled in the Main Outpatient Pharmacy. You must
register the patients before you can fill their prescriptions.
Access the Modified Registration (MOR) option on the Patient Demographics Menu.
Pharmacy System Menu ➔ OPM ➔ [Pharmacy] ➔ [label printer]
a. Register Sponsor and Family Members
Specify sponsor information: Patient Name: [assigned family name],JAMES
Sponsor Name: spacebar, then <Return>
Sponsor FMP: 20
Sponsor DOB: 3-3-60
Sponsor SSN: [your SSN]
Verify Sponsor SSN: [your SSN]
Sponsor PATCAT: N11
Notify the presenter before filing the data. The presenter can verify the data.
File the data.
Process DEERS Request: Do you want to Override the DEERS Ineligibility and continue? NO// YES
Select DEERS Eligibility Override Code: 6
Do you want to print eligibility data? NO// <Return>
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 1 (continued)
Pt. Addr: 1122 MONROE STREET
Sex: M
Zip: 23126
Service: NAVY// <Return>
SSN: <Return>
Cmd Sec: <Return>
Rank: CAPT
Station/Unit: USS PEGASUS
Dty Address: <Return>
Zip: <Return>
Duty Phone: <Return>
DSN: <Return>
O/P Rec Loc: OUTPATIENT RECORDS
Rec Loc Comnt: <Return>
Primary Phy: <Return>
Reg Comment: FOR TRAINING
Does [patient name] want to be an organ donor? <Return>
File the data.
Define allergy information: Enter/Edit allergy information? NO// YES
Allergy: SULFA-DRUGS
Allergy Comments: <Return>
File the data.
b. Add Dependents
Access the Modified Registration (MOR) option.
Specify patient information: Patient Name: [assigned family name],LONI
Patient FMP: 30
Patient DOB: 12-6-65
SSN: [SSN assigned to LONI]
Patient PATCAT: N41
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 1 (continued)
Notify the presenter before filing the data. The presenter can verify the data.
File the data.
Process DEERS Request: Do you want to Override the DEERS Ineligibility and continue? NO// YES
Select DEERS Eligibility Override Code: 6
Press <Return> to continue.
Select sponsor to Move Demographic Data From.
Sex: F
O/P Rec Loc: OUTPATIENT RECORDS
Rec Loc Comnt: <Return>
Primary Phy: <Return>
Reg Comment: FOR TRAINING
Does [patient name] want to be an organ donor? <Return>
Enter/Edit allergy information? NO// <Return>
Access the Modified Registration (MOR) option.
Specify patient information: Patient Name: [assigned family name],KEVIN
Patient FMP: 01
Patient DOB: 6-8-90
SSN: [SSN assigned to KEVIN]
Patient PATCAT: N41
Notify the presenter before filing the data. The presenter can verify the data.
Does [patient name] want to be an organ donor? <Return>
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 1 (continued)
Process DEERS Request: Do you want to Override the DEERS Ineligibility and continue? NO// YES
Select DEERS Eligibility Override Code: 6
File the data.
Select sponsor to Move Demographic Data From.
Sex: M
O/P Rec Loc: OUTPATIENT RECORDS
Rec Loc Comnt: <Return>
Primary Phy: <Return>
Reg Comment: FOR TRAINING
Enter/Edit allergy information? NO// <Return>
Access the Modified Registration (MOR) option.
Specify patient information: Patient Name: [assigned family name],BROOKE
Patient FMP: 02
Patient DOB: 9-10-94
SSN: [SSN: assigned to BROOKE]
Patient PATCAT: N41
Notify the presenter before filing the data. The presenter can verify the data.
Does [patient name] want to be an organ donor? <Return>
File the data.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 1 (continued)
Process DEERS Request: Do you want to Override the DEERS Ineligibility and continue? NO// YES
Select DEERS Eligibility Override Code: 6
Do you want to print eligibility data? NO// <Return>
Select sponsor to Move Demographic Data From.
Perform Mini-Registration: Sex: F
O/P Rec Loc: OUTPATIENT RECORDS
Rec Loc Comnt: <Return>
Primary Phy: <Return>
Reg Comment: FOR TRAINING
Does [patient name] want to be an organ donor? <Return>
Enter/Edit allergy information? NO// YES
Define allergy information: Allergy: DIPHENHYDRAMINE
Allergy Comments: BECOMES CONFUSED AND RESTLESS
Notify the presenter before filing the data. The presenter can verify the data.
File the data.
Return to the Patient Demographics Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 1 - Register a patient.
Verify that the students have registered the patient by viewing the display on
the students' screens.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 2 - Enter a pharmacy patient comment.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Scenario: You wish to record some vital patient information which will display
when the patient's prescriptions are processed.
Access the Pharmacy Patient Comment (PPC) option on the Patient Demographics Menu.
Specify patient and comment: Select Patient: [assigned family name],BROOKE
Patient Comment: DOES NOT LIKE THE TASTE OF GANTRISIN
Notify the presenter when you have entered the information. The presenter can verify the accuracy of the data.
Return to the Outpatient Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 2 - Enter a pharmacy patient comment.
Verify that the students have entered the Pharmacy Comment by viewing the
display on the students' screens.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 3 - Enter a new prescription.
INSTRUCTIONS: You have approximately 15 minutes to complete this practice.
Scenario: The family you just registered brings prescriptions to the pharmacy to
be filled. You must enter the prescriptions into CHCS.
Access the New Prescription Entry (RX) option on the Prescriptions Menu.
Specify Patient: [assigned family name],JAMES
Enter at Selection (prescription profile): B (both active/inactive)
Define drug information: Drug Name: PROCARDIA (NIFEDIPINE--PO 10MG TAB)
Refills Allowed: 5
Provider: ALEXANDER,DAVID
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
Note: Record the prescription number on the data card.
File the data.
Specify Patient: [assigned family name],LONI
Enter at Selection (prescription profile): A
Note: Record the prescription number on the data card.
Define drug information: PREMARIN (ESTROGENS CONJUGATED--
PO .625MG TAB)
Sig: T1 TAB PO DAYS 1-25 OF EACH MONTH
Quantity: 25
Refills Allowed: 2
Provider: BENNETT,DONALD
Days Supply: 25
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 3 (continued)
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
File the data.
Specify Patient: [assigned family name],KEVIN
Enter at Selection (prescription profile): A
Note: Record the prescription number on the data card.
Define drug information: Drug Name: THEOPHYLLINE (--PO 100MG TBSR)
Sig: T1 TAB PO BID
Quantity: 60
Refills Allowed: 2
Provider: BYRON,DENISE
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
File the data.
Specify Patient: [assigned family name],BROOKE
Enter at Selection (prescription profile): A
Note: Record the prescription number on the data card.
Define drug information: Drug Name: ERYTHROMYCIN (--PO 200MG TBCH)
Sig: CHEW 1 TAB QID AC
Quantity: 120
Refills Allowed: 2
Provider: ANDREWS,CAROL
File the data.
Specify Patient: spacebar, then <Return>
Enter at Selection (prescription profile): A
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 3 (continued)
Note: Record the prescription number on the data card.
Define drug information: Drug Name: PENICILLIN (V K--PO 250MG TAB)
Sig: T1 TAB PO QID F10
Quantity: 40
Refills Allowed: 2
Provider: KORTIA,MARIA
Specify patient: [assigned family name],BROOK
Select active prescriptions: A
Drug Name: ROBITUSSIN DM ((or subst)--PO Syrup 120ML/BT)
SIG: 40ML Q6
Quantity: 1
Refills Allowed: 2
File the data.
Display and override the drug warning Select warning: 1
Do not review the patient profile: <Return>
Override the warning: YES
Justifying comments: PRACTICE OF MIN/MAX
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
File the data.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 3 - Enter a new prescription.
Verify that the students have entered the new prescriptions by viewing the
students' screens.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 4 - Edit a prescription.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Scenario: While reviewing a prescription, you notice an error on the label. You
must edit the prescription to correct the error.
Access the Edit a Prescription (EAP) option on the Prescriptions Menu.
Select and edit the order: Specify patient or RX #: RXM[Loni's Premarin RX#]
Sig: T1 TAB PO DAYS 1-28 OF EACH MONTH
Quantity: 28
Refills Allowed: 6
Days Supply: 28
Activity Log Comments: PRACTICE
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
File the data.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 4 - Edit a prescription.
Verify that the students have edited the prescription by viewing the display
on the students' screens.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 5 - Modify an active prescription.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Scenario: In the process of picking up an original prescription for Premarin, the
patient mentions that she gets nauseous from the medication, but she forgot to tell
the doctor. You contact the doctor, and he recommends a change to Estradiol and
requests that you make the modification because he doesn't have access to a
terminal.
Access the Modify a Prescription (MAP) option on the Secondary Prescriptions Menu.
Select and modify the order: Specify patient or RX #: RXM[Loni's Premarin RX#]
Drug: ESTRADIOL (--TDRM 0.1MG DISC)
Sig: APPLY 1 PATCH EVERY THIRD DAY
Quantity: 30
Activity Log Comments: MODIFIED PER VERBAL MD ORDER
Note: Record new prescription number on provided data card.
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
File the data.
Return to the Secondary Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 5 - Modify an active prescription.
Verify that the students have modified the prescription by viewing the display
on the students' screens.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 6 - Forward a prescription.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Scenario: An outpatient with a prescription to be filled at your pharmacy calls
and asks if his prescription can be filled at a site closer to his home. You forward
the prescription to a different pharmacy site.
Access the Forward a Prescription (FAP) option.
Select and forward the order: Specify patient or RX #: RXM[James' Procardia RX#]
Forward Prescription to: SATELLITE PHARMACY
Activity Log Comments: CLOSER TO PATIENT'S OFFICE
Notify the presenter when you have forwarded the order. The presenter can verify the accuracy of the data.
Return to the Secondary Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 6 - Forward a prescription.
Verify that the students have forwarded the prescription by viewing the
display on the students' screens.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 7 - Hold/Reactivate a prescription.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Scenario: A patient reports that a rash appears after taking a prescribed drug.
You place a hold on the prescription until the physician can be notified and the
situation researched further.
Access the Hold/Reactivate a Prescription (HRP) option on the Secondary Prescriptions Menu.
Select prescription to place on hold: Specify patient or RX #: [Brooke's Erythromycin RX#]
Do you want to put Prescription [RX#] on HOLD? YES// <Return>
Authorizing Provider: [provider]// <Return>
Activity Log Comments: PATIENT REPORTS RASH.
Notify the presenter when you have the order on Hold. The presenter can verify the accuracy of the data.
Reactivate prescription: Specify patient or RX #: [Brooke's Erythromycin RX#]
Reactivate prescription: YES// <Return>
Authorizing Provider: [provider]// <Return>
Activity Log Comments: NOT THE CAUSE OF RASH.
Notify the presenter when you have REACTIVATED the order. The presenter can verify the accuracy of the data.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 7 - Hold/Reactivate a prescription.
Verify that the students have placed a prescription on hold and then
reactivated the prescription by viewing display on the students' screens.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 8 - Discontinue an active prescription.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Scenario: A patient reports that she develops nausea from a prescribed drug. You
contact the physician who asks you to discontinue the prescription.
Access the Discontinue a Prescription (DAP) option on the Prescriptions Menu.
Select prescription to discontinue: Specify RX #: [Brooke's Penicillin V K RX#]
Are you sure you want to discontinue this prescription? YES// <Return>
Activity Log Comments: PER DR.'S VERBAL ORDER
Notify the presenter when you have discontinued the order. The presenter can verify the accuracy of the data.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 8 - Discontinue an active prescription.
Verify that the students have discontinued the prescription by viewing the
display on the students' screens.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 9 - Batch print prescription labels.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Scenario: You return from a break and decide to print labels for the new
prescriptions that were entered into CHCS while you were away.
Access the Batch Print Labels (BPL) option on the Prescriptions Menu.
Specify printing parameters: Enter Selection: A// <Return>
Baker Cell: GENERAL BAKER// <Return>
Device: [processing printing device]
Requested Start Time: NOW// <Return>
Notify the presenter when you have printed the information. The presenter can verify the accuracy of the data by examining the printed copy.
Remain at the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 9 - Batch print prescription labels.
Verify that the students have batch printed labels by collecting and reviewing
student printouts.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 10 - Refill an active prescription.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Scenario: A patient comes to the outpatient pharmacy where you work and asks
for a refill of an active prescription.
Access the Refill a Prescription (RAP) option on the Prescriptions Menu.
Select prescription to refill: RX #: [Loni's Estradiol RX#]
Refill Date: TODAY// <Return>
Continue processing this refill? YES// <Return>
Notify the presenter when you have refilled the order. The presenter can verify the accuracy of the data.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 10 - Refill an active prescription.
Verify that the students have refilled the prescription by viewing the display
on the students' screens.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 11 - Enter noncompliance data.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Scenario: You notice a prescription on the shelf that has been there beyond its
allotted holding time. You record that the prescription was not picked up by the
patient.
Access the Enter Noncompliance Data (NON) option on the Secondary Prescriptions Menu.
Specify noncompliant information: RX #: [Kevin's Theophylline RX#]
Would you like to enter this as Noncompliant Data? YES// <Return>
Activity Log Comments: PARENTS DO NOT WANT RX.
Notify the presenter when you have entered the information. The presenter can verify the accuracy of the data.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 11 - Enter noncompliance data.
Verify that the students have entered noncompliant information by viewing
the display on the students' screens.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 12 - Reprint a prescription label.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Scenario: When printing prescription labels, the labels in the printer become
misaligned. After the labels are aligned correctly, you reprint the ruined labels.
Access the Label Reprint (LRP) option on the Prescriptions Menu.
Define parameters for printing new label: Patient or RX #: [Loni's Estradiol RX#]
Device: [processing printing device]
Notify the presenter when you have printed the information. The presenter can verify the accuracy of the data by examining the printed copy.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 12 - Reprint a prescription label.
Verify that the students have reprinted a label for their assigned order by
collecting and reviewing student printouts.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
(P,S) Practice 13 - Perform clinical screening.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Note: This practice is designed for pharmacists and select staff only.
Scenario: When a batch of labels is printed, a positive clinical screening label
prints that indicates a prescription is in warning status. You view the clinical
screening information and decide to override the warning so the prescription can
be processed.
Access the Clear Clinical Screening (CCS) option on the Prescriptions Menu.
Display and override drug warning: Specify RX#: [assigned RX number]
Specify Warning Report #: 1
Do you wish to review the patient profile? NO// YES
Selection: A
RX# [RX#]: Override Warning (Y/N)? NO// Y
Comments: PER DR.'S VERBAL ORDER
Queue Label for printing
Device: [processing printing device]
Notify the presenter when you have printed the information. The presenter can verify the accuracy of the data by examining the printed copy.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
(P,S) Practice 13 - Perform clinical screening.
Verify that the students have performed a clinical screening by viewing the
display on the students' screens.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 14 - Perform outpatient dispensing functions.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Scenario: A patient has arrived to pick up a prescription. Review the patient's
prescription information, print a patient education monograph, and dispense the
prescription.
Access the Dispense a Prescription (DRX) option on the Prescription Menu.
Select patient: [assigned family name],BROOK
Scenario 14A: Prior to dispensing a prescription, review the patient's prescription
information.
Select Inquiry from the action bar: I(nquiry), <Return>
Select active prescriptions: A(ctive)
Select prescription 1: 1
Display prescription to the screen: HOME
While the information displays on your terminal, notify the presenter and wait for verification.
Return to the Dispense Prescriptions screen: <Return>
Scenario 14B: The patient education monograph for the drug needs to be
discussed with the patient prior to dispensing the prescription.
Display the patient education monograph for the selected prescription.
Select the prescription: <Select> (do not press <Return>)
Select Monograph from the action bar: M(onograph)
Select device: HOME
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 14 (continued)
While the information displays on your terminal, notify the presenter and wait for verification.
Pressing <Return>, presents the next monograph. If no additional monographs were selected, the Dispense Prescriptions screen displays.
Return to the Dispensing Prescription screen.
Scenario 14C: The patient education monograph has been discussed with the
patient. Dispense the prescription.
Select prescriptions to be dispensed: <Select>
While the information displays on your terminal, notify the presenter and wait for verification.
Select the Dispense action: D(ispense)
Reselect the patient: spacebar, <Return>
Display the undispense action.
Select the correction action: cOrrection
While the information displays on your terminal, notify the presenter and wait for verification.
Return to the Dispense Prescriptions screen: eXit
Return to the Outpatient Pharmacy Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 14 - Perform outpatient dispensing functions.
Verify that students have performed the dispensing functions by viewing the
students' screens.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 15 - Perform a drug information inquiry.
INSTRUCTIONS: You have approximately 10 minutes to complete this practice.
Scenario 15a: A physician has asked you for information on the subclass of a
particular drug.
Access the Drug Information (DRU) option on the Drug Data Inquiry Menu.
Specify the drug to be investigated: ACETAMINOPHEN (--PO 325MG TAB)
Notify the presenter and wait for verification while the information is displayed on your terminal screen.
Return to the Drug Data Inquiry Menu.
Scenario 15b: The last drug you are investigating for the physician is focused on
finding out the Trade Name for the drug.
Access the Formulary Inquiry (FIN) option.
Define the Formulary Inquiry: Formulary Group Name: FIRST FORMULARY GROUP// <Return>
Drug Name: ACETAMINOPHEN (--PO 325MG TAB)
Notify the presenter and wait for verification while the information is displayed on your terminal screen.
Return to the Drug Data Inquiry Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 15 - Perform a drug information inquiry.
Verify that the students have displayed the drug information by viewing the
students' screens.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 16 - Perform a reaction/interaction inquiry.
INSTRUCTIONS: You have approximately 10 minutes to complete this practice.
Scenario 16a: The benefit of a patient's drug therapy is being weighed against
possible side effects of the therapy. You decide to investigate the likely adverse
reactions for the drug.
Access the Adverse Reaction Information (ARI) option on the Drug Data Inquiry Menu.
Specify Allergy/Adverse Reactions: PENICILLAMINE (382290)
Select portions to display: RENAL EFFECTS
GI EFFECTS
PEDIATRIC PRECAUTIONS
While the information is displayed on your terminal screen, notify the presenter and wait for verification.
Return to the Drug Data Inquiry Menu.
Scenario 16b: The benefit of a patient's drug therapy is being weighed against
possible side effects of the therapy. You decide to check the drug against another
drug classification that appears to have been prescribed for the patient.
Access the Interaction Information (DII) option.
Enter Drug Interaction Report: ANTICOAGULANTS, (ORAL/DISUFIRAM)
Enter at Device: HOME
While the information is displayed on your terminal screen, notify the presenter and wait for verification.
Return to the Drug Data Inquiry Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 16 - Perform a reaction/interaction inquiry.
Verify that the students have displayed the adverse reaction information by
viewing the students' screens.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 17 - Perform drug testing.
INSTRUCTIONS: You have approximately 10 minutes to complete this practice.
Scenario: You are investigating the possibility of an interaction between a
combination of drugs that a physician is considering ordering for a patient.
Access the Test Drugs for Warnings (TFW) option.
Enter at Do you want to display the drug check parameters? NO// YES
Enter at Do you want to display the drug check parameters and run this test
to display all possible interaction information? NO// YES
Test a drug against another drug: New/Test Drug: AMINOPHYLLINE (--PO 105MG/ML LIQ)
Old Drug #1: ERYTHROMYCIN (--PO 200MG TBCH)
Warning # for Report: 1
Device: HOME
While the information displays on your terminal screen, notify the presenter and wait for verification.
Return to the Drug Data Inquiry Menu.
Return to the Outpatient Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 17 - Perform drug testing.
Verify that the students have displayed the drug warning information by
viewing the display on the student's screen.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 18 - Enter a manually processed prescription.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Scenario: An electrical blackout in the area caused a system shutdown. Pharmacy
personnel continued to manually issue prescriptions. Now that the system is back
up and running, the prescriptions that were manually issued have to be entered
into CHCS.
Access the Manual Prescription Entry (MPE) option on the Secondary Prescriptions Menu.
Specify Patient: [assigned family name],JAMES
Select Prescription Profile: A
Define drug information: Drug Name: SCOPOLAMINE (--TDRM 1.5MG DISC)
Prescription Number: [assigned number]
Sig: AP 1 PA ONS FNA
Quantity: 4
Refills Allowed: 8
Provider: ANDREWS,C
Days Supply: 14
Child Resistant Container: NO
Comments: APPLY 4HRS PRIOR, LASTS 72HRS
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
File the data.
Return to the Outpatient Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 18 - Enter a manually processed prescription.
Verify that the students have entered the prescription by viewing the display
on the students' screens.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 19 - Print a group of lost or damaged labels.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Scenario: Due to a defective printer, a group of labels was destroyed and cannot
be printed on the same printer until the printer is repaired. You must reassign label
printing to another printer to reprint the lost labels.
Access the Change Label/Text Printer (CLT) option on the Outpatient Menu.
Specify device and pharmacy site: Failed Device: NL:
Pharmacy Site: [default site]// <Return>
Starting RX number: M727
Ending RX number: ALL// <Return>
Device: NL-OP
Requested Start Time: NOW// <Return>
Notify the presenter when you have printed the information. The presenter can verify the accuracy of the data by examining the printed copy.
Return to the Pharmacy System Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 19 - Print a group of lost or damaged labels.
Verify that the students have reprinted the labels for their assigned orders by
collecting and reviewing student printouts.
Respond to any student questions, problems, or concerns.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice 20 - Display and review the Provider Inquiry screen.
INSTRUCTIONS: You have approximately 5 minutes to complete this practice.
Scenario: You have been asked to determine if the Provider Flag is set to Provider
for one of the facility HCPs.
Access the Health Care Provider Inquiry Menu (HCP) on the Outpatient Menu.
Pharmacy System Menu ➔ Outpatient Pharmacy Site [site] ➔ OPM Specify the provider name: [provider name]
Confirm the provider name: YES
Display and review the provider data.
Device: HOME
Review the screen.
Notify the presenter when the information displays on your screen. The presenter can verify the information.
Return to the Outpatient Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Practice Evaluation Criteria
Practice 20 - Display and review the Provider Inquiry screen.
Verify that the students have displayed the information for the provider
specified on the datacard.
SAIC/CHCS Doc. TC-4.5-0359 OUTPATIENT PHARMACY
Section 3
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Section 3. Master Practice
MASTER PRACTICE GUIDELINES
This Master Practice enables the presenter to verify that you have successfully completed the objectives for this class.
The information you need to complete the Master Practice is supplied in the instructions, scenarios, and associated data cards. Data cards are found in Section 4 of the Student Guide.
You may use any reference materials available in the classroom to complete the Master Practice.
Device identifiers are site-specific, and will be provided by the presenter.
Unless otherwise directed by the presenter, please work alone to complete the Master Practice.
Notify the presenter when directed to do so in the Master Practice. This allows the presenter to verify that you have successfully completed an activity.
Information is only specified for those fields and prompts which require specific data entry. To advance past fields/prompts which are not specified, enter data you know to be correct, or press <Return>.
The components of the Master Practice should be completed in the order in which they are presented.
You have approximately 60 minutes to complete this Master Practice.
NOTE TO PRESENTER: Tell students whether they may write in their
Student Guides while performing the practices/Master Practice. If the
Student Guides must be used for another class session, you may not want
students to write in their documents.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 1 - Register a patient.
INSTRUCTIONS: No additional instruction are required.
Scenario: A family not identified in CHCS through the multiple search methods
presents prescriptions to be filled in the Main Outpatient Pharmacy. You must
register the patient before you can fill the prescription.
Access the Modified Registration (MOR) option on the Patient Demographics Menu.
a. Register Sponsor and Family Members
Specify sponsor information: Patient Name: [your last name],ERIC J.
Sponsor Name: spacebar, then <Return>
Sponsor FMP: ð20
Sponsor DOB: 3-22-55
Sponsor SSN: [make-up SSN]
Sponsor PATCAT: N11
Notify the presenter before filing the data. The presenter can verify the data.
File the data.
Process DEERS Request: Do you want to Override the DEERS Ineligibility and continue? NO// YES
Select DEERS Eligibility Override Code: 6
Phone H: (619) 555-1212
Pt. Addr: 2345 OCEAN DRIVE
Sex: M
Zip: 92126
Service: NAVY// <Return>
Rank: LT
Station/Unit: USS CONSTELLATION
O/P Rec Loc: OUTPATIENT RECORDS
Patient wishes to be an organ doner.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 1 (continued)
Define allergy information: Enter/Edit allergy information? NO// YES
Allergy: PENICILLINS
File the data.
b. Add Dependents
Specify patient information: Patient Name: [your last name],MIA
Patient FMP: 30
Patient DOB: 4-2-58
Dependent SSN: [make up an SSN]
Patient PATCAT: N41
Notify the presenter before filing the data. The presenter can verify the data.
File the data.
Process DEERS Request: Do you want to Override the DEERS Ineligibility and continue: NO// YES
Select DEERS Eligibility Override Code: 6
Select sponsor to Move Demographic Data From.
Sex: F
O/P Rec Loc: OUTPATIENT RECORDS
Reg Comment: FOR TRAINING
Specify patient information: Patient Name: [your last name],ANDREA
Patient FMP: 01
Patient DOB: 3-13-77
Dependent SSN: [make up an SSN]
Patient PATCAT: N41
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 1 (continued)
Notify the presenter before filing the data. The presenter can verify the data.
File the data.
Process DEERS Request: Do you want to Override the DEERS Ineligibility and continue? NO// YES
Select DEERS Eligibility Override Code: 6
Select sponsor to Move Demographic Data From.
Sex: F
O/P Rec Loc: OUTPATIENT RECORDS
Reg Comment: FOR TRAINING
Define allergy information: Enter/Edit allergy information? NO// YES
Allergy: ASPIRIN
Specify patient information: Patient Name: [your last name],COREY
Patient FMP: 02
Patient DOB: 12-10-80
Dependent SSN: [make up an SSN]
Patient PATCAT: N41
Notify the presenter before filing the data. The presenter can verify the data.
File the data.
Process DEERS Request: Do you want to Override the DEERS Ineligibility and continue? NO// YES
Select DEERS Eligibility Override Code: 6
Select sponsor to Move Demographic Data From.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 1 (continued)
Sex: M
O/P Rec Loc: OUTPATIENT RECORDS
Reg Comment: FOR TRAINING
Notify the presenter before filing the data. The presenter can verify the data.
File the data.
Return to the Patient Demographics Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 2 - Enter a pharmacy patient comment.
INSTRUCTIONS: No additional instructions are required.
Scenario: You wish to record some vital patient information which will display
when the patient's prescriptions are processed.
Access the Pharmacy Patient Comment (PPC) option on the Patient Demographics Menu.
Specify patient and comment: Select Patient: [your last name],COREY
Patient Comment: HAS PROBLEM SWALLOWING TABLETS.
Notify the presenter when you have entered the information. The presenter can verify the accuracy of the data.
Return to the Outpatient Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 3 - Enter a new prescription.
INSTRUCTIONS: No additional instructions are required.
Scenario: The family you just registered brings prescriptions to the pharmacy to
be filled. You must enter the prescriptions into CHCS.
Access the New Prescription Entry (RX) option on the Prescriptions Menu.
Specify Patient: [your last name],ERIC J.
Enter at Selection (prescription profile): B (both active/inactive)
Define drug information: Drug Name: MOTRIN (IBUPROFEN--PO 400MG TAB)
Sig: T1 TAB QID
Quantity: 120
Refills Allowed: 5
Provider: MYER,MIKE
Days Supply: 40 <Return>
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
Note: Record the prescription number on the data card.
File the data.
Specify Patient: [your last name],MIA
Enter at Selection (prescription profile): A
Note: Record the prescription number on the data card.
Define drug information: Drug Name: XAN.5 (ALPRAZOLAM--PO .5MG TAB)
Sig: TT8
Quantity: 60
Refills Allowed: 2
Provider: HARTMAN,CHRIS
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 3 (continued)
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
File the data.
Specify Patient: [your last name],ANDREA
Enter at Selection (prescription profile): A
Note: Record the prescription number on the data card.
Define drug information: Drug Name: AURALGAN (ANTIPYRINE/BENZOCAINE--OTIC SOLN)
Sig: IDT AU F7
Quantity: 1
Refills Allowed: 1
Provider: KORTIA,MARIA
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
File the data.
Specify Patient: [your last name],ANDREA
Enter at Selection (prescription profile): A
Note: Record the prescription number on the data card.
Define drug information: Drug Name: ACCUTANE (ISOTRETINOIN--PO 10MG CAP)
Sig: 1 C QAM
Quantity: 30
Refills Allowed: 5
Provider: KORTIA,MARIA
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 3 (continued)
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
File the data.
Specify Patient: [your last name],COREY
Enter at Selection (prescription profile): A
Note: Record the prescription number on the data card.
Define drug information: Drug Name: GANTRISIN (SULFISOXAZOLE --PO 500MG/TAB)
Sig: Y34
Quantity: 1
Refills Allowed: 3
Provider: KORTIA,MARIA
Days Supply: 30
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
Specify patient: [your last name],MIA
Select active prescriptions: A
Drug Name: ROBITUSSIN DM ((or subst)--PO Syrup 120ML/BT)
SIG: 40ML Q6
Quantity: 1
Refills Allowed: 2
File the data.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 3 (continued)
Display and override the drug warning Select warning: 1
Do not review the patient profile: <Return>
Override the warning: YES
Justifying comments: PRACTICE OF MIN/MAX
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
File the data.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 4 - Edit a prescription.
INSTRUCTIONS: No additional instructions are required.
Scenario: While reviewing a prescription, you notice an error on the label. You
must edit the prescription to correct the error.
Access the Edit a Prescription (EAP) option on the Prescriptions Menu.
Select and edit the order: Specify patient or RX #: RXM[Andrea's AccutaneIsotretinoin RX#]
Sig: 1 C QAM 1HS
Quantity: 60
Refills Allowed: 2
Activity Log Comments: MASTER PRACTICE
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
File the data.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 5 - Modify an active prescription.
INSTRUCTIONS: No additional instructions are required.
Scenario: In the process of picking up an original prescription for Accutane, the
patient mentions a sensitivity to the drug that the doctor wasn't told about. You
contact the doctor, and he recommends a change to Retin-A .025 gel and requests
that you make the modification because he doesn't have access to a terminal.
Access the Modify a Prescription (MAP) option on the Secondary Prescription Menu.
Select and modify the order: Specify patient or RX #: RXM[Andrea's Isotretinoin RX#]
Drug: RETIN-A (.025 GEL)
Sig: APPLY TO AFFECTED AREAS TWICE DAILY
Quantity: 1
Activity Log Comments: MODIFIED PER VERBAL MD ORDER
Note: Record the prescription number on the data card.
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
File the data.
Return to the Secondary Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 6 - Forward a prescription.
INSTRUCTIONS: No additional instructions are required.
Scenario: An outpatient with a prescription to be filled at your pharmacy calls
and asks if his prescription can be filled at a site closer to his home. You forward
the prescription to a different pharmacy site.
Access the Forward a Prescription (FAP) option.
Select and forward the order: Specify patient or RX #: RXM[ERIC'S MOTRIN RX#]
Forward Prescription to: SATELLITE PHARMACY
Activity Log Comments: CLOSER TO PATIENT'S OFFICE
Notify the presenter when you have forwarded the order. The presenter can verify the accuracy of the data.
Return to the Secondary Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 7 - Hold/Reactivate a prescription.
INSTRUCTIONS: No additional instructions are required.
Scenario: A patient reports that a rash appears after taking a prescribed drug.
You place a hold on the prescription until the physician can be notified and the
situation researched further.
Access the Hold/Reactivate a Prescription (HRP) option.
Select prescription to place on hold: Specify patient or RX #: [Andrea's Aralgan RX#]
Do you want to put Prescription [RX#] on HOLD? YES// <Return>
Authorizing Provider: [provider]// <Return>
Activity Log Comments: PATIENT REPORTS RASH.
Notify the presenter when you have the order on Hold. The presenter can verify the accuracy of the data.
Reactivate prescription: Specify patient or RX #: [Andrea's Isotretinoin RX#]
Reactivate prescription: YES// <Return>
Authorizing Provider: [provider]// <Return>
Activity Log Comments: NOT THE CAUSE OF RASH.
Notify the presenter when you have REACTIVATED the order. The presenter can verify the accuracy of the data.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 8 - Discontinue an active prescription.
INSTRUCTIONS: No additional instructions are required.
Scenario: A patient reports that she develops nausea from a prescribed drug. You
contact the physician who asks you to discontinue the prescription.
Access the Discontinue a Prescription (DAP) option on the Prescriptions Menu.
Select prescription to discontinue: Specify patient or RX #: [Mia's Alprazolam RX#]
Are you sure you want to discontinue this prescription? YES// <Return>
Activity Log Comments: PER DR.'S VERBAL ORDER
Notify the presenter when you have discontinued the order. The presenter can verify the accuracy of the data.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 9 - Batch print prescription labels.
INSTRUCTIONS: No additional instructions are required.
Scenario: You return from a break and decide to print labels for the new
prescriptions that were entered into CHCS while you were away.
Access the Batch Print Labels (BPL) option.
Specify printing parameters: Enter Selection: A// <Return>
Select Baker Cell: GENERAL BAKER// <Return>
Device: [processing printing device]
Requested Start Time: NOW// <Return>
Notify the presenter when you have printed the information. The presenter can verify the accuracy of the data by examining the printed copy.
Remain at the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 10 - Refill an active prescription.
INSTRUCTIONS: No additional instructions are required.
Scenario: A patient comes to the outpatient pharmacy where you work and asks
for a refill of an active prescription.
Access the Refill a Prescription (RAP) option.
Select prescription to refill: Patient or RX#: [Corey's Gantrisin RX#]
Refill Date: TODAY// <Return>
Continue processing this refill? YES// <Return>
Notify the presenter when you have refilled the order. The presenter can verify the accuracy of the data.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 11 - Enter noncompliance data.
INSTRUCTIONS: No additional instructions are required.
Scenario: You notice a prescription on the shelf that has been there beyond its
allotted holding time. You record that the prescription was not picked up by the
patient.
Access the Enter Noncompliance Data (NON) option on the Secondary Prescriptions Menu.
Specify noncompliant information: Patient or RX#: [Andrea's Antipyrene RX#]
Would you like to enter this as Noncompliant Data? YES// <Return>
Activity Log Comments: PARENTS DO NOT WANT RX.
Notify the presenter when you have entered the information. The presenter can verify the accuracy of the data.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 12 - Reprint a prescription label.
INSTRUCTIONS: No additional instructions are required.
Scenario: When printing prescription labels, the labels in the printer become
misaligned. After the labels are aligned correctly, you reprint the ruined labels.
Access the Label Reprint (LPR) option.
Print a new label: Patient or RX #: [Andrea's Isotretinoin RX#]
Device: [processing printing device]
Notify the presenter when you have printed the information. The presenter can verify the accuracy of the data by examining the printed copy.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 13 - Perform clinical screening.
INSTRUCTIONS: No additional instructions are required.
Note: This scenario is designed for pharmacists and selected staff only.
Scenario: When a batch of labels is printed, a positive clinical screening label
prints which indicates a prescription is in warning status. You view the clinical
screening information and decide to override the warning so the prescription can
be processed.
Access the Clear Clinical Screening (CCS) option.
Display and override drug warning: Specify RX#: [assigned RX number]
Specify Warning Report #: 1
Do you wish to review the patient profile? NO// YES
Selection: A
RX# [RX#]: Override Warning (Y/N)? NO// Y
Comments: PER DR.'S VERBAL ORDER
Device: [processing printing device]
Notify the presenter when you have printed the information. The presenter can verify the accuracy of the data by examining the printed copy.
Return to the Prescriptions Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 14 - Perform outpatient dispensing functions.
INSTRUCTIONS: No additional instructions are required.
Scenario: A patient has arrived to pick up a prescription. Review the patient's
prescription information, print a patient education monograph, and dispense the
prescription.
Access the Dispense a Prescription Option (DRX) on the Prescription Menu.
Select patient: [your last name],MIA
Scenario 14a: Prior to dispensing a prescription, review the patient's prescription
information.
Select Inquiry from the action bar: I(nquiry), <Return>
Select active prescriptions: A(ctive)
Select prescription 1: 1
Display prescription to the screen: HOME
While the information displays on your terminal, notify the presenter and wait for verification.
Return to the Dispense Prescriptions screen: <Return>
Scenario 14b: The patient education monograph for the drug needs to be
discussed with the patient prior to dispensing the prescription.
Display the patient education monograph for the selected prescription.
Select the prescription: <Select> (do not press <Return>)
Select Monograph from the action bar: M(onograph)
Select device: HOME
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 14 (continued)
While the information is displayed on your terminal, notify the presenter and wait for verification.
Pressing <Return>, presents the next monograph. If no additional monographs were selected, the Dispense Prescriptions screen is displayed.
Return to the Dispensing Prescription screen.
Scenario 14c: The patient education monograph has been discussed with the
patient. Dispense the prescription.
Select prescriptions to be dispensed: <Select>
While the information displays on your terminal, notify the presenter and wait for verification.
Select the Dispense action: D(ispense)
Reselect the patient: spacebar, <Return>
Display the undispense action.
Select the correction action: cOrrection
While the information displays on your terminal, notify the presenter and wait for verification.
Return to the Dispense Prescriptions screen: eXit
Return to the Outpatient Pharmacy Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 15 - Perform a drug information inquiry.
INSTRUCTIONS: No additional instructions are required.
Scenario 15a: A physician has asked you for information on the subclass of a
particular drug.
Access the Drug Information (DRU) option on the Drug Data Inquiry Menu.
Specify the drug to be investigated: RIFAMPIN--PO 300MG CAP
Notify the presenter and wait for verification while the information is displayed on your terminal screen.
Return to the Drug Data Inquiry Menu.
Scenario 15b: The last drug you are investigating for the physician is focused on
finding out the Trade Name for the drug.
Access the Formulary Inquiry (FIN) option.
Define the Formulary Inquiry: Formulary Group Name: FIRST FORMULARY GROUP// <Return>
Drug Name: RIFAMPIN--PO 300MG CAP
Notify the presenter and wait for verification while the information is displayed on your terminal screen.
Return to the Drug Data Inquiry Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 15 (continued)
Scenario 15c: A patient education monograph needs to be displayed for the
prescription a patient is receiving.
Access the Patient Education Monograph (PEM) option.
Specify the drug for display: TAGAMET (CIMETIDINE--PO 200MG TAB)
View the information displayed.
Notify the presenter and wait for verification while the information is displayed on your terminal screen.
Return to the Drug Data Inquiry Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 16 - Perform a reaction/interaction inquiry.
INSTRUCTIONS: No additional instructions are required.
Scenario 16a: The benefit of a patient's drug therapy is being weighed against the
possible side effects of the therapy. You decide to investigate the likely adverse
reactions for the drug.
Access the Adverse Reaction Information (ARI) option.
Specify Allergy/Adverse Reaction Class Name: ALLOPURINOL
Select portions to display: DERMATOLOGIC EFFECTS
HEPATIC EFFECTS
NERVOUS SYSTEM EFFECTS
While the information is displayed on your terminal screen, notify the presenter and wait for verification.
Return to the Drug Data Inquiry Menu.
Scenario 16b: The benefit of a patient's drug therapy is being weighed against
possible side effects of the therapy. You decide to check the drug against another
drug classification that appears to have been prescribed for the patient.
Access the Interaction Information (DII) option.
Enter Drug Interaction Report: RIFAMPIN (HALOTHANE)
Enter at Device: HOME
While the information is displayed on your terminal screen, notify the presenter and wait for verification.
Return to the Drug Data Inquiry Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 17 - Perform drug testing.
INSTRUCTIONS: No additional instructions are required.
Scenario: You are investigating the possibility of an interaction between a
combination of drugs that a physician is considering ordering for a patient.
Access the Test Drugs for Warnings (TFW) option.
Enter at Do you want to display the drug check parameters? NO// YES
Enter at Do you want to bypass the drug check parameters and run this test to
display all possible interaction information? NO// YES
Enter New/Test Drug: WARFARIN (--PO 5MG TAB)
Enter Old Drug #1: ASPIRIN (--PO 325MG TAB)
Enter Warning # for Report: 1
Enter at Device: HOME
While the information is displayed on your terminal screen, notify the presenter and wait for verification.
Return to the Outpatient Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 18 - Enter a manually processed prescription.
INSTRUCTIONS: No additional instructions are required.
Scenario: An electrical blackout in the area caused a system shutdown. Pharmacy
personnel continued to manually issue prescriptions. Now that the system is back
up and running, the prescriptions that were manually issued have to be entered into
CHCS.
Access the Manual Prescription Entry (MPE) option on the Secondary Prescriptions Menu.
Specify Patient: [your last name],ERIC
Select Prescription Profile: A
Define drug information: Drug Name: SCOPOLAMINE (--TOP 1.5MG DISC)
Prescription Number: [assigned number]
Sig: AP 1 PA ONS FNA
Quantity: 4
Refills Allowed: 8
Provider: ANDREWS,C
Child Resistant Container: NO
Comments: APPLY 4HRS PRIOR, LASTS 72HRS
Notify the presenter before filing the data. The presenter can verify the accuracy of the data displayed on your screen.
File the data.
Return to the Outpatient Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 19 - Print a group of lost or damaged labels.
INSTRUCTIONS: No additional instructions are required.
Scenario: Due to a defective printer, a group of labels was destroyed and cannot
be printed on the same printer until the printer is repaired. You must reassign label
printing to another printer to reprint the lost labels.
Access the Change Label/Text Printer (CLT) option.
Specify device and pharmacy site: Failed Device: NL:
Pharmacy Site: [default site]// <Return>
Starting RX number: M727
Ending RX number: ALL// <Return>
Device: [processing printing device]
Requested Start Time: NOW// <Return>
Notify the presenter when you have printed the information. The presenter can verify the accuracy of the data by examining the printed copy.
Return to the Pharmacy System Menu.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Scenario 20 - Display and review the Provider Inquiry screen.
INSTRUCTIONS: No additional instructions are required.
Scenario: You have been asked to determine if the Provider Flag is set to Provider
for one of the facilities users .
Access the Health Care Provider Inquiry Menu (HCP) on the Outpatient Menu.
Pharmacy System Menu ➔ Outpatient Pharmacy Site [site] ➔ OPM Specify the provider name: [provider name]
Confirm the provider name: YES
Display and review the provider data.
Device: HOME
Review the screen.
Return to the Pharmacy System Menu.
Log off CHCS.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Master Practice Evaluation Criteria
Scenario 1 - Register a patient.
Verify that the students have registered the patient by viewing the
information on their screens.
Scenario 2 - Enter a pharmacy patient comment.
Verify that the students have entered the Pharmacy Comment by viewing the
information on their screens.
Scenario 3 - Enter a new prescription.
Verify that the students have entered the new prescriptions by viewing the
information on their screens.
Scenario 4 - Edit a prescription.
Verify that the students have edited the prescription by viewing the
information on their screens.
Scenario 5 - Modify an active prescription.
Verify that the students have modified the prescription by viewing the
information on their screens.
Scenario 6 - Forward a prescription.
Verify that the students have forwarded the prescription by viewing the
information on their screens.
Scenario 7 - Hold/Reactivate a prescription.
Verify that the students have placed a prescription on hold and then
reactivated the prescription by viewing the information on their screens.
Scenario 8 - Discontinue an active prescription.
Verify that the students have discontinued the prescription by viewing the
information on their screens.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Master Practice Evaluation Criteria
Scenario 9 - Batch print prescription labels.
Verify that the students have batch printed prescription labels by collecting
and reviewing the print-outs.
Scenario 10 - Refill an active prescription.
Verify that the students have refilled the prescription by viewing the
information on their screens.
Scenario 11 - Enter noncompliance data.
Verify that the students have entered noncompliant information by viewing
the information on their screens.
Scenario 12 - Reprint a prescription label.
Verify that the students have reprinted a label for their assigned order by
collecting and reviewing the printouts.
Scenario 13 - Perform clinical screening.
Verify that the students have performed a clinical screening by viewing the
information on their screens.
Scenario 14 - Perform outpatient dispensing functions.
Verify that students have performed the dispensing functions by viewing the
students' screens.
Scenario 15 - Perform a drug information inquiry.
Verify that the students have displayed the drug information by viewing their
screens.
Scenario 16 - Perform a reaction/interaction inquiry.
Verify that the students have displayed the adverse reaction information by
viewing their screens.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Master Practice Evaluation Criteria
Scenario 17 - Perform drug testing.
Verify that the students have displayed the drug warning information by
viewing their screens.
Scenario 18 - Enter a manually processed prescription.
Verify that the students have entered the prescription by viewing the
information on their screens.
Scenario 19 - Print a group of lost or damaged labels.
Verify that the students have reprinted the labels for their assigned orders by
collecting and reviewing the printouts.
Scenario 20 - Display and review the Provider Inquiry screen.
Verify that the students have displayed the specified provider by viewing the
information displayed on their terminals.
SAIC/CHCS Doc. TC-4.5-0359 OUTPATIENT PHARMACY
Section 4
Data Cards
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Section 4. Data Cards
** PRESENTER **
PRESENTER'S CLASS PRINTER INFORMATION
Designated Processing Printers
The following devices have been defined as printers. Sending output to these devices will result in processing and printing. Check with the site's System Manager for the availability of these printers in your classroom. For additional information, refer to the CHCS Training Software Installation and Maintenance Instructions.
Naming Conventions: RnPn stands for Room # printer # RnP1 = LA75 (user selectable column width; 80 column width is the default) RnP2 = Outpatient Pharmacy Label Printer RnP3 = Pharmacy IV Label Printer RnP4 = Pharmacy Unit Dose Label Printer RnP5 = Narcotic Label Printer Note: One printer may be defined to do all of the above.
For each printer that has been physically connected in each training room, the System Manager must add its port ($I) to the appropriately named RnPn entry in the device file. One or many of the entries in the Device File may have the same $I (same physical printer port). Example: the port destination for the one printer in Room 1 may be entered as the $I for R1P1, R1P2, R1P3, etc. For additional information, refer to the CHCS Training Software Installation and Maintenance Instructions.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Sending output to these devices will result in a request that will not process and will not print out. Check with the site's System Manager for the availability of these printers in your classroom.
Line Printer: Simulates directing output to OTHER CPU. Some device
prompts will not accept this device.
Practice Printer A: Simulates directing output to OTHER CPU. Some device
prompts will not accept this default.
Practice Printer B: Simulates directing output to a VMS file. Some device
prompts will not accept this default.
Nonprinting Processing Devices
= Outpatient Pharmacy Bit Bucket 132 COLUMN DISPLAY (does not print)WIDE = prints a 132 column display to the terminal screen. Some device prompts will not accept this device.
Pharmacy Specific Devices
The following devices have been entered in various Pharmacy Subsystem files and will display as the default for certain Pharmacy reports. If any of these reports must be printed, the user must enter a valid RnPn device name (to send output to a classroom printer); ‘0' (to send 80 column output to the screen); or ‘NL:' or ‘NL-OP' to process without printing.
IV LABEL PRINTERIV PROFILE PRINTERIV STAT PRINTERSTAT ORDER PRINTERUD REPORT PRINTERUD STAT RQST PRINTERPHARMACY PRINT QUEUE (NONPROCESSING)BAKER CELL SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
SLAVE = SLAVE PrinterSPOOL = SPOOL DeviceLP = Line Printer SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
PRESENTER'S DEMONSTRATION DATA
All required information is contained in the Class Outline.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 1
Practice 1 - Register a patient.
Family's Last Name: BOWERS
Loni's SSN: 100-25-0001
Kevin's SSN: 100-25-0021
Brook's SSN: 100-10-0076
Practice 2 - Enter a pharmacy patient comment.
All required information is contained in the practice.
Practice 3 - Enter a new prescription.
James' Procardia RX#: Loni's Premarin RX#: Kevin's Theophylline RX#: Brooke's Erythromycin RX#: Brooke's Penicillin RX#: Practice 4 - Edit a prescription.
All required information is contained in the practice.
Practice 5 - Modify an existing prescription.
Loni's Premarin RX#: RXM
Practice 6 - Forward a prescription.
All required information is contained in the practice.
Practice 7 - Hold/Reactivate a prescription.
All required information is contained in the practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 1 (continued)
Practice 8 - Discontinue an active prescription.
All required information is contained in the practice.
Practice 9 - Batch print prescription labels.
All required information is contained in the practice.
Practice 10 - Refill an active prescription.
All required information is contained in the practice.
Practice 11 - Enter noncompliance data.
All required information is contained in the practice.
Practice 12 - Reprint a prescription label.
All required information is contained in the practice.
Practice 13 - Perform clinical screening.
RX#: M12067
Practice 14 - Perform outpatient dispensing functions.
All required information is contained in the practice.
Practice 15 - Perform a drug information inquiry.
All required information is contained in the practice.
Practice 16 - Perform a reaction/interaction inquiry.
All required information is contained in the practice.
Practice 17 - Perform drug testing.
Patient Name: MOUNDS,CHARLES C 20/100-10-6719
Practice 18 - Enter a manually processed prescription.
Prescription Number: 3010
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 1 (continued)
Practice 19 - Change label/text printer.
All required information is contained in the practice.
Practice 20 - Display and review the Provider Inquiry screen.
Provider Name: ADDAMS,HENRY
Scenario 1 - Register a patient.
All required information is contained in the Master Practice.
Scenario 2 - Enter a pharmacy patient comment.
All required information is contained in the Master Practice.
Scenario 3 - Enter a new prescription.
Eric's Motrin RX#: Mia's Xanax RX#: Andrea's Auralgan RX#: Andrea's Accutane RX#: Corey's Gantrisin RX#: Scenario 4 - Edit a prescription.
All required information is contained in the Master Practice.
Scenario 5 - Modify an active prescription.
Andrea's Accutane RX#: RXM
Scenario 6 - Forward a prescription.
All required information is contained in the Master Practice.
Scenario 7 - Hold/Reactivate a prescription.
All required information is contained in the Master Practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 1 (continued)
Scenario 8 - Discontinue an active prescription.
All required information is contained in the Master Practice.
Scenario 9 - Batch print prescription labels.
All required information is contained in the Master Practice.
Scenario 10 - Refill an active prescription.
All required information is contained in the Master Practice.
Scenario 11 - Enter noncompliance data.
All required information is contained in the Master Practice.
Scenario 12 - Reprint a prescription label.
All required information is contained in the Master Practice.
Scenario 13 - Perform clinical screening.
Order #: 010619-00148 (Mendez,Allan)
Scenario 14 - Perform outpatient dispensing functions.
All required information is contained in the Master Practice.
Scenario 15 - Perform a drug information inquiry.
All required information is contained in the Master Practice.
Scenario 16 - Perform a reaction/interaction inquiry.
All required information is contained in the Master Practice.
Scenario 17 - Perform drug testing.
All required information is contained in the Master Practice.
Scenario 18 - Enter a manually processed prescription.
Prescription Number: 4010
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 1 (continued)
Scenario 19 - Print a group of lost or damaged labels.
All required information is contained in the Master Practice.
Scenario 20 - Display and review the Provider Inquiry screen.
Provider Name: BATES,LAWRENCE
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 2
Practice 1 - Register a patient.
Family's Last Name: COLLINS
Loni's SSN: 100-24-0002
Kevin's SSN: 100-25-0022
Brook's SSN: 100-10-0077
Practice 2 - Enter a pharmacy patient comment.
All required information is contained in the practice.
Practice 3 - Enter a new prescription.
James' Procardia RX#: Loni's Premarin RX#: Kevin's Theophylline RX#: Brooke's Erythromycin RX#: Brooke's Penicillin RX#: Practice 4 - Edit a prescription.
All required information is contained in the practice.
Practice 5 - Modify an existing prescription.
Loni's Premarin RX#: RXM
Practice 6 - Forward a prescription.
All required information is contained in the practice.
Practice 7 - Hold/Reactivate a prescription.
All required information is contained in the practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 2 (continued)
Practice 8 - Discontinue an active prescription.
All required information is contained in the practice.
Practice 9 - Batch print prescription labels.
All required information is contained in the practice.
Practice 10 - Refill an active prescription.
All required information is contained in the practice.
Practice 11 - Enter noncompliance data.
All required information is contained in the practice.
Practice 12 - Reprint a prescription label.
All required information is contained in the practice.
Practice 13 - Perform clinical screening.
RX#: M12069
Practice 14 - Perform outpatient dispensing functions.
All required information is contained in the practice.
Practice 15 - Perform a drug information inquiry.
All required information is contained in the practice.
Practice 16 - Perform a reaction/interaction inquiry.
All required information is contained in the practice.
Practice 17 - Perform drug testing.
Patient Name: MOUNDS,DONNA B 20/100-10-6819
Practice 18 - Enter a manually processed prescription.
Prescription Number: 3020
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 2 (continued)
Practice 19 - Change label/text printer.
All required information is contained in the practice.
Practice 20 - Display and review the Provider Inquiry screen.
Provider Name: AGENT,BARRY
Scenario 1 - Register a patient.
All required information is contained in the Master Practice.
Scenario 2 - Enter a pharmacy patient comment.
All required information is contained in the Master Practice.
Scenario 3 - Enter a new prescription.
Eric's Motrin RX#: Mia's Xanax RX#: Andrea's Auralgan RX#: Andrea's Accutane RX#: Corey's Gantrisin RX#: Scenario 4 - Edit a prescription.
All required information is contained in the Master Practice.
Scenario 5 - Modify an active prescription.
Andrea's Accutane RX#: RXM
Scenario 6 - Forward a prescription.
All required information is contained in the Master Practice.
Scenario 7 - Hold/Reactivate a prescription.
All required information is contained in the Master Practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 2 (continued)
Scenario 8 - Discontinue an active prescription.
All required information is contained in the Master Practice.
Scenario 9 - Batch print prescription labels.
All required information is contained in the Master Practice.
Scenario 10 - Refill an active prescription.
All required information is contained in the Master Practice.
Scenario 11 - Enter noncompliance data.
All required information is contained in the Master Practice.
Scenario 12 - Reprint a prescription label.
All required information is contained in the Master Practice.
Scenario 13 - Perform clinical screening.
Order #: 010619-00149 (Mendez,Barbara)
Scenario 14 - Perform outpatient dispensing functions.
All required information is contained in the Master Practice.
Scenario 15 - Perform a drug information inquiry.
All required information is contained in the Master Practice.
Scenario 16 - Perform a reaction/interaction inquiry.
All required information is contained in the Master Practice.
Scenario 17 - Perform drug testing.
All required information is contained in the Master Practice.
Scenario 18 - Enter a manually processed prescription.
Prescription Number: 4020
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 2 (continued)
Scenario 19 - Print a group of lost or damaged labels.
All required information is contained in the Master Practice.
Scenario 20 - Display and review the Provider Inquiry screen.
Provider Name: BAUTISTA,ANTONIO
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 3
Practice 1 - Register a patient.
Family's Last Name: DILLON
Loni's SSN: 100-25-0003
Kevin's SSN: 100-25-0023
Brook's SSN: 100-10-0078
Practice 2 - Enter a pharmacy patient comment.
All required information is contained in the practice.
Practice 3 - Enter a new prescription.
James' Procardia RX#: Loni's Premarin RX#: Kevin's Theophylline RX#: Brooke's Erythromycin RX#: Brooke's Penicillin RX#: Practice 4 - Edit a prescription.
All required information is contained in the practice.
Practice 5 - Modify an existing prescription.
Loni's Estradiol RX#: RXM
Practice 6 - Forward a prescription.
All required information is contained in the practice.
Practice 7 - Hold/Reactivate a prescription.
All required information is contained in the practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 3 (continued)
Practice 8 - Discontinue an active prescription.
All required information is contained in the practice.
Practice 9 - Batch print prescription labels.
All required information is contained in the practice.
Practice 10 - Refill an active prescription.
All required information is contained in the practice.
Practice 11 - Enter noncompliance data.
All required information is contained in the practice.
Practice 12 - Reprint a prescription label.
All required information is contained in the practice.
Practice 13 - Perform clinical screening.
RX#: M12071
Practice 14 - Perform outpatient dispensing functions.
All required information is contained in the practice.
Practice 15 - Perform a drug information inquiry.
All required information is contained in the practice.
Practice 16 - Perform a reaction/interaction inquiry.
All required information is contained in the practice.
Practice 17 - Perform drug testing.
Patient Name: MOUNDS,EARL E 20/100-10-6919
Practice 18 - Enter a manually processed prescription.
Prescription Number: 3030
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 3 (continued)
Practice 19 - Change label/text printer.
All required information is contained in the practice.
Practice 20 - Display and review the Provider Inquiry screen.
Provider Name: AGNEW,ELIZABETH
Scenario 1 - Register a patient.
All required information is contained in the Master Practice.
Scenario 2 - Enter a pharmacy patient comment.
All required information is contained in the Master Practice.
Scenario 3 - Enter a new prescription.
Eric's Motrin RX#: Andrea's Auralgan RX#: Andrea's Accutane RX#: Corey's Gantrisin RX#: Scenario 4 - Edit a prescription.
All required information is contained in the Master Practice.
Scenario 5 - Modify an active prescription.
Andrea's Accutane RX#: RXM
Scenario 6 - Forward a prescription.
All required information is contained in the Master Practice.
Scenario 7 - Hold/Reactivate a prescription.
All required information is contained in the Master Practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 3 (continued)
Scenario 8 - Discontinue an active prescription.
All required information is contained in the Master Practice.
Scenario 9 - Batch print prescription labels.
All required information is contained in the Master Practice.
Scenario 10 - Refill an active prescription.
All required information is contained in the Master Practice.
Scenario 11 - Enter noncompliance data.
All required information is contained in the Master Practice.
Scenario 12 - Reprint a prescription label.
All required information is contained in the Master Practice. Scenario 13 - Perform clinical screening.
Order #: 010619-00150 (Mendez,Charles)
Scenario 14 - Perform outpatient dispensing functions.
All required information is contained in the Master Practice.
Scenario 15 - Perform a drug information inquiry.
All required information is contained in the Master Practice.
Scenario 16 - Perform a reaction/interaction inquiry.
All required information is contained in the Master Practice.
Scenario 17 - Perform drug testing.
All required information is contained in the Master Practice.
Scenario 18 - Enter a manually processed prescription.
Prescription Number: 4030
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 3 (continued)
Scenario 19 - Print a group of lost or damaged labels.
All required information is contained in the Master Practice.
Scenario 20 - Display and review the Provider Inquiry screen.
Provider Name: BEALE,SHARON
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 4
Practice 1 - Register a patient.
Family's Last Name: EDGEWORTH
Loni's SSN: 100-25-0004
Kevin's SSN: 100-25-0024
Brook's SSN: 100-10-0079
Practice 2 - Enter a pharmacy patient comment.
All required information is contained in the practice.
Practice 3 - Enter a new prescription.
James' Procardia RX#: Loni's Premarin RX#: Kevin's Theophylline RX#: Brooke's Erythromycin RX#: Brooke's Penicillin RX#: Practice 4 - Edit a prescription.
All required information is contained in the practice.
Practice 5 - Modify an existing prescription.
Loni's Premarin RX#: RXM
Practice 6 - Forward a prescription.
All required information is contained in the practice.
Practice 7 - Hold/Reactivate a prescription.
All required information is contained in the practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 4 (continued)
Practice 8 - Discontinue an active prescription.
All required information is contained in the practice.
Practice 9 - Batch print prescription labels.
All required information is contained in the practice.
Practice 10 - Refill an active prescription.
All required information is contained in the practice.
Practice 11 - Enter noncompliance data.
All required information is contained in the practice.
Practice 12 - Reprint a prescription label.
All required information is contained in the practice.
Practice 13 - Perform clinical screening.
RX#: M12073
Practice 14 - Perform outpatient dispensing functions.
All required information is contained in the practice.
Practice 15 - Perform a drug information inquiry.
All required information is contained in the practice.
Practice 16 - Perform a reaction/interaction inquiry.
All required information is contained in the practice.
Practice 17 - Perform drug testing.
Patient Name: MOUNDS,FLORENCE 20/100-10-7019
Practice 18 - Enter a manually processed prescription.
Prescription Number: 3040
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 4 (continued)
Practice 19 - Change label/text printer.
All required information is contained in the practice.
Practice 20 - Display and review the Provider Inquiry screen.
Provider Name: AIKEN,DENNIS
Scenario 1 - Register a patient.
All required information is contained in the Master Practice.
Scenario 2 - Enter a pharmacy patient comment.
All required information is contained in the Master Practice.
Scenario 3 - Enter a new prescription.
Eric's Motrin RX#: Andrea's Auralgan RX#: Andrea's Accutane RX#: Corey's Gantrisin RX#: Scenario 4 - Edit a prescription.
All required information is contained in the Master Practice.
Scenario 5 - Modify an active prescription.
Andrea's Accutane RX#: RXM
Scenario 6 - Forward a prescription.
All required information is contained in the Master Practice.
Scenario 7 - Hold/Reactivate a prescription.
All required information is contained in the Master Practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 4 (continued)
Scenario 8 - Discontinue an active prescription.
All required information is contained in the Master Practice.
Scenario 9 - Batch print prescription labels.
All required information is contained in the Master Practice.
Scenario 10 - Refill an active prescription.
All required information is contained in the Master Practice.
Scenario 11 - Enter noncompliance data.
All required information is contained in the Master Practice.
Scenario 12 - Reprint a prescription label.
All required information is contained in the Master Practice.
Scenario 13 - Perform clinical screening.
Order #: 010619-00151 (Mendez,Donna)
Scenario 14 - Perform outpatient dispensing functions.
All required information is contained in the Master Practice.
Scenario 15 - Perform a drug information inquiry.
All required information is contained in the Master Practice.
Scenario 16 - Perform a reaction/interaction inquiry.
All required information is contained in the Master Practice.
Scenario 17 - Perform drug testing.
All required information is contained in the Master Practice.
Scenario 18 - Enter a manually processed prescription.
Prescription Number: 4040
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 4 (continued)
Scenario 19 - Print a group of lost or damaged labels.
All required information is contained in the Master Practice.
Scenario 20 - Display and review the Provider Inquiry screen.
Provider Name: BENDER,EUGENE
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 5
Practice 1 - Register a patient.
Family's Last Name: FARTHING
Loni's SSN: 100-25-0005
Kevin's SSN: 100-25-0025
Brook's SSN: 100-10-0080
Practice 2 - Enter a pharmacy patient comment.
All required information is contained in the practice.
Practice 3 - Enter a new prescription.
James' Procardia RX#: Loni's Premarin RX#: Kevin's Theophylline RX#: Brooke's Erythromycin RX#: Brooke's Penicillin RX#: Practice 4 - Edit a prescription.
All required information is contained in the practice.
Practice 5 - Modify an existing prescription.
Loni's Premarin RX#: RXM
Practice 6 - Forward a prescription.
All required information is contained in the practice.
Practice 7 - Hold/Reactivate a prescription.
All required information is contained in the practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 5 (continued)
Practice 8 - Discontinue an active prescription.
All required information is contained in the practice.
Practice 9 - Batch print prescription labels.
All required information is contained in the practice.
Practice 10 - Refill an active prescription.
All required information is contained in the practice.
Practice 11 - Enter noncompliance data.
All required information is contained in the practice.
Practice 12 - Reprint a prescription label.
All required information is contained in the practice.
Practice 13 - Perform clinical screening.
RX#: M12075
Practice 14 - Perform outpatient dispensing functions.
All required information is contained in the practice.
Practice 15 - Perform a drug information inquiry.
All required information is contained in the practice.
Practice 16 - Perform a reaction/interaction inquiry.
All required information is contained in the practice.
Practice 17 - Perform drug testing.
Patient Name: MOUNDS,GEORGE G 20/100-10-7119
Practice 18 - Enter a manually processed prescription.
Prescription Number: 3050
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 5 (continued)
Practice 19 - Change label/text printer.
All required information is contained in the practice.
Practice 20 - Display and review the Provider Inquiry screen.
Provider Name: ALBERT,GEORGE
Scenario 1 - Register a patient.
All required information is contained in the Master Practice.
Scenario 2 - Enter a pharmacy patient comment.
All required information is contained in the Master Practice.
Scenario 3 - Enter a new prescription.
Eric's Motrin RX#: Andrea's Auralgan RX#: Andrea's Accutane RX#: Corey's Gantrisin RX#: Scenario 4 - Edit a prescription.
All required information is contained in the Master Practice.
Scenario 5 - Modify an active prescription.
Andrea's Accutane RX#: RXM
Scenario 6 - Forward a prescription.
All required information is contained in the Master Practice.
Scenario 7 - Hold/Reactivate a prescription.
All required information is contained in the Master Practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 5 (continued)
Scenario 8 - Discontinue an active prescription.
All required information is contained in the Master Practice.
Scenario 9 - Batch print prescription labels.
All required information is contained in the Master Practice.
Scenario 10 - Refill an active prescription.
All required information is contained in the Master Practice.
Scenario 11 - Enter noncompliance data.
All required information is contained in the Master Practice.
Scenario 12 - Reprint a prescription label.
All required information is contained in the Master Practice. Scenario 13 - Perform clinical screening.
Order #: 010619-00152 (Mendez,Earl)
Scenario 14 - Perform outpatient dispensing functions.
All required information is contained in the Master Practice.
Scenario 15 - Perform a drug information inquiry.
All required information is contained in the Master Practice.
Scenario 16 - Perform a reaction/interaction inquiry.
All required information is contained in the Master Practice.
Scenario 17 - Perform drug testing.
All required information is contained in the Master Practice.
Scenario 18 - Enter a manually processed prescription.
Prescription Number: 4050
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 5 (continued)
Scenario 19 - Print a group of lost or damaged labels.
All required information is contained in the Master Practice.
Scenario 20 - Display and review the Provider Inquiry screen.
Provider Name: BENNET,DONALD
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 6
Practice 1 - Register a patient.
Family's Last Name: GREGORY
Loni's SSN: 100-25-0006
Kevin's SSN: 100-25-0026
Brook's SSN: 100-10-0086
Practice 2 - Enter a pharmacy patient comment.
All required information is contained in the practice.
Practice 3 - Enter a new prescription.
James' Procardia RX#: Loni's Premarin RX#: Kevin's Theophylline RX#: Brooke's Erythromycin RX#: Brooke's Penicillin RX#: Practice 4 - Edit a prescription.
All required information is contained in the practice.
Practice 5 - Modify an existing prescription.
Loni's Premarin RX#: RXM
Practice 6 - Forward a prescription.
All required information is contained in the practice.
Practice 7 - Hold/Reactivate a prescription.
All required information is contained in the practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 6 (continued)
Practice 8 - Discontinue an active prescription.
All required information is contained in the practice.
Practice 9 - Batch print prescription labels.
All required information is contained in the practice.
Practice 10 - Refill an active prescription.
All required information is contained in the practice.
Practice 11 - Enter noncompliance data.
All required information is contained in the practice.
Practice 12 - Reprint a prescription label.
All required information is contained in the practice.
Practice 13 - Perform clinical screening.
RX#: M12077
Practice 14 - Perform outpatient dispensing functions.
All required information is contained in the practice.
Practice 15 - Perform a drug information inquiry.
All required information is contained in the practice.
Practice 16 - Perform a reaction/interaction inquiry.
All required information is contained in the practice.
Practice 17 - Perform drug testing.
Patient Name: MOUNDS,HOLLEY H 20/100-10-7219
Practice 18 - Enter a manually processed prescription.
Prescription Number: 3060
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 6 (continued)
Practice 19 - Change label/text printer.
All required information is contained in the practice.
Practice 20 - Display and review the Provider Inquiry screen.
Provider Name: ALCALA,GILBERT
Scenario 1 - Register a patient.
All required information is contained in the Master Practice.
Scenario 2 - Enter a pharmacy patient comment.
All required information is contained in the Master Practice.
Scenario 3 - Enter a new prescription.
Eric's Motrin RX#: Andrea's Auralgan RX#: Andrea's Accutane RX#: Corey's Gantrisin RX#: Scenario 4 - Edit a prescription.
All required information is contained in the Master Practice.
Scenario 5 - Modify an active prescription.
Andrea's Accutane RX#: RXM
Scenario 6 - Forward a prescription.
All required information is contained in the Master Practice.
Scenario 7 - Hold/Reactivate a prescription.
All required information is contained in the Master Practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 6 (continued)
Scenario 8 - Discontinue an active prescription.
All required information is contained in the Master Practice.
Scenario 9 - Batch print prescription labels.
All required information is contained in the Master Practice.
Scenario 10 - Refill an active prescription.
All required information is contained in the Master Practice.
Scenario 11 - Enter noncompliance data.
All required information is contained in the Master Practice.
Scenario 12 - Reprint a prescription label.
All required information is contained in the Master Practice. Scenario 13 - Perform clinical screening.
Order #: 010619-0053 (Mendez,Florence)
Scenario 14 - Perform outpatient dispensing functions.
All required information is contained in the Master Practice.
Scenario 15 - Perform a drug information inquiry.
All required information is contained in the Master Practice.
Scenario 16 - Perform a reaction/interaction inquiry.
All required information is contained in the Master Practice.
Scenario 17 - Perform drug testing.
All required information is contained in the Master Practice.
Scenario 18 - Enter a manually processed prescription.
Prescription Number: 4060
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 6 (continued)
Scenario 19 - Print a group of lost or damaged labels.
All required information is contained in the Master Practice.
Scenario 20 - Display and review the Provider Inquiry screen.
Provider Name: BERGMAN,PHILIP
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 7
Practice 1 - Register a patient.
Family's Last Name: HARPER
Loni's SSN: 100-25-0007
Kevin's SSN: 100-25-0027
Brook's SSN: 100-10-0087
Practice 2 - Enter a pharmacy patient comment.
All required information is contained in the practice.
Practice 3 - Enter a new prescription.
James' Procardia RX#: Loni's Premarin RX#: Kevin's Theophylline RX#: Brooke's Erythromycin RX#: Brooke's Penicillin RX#: Practice 4 - Edit a prescription.
All required information is contained in the practice.
Practice 5 - Modify an existing prescription.
Loni's Premarin RX#: RXM
Practice 6 - Forward a prescription.
All required information is contained in the practice.
Practice 7 - Hold/Reactivate a prescription.
All required information is contained in the practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 7 (continued)
Practice 8 - Discontinue an active prescription.
All required information is contained in the practice.
Practice 9 - Batch print prescription labels.
All required information is contained in the practice.
Practice 10 - Refill an active prescription.
All required information is contained in the practice.
Practice 11 - Enter noncompliance data.
All required information is contained in the practice.
Practice 12 - Reprint a prescription label.
All required information is contained in the practice.
Practice 13 - Perform clinical screening.
RX#: M12079
Practice 14 - Perform outpatient dispensing functions.
All required information is contained in the practice.
Practice 15 - Perform a drug information inquiry.
All required information is contained in the practice.
Practice 16 - Perform a reaction/interaction inquiry.
All required information is contained in the practice.
Practice 17 - Perform drug testing.
Patient Name: MOUNDS,IAN I 20/100-10-7319
Practice 18 - Enter a manually processed prescription.
Prescription Number: 3070
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 7 (continued)
Practice 19 - Change label/text printer.
All required information is contained in the practice.
Practice 20 - Display and review the Provider Inquiry screen.
Provider Name: ALEXANDER,DAVID
Scenario 1 - Register a patient.
All required information is contained in the Master Practice.
Scenario 2 - Enter a pharmacy patient comment.
All required information is contained in the Master Practice.
Scenario 3 - Enter a new prescription.
Eric's Motrin RX#: Andrea's Auralgan RX#: Andrea's Accutane RX#: Corey's Gantrisin RX#: Scenario 4 - Edit a prescription.
All required information is contained in the Master Practice.
Scenario 5 - Modify an active prescription.
Andrea's Accutane RX#: RXM
Scenario 6 - Forward a prescription.
All required information is contained in the Master Practice.
Scenario 7 - Hold/Reactivate a prescription.
All required information is contained in the Master Practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 7 (continued)
Scenario 8 - Discontinue an active prescription.
All required information is contained in the Master Practice.
Scenario 9 - Batch print prescription labels.
All required information is contained in the Master Practice.
Scenario 10 - Refill an active prescription.
All required information is contained in the Master Practice.
Scenario 11 - Enter noncompliance data.
All required information is contained in the Master Practice.
Scenario 12 - Reprint a prescription label.
All required information is contained in the Master Practice.
Scenario 13 - Perform clinical screening.
Order #: 010619-00154 (Mendez,George)
Scenario 14 - Perform outpatient dispensing functions.
All required information is contained in the Master Practice.
Scenario 15 - Perform a drug information inquiry.
All required information is contained in the Master Practice.
Scenario 16 - Perform a reaction/interaction inquiry.
All required information is contained in the Master Practice.
Scenario 17 - Perform drug testing.
All required information is contained in the Master Practice.
Scenario 18 - Enter a manually processed prescription.
Prescription Number: 4070
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 7 (continued)
Scenario 19 - Print a group of lost or damaged labels.
All required information is contained in the Master Practice.
Scenario 20 - Display and review the Provider Inquiry screen.
Provider Name: BIXBY,SHARON
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 8
Practice 1 - Register a patient.
Family's Last Name: INGLES
Loni's SSN: 100-25-0008
Kevin's SSN: 100-25-0028
Brook's SSN: 100-10-0088
Practice 2 - Enter a pharmacy patient comment.
All required information is contained in the practice.
Practice 3 - Enter a new prescription.
James' Procardia RX#: Loni's Premarin RX#: Kevin's Theophylline RX#: Brooke's Erythromycin RX#: Brooke's Penicillin RX#: Practice 4 - Edit a prescription.
All required information is contained in the practice.
Practice 5 - Modify an existing prescription.
Loni's Premarin RX#: RXM
Practice 6 - Forward a prescription.
All required information is contained in the practice.
Practice 7 - Hold/Reactivate a prescription.
All required information is contained in the practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 8 (continued)
Practice 8 - Discontinue an active prescription.
All required information is contained in the practice.
Practice 9 - Batch print prescription labels.
All required information is contained in the practice.
Practice 10 - Refill an active prescription.
All required information is contained in the practice.
Practice 11 - Enter noncompliance data.
All required information is contained in the practice.
Practice 12 - Reprint a prescription label.
All required information is contained in the practice.
Practice 13 - Perform clinical screening.
RX#: M12081
Practice 14 - Perform outpatient dispensing functions.
All required information is contained in the practice.
Practice 15 - Perform a drug information inquiry.
All required information is contained in the practice.
Practice 16 - Perform a reaction/interaction inquiry.
All required information is contained in the practice.
Practice 17 - Perform drug testing.
Patient Name: MOUNDS,JACKIE J 20/100-10-7419
Practice 18 - Enter a manually processed prescription.
Prescription Number: 3080
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 8 (continued)
Practice 19 - Change label/text printer.
All required information is contained in the practice.
Practice 20 - Display and review the Provider Inquiry screen.
Provider Name: ALLARD,SETH
Scenario 1 - Register a patient.
All required information is contained in the Master Practice.
Scenario 2 - Enter a pharmacy patient comment.
All required information is contained in the Master Practice.
Scenario 3 - Enter a new prescription.
Eric's Motrin RX#: Mia's Xanax RX#: Andrea's Auralgan RX#: Andrea's Accutane RX#: Corey's Gantrisin RX#: Scenario 4 - Edit a prescription.
All required information is contained in the Master Practice.
Scenario 5 - Modify an active prescription.
Andrea's Accutane RX#: RXM
Scenario 6 - Forward a prescription.
All required information is contained in the Master Practice.
Scenario 7 - Hold/Reactivate a prescription.
All required information is contained in the Master Practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 8 (continued)
Scenario 8 - Discontinue an active prescription.
All required information is contained in the Master Practice.
Scenario 9 - Batch print prescription labels.
All required information is contained in the Master Practice.
Scenario 10 - Refill an active prescription.
All required information is contained in the Master Practice.
Scenario 11 - Enter noncompliance data.
All required information is contained in the Master Practice.
Scenario 12 - Reprint a prescription label.
All required information is contained in the Master Practice.
Scenario 13 - Perform clinical screening.
Order #: 010619-00155 (Mendez,Holley)
Scenario 14 - Perform outpatient dispensing functions.
All required information is contained in the Master Practice.
Scenario 15 - Perform a drug information inquiry.
All required information is contained in the Master Practice.
Scenario 16 - Perform a reaction/interaction inquiry.
All required information is contained in the Master Practice.
Scenario 17 - Perform drug testing.
All required information is contained in the Master Practice.
Scenario 18 - Enter a manually processed prescription.
Prescription Number: 4080
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 8 (continued)
Scenario 19 - Print a group of lost or damaged labels.
All required information is contained in the Master Practice.
Scenario 20 - Display and review the Provider Inquiry screen.
Provider Name: BLACK,CONSTANCE
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 9
Practice 1 - Register a patient.
Family's Last Name: JAFFEY
Loni's SSN: 100-25-0009
Kevin's SSN: 100-25-0029
Brook's SSN: 100-10-0089
Practice 2 - Enter a pharmacy patient comment.
All required information is contained in the practice.
Practice 3 - Enter a new prescription.
James' Procardia RX#: Loni's Premarin RX#: Kevin's Theophylline RX#: Brooke's Erythromycin RX#: Brooke's Penicillin RX#: Practice 4 - Edit a prescription.
All required information is contained in the practice.
Practice 5 - Modify an existing prescription.
Loni's Premarin RX#: RXM
Practice 6 - Forward a prescription.
All required information is contained in the practice.
Practice 7 - Hold/Reactivate a prescription.
All required information is contained in the practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 9 (continued)
Practice 8 - Discontinue an active prescription.
All required information is contained in the practice.
Practice 9 - Batch print prescription labels.
All required information is contained in the practice.
Practice 10 - Refill an active prescription.
All required information is contained in the practice.
Practice 11 - Enter noncompliance data.
All required information is contained in the practice.
Practice 12 - Reprint a prescription label.
All required information is contained in the practice. Practice 13 - Perform clinical screening.
RX#: M12083
Practice 14 - Perform outpatient dispensing functions.
All required information is contained in the practice.
Practice 15 - Perform a drug information inquiry.
All required information is contained in the practice.
Practice 16 - Perform a reaction/interaction inquiry.
All required information is contained in the practice.
Practice 17 - Perform drug testing.
Patient Name: MOUNDS,KENNETH R 20/100-10-7519
Practice 18 - Enter a manually processed prescription.
Prescription Number: 3090
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 9 (continued)
Practice 19 - Change label/text printer.
All required information is contained in the practice.
Practice 20 - Display and review the Provider Inquiry screen.
Provider Name: ALLEN,ERWIN
Scenario 1 - Register a patient.
All required information is contained in the Master Practice.
Scenario 2 - Enter a pharmacy patient comment.
All required information is contained in the Master Practice.
Scenario 3 - Enter a new prescription.
Eric's Motrin RX#: Andrea's Auralgan RX#: Andrea's Accutane RX#: Corey's Gantrisin RX#: Scenario 4 - Edit a prescription.
All required information is contained in the Master Practice.
Scenario 5 - Modify an active prescription.
Andrea's Accutane RX#: RXM
Scenario 6 - Forward a prescription.
All required information is contained in the Master Practice.
Scenario 7 - Hold/Reactivate a prescription.
All required information is contained in the Master Practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 9 (continued)
Scenario 8 - Discontinue an active prescription.
All required information is contained in the Master Practice.
Scenario 9 - Batch print prescription labels.
All required information is contained in the Master Practice.
Scenario 10 - Refill an active prescription.
All required information is contained in the Master Practice.
Scenario 11 - Enter noncompliance data.
All required information is contained in the Master Practice.
Scenario 12 - Reprint a prescription label.
All required information is contained in the Master Practice. Scenario 13 - Perform clinical screening.
Order #: 010619-0056 (Mendez,Ian)
Scenario 14 - Perform outpatient dispensing functions.
All required information is contained in the Master Practice.
Scenario 15 - Perform a drug information inquiry.
All required information is contained in the Master Practice.
Scenario 16 - Perform a reaction/interaction inquiry.
All required information is contained in the Master Practice.
Scenario 17 - Perform drug testing.
All required information is contained in the Master Practice.
Scenario 18 - Enter a manually processed prescription.
Prescription Number: 4090
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 9 (continued)
Scenario 19 - Print a group of lost or damaged labels.
All required information is contained in the Master Practice.
Scenario 20 - Display and review the Provider Inquiry screen.
Provider Name: BURNS,JOHN
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 10
Practice 1 - Register a patient.
Family's Last Name: KENT
Loni's SSN: 100-25-0010
Kevin's SSN: 100-25-0030
Brook's SSN: 100-10-0090
Practice 2 - Enter a pharmacy patient comment.
All required information is contained in the practice.
Practice 3 - Enter a new prescription.
James' Procardia RX#: Loni's Premarin RX#: Kevin's Theophylline RX#: Brooke's Erythromycin RX#: Brooke's Penicillin RX#: Practice 4 - Edit a prescription.
All required information is contained in the practice.
Practice 5 - Modify an existing prescription.
Loni's Estradiol RX#: RXM
Practice 6 - Forward a prescription.
All required information is contained in the practice.
Practice 7 - Hold/Reactivate a prescription.
All required information is contained in the practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 10 (continued)
Practice 8 - Discontinue an active prescription.
All required information is contained in the practice.
Practice 9 - Batch print prescription labels.
All required information is contained in the practice.
Practice 10 - Refill an active prescription.
All required information is contained in the practice.
Practice 11 - Enter noncompliance data.
All required information is contained in the practice.
Practice 12 - Reprint a prescription label.
All required information is contained in the practice.
Practice 13 - Perform clinical screening.
Order #: 010619-00157 (Mendez,Jackie)
Practice 14 - Perform outpatient dispensing functions.
All required information is contained in the practice.
Practice 15 - Perform a drug information inquiry.
All required information is contained in the practice.
Practice 16 - Perform a reaction/interaction inquiry.
All required information is contained in the practice.
Practice 17 - Perform drug testing.
Patient Name: MOUNDS,LINDA L 20/100-10-7619
Practice 18 - Enter a manually processed prescription.
Prescription Number: 4000
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 10 (continued)
Practice 19 - Change label/text printer.
All required information is contained in the practice.
Practice 20 - Display and review the Provider Inquiry screen.
Provider Name: ALTON,JANE
Scenario 1 - Register a patient.
All required information is contained in the Master Practice.
Scenario 2 - Enter a pharmacy patient comment.
All required information is contained in the Master Practice.
Scenario 3 - Enter a new prescription.
Eric's Motrin RX#: Andrea's Auralgan RX#: Andrea's Accutane RX#: Corey's Gantrisin RX#: Scenario 4 - Edit a prescription.
All required information is contained in the Master Practice.
Scenario 5 - Modify an active prescription.
Andrea's Accutane RX#: RXM
Scenario 6 - Forward a prescription.
All required information is contained in the Master Practice.
Scenario 7 - Hold/Reactivate a prescription.
All required information is contained in the Master Practice.
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 10 (continued)
Scenario 8 - Discontinue an active prescription.
All required information is contained in the Master Practice.
Scenario 9 - Batch print prescription labels.
All required information is contained in the Master Practice.
Scenario 10 - Refill an active prescription.
All required information is contained in the Master Practice.
Scenario 11 - Enter noncompliance data.
All required information is contained in the Master Practice.
Scenario 12 - Reprint a prescription label.
All required information is contained in the Master Practice.
Scenario 13 - Perform clinical screening.
Order #: 010619-00157 (Mendez,Jackie)
Scenario 14 - Perform outpatient dispensing functions.
All required information is contained in the Master Practice.
Scenario 15 - Perform a drug information inquiry.
All required information is contained in the Master Practice.
Scenario 16 - Perform a reaction/interaction inquiry.
All required information is contained in the Master Practice.
Scenario 17 - Perform drug testing.
All required information is contained in the Master Practice.
Scenario 18 - Enter a manually processed prescription.
Prescription Number: 5000
SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Student 10 (continued)
Scenario 19 - Print a group of lost or damaged labels.
All required information is contained in the Master Practice.
Scenario 20 - Display and review the Provider Inquiry screen.
Provider Name: BYRON,DENISE
SAIC/CHCS Doc. TC-4.5-0359 Section 5
Reference Materials SAIC/CHCS Doc. TC-4.5-0359 PHR: OUTPATIENT PHARMACY FUNCTIONS
Section 5. Reference Materials
Quick Reference Guide
DEFENSE ENROLLMENT ELIGIBILITY REPORTING (DEERS): REFERENCE INFORMATION . . . . . . . . . . . . . . .
PHARMACY PATIENT COMMENT . . . . . . . . . . . . . . . .
HOLD/REACTIVATE A PRESCRIPTION . . . . . . . . . . . . . .
DISCONTINUE A PRESCRIPTION . . . . . . . . . . . . . . . .
OUTPATIENT CLINICAL SCREENING . . . . . . . . . . . . . .
PATIENT EDUCATION MONOGRAPHS . . . . . . . . . . . . . .
ADVERSE REACTION INFORMATION . . . . . . . . . . . . . .
PATIENT TEST FOR DRUG WARNINGS . . . . . . . . . . . . .
MANUAL PRESCRIPTION ENTRY . . . . . . . . . . . . . . . .
Reference Materials LASTNAME,FIRSTNAME I: The required format for a patient name uses
a comma, but no spaces between the first and last names. There should be no
The Mini Registration option allows you to add new patient records to the period after the middle initial or following space after the name.
database or to edit an existing record. A mini registration provides the minimum data necessary to process a patient's registration. The Mini Registration option PATIENT NAME and SPONSOR NAME: The names are the same if the
includes a DEERS check of the patient's eligibility for care.
patient is his or her own sponsor (FMP=20). At the Sponsor Name prompt, press the spacebar, then <Return> to use the same name entered for patient You can access the Mini Registration option from several subsystem menus.
Depending on your entries for patient name and sponsor name, the system To add a new patient, you must have the & FileMan access code. However, determines which of four paths you will take through Mini Registration: you may edit an existing patient registration without that code.
– Update an existing patient registration.
When you access the Mini Registration option, the system prompts you for a – Add a new patient as own sponsor.
patient name and a sponsor name.
– Add a new patient with a new sponsor.
– Add a new patient with an existing sponsor.
IMPORTANT! It is critical to identify the patient and sponsor correctly. Small differences in
In all cases, a DEERS check is performed. (See Quick Reference Guide: entry of a name, even just including an extra space, can create a duplicate patient entry.
DEERS Check.) However, you may see one or more screens depending upon
PLEASE BE CAREFUL. Adding a duplicate patient to the database can have a significant
your path through Mini Registration.
impact on patient safety. You may see one or both of the Initial Information screens.
Many ways exist to look up the patient to answer the Patient and Sponsor The Patient Initial Information screen displays when a patient is being added prompts. (See Quick Reference Guide: Patient Lookup.) Enter ? for help.
to the database as his/her own sponsor, or when the patient has a registered sponsor.
Try to display a limited picklist from which you can select the correct patient entry.
The Sponsor Initial Information screen displays when a new sponsor is being added to the database.
You should use at least three methods to locate a patient name before adding a new patient to the database: 1. Enter the first letter of the patient's last name and the last four digits of the sponsor's Social Security number.
2. Enter the sponsor's full Social Security number.
3. Enter the patient's last name.
A site can determine whether and which postregistration options follow the MINI REGISTRATION (continued)
Mini Registration option. Possible postregistration options include Print Registration Form, Print Emboss Card, Allergy Information, Print Patient ID Enter sponsor and patient names, SSN, FMP, DOB, and patient category Label, and Create Medical Record. code. The most common entries for Patient Category are: USMC USCG
Dependent, Active Duty Retired, Length of Service Dependent, Retired Civilian Emergency is K92. Enter ? to display a picklist of all possible patient category codes.
The Family Member Selection screen appears when you are entering a patient with an existing sponsor. On this screen, you can select a family member record from which to move demographic data. Position the cursor on a family member name, then press <Return>.
The Mini Registration screen displays when you are adding or editing a patient record. Complete the Mini Registration screen as fully and accurately as possible. Of special importance are: – Patient address, including ZIP – Home and work phone numbers – Outpatient record location The system checks for data inconsistencies. Resolving data inconsistences is generally a concern for a full registration rather than a mini registration.
The following method of patient lookup and entry is strongly recommended, and must be followed PRIOR to registering a patient: This is the preferred method of patient lookup.
Enter the first letter of the patient's last name and last four digits of the sponsor's Social Security number.
Note: The following procedures should be used for patient lookup and entry
within CHCS. These procedures MUST also be followed prior to entering a new
(i.e., Select Patient: J2739)
patient into CHCS to minimize the chance of duplicate patient entry.
Check the display closely. If the patient information matches, verify the selection. Go to the second step if a match is not found.
It is critical to identify patients in CHCS correctly. Small differences in the entry of a patient name can create a duplicate patient entry. PLEASE BE CAREFUL. Adding a duplicate patient to the database can have a significant impact on Enter the sponsor's full Social Security number.
patient safety.
(i.e., Select Patient: 213382739)
Check the display closely. If the patient information matches, verify the selection. Go to the third step if a match To register a new patient, you must have been assigned the ampersand (&) is not found.
FileMan access code. If necessary, you can edit an existing patient registration without the code. Enter the patient's last name.
(i.e., Select Patient: JOHNSON)
Sample patient information: JOHNSON,ROGER M Check the display closely, look for the listing that matches the patient information you have. If there is no match, you may register the patient as a new patient using the following convention: LAST NAME,FIRST MI (no space between last and first name, a space between first name and initial, no period after initials, then press <Return>).
PATIENT MERGE PROCEDURES
Print the duplicate patient's UD Medication Profile (have your counterpart print the patient's IV Medication Profile).
Contact the patient's physician to determine exactly what medications the patient is to be receiving and verify the correct patient data.
Contact PAD personnel to approve the merging of patient records into the correct patient record.
After the merge has taken place, compare the patient profile with the physician to ensure that the file is accurate and complete.
PATIENT MERGE PROCEDURES
DEFENSE ENROLLMENT ELIGIBILITY REPORTING
(DEERS): REFERENCE INFORMATION
When a patient entry has been made into CHCS for whom outpatient order entry is required, the system will automatically forward the sponsor's Social Security number and the patient's date of birth to the DEERS checking program, which acts according to parameters established in the Outpatient Site Parameters.
CHCS displays DEERS checking information such as: a candidate list to clarify patients not uniquely identified, Direct Care and Medicare status information (i.e., patient not found, patient ineligible, or patient eligible), as well as eligibility dates and comment.
The status of the DEERS inquiry at the time of the Rx label printing will print on the first part of the four part outpatient prescription label if the patient is ineligible, as follows: Note: If a patient is eligible, no code will print on the label. If double question
mark (??) displays, the system is unable to obtain DEERS information in time for
label printing.
DEERS REFERENCE INFORMATION
DEFENSE ENROLLMENT ELIGIBILITY REPORTING (DEERS):
REFERENCE INFORMATION (continued)
FUTURE ELIGIBILITY Eligibility ends prior to start of treatment with a "HARD".
Eligible with valid ID card; eligibility ends prior to start of treatment with a Eligibility with valid ID card Overseas only' eligibility ends prior to start of treatment with a "SOFT".
Eligibility end reason; treatment time prior to eligibility.
Eligibility end reason; incorrect eligibility dates on DEERS file.
NORFLEET, JOSHUA1375 Eligibility end reason; incorrect eligibility dates on DEERS file.
15 ML THREE TIMES A DAY AS NEEDED FOR EPIGASTRIC DISTRESS ALUMINUM HYDROXIDE/MAG/SIMETH--PO GEL Log dependent missing from DEERS.
REF LEFT: 1 OF 1#2 Discrepancy code; SSN not found in DEERS database.
SSN found, no dependents found.
ALUMINUM HYDROXIDE/MAG/ DEERS code not available or has expired.
SIMETH--PO GELNORFLEET, JOSHUA1375RXA1735[Date]GS Pharmacy users may also request and receive information regarding a patient's ALUMINUM HYDROXIDE/MAG/ DEERS status through the following options: SIMETH--PO GELREF LEFT: 1 OF 1 DEERS Eligibility Check (DEC) The following list of DEERS CODES may display: MENU PATH: Pharmacy System Menu ➔ OPM ➔ PDM ➔ DEC DEERS Eligibility Display (DED) MENU PATH: Pharmacy System Menu ➔ OPM ➔ PDM ➔ DED Eligible for the whole treatment time span.
Eligible for portion of treatment time span.
Overseas only - eligible for the whole treatment time span.
Overseas only - eligible for portion of treatment time span.
No direct care privileges specified on DEERS.
Sponsor is inactive Guard/Reserve.
Sponsor is 100% disabled.
DEERS REFERENCE INFORMATION
PHARMACY PATIENT COMMENT
The Pharmacy Patient Comment allows you to enter specific data for a patient.
MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [Label Printer] ➔ PDM ➔ PPC After you access this option, the following prompts display: Patient: [patient identifier]
This must be a registered outpatient.
Patient Comment: [enter comment]
This is a free-text field and holds comments that are up to 60 characters long.
PHARMACY PATIENT COMMENT
NEW PRESCRIPTION ENTRY
The New Prescription Entry option allows you to enter new prescriptions for a selected patient. Prior to entering a new prescription, you may view a patient's active prescriptions, both active and inactive prescriptions, or all prescriptions within a range of fill dates.
MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [Label Printer] ➔ PM ➔ RX After you access this option, the following prompts display: Patient: [patient identifier]
Prescription Profile: [desired profile]
A For Active Prescriptions Only B For Active and Inactive Prescriptions <Return> to bypass profile * The options will not be displayed if Profile Type is set to Display Profile Automatically.
NEW PRESCRIPTION ENTRY
NEW PRESCRIPTION ENTRY (continued)
After you enter prescription information, the system performs drug checks and displays any warnings. Appropriate personnel may override warnings.
If you choose to view the prescription information, a screen message may display, informing you that there is no prescription information. If there is prescription information, the following screen displays: SIG: Instructions by a HCP regarding amount and frequency of medication
a patient should take.
***** [PATIENT NAME] ***** MEPRS CODE: Medical Expense and Performance Reports code used for
financial charging.
ORDER DATE/TIME: Date the prescription was entered into the
--------------------------------------------------------A L L M E DS------------------------------------------------- prescription baseline. It is automatically entered by the system.
EXPIRATION DATE: The date the prescription expires. It is automatically
No. RX# DRUG STATUS QTY FILL DATE REF LEFT calculated and entered by the system.
Drug: [new Rx drug] After you enter the new drug, the New Prescription Entry screen displays: PRESCRIPTION: [system assigned RX#]
New Prescription Entry Patient: [filled automatically]
RX #: [filled automatically]
Pharmacy Comment: Drug: [drug name]
Sig: [sig code]
Quantity: [amount of drug]
Provider: [Dr. ordering RX]
MEPRS Code: [assigned by system]
Child Resistant Container: YES
NEW PRESCRIPTION ENTRY
ONE-LINE RX ENTRY
3. You can recall the last drug or provider that was entered by entering a space between semicolons in the appropriate entry sequence. If you want to enter The One-Line RX Entry feature allows you to enter prescription data in one line another RX for your patient from the same provider, you would recall the at the DRUG prompt on the New Prescription Entry option.
information as follows: MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] E-MYCIN;21;7;1; ;T1 PO Q8H [Label Printer] ➔ PM ➔ RX 4. If SIG and QUANTITY are not entered, these fields default to the After you access this option, the DRUG prompt displays. To use One-Line RX information contained in the Formulary file.
Entry, you must enter the information as follows: DRUG[you may use quick codes];QUANTITY;DAYS 5. The Manual Prescription Entry option contains similar one-line RX entry capability, with the addition of the RX number. The RX number must entered as the last piece of information. If it is not added, you receive a For example, Dr. R. Blevins has written a prescription for a patient for 30 Tylenol prescription number prompt.
with Codeine, 30MG, a 10-day supply, with three refills, to be taken PO Q4H PRN. You would enter: TYLENOL3;30;10;3;BLEVINS,R;T1 PO Q4H PRN The one-line RX entry information will be applied to the appropriate fields in the New Prescription Entry screen just as it would be if you entered the information field by field. At the New Prescription Entry screen, you can press <Next Screen> to quickly process the prescription if no corrections are needed.
1. Each piece of data needs a delimiter (;). For example, if there is no information for refills you would enter ;; at the refill section as follows: TYLENOL3;30;10;;BLEVINS,R;T1 PO Q4H PRN 2. You may enter incomplete data using the one-line format. If you account for incomplete data as shown in Note 1, the data provided is applied to the New Prescription Entry screen and the remaining information can be filled field ONE-LINE RX ENTRY
DRUG LOOKUP
The following is an example of drug lookup information displayed during prescription entry (by HCP or Pharmacy). If the MTF is using Separate Formularies by creating more than one Formulary Group, several information and capability features are available within a drug Select DRUG: ACET
lookup. This quick reference guide summarizes the drug lookup features.
1 ACETAMINOPHEN DROPS--PO 10% SOLN 15ML RX Order Entry by HCP: Drugs first display that are stocked at the HCP's
2 ACETAMINOPHEN--PO 160MG/5ML SOLN 120ML default pharmacy. Drugs must be Formulary drugs in at least one formulary 3 ACETAMINOPHEN--PO 325MG TAB group in the MTF, and defined as an Outpatient drug, or both inpatient and 4 ACETAMINOPHEN--RECT 650MG SUPP outpatient, at the default pharmacy. The system next displays the other drugs 5 ACETAMINOPHEN 120MG/CODEINE 12 TYLENOL W/COD ELIX available within the MTF, which the physician may also order.
6 ACETAMINOPHEN 325MG/COD 30MG TYLENOL #3--PO TAB7 ACETAMINOPHEN 500MG/OXYCOD 5MG TYLOX--PO CAP Drugs stocked at the default pharmacy that are defined for Inpatient use and 8 ACETAMINOPHEN 325MG RECTAL SUPP drugs not stocked at the default pharmacy, but stocked at another pharmacy will ** NOT STOCKED at Dispensing Pharmacy ** be identified with a message during drug lookup.
9 ACETIC ACID--TOP 3% SOLN [pharmacy entered comments may appear here] Pharmacy Prescription Entry: The first drugs to display are Formulary,
** INPATIENT use only ** Active, or Inactive, and defined as an Outpatient drug (or both inpatient and outpatient) at the pharmacy into which the pharmacy user is logged. The system MED Order Entry: Drugs first display that are defined as Inpatient (or both
next displays the drugs that are stocked at the pharmacy that are defined for inpatient or outpatient) and stocked at the Inpatient formulary group. The system Inpatient use and also drugs that are not stocked at the formulary group into then displays all drugs available in the MTF with identifiers tagged to drugs not which the user is logged, but are stocked by another formulary group within the stocked at the Inpatient formulary group or specified for Outpatient use.
IV Order Entry: When doing a drug lookup while entering IV orders, the drug
Note: This applies to New Prescription Entry, Manual Prescription Entry,
file is checked to ensure that the drug is an IV drug.
Modify a Prescription, and Edit a Prescription options.
DRUG LOOKUP
EDIT A PRESCRIPTION
Prescription: [system assigned RX#] Edit Prescription (PHR) The Edit a Prescription option allows you to edit a prescription for the purpose of correcting entry errors. When a prescription is edited an Activity Log entry Patient: [filled automatically]
RX #: [filled automatically]
will be recorded and an edited version of the label will be generated. You may Pharmacy Comment: not edit prescriptions which have been refilled, discontinued, expired, on hold, or Drug: [drug name]
containing a warning. You cannot edit the Patient, RX# or Pharmacy Comment Sig: [sig code]
fields. If the prescription is HCP entered, the Provider and MEPRS Code fields will also be uneditable.
Quantity: [amount of drug]
Provider: [Dr. ordering RX]
MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] MEPRS Code: [assigned by system]
➔ [Label Printer] ➔ PM ➔ EAP Order Date/Time: [date/time entered]
Child Resistant Container: YES After you access this option, the following prompts display: Patient or RX#: [patient identifier or RX#] Activity Log Comments: [required comments]
Note: Enter the RX# (if known) for the fastest access and to bypass the
next two prompts.
The Edit Prescription field displays (PHR) or (HCP) depending on how the order was entered.
After you edit prescription information, the system performs drug checks and Allows you to view the patient's active, or, active and inactive displays any warnings. Appropriate personnel may override warnings.
prescriptions or prescriptions from a range of dates.
Rx # does not change during edit.
Prescription(s): [Number of prescription to edit] After you enter the required information, the Edit Prescription screen displays.
EDIT A PRESCRIPTION
MODIFY A PRESCRIPTION
After you enter the required information, the Modify Prescription screen displays.
The Modify a Prescription option is used to modify a prescription even if it has been refilled. The original prescription number is discontinued and a new RX PRESCRIPTION: [revised RX#]
Modify Prescription number assigned to the modified version. You may view brief forms of all prescriptions, active prescriptions only, or all prescriptions within a range of fill Patient: [patient name]
RX #: [Rx#]
dates to aid in the selection of the prescription to be modified. You may not Pharmacy Comment: modify the Patient, RX#, or Pharmacy Comment.
Drug: [drug name]
Sig: [sig code]
MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [Label Printer] ➔ PM ➔ SPM ➔ MAP Quantity: [amount of drug]
Refills Allowed: [number]
Provider: [Dr. ordering RX]
After you access this option, the following prompts display: MEPRS Code: [assigned by system]
Days Supply: [number]
Expiration Date: [date]
Patient or RX#: [patient identifier or RX#]
Child Resistant Container: YES
Comments: [comment]
Note: Enter the RX# (if known) for the fastest access and to bypass the
next two prompts.
Allows you to view the patient's active, active and inactive prescriptions Activity Log Comments: [required comments]
or prescriptions from a range of dates.
After you modify the prescription information, the system performs drug checks Prescription(s): [number of prescription to modify]
and displays any warnings. Appropriate personnel may override warnings.
MODIFY A PRESCRIPTION
FORWARD A PRESCRIPTION
Activity Log Comments: [comments]
This is a required field. You may enter a free-text message up to 80 The Forward a Prescription option allows you to forward a prescription from one characters in length.
pharmacy site to another. Only prescriptions that have not been dispensed should be forwarded.
After forwarding a prescription, the prescription number changes and the original prescription is discontinued.
MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [Label Printer] ➔ PM ➔ SPM ➔ FAP After you access this option, the following prompts display: Patient or RX#: [patient identifier or RX#]
Note: Enter the RX# (if known) for the fastest access and to bypass the
next two prompts.
Allows you to view the patient's active, active and inactive prescriptions or prescriptions from a range of dates.
Prescription(s): [Number of prescription to forward]
You may select a prescription by entering the number from the far left column. You may enter more that one prescription by placing commas between the entries.
Forward Prescription to: [desired site]
You may forward an undispensed prescription to any site within the MTF that is set up to receive prescriptions from the forwarding site.
OK to Forward to [receiving site]? Yes// Y
FORWARD A PRESCRIPTION
HOLD/REACTIVATE A PRESCRIPTION
Activity Log Comments: [comments]
The Hold/Reactivate a Prescription allows you to temporarily discontinue or put This is a required field; enter a free-text message up to 80 characters in on hold a prescription and to then reactivate that prescription. A prescription may be placed on hold for example, due to patient reaction, drug-drug interaction, or A message displays, informing you that the prescription is on Hold or has been because a physician has been called for verification.
MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [Label Printer] ➔ PM ➔ SPM ➔ HRP After you access this option, the following prompts display: Patient or RX#: [patient identifier or RX#]
Note: Enter the RX# (if known) for the fastest access and to bypass the
next two prompts.
Allows you to view the patient's active, active and inactive prescriptions or prescriptions from a range of dates.
Prescription(s): [number of prescription]
You may select a prescription by entering the number from the far left column. You may enter more that one prescription by placing commas between the entries.
The Hold/Reactivate a Prescription screen displays and you are asked if this is the prescription you wish to place on Hold or Reactivate.
HOLD/REACTIVATE A PRESCRIPTION
DISCONTINUE A PRESCRIPTION
The Discontinue a Prescription option allows you to discontinue one or more prescriptions. This option is used to stop an active order for which action towards implementation/completion has occurred. A discontinued order becomes an inactive order with a status of "D" in the Activity Log.
MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [Label Printer] ➔ PM ➔ DAP After you access this option, the following prompts display: Patient or RX#: [patient identifier or RX#]
Note: Enter the RX# (if known) for the fastest access and to bypass the
next two prompts.
Allows you to view the patient's active, inactive, active and inactive prescriptions or prescriptions from a range of dates.
Prescription(s): [Number of prescription] You may select a prescription by entering the number from the far left column. You may enter more than one prescription by placing commas between the entries.
The Discontinue a Prescription screen displays and you are asked if this is the prescription you wish to Discontinue.
Activity Log Comments: [comments] You may enter a free-text message up to 80 characters in length.
A message displays, informing you the prescription has been discontinued.
DISCONTINUE A PRESCRIPTION
BATCH PRINT LABELS
The Batch Print Labels option allows you to print a batch of labels for prescriptions entered by the HCPs, Pharmacy, or by both. New prescriptions or refills generated by the pharmacy can be printed in batch if the labels were not queued directly to a printer at processing time.
MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [Label Printer] ➔ PM ➔ BPL After you access this option, the following prompts display: Allows you to print HCP entered orders, Pharmacy entered orders, or all orders.
Baker Cell: [default Baker Cell]// <Return>
Allows you to define which Baker Cell will dispense drug.
This prompt only appears if the specified pharmacy is assigned to a Baker Cell.
Device: [desired printer] This entry must be a valid device.
Requested Start Time: NOW// <Return> or [time]
BATCH PRINT LABELS
REFILL A PRESCRIPTION
The Refill a Prescription option allows you to refill a prescription that is active and has valid refills remaining. You may first view all prescriptions for the patient, active prescriptions only, or all prescriptions for a selected range of dates in order to aid in the selection of the prescription to be refilled.
MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [label printer] ➔ PM ➔ RAP After you access this option, the following prompts display: Patient or RX#: [patient identifier or RX#]
Note: Enter the RX# (if known) for the fastest access and to bypass the
next two prompts.
Allows you to view the patient's active, active and inactive prescriptions or prescriptions from a range of dates.
Prescription(s): [Number of prescription to modify]
You may select a prescription by entering the number from the far left column. You may enter more than one prescription by placing commas between the entries.
Refill Date: TODAY// [desired date]
You may enter the date to refill the prescription, or accept the default of REFILL A PRESCRIPTION
REMOVE A REFILL ERROR
The Remove a Refill Error option allows you to remove refills entered in error. It is not to mark the prescription fill action as noncompliant. When a refill is removed an Activity Log entry will be recorded and the Refills Remaining will be incremented by one.
MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [Label Printer] ➔ PM ➔ SPM ➔ RRE After you access this option, the following prompts display: Patient or RX#: [patient identifier or RX#]
Note: Enter the RX# (if known) for the fastest access and to bypass the
next two prompts.
Allows you to view the patient's active, active and inactive prescriptions or prescriptions from a range of dates.
Prescription(s): [Number of prescription to modify]
You may select a prescription by entering the number from the far left column. You may enter more than one prescription by placing commas between the entries.
The Remove Refill Error screen displays and you are asked if this is the refill action you wish to remove.
Activity Log Comments: [comments]
You may enter a free-text message up to 80 characters in length.
A message displays, informing you of remaining refills.
REMOVE A REFILL ERROR
ENTER NONCOMPLIANCE DATA
The Enter Noncompliance Data screen displays and you are asked if would like to enter the prescription as Noncompliant Data.
The Enter Noncompliance Data option allows you to record a prescription as Noncompliant. A prescription may be logged Noncompliant if it is not picked up Activity Log Comments: [comments]
or if the patient refuses to receive it. The refills remaining will be incremented by one and an * appears beside the Rx on the patient profiles.
You may enter a free-text message up to 80 characters in length.
MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] A message displays, informing you that the prescription has been logged as ➔ [Label Printer] ➔ PM ➔ SPM ➔ NON Noncompliant and the Remaining Refills updated.
Dispensing Option: MENU PATH: Pharmacy System Menu ➔ OPM ➔ PM ➔ DRX When the Dispensing option is enabled, the Noncompliant action displays on the Dispensing Action Bar.
After you access this option, the following prompts display: Patient or RX#: [patient identifier or RX#]
Note: Enter the RX# (if known) for the fastest access and to bypass the
next two prompts.
Allows you to view the patient's active, active and inactive prescriptions or prescriptions from a range of dates.
Prescription(s): [number of prescription]
You may select a prescription by entering the number from the far left column. You may enter more than one prescription by placing commas between the entries.
ENTER NONCOMPLIANCE DATA
LABEL REPRINT (OUTPATIENT)
The Label Reprint option allows you to reprint a prescription label without affecting the status of the prescription.
MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [Label Printer] ➔ PM ➔ LRP After you access this option, the following prompts display: Patient or RX#: [patient identifier or RX#]
Note: Enter the RX# (if known) for the fastest access and to bypass the
next two prompts.
Allows you to view the patient's active, active and inactive prescriptions or prescriptions from a range of dates.
Prescription(s): [Number of prescription]
You may select a prescription by entering the number from the far left column. You may enter more that one prescription by placing commas between the entries.
Device: [default printer]// [desired printer]
A message displays, informing you that the RX label is queued.
LABEL REPRINT (OUTPATIENT)
OUTPATIENT CLINICAL SCREENING
# WARNING: The number listed under this heading is the warning number
associated with the identified report.
The Clinical Screening option allows authorized users to view interactions, drug allergy contra-indications, and drug warnings that have been overridden by the REPORTS: Indicates how many reports exist for the identified warning.
ordering provider.
ENTER WARNING # FOR REPORT: The warning information is
Pharmacy System Menu ➔ OPM ➔ [Outpatient directly displayed on the screen for duplicate, overlaps, and dosage warnings. Pharmacy] ➔ [Label Printer] ➔ PM ➔ CCS A Device prompt displays if an interaction or allergy warning is selected.
After you specify the Drug Warning Log Entry (or RX #), a warning screen Enter double question marks (??) to display order information and displays, similar to the following example: information related to the initial override of the warning by the HCP (who did it, when it was done, what the justification was for the override).
>>> Rx# [number] ([type]) -- [patient identifier]<<<
Enter <Return> if you do not wish to view the warning information.
NEW DRUG-1: [drug name, route, strength, and form] After you view the warning information, or bypass the field, you are prompted to * #-WARNINGS: #-INTERACT #-DUPLICATE #-ALLERGY #-INTERACT #-DOSAGE * specify or accept the default information for the following prompts: Do you wish to review the patient profile? NO// <Return> or YES
1 Interaction-Old Drug [drug name, route, form]
Prompt Information: Enter YES to review the patient profile, or enter NO or < > 2 Allergic Reaction-Class [drug class]
to bypass this prompt.
3 Exact Duplicate-Old Drug [drug name, route, form]
After you view the profile, or bypass the field, the following prompt displays: ENTER WARNING # FOR REPORT: [number]
ORDER# [number] ([type]): OVERRIDE WARNING (Y/N)? No//
<Return> or YES
FIELD INFORMATION:
Prompt Information: Press <Return> if you do not want to override the warning. Enter Y to override the warning; if overridden, you must also enter a justifying Although users must only supply the report number they wish to print or display on this screen, the screen layout is clarified below to help you interpret the Note: If you override the warning, you must print the dispensing label with the
NEW DRUG-1: Defines the drug which has triggered the warning.
Print New Orders option.
[#]-WARNINGS: Indicates how many warnings have been triggered.
[#]-INTERACT [#]-DUPLICATE [#]-ALLERGY [#]
INTERACT[#] [#]-DOSAGE: The number of times a warning
exists in the patient profile as recorded by each warning type.
OUTPATIENT CLINICAL SCREENING
Device: [desired printer]
The Prescription Inquiry option allows you to display all information stored You may print the information or display the information on your terminal regarding a selected prescription. This includes the Activity Log which by pressing 0 or HOME.
documents what actions have been taken on the prescription and the date and the initials of the person who performed the action. MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [Label Printer] ➔ PM ➔ PRI Dispensing Option MENU PATH: Pharmacy System Menu ➔ OPM ➔ PM ➔ DRX When the Dispensing option is enabled, the Inquiry action displays on the Dispensing Action Bar.
After you access this option, the following prompts display: Patient or RX#: [patient identifier or RX#]
Note: Enter the RX# (if known) for the fastest access and to bypass the
next two prompts.
Allows you to view the patient's active, active and inactive prescriptions or prescriptions from a range of dates.
Prescription(s): [Number of prescription]
You may select a prescription by entering the number from the far left column. You may enter more than one prescription by placing commas between the entries.
The Drug Information option allows you to display general information about a DRUG: Displays the name of the drug and information about the strength,
particular drug in an MTF formulary, including route, form, classification, and content, route, form, applicable DEA schedules, and drug and dosage checks.
PRIMARY NDC NUMBER: Displays the NDC number assigned, generic
name, brand name, and strength/content unit/route/form.
Pharmacy System Menu ➔ IVM ➔ [IV Room] ➔ VIN ➔ DDI ➔ DRU AHFS CLASSIFICATION: This field identifies the pharmacologic
category of the drug product according to the American Hospital Formulary
Pharmacy System Menu ➔ OPM ➔ [Outpatient Service (AHFS).
Pharmacy] ➔ [Label Printer] ➔ DDI ➔ DRU THERAPEUTIC OVERLAP CLASSIFICATION(S): Identifies the
Pharmacy System Menu ➔ UDM ➔ [Inpatient therapeutic category of the drug ingredients and product according to the First Pharmacy Site] ➔ INM ➔ DDI ➔ DRU DataBank hierarchical ingredient code system.
After you specify the drug to investigate, the system prompts you to specify a ALLERGY CLASSES: Displays the applicable allergy classes for the
selected drug.
printing device. You may request a hard copy printout, or display the INTERACTIONS: Lists (by class and/or name)the interactions associated
with the drug selected.
DRUG INQUIRY/REPORT STOCKED AT THE FOLLOWING OUTPATIENT PHARMACIES:
Drug: CLARITHROMYCIN--PO 250MG TAB Lists all pharmacy locations that stock the selected drug.
Dosage Strength: 250 Content Unit: MG Route: ORAL Form: TABLET This field will only display if the option is accessed through the Outpatient DEA Schedule: LEGEND ITEM Drug Checks: ALL ENABLED Daily Dosage Checks: 0 Range(s) Need to know information: Primary NDC Number: 00074-3368-60 CLARITHROMYCIN (BIAXIN) 250MG ORAL TABLET Press the up- and down-arrow keys to view drug information.
AHFS Classification: The + (plus) sign at the top or bottom of the information display indicates additional information is available by scrolling toward the + (plus) sign using Therapeutic Overlap Classification(s): the up- and down-arrow keys.
Press <Return> to return to the Drug Data Inquiry Menu.
Allergy Classes: MACROLIDE ANTIBIOTICS MACROLIDES/NONSEDATING ANTIHISTAMINES {Severe} The Formulary Inquiry option allows you to display formulary group information for a particular drug from the information defined within the Formulary Maintenance and Add New Drug to Formulary options.
IV MENU PATH: Pharmacy System Menu ➔ IVM ➔ [IV Room Name] ➔ VIN ➔ DDI ➔ FIN Pharmacy System Menu ➔ UDM ➔ [Inpatient Pharmacy Site] ➔ INM ➔ DDI ➔ FIN Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [Label Printer] ➔ DDI ➔ FIN FORMULARY INQUIRY (continued)
FIELD INFORMATION: MED/IVP ORDER DURATION: Displays the number of days orders for
MAXIMUM DAYS SUPPLY: Displays the maximum days supply
this medication will remain active.
recommended for this drug.
MAXIMUM REFILLS ALLOWED: Displays the maximum number of
DRUG TYPE: Displays route restrictions (Injectable, Not injectable, etc.).
refills allowed for this drug.
INPATIENT DOSING UNIT: Displays the default unit of measurement for
DISPENSE COMPLETE CONTAINER: If display is YES this item may
be dispensed as a bulk unit.
DIVISIBLE: Displays whether a medication can be dispensed in partial or
WARNINGS: Displays any coded warnings defined for this drug. Warning
multiple doses.
codes should correspond with warning sticker numbers within your pharmacy.
DEFAULT SCHEDULE TYPE: Displays default schedule type associated
with this drug. If nothing defined, Continuous is the default.
DEFAULT EXP, QUANTITY, and SIG are the defaults which appear if the
drug is dispensed for an outpatient prescription.
CONTINUABLE: Displays whether or not a drug may be continued upon
patient transfer.
If you press ‘ ', you return to the Select Formulary Group name prompt. If you press <Return>, the following screen displays: REPLENISH ON REQUEST: If display is YES, the drug may be
dispensed as a bulk unit (and will not print on the cart list).
DRUG: [drug name--route strength form]
Formulary Inquiry IV PRINT NAME: Displays how an IV additive or solution name appears
on the IV labels.
MED/IVP Order Duration: [days]
Drug Type: [type]
RECONSTITUTION INFO: Displays any defined reconstitution
Inpatient Dosing Unit: [strength]
Default Schedule Type: [type]
Continuable: [yes/no]
Replenish on Request: [yes/no]
SPECIAL IV INSTRUCTIONS: Displays any defined special IV
Instructions defined by pharmacy.
IV Print Name: [name]
IV INCOMPATIBILITIES: Displays pharmacy defined incompatibilities
Reconstitution Info: [information]
of which pharmacy and clinical personnel should be aware.
Special IV Instructions: [instructions]
After reviewing the requested information, the system displays the Select Formulary Group Name prompt to allow you to specify an investigation in another formulary group. Press <Return> to bypass this field. The system next displays the Select Drug Name prompt to allow you to specify an inquiry of another drug within the same formulary group. Press <Return> to exit the PATIENT EDUCATION MONOGRAPHS
PATIENT EDUCATION REPORT The patient education monograph (PEM) can be printed or displayed on the terminal, if an NDC number has been assigned to a drug in the Drug file. The CIMETIDINE - ORAL PEM contains the following specific information: uses, how to take the medication, side effects, precautions, interactions, notes, missed doses and USES: This medication blocks secretion of acid from the stomach. It is used to treat and prevent ulcers, to treat gastroesophageal reflux disorder (GERD), and to treat conditions associated with excessive acid secretion.
Pharmacy System Menu ➔ IVM ➔ [IV Room Name] ➔ VIN ➔ DDI ➔ PEM HOW TO TAKE THIS MEDICATION: This medication is taken by mouth. Take this as directed. Do not increase your dose, take this more often than prescribed or stop taking this Pharmacy System Menu ➔ OPM ➔ [Outpatient without first consulting your doctor. If you are taking antacids in addition to this medication, Pharmacy Site] ➔ [label printer] ➔ DDI ➔ PEM stagger the doses so they are not taken at the same time. Try to space dosing of this medication and antacids by at least 2 hours.
Pharmacy System Menu ➔ UDM ➔ [Inpatient Pharmacy Site] ➔ INM ➔ DDI ➔ PEM SIDE EFFECTS: Headache, fatigue, dizziness, loss of appetite, sleepiness, dry skin or dry mouth may occur as your body adjusts to the medication. Hair loss, increase sweating, Dispensing Option change in sex drive, anxiety, breast enlargement in males and change in taste.
MENU PATH: Pharmacy System Menu ➔ OPM ➔ PM ➔ DRX Need to know information: When the Dispensing option is enabled, the Monograph action displays on the Dispensing Action Bar if an active order is present for the selected patient.
When you attempt to select a drug to display a PEM, the following message displays if an NDC number is not assigned to the drug: "Patient education After you access this option, the following prompts display: information is not available for this drug." Select Drug Name: [drug]
Press the up- and down-arrow keys to view monograph information.
Select Device: [device]
The + (plus) sign at the top or bottom of the information display indicates additional information is available by scrolling toward the + (plus) sign using the up- and down-arrow keys.
Press <Return> to return to the Drug Data Inquiry Menu.
PATIENT EDUCATION MONOGRAPHS
ADVERSE REACTION INFORMATION
Allergy Monograph: PENICILLAMINE (382290) The Adverse Reaction Information option allows you to generate descriptions of any possible adverse reactions to a particular drug. Monograph information Hepatic dysfunction, cholestatic jaundice, intrahepatic cholestasis, toxic includes reactions reported, drugs involved, discussions, and journal reference.
hepatitis, and pancreatitis have occurred rarely. Penicillamine has rarely caused increased serum AST (SGOT), ALT SGPT), alkaline phosphatase, Pharmacy System Menu ➔ IVM ➔ [IV Room Name] and LDH concentrations and positive cephalin flocculation and thymol ➔ VIN ➔ DDI ➔ ARI turbidity tests.
Pharmacy System Menu ➔ OPM ➔ [Outpatient Note: Categories of discussion in further report information may include
Pharmacy] ➔ [Label Printer] ➔ DDI ➔ ARI Hematologic Effects; Renal Effects; Hepatic Effects; GI Effects; Local Effects; Other Adverse Effects; Precautions and Contraindications; Pregnancy, Fertility Pharmacy System Menu ➔ UDM ➔ [Inpatient and Lactation; as applicable for the adverse reaction and specified Allergy Report Pharmacy Site] ➔ INM ➔ DDI ➔ ARI Select ALLERGY/ADVERSE REACTIONS: PENICILLAMINE (382290) Need to know information: Select the portion(s) of the report you want to display: Press the up- and down-arrow keys to view the allergy/adverse reaction CAUTION ParagraphSENSITIVITY REACTIONS The + (plus) sign at the top or bottom of the information display indicates additional information is available by scrolling toward the + (plus) sign using HEMATOLOGIC EFFECTS the up- and down-arrow keys.
MUCOCUTANEOUS EFFECTS Press <Return> to return to the Drug Data Inquiry Menu.
* HEPATIC EFFECTS EFFECTS ON TASTEOTHER ADVERSE EFFECTS PRECAUTIONS AND CONTRAINDICATIONS PEDIATRIC PRECAUTIONS 874 PREG PREGNANCY AND LACTATION 2 CITATIONS referenced RIGHT MARGIN: 80// ADVERSE REACTION INFORMATION
The Interaction Information option allows you to generate descriptions of drug-to-drug interactions. Information includes a summary, a description of effects, mechanism of action, management, and interaction-related discussions.
Pharmacy System Menu ➔ IVM ➔ [IV Room Name] ➔ VIN ➔ DDI ➔ DII Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [Label Printer] ➔ DDI ➔ DII Pharmacy System Menu ➔ UDM ➔ [Inpatient Pharmacy Site] ➔ INM ➔ DDI ➔ DII After you specify the Drug Interaction Index Name, the system prompts you for the device on which to print the information. The information looks similar to the following example, for ANTICOAGULANTS, ORAL/DISULFIRAN, regardless of whether it is printed or displayed.
INTERACTION INFORMATION (continued)
Need to know information: Press the up- and down-arrow keys to view allergy/adverse reaction [current date/time] Drug-Drug Interaction Monograph: ANTICOAGULANTS, ORAL/DISULFIRAM (463) Press the up- and down-arrow keys to view interaction report information.
The + (plus) sign at the top or bottom of the information display indicates Increased effect of former drug additional information is available by scrolling toward the + (plus) sign using MONOGRAPH TITLE: Anticoagulants, oral/Disulfiram the up- and down-arrow keys.
PATIENT MANAGEMENT: Monitor prothrombin activity and adjust the anticoagulant dose accordingly. The Press <Return> to return to the Drug Data Inquiry Menu.
time of highest risk for a coumarin-type drug interaction is when the precipitant drug is initiated or discontinued. Contact the prescriber before initiating, altering the dose or discontinuing either drug.
SIGNIFICANCE LEVEL: 2-Significant: Assess risk to patient and take action as needed. Documentation substantiates interaction is at least likely to occur in some patients, even though more clinical data may be needed.) MECHANISM OF ACTION: Unknown.
CLINICAL EFFECTS: The anticoagulant effect of warfarin may be increased resulting in bleeding.
PREDISPOSING FACTORS: None determined.
DISCUSSION: Clinical investigation has substantiated that combined administration of warfarin and disulfiram increases serum warfarin concentrations and produces an increase in the anticoagulant effect of warfarin. Although one study indicates that the interaction may be due to a pharmacodynamic rather than pharmacokinetic mechanism. Case reports have documented the occurrence of bleeding.
1) JAMA 1968;206:1574.
2) Clin Res 1971;19:180.
3) Clin Res 1972;20:185.
4) JAMA 1972;221:1052.
5) Ann Intern Med 1973;78:73.
6) Clin Pharmacol Ther 1981;29:332.
TEST DRUGS FOR WARNINGS
The following message displays with each of the ‘old' drugs entered: The Test Drugs for Warnings option allows you to test new drugs against a Drug Checks: [drug check status]
combination of old drugs. The system searches for any drug-drug interactions between the various drugs entered.
After you have specified the combination to be tested, press <Return> at the ‘Old Drug#[N]' prompt to initiate the check, or if you have entered nine old drugs, the Pharmacy System Menu ➔ DDI ➔ UDM ➔ [Inpatient check will begin upon entering the ninth drug, showing the following message: Pharmacy Site] ➔ INM ➔ TFW Performing Drug Checks.
Pharmacy System Menu ➔ IVM ➔ [IV Room Name] [drug warning status]
➔ VIN ➔ DDI ➔ TFW [type/quantity] Site Checks Enabled
Pharmacy System Menu ➔ OPM ➔ [Outpatient Note: If there is no warning, the display listed above indicates ‘No drug
Pharmacy] ➔ [Label Printer] ➔ DDI ➔ TFW warning' for the drug warning status. If a warning does occur, a screen similar the following screen displays: After you access this option, the following prompts display: Do you want to see the currently defined drug interaction parameters? Select New/Test Drug: ASPIRIN--PO 325MG TAB Old Drug#1: WARFARIN--PO 2MG TAB WARFARIN--PO 2MG TAB OK? YES// A list of the drug site parameters for the user's current site is displayed only;. Drug checks: All Enabled the site parameters cannot be edited while using this option. Old Drug#2: <Return> Do you want to bypass the drug check parameters to allow all possible drug
interactions? NO// YES
>>> ORDER# <TEST> <<< NEW DRUG-1: WARFARIN--PO 2MG TAB To see all levels of interaction information, enter YES. This turns off the 1-WARNINGS: 1-INTERACT 0-DUPLICATE 0-ALLERGY 0-OVERLAP 0-DOSAGE * filtering defined in the site parameters.
DRUG / ALLERGY / DOSE Accepting the default of NO causes interaction information to be displayed ASPIRIN--PO 325MG TAB based on the setup of the site parameters.
ENTER WARNING # FOR REPORT: 1 After you specify a New/Test drug, the following message displays: DEVICE: RIGHT MARGIN: 80// Drug Checks: [drug check status]
Now select up to nine ‘old' drugs to test against; press [Return] when done or ‘ ' to exit.
The system then prompts you to enter the ‘old' drugs that will be tested against the New/Test drug, as follows: Old Drug#1: [drug name]
TEST DRUGS FOR WARNINGS
TEST DRUGS FOR WARNINGS (continued)
Information for the following area is displayed: [current date/time] Patient Management Drug-Drug Interaction Monograph: ANTICOAGULANTS,ORAL/SALICYLATES (1) Significance Level New drug: ASPIRIN--PO 325MG TAB Old drug: WARFARIN--PO 2MG TAB Medranism of action Increased effect of former drug Predisposing factors MONOGRAPH TITLE: Anticoagulants, Oral/Salicylates PATIENT MANAGEMENT: Avoid concomitant administration of these drugs. If salicylate use is necessary, monitor prothrombin time and bleeding time closely. When possible, administration of a non-aspirin salicylate would be The time of highest risk for a coumarin-type drug interaction is when the + precipitant drug is initiated or discontinued. Contact the prescribe before ENTER WARNING # FOR REPORT: The warning information is
directly displayed on the screen for duplicate, overlap, and dosage warnings.
A Device prompt displays if an interaction or allergy warning is selected.
Press <Return> if you do not wish to view the warning report information.
The Select New/Test Drug prompt displays again to allow you to test a new combination of drugs if necessary. Press <Return> to exit the option.
TEST DRUGS FOR WARNINGS
PATIENT TEST FOR DRUG WARNINGS
The Patient Test for Drug Warnings option allows you to test a specified patient's medication profile against a specified ‘new' drug to check for drug warnings.
The Patient Test for Drug Warnings (PTW) option is included in the outpatient functionality to provide a means to test discharge prescriptions against the medications the patient was receiving during the inpatient stay.
Pharmacy System Menu ➔ UDM ➔ [Inpatient Pharmacy Site] ➔ INM ➔ DDI ➔ PTW Pharmacy System Menu ➔ IVM ➔ [IV Room Name] ➔ VIN ➔ DDI ➔ PTW Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [Label Printer] ➔ DDI ➔ PTW After you access the option, the following prompts display: Do you want to display the currently defined drug check parameters? NO//
YES
A list of the drug site parameters for the user's current site is display only; the site parameters cannot be edited while using this option. Do you want to bypass the drug check parameters to allow all possible drug
interactions? NO// YES
To see all levels of interaction information, enter YES. This turns off the filtering defined in the site parameters.
Accepting the default of NO causes interaction information to be displayed based on the setup of the site parameters.
After you specify the patient whose profile you wish to have tested, the following message displays: PATIENT TEST FOR DRUG WARNINGS
PATIENT TEST FOR DRUG WARNINGS (continued)
Looking up patient data.
ENTER WARNING # FOR REPORT: The warning information is
directly displayed on the screen for duplicate, overlaps, and dosage warnings.
For Patient: [patient identifier]
A Device prompt displays if an interaction or allergy warning is selected.
You are then prompted to select a New/Test drug to test against the patient Press <Return> if you do not wish to view the warning report information.
profile. The following message displays: The Select New/Test Drug prompt displays again to allow you to perform Performing Drug Checks.
another test if necessary. Press <Return> to bypass the prompt. [drug warning status]
The Select Patient Name prompt displays again to offer you the opportunity [type/quantity] Site Checks Enabled
to perform another drug test on another patient. Press <Return> to exit the option.
Note: If there is no warning, the display listed above indicates ‘No drug
warning' for the drug warning status. If a warning does occur, a screen similar to
Need to know information: the following displays: Press the up- and down-arrow keys to view drug warning information.
>>> ORDER# <TEST> -- MARSHALL,ALLAN A <<< The + (plus) sign at the top or bottom of the information display indicates NEW DRUG-1: ALPRAZOLAM--PO .5MG TAB additional information is available by scrolling toward the + (plus) sign using * 3-WARNINGS: 1-INTERACT 0-DUPLICATE 0-ALLERGY 2-OVERLAP 0-DOSAGE * the up- and down-arrow keys.
DRUG / ALLERGY / DOSE Press <Return> to return to the Drug Data Inquiry Menu.
DIAZEPAM--PO 5MG TAB 2 Class Overlap-Old Drug DIAZEPAM--PO 5MG TAB 3 Interaction-Old Drug CIMETIDINE--PO 200MG TAB -----------------------------------------------------------------------------------------------------------------------------ENTER WARNING # FOR REPORT: 1 =ORDER 900620-02872 UNIT DOSE ORDERS (ACTIVE/CURRENT) DIAZEPAM-TAB (VALIUM) <ORAL> 5MG TID PRN for 10 days Starting 20 DRUG-A: ALPRAZOLAM--PO .5MG TAB DRUG-B: DIAZEPAM--PO 5MG TAB DEA overlap within range 1-5: Drug-A DEA=4 & Drug-B DEA=4 This screen contains warning information similar to the screen which displays in a clinical screening.
PATIENT TEST FOR DRUG WARNINGS
MANUAL PRESCRIPTION ENTRY
After you enter the required information, the New Prescription Entry screen displays.
The Manual Prescription Entry option is used following a system shutdown to enter prescriptions into the system that were filled manually while the system PRESCRIPTION: [assigned RX#]
New Prescription Entry was down. It is identical to New Prescription Entry except that it prompts for prescription number rather than letting the system assign one. Numbers will be Patient: [filled automatically]
RX #: [filled automatically]
assigned beginning where the system left off for each number range.
Pharmacy Comment:
Drug: [drug name]
MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] Sig: [sig code]
➔ [Label Printer] ➔ PM ➔ SPM ➔ MPE After you access this option, the following prompts display: Quantity: [amount of drug]
Refills Allowed: [number]
Provider: [Dr. ordering RX]
Patient: [patient identifier]
MEPRS Code: [assigned by system]
Days Supply: [number]
Order Date/Time: [date/time]
Expiration Date: [date]
Child Resistant Container: YES
Allows you to view the patient's active, active and inactive prescriptions or prescriptions from a range of dates.
After you enter prescription information, the system performs drug checks and Drug: [drug name]
displays any warnings. Appropriate personnel may override warnings.
Prescription Number: [prescription number] Current prescription number may be determined by referring to the Prescription Number Maintenance options.
SIG: Instructions by a HCP regarding amount and frequency of medication
a patient should take.
MEPRS CODE: Medical Expense and Performance Reports code used for
financial charging.
ORDER DATE/TIME: Date the prescription was entered into the
prescription baseline. It is automatically entered by the system.
EXPIRATION DATE: The date the prescription expires. It is automatically
calculated and entered by the system.
MANUAL PRESCRIPTION ENTRY
CHANGE LABEL/TEXT PRINTER
The Change Label/Text Printer option allows you to reprint a group of lost or damaged prescription labels. You may select the failed device, the associated Pharmacy Site, the RX# to start printing from, the RX# to print to, the alternate device, and a starting time.
MENU PATH: Pharmacy System Menu ➔ OPM ➔ [Outpatient Pharmacy] ➔ [Label Printer] ➔ CLT After you access this option, the following prompts display: Failed Device: [printer name]
Name of the malfunctioning device.
Pharmacy Site [default pharmacy site]// <Return> or [site]
The system defaults to the pharmacy site you are logged into.
Starting RX number: [RX number]
The starting prescription is the last legible label preceding the destroyed or lost label.
Ending RX number: ALL// <Return> or [ending number]
All labels print from the starting prescription number to the end of the labels.
Device: [desired printer]
Requested Start Time: NOW// <Return> or [time]
CHANGE LABEL/TEXT PRINTER
SAIC/CHCS Doc. TC-4.5-0359 OUTPATIENT PHARMACY
Section 6
This section is not applicable to this document.
SAIC/CHCS Doc. TC-4.5-0359 OUTPATIENT PHARMACY
Appendix A
Class Evaluation Forms
Class Evaluation Forms STUDENT ATTENDANCE AND PERFORMANCE SUMMARY
DATE: _ SESSION # : CLASSROOM LOCATION: _ MEDICAL TREATMENT FACILITY: (See reverse side) SP - Satisfactory Performance NR - Needs Remediation STUDENT NAME/GRADE/RANK TRAINING SESSION Presenter's Signature Presenter's Name (Please Print) Personal Data - Privacy Act of 1974 (PL93-579)
Instructions for use of the STUDENT ATTENDANCE AND PERFORMANCE SUMMARY form: a. Please print information except where noted otherwise.
b. Complete the top portion of the form.
c. Enter each student's name and other identifying data and indicate with a slash (/) that the student was scheduled to attend the class.
d. Enter the students' Social Security Number.
e. Enter the time(s) for the training sessions needed to complete the class.
f. Document the students' performance on the Master Practice. If the class has more than one Master Practice, use additional form(s).
g. Use the "Comments" section to document pertinent information regarding the students' attendance, interactions during the class, performance (strengths/areas of needed improvement), etc.
h. Verify that the class was completed by entering a second slash ( ).
i. Sign and date the form and submit to the designated Training POC.
CLASS TITLE: Module #: _ DATE: _SESSION #: CLASSROOM LOCATION: _ MEDICAL TREATMENT FACILITY: INSTRUCTOR (Please Print): PLEASE CIRCLE THE NUMBER OF YOUR CHOICE Comments or N/A
1. I found the class material well organized.
2. There was adequate time allotted for instruction and 3. I understood the purpose and objectives of the class/ 4. The instructor demonstrated a sound knowledge of the subject matter.
5. The instructor responded positively to my learning 6. My questions were promptly answered.
7. Visual aids helped me understand the class/ module content.
8. Class material projected on a screen was clearly 9. The class presentation and Practices adequately prepared me for the Master Practice.
10. I understood the instructions for completing each Practice and Master Practice.
11. I think that the handouts I received will be useful/ helpful to me in the workcenter.
▼ OVER ▼
CLASS CRITIQUE (continued)
PLEASE CIRCLE THE NUMBER OF YOUR CHOICE Comments or N/A
12. My terminal, printer, and any other hardware operated properly during the class.
13. The Training Database/ Software worked properly with all functions taught.
14. I found the classroom furnishings, lighting, and 15. Having completed this class/module, I feel that I now can successfully use CHCS to perform my job.
16. I attended the prerequisite training classes for this 17. What aspects of this class were most beneficial? 18. How could this class be improved? 19. Additional comments: PLEASE RETURN YOUR CLASS CRITIQUE TO THE PRESENTER
BEFORE LEAVING THE CLASSROOM.

Source: http://www.navyehr.org/help-top-menu/overview-resources-materials/document-repository/doc_download/96-outpatient-pharmacy-functions-presenter-s-guide