Difference between revisions of "Pharmacy Inpatient Setup"

Latest revision as of 17:10, 2 January 2013

Inpatient Pharmacy took a good while to set-up. Here are my notes on how I have done that. I have only done Unit Dose though. Questions: Post on the hardhats Google Group. http://groups.google.com/group/hardhats.

Prerequisites for Set-up

MAS Wards and Rooms have to be completely configured before you start configuring Inpatient Pharmacy, as Inpatient Pharmacy Parameters references them.
Menu: PSJU MGR
Key: PSJU MGR for access to the Supervisor Menu
Menu: PSS MGR (No keys necessary except for entering drugs)

Printers Configuration

You can be of course a high tech place with Automatic Drawers (Pyxii or OmniCells), ATCs and BCMA. This section is for the rest of us who may need printed MARs, Pick Lists to fill the Carts, and Labels to send new medications to the Wards.

For general help setting up printers on Unix, go here: Setting up a Linux Printer. The authors (including me) don't cover how to add a printer to Unix using cups; you should find how to do that yourself. We cover how to add a Unix Printer to VISTA.

The following to help you configure the various printer types that Inpatient Pharmacy uses.

Pick Lists

Pick lists print on normal paper. Configure a printer with the following SubType: P-HPLJ4SI-P12

NAME: P-HPLJ4SI-P12                     SELECTABLE AT SIGN-ON: NO
  RIGHT MARGIN: 96                      FORM FEED: #
  PAGE LENGTH: 57                       BACK SPACE: $C(8)
  OPEN EXECUTE: W $C(27,69),$C(27),"&l0O",$C(27),"(0N",$C(27),"(s0p12h0s0b4099T"
,$C(27),"&k2G" S $X=0                   DESCRIPTION: HP JL4Si 12 pitch Courier

Labels

VISTA UD Package expects 15/16" high 3.5 wide labels 2 across in a dot-matrix label printer. It's hardcoded in the Mumps routines. So hardcoded that you can only change labels with difficulty. If you have Zebras, Medsphere has written code to do Zebras in OpenVista. As to what Printer SubType to use, that depends on the printer. I have an Epson FX-890 and it took me a couple of weeks of trial and error to get this SubType I made: P-EPSON-DM-P15-5L

NAME: P-EPSON-DM-P15-5L                 RIGHT MARGIN: 132
  FORM FEED: ""                         PAGE LENGTH: 5
  BACK SPACE: $C(8)
  OPEN EXECUTE: W *27,"@",*27,"g",*27,"2",*27,"C",*5,*27,"0",*27,"N",*1,*27,"k",
*1,*27,"2"
  DESCRIPTION: Epson Dot-Matrix 15 cpi/5 lpi
 OPEN EXECUTE DESCRIPTION:   
  *27,"@",         Reset 
  *27,"g",         15 cpi 
  *27,"2",         1/6 in line spacing 
  *27,"C",*5,      Page Length = 5 * 1/6 in = 5/6 in 
  *27,"0",         1/8 in line spacing 
  *27,"N",*1,      Bottom Margin = 1 * 1/8  = 1/8 in 
  *27,"k",*1,      Font = Sans Serif 
  *27,"2"          1/6 in line spacing

To my disappointment, if you put anything in the close execute, it will be executed even if you do nothing in the Unit Dose package but browse a patient. This caused the labels to "jiggle". I had to remove close executes after all. The other funny thing I discovered is that the UD package does not send any form feeds to move to the next label: just an line feed. It's very unorthodox, making it difficult to write correct sequences, until I figured out that it 'guesses' the next label by doing a line feed and (after a lot of testing the disbelief from me) it works okay.

MARs

If you are not using BCMA for eMARs, you will need paper MARs. VISTA can print MARs for Paper Documentation, with Active Medications Pre-Printed. I tried printing them as Portrait; and for a while, I couldn't get to print them as Landscape until I wrote the exact correct PCL for me. My nurses prefer the Landscape version. Here are the subtypes you need for MARs:

Portrait:

NAME: P-HPLJ2-P16                       SELECTABLE AT SIGN-ON: NO
  RIGHT MARGIN: 132                     FORM FEED: #
  PAGE LENGTH: 80
  OPEN EXECUTE: W *27,"E",*27,"(8U",*27,"(s0P",*27,"(s16H",*27,"(s9V",*27,"(s0S"
,*27,"(s-3B",*27,"(s0T",*27,"&l88P",*27,"&a255M",*27,"&k2S",*27,"&l8D",*27,"&s1C
",*27,"&k2G"                            CLOSE EXECUTE: W *27,"E"

Landscape:

NAME: P-HPLJ2-P16-LS                    SELECTABLE AT SIGN-ON: NO
  RIGHT MARGIN: 132                     FORM FEED: #
  PAGE LENGTH: 80
  OPEN EXECUTE: W *27,"E",*27,"&l1O",*27,"(8U",*27,"(s0P",*27,"(s16H",*27,"(s9V"
,*27,"(s0S",*27,"(s-3B",*27,"(s0T",*27,"&l88P",*27,"&l0E",*27,"&l0L",*27,"&a18L"
,*27,"&k2S",*27,"&l8D",*27,"&s1C",*27,"&k2G"
  CLOSE EXECUTE: W *27,"E"

Pre-Exchange Report

I found most printer types work fine here. I just use the Pick List definition.

Schedule Set-up

Find the Hospital's policy for their Administration Times, prohibited abbreviations, and whether some wards get specific administration times. In my case, the Children's Ward had different administration times. You may delete Schedules are not used.

Menu: PSS MGR > Standard Schedule Edit

My end result:

<code>
ADMINISTRATION SCHEDULE List                          AUG 11,2011@14:41   PAGE 1

NUMBER: 51                              NAME: 5/D
  STANDARD ADMINISTRATION TIMES: 09-12-15-18-21
  FREQUENCY (IN MINUTES): 288           PACKAGE PREFIX: PSJ
  TYPE OF SCHEDULE: CONTINUOUS          OUTPATIENT EXPANSION: FIVE TIMES DAILY

NUMBER: 42                              NAME: AC
  STANDARD ADMINISTRATION TIMES: 07-11-16
  FREQUENCY (IN MINUTES): 480           PACKAGE PREFIX: PSJ
  TYPE OF SCHEDULE: CONTINUOUS          OUTPATIENT EXPANSION: BEFORE MEALS

NUMBER: 2                               NAME: BID
  STANDARD ADMINISTRATION TIMES: 09-21  FREQUENCY (IN MINUTES): 720
  PACKAGE PREFIX: PSJ                   TYPE OF SCHEDULE: CONTINUOUS
  OUTPATIENT EXPANSION: TWICE A DAY
WARD: Child 2R 214-225 South            WARD ADMINISTRATION TIMES: 08-20

NUMBER: 46                              NAME: IMODIUM PRN
  FREQUENCY (IN MINUTES): 60            PACKAGE PREFIX: PSJ
  TYPE OF SCHEDULE: PRN
  OUTPATIENT EXPANSION: INITIAL 2 CAP THEN 1 CAP AFTER LS - MAX 8

NUMBER: 36                              NAME: MO-WE-FR
  STANDARD ADMINISTRATION TIMES: 09     PACKAGE PREFIX: PSJ
  TYPE OF SCHEDULE: CONTINUOUS

NUMBER: 47                              NAME: NITRATE
  FREQUENCY (IN MINUTES): 300           PACKAGE PREFIX: PSJ
  TYPE OF SCHEDULE: CONTINUOUS

NUMBER: 27                              NAME: NOW
  PACKAGE PREFIX: PSJ                   TYPE OF SCHEDULE: ONE-TIME

NUMBER: 35                  	            NAME: ONCE
  STANDARD ADMINISTRATION TIMES: 1600   FREQUENCY (IN MINUTES): 1440
  PACKAGE PREFIX: PSJ                   TYPE OF SCHEDULE: ONE-TIME
  MAX DAYS FOR ORDERS: 1

NUMBER: 43                              NAME: PC
  STANDARD ADMINISTRATION TIMES: 0830-1230-1830
  FREQUENCY (IN MINUTES): 480           PACKAGE PREFIX: PSJ
  TYPE OF SCHEDULE: CONTINUOUS          OUTPATIENT EXPANSION: AFTER MEALS

NUMBER: 11                              NAME: Q12H
  STANDARD ADMINISTRATION TIMES: 09-21  FREQUENCY (IN MINUTES): 720
  PACKAGE PREFIX: PSJ                   TYPE OF SCHEDULE: CONTINUOUS
  OUTPATIENT EXPANSION: EVERY 12 HOURS
WARD: Child 2R 214-225 South            WARD ADMINISTRATION TIMES: 08-20

NUMBER: 38                              NAME: Q2H
  STANDARD ADMINISTRATION TIMES: 01-03-05-07-09-11-13-15-17-19-21-23
  FREQUENCY (IN MINUTES): 120           PACKAGE PREFIX: PSJ
  TYPE OF SCHEDULE: CONTINUOUS          OUTPATIENT EXPANSION: EVERY 2 HOURS

NUMBER: 53                              NAME: Q2WEEKS
  STANDARD ADMINISTRATION TIMES: 09     FREQUENCY (IN MINUTES): 20160
  PACKAGE PREFIX: PSJ                   TYPE OF SCHEDULE: CONTINUOUS
  OUTPATIENT EXPANSION: Once every 2 weeks
WARD: Child 2R 214-225 South            WARD ADMINISTRATION TIMES: 08

NUMBER: 5                               NAME: Q3H
  STANDARD ADMINISTRATION TIMES: 01-04-07-10-13-16-19-22
  FREQUENCY (IN MINUTES): 180           PACKAGE PREFIX: PSJ
  TYPE OF SCHEDULE: CONTINUOUS          OUTPATIENT EXPANSION: EVERY 3 HOURS

NUMBER: 4                               NAME: Q4H
  STANDARD ADMINISTRATION TIMES: 01-05-09-13-17-21
  FREQUENCY (IN MINUTES): 240           PACKAGE PREFIX: PSJ
  TYPE OF SCHEDULE: CONTINUOUS          OUTPATIENT EXPANSION: EVERY 4 HOURS
WARD: Child 2R 214-225 South
  WARD ADMINISTRATION TIMES: 04-08-12-16-20-24

NUMBER: 50                              NAME: Q5MIN
  FREQUENCY (IN MINUTES): 5             PACKAGE PREFIX: PSJ
  TYPE OF SCHEDULE: CONTINUOUS          OUTPATIENT EXPANSION: Every 5 Minutes

NUMBER: 3                               NAME: Q6H
  STANDARD ADMINISTRATION TIMES: 06-12-18-24
  FREQUENCY (IN MINUTES): 360           PACKAGE PREFIX: PSJ
  TYPE OF SCHEDULE: CONTINUOUS          OUTPATIENT EXPANSION: EVERY 6 HOURS

NUMBER: 6                               NAME: Q8H
  STANDARD ADMINISTRATION TIMES: 01-09-17
  FREQUENCY (IN MINUTES): 480           PACKAGE PREFIX: PSJ
  TYPE OF SCHEDULE: CONTINUOUS          OUTPATIENT EXPANSION: EVERY 8 HOURS
WARD: Child 2R 214-225 South            WARD ADMINISTRATION TIMES: 08-16-24

NUMBER: 7                               NAME: QAM
  STANDARD ADMINISTRATION TIMES: 09     FREQUENCY (IN MINUTES): 1440
  PACKAGE PREFIX: PSJ                   TYPE OF SCHEDULE: CONTINUOUS
  OUTPATIENT EXPANSION: EVERY MORNING
WARD: Child 2R 214-225 South            WARD ADMINISTRATION TIMES: 08

NUMBER: 1                               NAME: QDAY
  STANDARD ADMINISTRATION TIMES: 09     FREQUENCY (IN MINUTES): 1440
  PACKAGE PREFIX: PSJ                   TYPE OF SCHEDULE: CONTINUOUS
  OUTPATIENT EXPANSION: ONCE A DAY
WARD: Child 2R 214-225 South            WARD ADMINISTRATION TIMES: 08

NUMBER: 23                              NAME: QHS
  STANDARD ADMINISTRATION TIMES: 21     FREQUENCY (IN MINUTES): 1440
  PACKAGE PREFIX: PSJ                   TYPE OF SCHEDULE: CONTINUOUS
  OUTPATIENT EXPANSION: AT BEDTIME
WARD: Child 2R 214-225 South            WARD ADMINISTRATION TIMES: 20

NUMBER: 10                              NAME: QID
  STANDARD ADMINISTRATION TIMES: 09-13-17-21
  FREQUENCY (IN MINUTES): 360           PACKAGE PREFIX: PSJ
  TYPE OF SCHEDULE: CONTINUOUS          OUTPATIENT EXPANSION: FOUR TIMES A DAY
WARD: Child 2R 214-225 South            WARD ADMINISTRATION TIMES: 08-12-16-20

NUMBER: 12                              NAME: QOD
  STANDARD ADMINISTRATION TIMES: 09     FREQUENCY (IN MINUTES): 2880
  PACKAGE PREFIX: PSJ                   TYPE OF SCHEDULE: CONTINUOUS
  OUTPATIENT EXPANSION: EVERY OTHER DAY
WARD: Child 2R 214-225 South            WARD ADMINISTRATION TIMES: 08

NUMBER: 54                              NAME: QPM
  STANDARD ADMINISTRATION TIMES: 05     FREQUENCY (IN MINUTES): 1440
  PACKAGE PREFIX: PSJ                   TYPE OF SCHEDULE: CONTINUOUS
  OUTPATIENT EXPANSION: Every Evening

NUMBER: 52                              NAME: QWEEKLY
  STANDARD ADMINISTRATION TIMES: 09     FREQUENCY (IN MINUTES): 10080
  PACKAGE PREFIX: PSJ                   TYPE OF SCHEDULE: CONTINUOUS
  OUTPATIENT EXPANSION: Once a week
WARD: Child 2R 214-225 South            WARD ADMINISTRATION TIMES: 08

NUMBER: 39                              NAME: STAT
  PACKAGE PREFIX: PSJ                   TYPE OF SCHEDULE: ONE-TIME

NUMBER: 9                               NAME: TID
  STANDARD ADMINISTRATION TIMES: 09-15-21
  FREQUENCY (IN MINUTES): 480           PACKAGE PREFIX: PSJ
  TYPE OF SCHEDULE: CONTINUOUS          OUTPATIENT EXPANSION: THREE TIMES A DAY
WARD: Child 2R 214-225 South            WARD ADMINISTRATION TIMES: 08-14-20

NUMBER: 41                              NAME: TODAY
  STANDARD ADMINISTRATION TIMES: 1230-1330
  FREQUENCY (IN MINUTES): 60            PACKAGE PREFIX: PSO
  MAX DAYS FOR ORDERS: 1

NUMBER: 40                              NAME: TOMORROW
  STANDARD ADMINISTRATION TIMES: 0815-0915-1015
  FREQUENCY (IN MINUTES): 60            PACKAGE PREFIX: PSO
  TYPE OF SCHEDULE: ONE-TIME            MAX DAYS FOR ORDERS: 1
</code>

Drug File Set-up

Before you do anything, you need to enter all the drugs that your pharmacy uses from your pharmacy formulary. That will take 1-3 months. Here's how: Enter a Drug. Before I started, I deleted all traces of the old drug file using this routine I wrote: http://bazaar.launchpad.net/~sam-habiel/astronaut-vista-server/enhancements/view/head:/JJIHDCLR.m

Also, I learned it may be better to configure the Schedules first before doing the drugs, as you use Schedules when you make orderable items. So I would recommend that. I didn't do that when I set-up the drug file, so I had to go back and fix some stuff after I was done.

There's a section on advanced drug file set-up below. You don't need to that now, so I put it at the bottom.

IV Room Set-up

The next step is to set-up the IV Room. While technically not needed if you are only doing Unit Dose, it's required for some options in the UD menu to work.

Select Unit Dose Medications Option: IOE  Inpatient Order Entry

Whoops ... You don't have an IV ROOM defined ... 
You MUST define at least one IV ROOM before you can continue.

Select IV ROOM: NULL
  Are you adding 'NULL' as a new IV ROOM (the 1ST)? No//   (No) ??

Select IV ROOM: NULL ROOM
  Are you adding 'NULL ROOM' as a new IV ROOM (the 1ST)? No// Y  (Yes)
NAME: NULL ROOM// 
LENGTH OF LABEL: 5??
     Type a whole number between 12 and 66.
LENGTH OF LABEL: 12
WIDTH OF LABEL: ??
          Enter the maximum allowable width of your label in number of character
s.
        If you do not enter data into this field, the system will use '30' as
        the default.  If a line of print cannot fit within the width you define 
        here, it will continue on the next line of the label.
   
WIDTH OF LABEL: 35
LINE FEEDS BETWEEN LABELS: N??
     Type a whole number between 0 and 6.
LINE FEEDS BETWEEN LABELS: 1
END OF LABEL TEXT: **ICH SOUTH**
HEADER LABEL:   
SHOW BED LOCATION ON LABEL: 
USE SUSPENSE FUNCTIONS: 
DOSE DUE LINE: 
LVP'S GOOD FOR HOW MANY DAYS: 1
HYPERAL GOOD FOR HOW MANY DAYS: 1
PB'S GOOD FOR HOW MANY DAYS: 1
SYRN'S GOOD FOR HOW MANY DAYS: 1
CHEMO'S GOOD FOR HOW MANY DAYS: 1
STOP TIME FOR ORDER: 
EXPIRE ALL ORDERS ON SAME DAY: 
ACTIVITY RULER: 
TOTAL VOL. ON HYPERAL LABELS: 
Select START OF COVERAGE: ??
Select START OF COVERAGE: 0830
  Are you adding '0830' as a new START OF COVERAGE (the 1ST for this IV ROOM)? 
No// Y  (Yes)
  END OF COVERAGE: 1700
  TYPE: A  ADMIXTURES AND PRIMARIES
  MANUFACTURING TIME: 1200
  DESCRIPTION: 0830 to 1700// 
Select START OF COVERAGE: "0830"
  Are you adding '0830' as a new START OF COVERAGE (the 2ND for this IV ROOM)? 
No// Y  (Yes)
  END OF COVERAGE: 1700
  TYPE: P  PIGGYBACKS
  MANUFACTURING TIME: 1200
  DESCRIPTION: 0830 to 1700// 
Select START OF COVERAGE: "0830"
  Are you adding '0830' as a new START OF COVERAGE (the 3RD for this IV ROOM)? 
No// Y  (Yes)
  END OF COVERAGE: 1700
  TYPE: H  HYPERALS
  MANUFACTURING TIME: 1200
  DESCRIPTION: 0830 to 1700// 
Select START OF COVERAGE: "0830 ??
Select START OF COVERAGE: "0830"
  Are you adding '0830' as a new START OF COVERAGE (the 4TH for this IV ROOM)? 
No// Y  (Yes)
  END OF COVERAGE: 1700
  TYPE: S  SYRINGE
  MANUFACTURING TIME: 1200
  DESCRIPTION: 0830 to 1700// 
Select START OF COVERAGE: "0830"
  Are you adding '0830' as a new START OF COVERAGE (the 5TH for this IV ROOM)? 
No// Y  (Yes)
  END OF COVERAGE: 1700
  TYPE: C  CHEMOTHERAPY
  MANUFACTURING TIME: 1200
  DESCRIPTION: 0830 to 1700// 
Select START OF COVERAGE: ?
    Answer with START OF COVERAGE
   Choose from:
   1            0830  
   A covering from 0830 to 1700
   2            0830  
   P covering from 0830 to 1700
   3            0830  
   H covering from 0830 to 1700
   4            0830  
   S covering from 0830 to 1700
   5            0830  
   C covering from 0830 to 1700
         
        You may enter a new START OF COVERAGE, if you wish
        Answer must be in military time (i.e., 4 NUMBERS)!
   
Select START OF COVERAGE: 
Select DELIVERY TIME: 1500
  Are you adding '1500' as a new DELIVERY TIME (the 1ST for this IV ROOM)? No//
 Y  (Yes)
Select DELIVERY TIME: 
LABEL DEVICE: HOME//   TELNET

REPORT DEVICE: HOME//   TELNET

INACTIVATION DATE: 
DAYS TO RETAIN IV STATS: 

You are signed on under the NULL ROOM IV ROOM

Current IV LABEL device is: TELNET

Current IV REPORT device is: TELNET

System Parameters

Go to Supervisor Menu > PARameters Edit Menu > Systems Parameters Edit

Select PARameters Edit Menu Option: systems Parameters Edit

NON-FORMULARY MESSAGE:
  THERE ARE NO LINES!
  Edit? NO// y  YES

[ WRAP ]==[INSERT ]=========< NON-FORMULARY MESSAGE [Press <F1>H for help]====
This drug is non-formulary. Please contact the Inpatient Pharmacy before 
ordering.

PRINT 6 BLOCKS FOR THE PRN MAR: 1 YES ''Recommended''
PRINT DIET ABBR LABEL ON MAR:   ''Don't turn on unless you use Dietetics''
MAR SORT: ?
     Choose from: 
       0        Sort by order's Schedule Type and then Medication Names.
       1        Sort by order's Medication Names.
MAR SORT: 0  Sort by order's Schedule Type and then Medication Names.
ATC SORT PARAMETER: 
CALC UNITS NEEDED PRN ORDERS: ?
     Enter a 1 if you would like to have the UNITS NEEDED calculated for PRN
     orders on the Pick List.
     Choose from: 
       1        YES
CALC UNITS NEEDED PRN ORDERS: 
DAYS UNTIL STOP FOR ONE-TIME: 1
ROUND ATC PICK LIST UNITS: 
EXPIRED IV TIME LIMIT: ?
     Type the Number of Hours between 0 and 24 that continuous IV orders may be
     renewed after expiring
EXPIRED IV TIME LIMIT: 
PRIORITIES FOR PENDING NOTIFY: ?
     Choose from: 
       S        STAT
       SA       STAT/ASAP
       SAN      STAT/ASAP/NOW
       A        ASAP
       AN       ASAP/NOW
       N        NOW
       SN       STAT/NOW
PRIORITIES FOR PENDING NOTIFY: 
PRIORITIES FOR ACTIVE NOTIFY:

Ward Parameters Set-up

To reach this menu, you need to go to Supervisor Menu > PARameters Edit Menu. What you do here is configure the parameters for how Inpatient Pharmacy will behave for the Ward (or as Americans like to call it nowadays: Unit). You need to collect the following information:

When do Orders have to get renewed? That will you Days until stop.
When should Orders stop when they expire? That's called the "Order Wall".
When should the Start Date be? As soon as the med is ordered, or at the next admin time?
Are you going to print labels when you process the orders? When?

Here's an example for one ward I configured. All my other wards look the same


Select Supervisor's Menu Option: PARameters Edit Menu

          AUto-Discontinue Set-Up
   IUP    Inpatient User Parameters Edit
   IWP    Inpatient Ward Parameters Edit
          Clinic Definition
          Systems Parameters Edit

Select PARameters Edit Menu Option: IWP  Inpatient Ward Parameters Edit

Select WARD: ?
      
     You may enter a new INPATIENT WARD PARAMETERS, if you wish
     Enter a ward for which you want to tailor the Inpatient Medication
     package.
 Answer with WARD LOCATION NAME
 Do you want the entire 15-Entry WARD LOCATION List? Y  (Yes)Choose from:
   1St Floor                               *** INACTIVE ***
   Adolescent 2L 201-213 South     
                                   to exit: 
   Child 2R 214-225 South     
   Dapa 3R 314-326     
   General/adult 3L 300-313 South          *** INACTIVE ***
   Hinniker 1R 118-129 South               *** INACTIVE ***
   Ichs Admissions                         *** INACTIVE ***
   Ichs Adolescent                         *** INACTIVE ***
   Ichs Adult                              *** INACTIVE ***
   Ichs Beds                               *** INACTIVE ***
   Ichs Child                              *** INACTIVE ***
   Ichs Dapa                               *** INACTIVE ***
   Ichs Hiniker                            *** INACTIVE ***
   Intracare Hospital System               *** INACTIVE ***
   Restore 1L 101-111 South     
   
Select WARD: RESTORE 1L 101-111 SOUTH    
  Are you adding 'Restore 1L 101-111 South' as 
    a new INPATIENT WARD PARAMETERS (the 1ST)? No// Y  (Yes)

DAYS UNTIL STOP DATE/TIME: 30
DAYS UNTIL STOP FOR ONE-TIME: 1
SAME STOP DATE ON ALL ORDERS: Y  YES
TIME OF DAY THAT ORDERS STOP: 2359
DEFAULT START DATE CALCULATION: ?
     Enter "0" to use the closest admin time, "1" to use the next admin time,
     or "2" to use "now" as the default start time for orders.
     Choose from: 
       0        USE CLOSEST ADMIN TIME AS DEFAULT
       1        USE NEXT ADMIN TIME AS DEFAULT
       2        USE NOW AS DEFAULT
DEFAULT START DATE CALCULATION: 1  USE NEXT ADMIN TIME AS DEFAULT
START TIME FOR 24 HOUR MAR: 1500
LABEL FOR WARD STAFF: ?
     Choose from: 
       0        NO LABELS
       1        FIRST LABEL ON ORDER ENTRY/EDIT
       2        LABEL ON ENTRY/EDIT AND [[VERIFICATION~|VERIFICATION]]
       3        FIRST LABEL ON NURSE [[VERIFICATION~|VERIFICATION]]
LABEL FOR WARD STAFF: 0  NO LABELS
WARD LABEL PRINTER POINTER: 
LABEL FOR PHARMACY: ?
     Choose from: 
       0        NO LABELS
       1        FIRST LABEL ON ORDER ENTRY/EDIT
       2        LABEL ON ENTRY/EDIT AND [[VERIFICATION~|VERIFICATION]]
       3        FIRST LABEL ON PHARMACIST [[VERIFICATION~|VERIFICATION]]
LABEL FOR PHARMACY: 3  FIRST LABEL ON PHARMACIST [[VERIFICATION~|VERIFICATION]]
PHARMACY LABEL PRINTER POINTER: PHAR
     1   PHAR-IP-DM      Inpatient Pharmacy Dot-Matrix     PHAR-IP-DM     
     2   PHAR-IP-LS      IP Pharmacy Landscape     <pipe>     
CHOOSE 1-2: 1  PHAR-IP-DM    Inpatient Pharmacy Dot-Matrix     PHAR-IP-DM     
LABEL ON AUTO-DISCONTINUE: ?
     Answer 'YES' to have labels created when this ward's patients' orders are
     auto-discontinued.
     Choose from: 
       1        YES
       0        NO
LABEL ON AUTO-DISCONTINUE: 0  NO
MAR HEADER LABELS: ?
     Enter "YES" if MAR header labels should be generated for this ward.
     Choose from: 
       1        YES
MAR HEADER LABELS: 1   YES
DAYS NEW LABELS LAST: ?
     Enter a whole number between 0 and 35.

ANY NEW LABELS OLDER THAN THE NUMBER OF DAYS SPECIFIED HERE WILL
AUTOMATICALLY BE PURGED.
DAYS NEW LABELS LAST: ?
     Enter a whole number between 0 and 35.

ANY NEW LABELS OLDER THAN THE NUMBER OF DAYS SPECIFIED HERE WILL
AUTOMATICALLY BE PURGED.
DAYS NEW LABELS LAST: 1
MAR ORDER SELECTION DEFAULT: ?
     Answer must be 1-10 characters in length.


  Enter the number corresponding to the type of orders to be included on
MARs printed for this ward. Multiple types (except 1) may be selected
using "-" or "," as delimiters.

Choose from: 
             1 - All Medications
             2 - Non-IV Medications only
             3 - IV Piggybacks
             4 - LVPs
             5 - TPNs
             6 - Chemotherapy Medications (IV)
MAR ORDER SELECTION DEFAULT: 2
                                               2 - Non-IV Medications only
PRINT PENDING ORDERS ON MAR: ?
     Enter YES to include acknowledged pending orders on the MARs
     Choose from: 
       1        YES
PRINT PENDING ORDERS ON MAR: ??
        Enter YES to include the pending orders that were acknowledged by a nurs
e
        on the MARs and the Medication Due Worksheet.
   
     Choose from: 
       1        YES
PRINT PENDING ORDERS ON MAR: 
'SELF MED' IN ORDER ENTRY: 
PRE-EXCHANGE REPORT DEVICE: ?
     Enter a device on which the Pre-Exchange Report may be printed.
 Answer with DEVICE NAME, or LOCAL SYNONYM, or $I, or VOLUME SET(CPU), or
     SIGN-ON/SYSTEM DEVICE, or FORM CURRENTLY MOUNTED
 Do you want the entire DEVICE List? N  (No)
PRE-EXCHANGE REPORT DEVICE: PHAR-IP-LS      IP Pharmacy Landscape     <pipe>    
STAT NOW MAIL GROUP: ?
 Answer with MAIL GROUP NAME
 Do you want the entire 236-Entry MAIL GROUP List? N  (No)
STAT NOW MAIL GROUP: PSJ
     1   PSJ STAT NOW ACTIVE ORDER  
     2   PSJ STAT NOW PENDING ORDER  
     3   PSJ-ORDERS REINSTATED  
CHOOSE 1-3: 2  PSJ STAT NOW PENDING ORDER
PRIORITIES FOR NOTIFICATION: ?
     Choose from: 
       S        STAT
       SA       STAT/ASAP
       SAN      STAT/ASAP/NOW
       A        ASAP
       AN       ASAP/NOW
       N        NOW
       SN       STAT/NOW
PRIORITIES FOR NOTIFICATION: SAN  STAT/ASAP/NOW

Medication Distribution Set-up

Here we set-up the Administeration Teams (VISTA's fancy term for Medication Carts) and configure how Pick Lists will behave.

Set-up Administering Teams

Administering Teams are bascially Medication Carts. For each MAS Ward, you configure each Cart Location and put the beds in that Cart Location. You can have multiple Carts for each Ward. In my case, I didn't, so you will only see only one Cart Location in my example.

Select Core [[Application~|Application]]s Option: UD  Unit Dose Medications

(Inpatient Medications - Version 5.0  04/16/99)

HI, HABIEL,SAM!  (PHARMACIST & PROVIDER)


          Align Labels (Unit Dose)
          Discontinue All of a Patient's Orders
   EUP    Edit Inpatient User Parameters
          Hold All of a Patient's Orders
   IOE    Inpatient Order Entry
   IPF    Inpatient Profile
          INQuiries Menu ...
          Label Print/Reprint
          Non-Verified/Pending Orders
          Order Entry
          PAtient Profile (Unit Dose)
          Reports Menu ...
          Supervisor's Menu ...

Select Unit Dose Medications Option: SUPERvisor's Menu


          Administering Teams
          Clinic Groups
          MANagement Reports Menu ...
          Non-Standard Schedule Report
          Non-Standard Schedule Search
          Order Set Enter/Edit
          PARameters Edit Menu ...
          PATient Order Purge
             **> Out of order:  TEMPORARILY UNAVAILABLE
          PIck List Menu ...
          Ward Groups

Select Supervisor's Menu Option: ADMINistering Teams

Select WARD: CHILD 2R 214-225 SOUTH    
  Are you adding 'Child 2R 214-225 South' as 
    a new MEDICATION ADMINISTERING TEAM (the 1ST)? No// Y  (Yes)
Select TEAM: CHILDREN
  Are you adding 'CHILDREN' as a new TEAM? No// Y  (Yes)
  Select ROOM-BED: 214-A-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '214-A-ICHS' as a new ROOM-BED (the 1ST for this TEAM)? No// Y

  (Yes)
  Select ROOM-BED: 214-B-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '214-B-ICHS' as a new ROOM-BED (the 2ND for this TEAM)? No// Y

  (Yes)
  Select ROOM-BED: 215-A-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '215-A-ICHS' as a new ROOM-BED (the 3RD for this TEAM)? No// Y

  (Yes)
  Select ROOM-BED: 215-B-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '215-B-ICHS' as a new ROOM-BED (the 4TH for this TEAM)? No// Y

  (Yes)
  Select ROOM-BED: 216-A-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '216-A-ICHS' as a new ROOM-BED (the 5TH for this TEAM)? No// Y

  (Yes)
  Select ROOM-BED: 216-B-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '216-B-ICHS' as a new ROOM-BED (the 6TH for this TEAM)? No// Y

  (Yes)
  Select ROOM-BED: 217-A-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '217-A-ICHS' as a new ROOM-BED (the 7TH for this TEAM)? No// Y

  (Yes)
  Select ROOM-BED: 217-B-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '217-B-ICHS' as a new ROOM-BED (the 8TH for this TEAM)? No// Y

  (Yes)
  Select ROOM-BED: 218-A-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '218-A-ICHS' as a new ROOM-BED (the 9TH for this TEAM)? No// Y

  (Yes)
  Select ROOM-BED: 218-B-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '218-B-ICHS' as a new ROOM-BED (the 10TH for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: 219-A-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '219-A-ICHS' as a new ROOM-BED (the 11TH for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: 219-B-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '219-B-ICHS' as a new ROOM-BED (the 12TH for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: 220-1 ??
  Select ROOM-BED: 220-A-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '220-A-ICHS' as a new ROOM-BED (the 13TH for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: 220-B-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '220-B-ICHS' as a new ROOM-BED (the 14TH for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: 221-A-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '221-A-ICHS' as a new ROOM-BED (the 15TH for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: 221-B-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '221-B-ICHS' as a new ROOM-BED (the 16TH for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: 222-A-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '222-A-ICHS' as a new ROOM-BED (the 17TH for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: 222-B-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '222-B-ICHS' as a new ROOM-BED (the 18TH for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: 223-A-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '223-A-ICHS' as a new ROOM-BED (the 19TH for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: 223-B-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '223-B-ICHS' as a new ROOM-BED (the 20TH for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: 224-A-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '224-A-ICHS' as a new ROOM-BED (the 21ST for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: 224-B-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '224-B-ICHS' as a new ROOM-BED (the 22ND for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: 225-A-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '225-A-ICHS' as a new ROOM-BED (the 23RD for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: 225-B-ICHS    
          WARD(S):     ICHS Beds
                       Child 2R 214-225 South
  Are you adding '225-B-ICHS' as a new ROOM-BED (the 24TH for this TEAM)? No// 
Y  (Yes)
  Select ROOM-BED: ?
 Answer with ROOM-BED
 Do you want the entire 24-Entry ROOM-BED List? Y  (Yes)
   Choose from:
   214-A-ICHS   
   214-B-ICHS   
   215-A-ICHS   
   215-B-ICHS   
   216-A-ICHS   
   216-B-ICHS   
   217-A-ICHS   
   217-B-ICHS   
   218-A-ICHS   
   218-B-ICHS   
   219-A-ICHS   
   219-B-ICHS   
   220-A-ICHS   
   220-B-ICHS   
   221-A-ICHS   
   221-B-ICHS   
   222-A-ICHS   
   222-B-ICHS   
   223-A-ICHS   
   223-B-ICHS   
                                   to exit: 
   224-A-ICHS   
   224-B-ICHS   
   225-A-ICHS   
   225-B-ICHS   
         
     You may enter a new ROOM-BED, if you wish

THE ROOM-BED CHOSEN MUST ALREADY BE DEFINED IN THE ROOM-BED FILE.
 Answer with ROOM-BED NAME, or WARD(S) WHICH CAN ASSIGN
 Do you want the entire ROOM-BED List? N  (No)
  Select ROOM-BED: 
Select TEAM: ?
    Answer with TEAM:
   CHILDREN   
         
     You may enter a new TEAM, if you wish
     Answer must be 3-15 characters in length.

ENTER THE NAME OF A TEAM THAT ADMINISTERS MEDICATION ON THIS  WARD.
Select TEAM:

Set-up Ward Groups

In a real world Inpatient Pharmacy that does Medication Cart Exchanges, the medication carts are filled at specific intervals (typically daily), with different sets of wards filled at different times to distribute workload. For example, if you have Ward A, B, C, D; you may fill A & B at 4pm and C & D at 2am. A ward group is a grouping of A & B or C & D together: to print the Pick List so that the medication drawers can filled and then the carts exchanged.

In the section immediately above, you configured which carts are in each Ward and which beds are in each Cart. A Ward Group will contain a collection of Wards that are filled together in a Medication Cart Exchange run.

When you print a pick list, you will be asked for which Ward Group you want to run your pick list.

Select Supervisor's Menu Option: ward Groups

Select WARD GROUP NAME: 1ST FLOOR
  Are you adding '1ST FLOOR' as a new WARD GROUP (the 1ST)? No// Y  (Yes)
   WARD GROUP TYPE: ?
     Choose from: 
       M        MAS
       P        PHARMACY
   WARD GROUP TYPE: ??
          Differentiates between MAS ward groups and PHARMACY ward groups.  Only
 
        PHARMACY ward groups are selectable in the PICK LIST options and no two 
        PHARMACY ward groups may contain the same ward (for dose counting and 
        tracking purposes).  MAS ward groups may be set up as desired, and are 
        selectable (along with PHARMACY ward groups) in all other print options.
   
     Choose from: 
       M        MAS
       P        PHARMACY
   WARD GROUP TYPE: P  PHARMACY
   WARD GROUP ATC DEVICE POINTER: 
NAME: 1ST FLOOR// 
Select WARD: RESTORE 1L 101-111 SOUTH    
  Are you adding 'Restore 1L 101-111 South' as a new WARD? No// Y  (Yes)
Select WARD: 
LENGTH OF PICK LIST (in hours): 48
PICK LIST - OMIT WARD SORT: ?
     Answer 'YES' (or '1') to have the pick list NOT sort by ward.
     Choose from: 
       0        NO (SORT BY WARD)
       1        YES (DO NOT SORT BY WARD)
PICK LIST - OMIT WARD SORT: ??
          The Pick List normally sorts orders by TEAM, WARD, ROOM-BED...  To
        have the Pick List omit the WARD sort, answer 'YES' here, and the Pick
        List will sort by TEAM, ROOM-BED (and NOT by WARD).  Any change here
        will NOT affect any Pick Lists that have already been run.
   
     Choose from: 
       0        NO (SORT BY WARD)
       1        YES (DO NOT SORT BY WARD)
PICK LIST - OMIT WARD SORT: NO  NO (SORT BY WARD)
PICK LIST - OMIT ROOM-BED SORT: NO  NO (SORT BY ROOM-BED)
PICK LIST - ROOM/BED SORT: ROO  ROOM-BED
PICK LIST - FORM FEED/PATIENT: NO  NO
PICK LIST - FORM FEED/WARD: YES  YES
PICK LIST - LINES ON FORM FEED: ??
          This is a flag that tells the pick list to print the "FILLED BY" and t
he
        "CHECKED BY" lines after each ward or patient.  This is used only if eit
her
        of the "PICK LIST FORM FEED/PATIENT" or "PICK LIST FORM FEED/WARD" site
        parameters is turned on.
   
     Choose from: 
       1        YES
       0        NO
PICK LIST - LINES ON FORM FEED: 1  YES
PRINT NON-ACTIVE ORDERS FIRST: ?
     Answer 'YES' to have expired and dc'd orders print before active orders
     for each patient on the pick list.
     Choose from: 
       1        YES
       0        NO
PRINT NON-ACTIVE ORDERS FIRST: NO  NO
BAXTER ATC DEVICE: 
USE OLD ATC INTERFACE: 

Select WARD GROUP NAME: ?
    Answer with WARD GROUP NAME:
   1ST FLOOR     
PHARMACY     
         
        You may enter a new WARD GROUP, if you wish
        Answer must be 1-20 characters in length.
   
Select WARD GROUP NAME: 2ND FLOOR
  Are you adding '2ND FLOOR' as a new WARD GROUP (the 2ND)? No// Y  (Yes)
   WARD GROUP TYPE: P  PHARMACY
   WARD GROUP ATC DEVICE POINTER: 
NAME: 2ND FLOOR// 
Select WARD: ADOLESCENT 2L 201-213 SOUTH    
  Are you adding 'Adolescent 2L 201-213 South' as a new WARD? No// Y  (Yes)
Select WARD: CHILD 2R 214-225 SOUTH    
  Are you adding 'Child 2R 214-225 South' as a new WARD? No// Y  (Yes)
Select WARD: 
LENGTH OF PICK LIST (in hours): 48
PICK LIST - OMIT WARD SORT: NO  NO (SORT BY WARD)
PICK LIST - OMIT ROOM-BED SORT: NO  NO (SORT BY ROOM-BED)
PICK LIST - ROOM/BED SORT:  ??
     Enter how you want the pick list to sort the room-bed.

Enter a '1' to have the pick lists sort orders by BED-ROOM.
     Choose from: 
       0        ROOM-BED
       1        BED-ROOM
PICK LIST - ROOM/BED SORT: 0  ROOM-BED
PICK LIST - FORM FEED/PATIENT: N  NO
PICK LIST - FORM FEED/WARD: Y  YES
PICK LIST - LINES ON FORM FEED: Y  YES
PRINT NON-ACTIVE ORDERS FIRST: N  NO
BAXTER ATC DEVICE: 
USE OLD ATC INTERFACE: 

Select WARD GROUP NAME: 3RD FLOOR
  Are you adding '3RD FLOOR' as a new WARD GROUP (the 3RD)? No// Y  (Yes)
   WARD GROUP TYPE: P  PHARMACY
   WARD GROUP ATC DEVICE POINTER: 
NAME: 3RD FLOOR// 
Select WARD: GENERAL/ADULT 3L 300-313 SOUTH       *** INACTIVE ***
  Are you adding 'General/Adult 3L 300-313 South' as 
    a new WARD (the 1ST for this WARD GROUP)? No// Y  (Yes)
Select WARD: DAPA 3R 314-326    
  Are you adding 'DAPA 3R 314-326' as a new WARD (the 2ND for this WARD GROUP)?
 No// Y  (Yes)
Select WARD: 
LENGTH OF PICK LIST (in hours): 48
PICK LIST - OMIT WARD SORT: ^LENGTH OF PICK LIST (in hours)  
LENGTH OF PICK LIST (in hours): 48// ??
          If an entry is found here when a pick list is run for this ward group,
        the Unit Dose package will add the number of hours found to the start da
te
        to produce a DEFAULT stop date.
   
LENGTH OF PICK LIST (in hours): 48// 
PICK LIST - OMIT WARD SORT: NO  NO (SORT BY WARD)
PICK LIST - OMIT ROOM-BED SORT: NO  NO (SORT BY ROOM-BED)
PICK LIST - ROOM/BED SORT: ROO  ROOM-BED
PICK LIST - FORM FEED/PATIENT: NO  NO
PICK LIST - FORM FEED/WARD: YES  YES
PICK LIST - LINES ON FORM FEED: YES  YES
PRINT NON-ACTIVE ORDERS FIRST: NO  NO
BAXTER ATC DEVICE: 
USE OLD ATC INTERFACE: 

Select WARD GROUP NAME: ?
    Answer with WARD GROUP NAME
   Choose from:
   1ST FLOOR     
PHARMACY     
   2ND FLOOR     
PHARMACY     
   3RD FLOOR     
PHARMACY     
         
        You may enter a new WARD GROUP, if you wish
        Answer must be 1-20 characters in length.
   
Select WARD GROUP NAME:

Entering DEA Numbers

The DEA is a fact of life in the US and is baked into the pharmacy software. Even if you use VISTA outside of the US, you need to set-up DEA#'s/VA#'s in order to be able to order controlled substances. There are two steps: entering an institutional DEA number; then entering each Provider's DEA or VA #.

DEA Logic in VISTA

For any drug that has the DEA Special Handling field that is between 2 to 5, VISTA will want either one of these two conditions for the provider to be able to order it:

EITHER: An Institutional DEA # and a Provider VA #

OR: Provider DEA #

That means that if all your providers have DEA #'s, you don't need an institutional DEA #.

Each of these set-ups follows how the DEA dictates that Hospitals allows its providers to prescribe.

Enter Institutional DEA #'s

Entering a DEA number for each institution is done through the Kernel Management Menu, as below.

         Core [[Application~|Application]]s ...
          Device Management ...
          Menu Management ...
          Programmer Options ...
          Operations Management ...
          Spool Management ...
          Information Security Officer Menu ...
          Taskman Management ...
          User Management ...
   FM     VA FileMan ...
          [[Application~|Application]] Utilities ...
          Capacity Planning ...
          HL7 Main Menu ...
          Manage Mailman ...
          MAS Parameter Entry/Edit

Select Systems Manager Menu Option: OPERations Management


          System Status
          Introductory text edit
          CPU/Service/User/Device Stats
   RJD    Kill off a users' job
          Alert Management ...
          Alpha/Beta Test Option Usage Menu ...
          Clean old Job Nodes in XUTL
          Delete Old (>14 d) Alerts
          Foundations Management
          Kernel Management Menu ...
          Post sign-in Text Edit
          RPC Broker Management Menu ...
          User Management Menu ...

Select Operations Management Option: KERNel Management Menu


          Ask if Production Account
          Edit Site IP lockout
          Enter/Edit Kernel Site Parameters
          Institution DEA# edit
          Institution Edit
          Kernel New Features Help
          Kernel PKI Parameter Edit
          Load Institution NPI values
          NPF cleanup main menu ...
          Release IP lock

Select Kernel Management Menu Option: INST
    1    Institution DEA# edit             
    2    Institution Edit                  
CHOOSE 1-2: 1  Institution DEA# edit

Select INSTITUTION NAME: INTRACARE HOSPITAL SYSTEM    TX  MC(M)  840203  
FACILITY DEA NUMBER:

Enter Providers' DEA #'s or VA #'s

To edit DEA or VA #'s for providers, you can either directly edit the entry in File 200, or use the option PSO PROVIDER EDIT. Normally, this option lives in Supervisor menu in the Outpatient Pharmacy Manager Menu, but you can copy it over to the person who is supposed to maintain credentialing.

'Edit Provider'     Option name: PSO PROVIDER EDIT
     This option is used to edit provider information.  New providers cannot be
     entered using this option.

                  Provider: HABIEL,SAM


  AUTHORIZED TO WRITE MED ORDERS: YES





NON-VA PRESCRIBER: 
TAX ID: 
EXCLUSIONARY CHECK PERFORMED: 
DATE EXCLUSIONARY LIST CHECKED: 
ON EXCLUSIONARY LIST: 
AUTHORIZED TO WRITE MED ORDERS: YES// 
DEA#: 
VA#:

Entering and Configuring Pharmacy Users

To create Pharmacy Users, you need to do the following:

Create a user with access to the menu option PSJU MGR
Pharmacists get PSJ RPHARM key to be able to verify orders.
Anybody who runs Pick Lists should get PSJU PL key.
Supervisors get PSJU MGR key.

Pharmacists should be added to two mail groups:

GMRA REQUEST NEW REACTANT - Allergies that cannot be added through CPRS need to go to pharamcists or others for further investigation.
PSJ STAT NOW PENDING ORDER - Mailgroup for Pharmacists to receive STAT orders notices.

For TIU, add to ASU Class Pharmacist.

Last, you need to set pharmacists to auto-verify when they finish an order in Inpatient Pharmacy. This needs to be done user by user:

Select Supervisor's Menu Option: PARameters Edit Menu


          AUto-Discontinue Set-Up
   IUP    Inpatient User Parameters Edit
   IWP    Inpatient Ward Parameters Edit
          Clinic Definition
          Systems Parameters Edit

Select PARameters Edit Menu Option: IUP  Inpatient User Parameters Edit

Select INPATIENT USER: XXXXX          PHARMACIST
         ...OK? Yes//   (Yes)


This user is a PHARMACIST.

ALLOW AUTO-VERIFY FOR USER: YES//

Patient Medication Information Sheets Set-up

If the complete PSN is installed, VISTA includes Patient Medication Information Sheets. They can come in handy. The option is called 'PSNPMIS PRINT'. The option uses defaults which you can set throught the Pharmacy System Parameters Edit off the Pharmacy Data Management menu.

'Print a PMI Sheet'     Option name: PSNPMIS PRINT
     This option will print a Patient Medication Information Sheet for
     a drug selected from the local drug file.  Drugs in the local drug
     file must be linked to entries in the National Drug File at the
     site and entries in the National Drug File must have been linked
     to a GCNSEQNO thus a PMIS by the National Drug File Manager.  A PMIS
     can be printed in either English or Spanish.


Select Pharmacy Data Management Option:  Pharmacy System Parameters Edit
PMIS PRINTER: PHAR-IP-POR-P12// 
PMIS LANGUAGE: English// 
WARNING LABEL SOURCE: NEW// 
CMOP WARNING LABEL SOURCE: 
OPAI WARNING LABEL SOURCE:

Order Set Creation

You can create order sets in Inpatient Pharmacy. These are purely optional. And they have nothing to do with order sets in CPRS. Once you have order sets in CPRS that are entered by the providers, there is no need for them in the pharmacy. As such, they are there for a pharmacy that only uses VISTA without online order entry.

Select Supervisor's Menu Option: order Set Enter/Edit

Select ORDER SET: DETOX ORDERS
  Are you adding 'DETOX ORDERS' as 
    a new UNIT DOSE ORDER SET (the 1ST)? No// Y  (Yes)
NAME: DETOX ORDERS// 
Select ORDERABLE ITEM: CLONIDINE  
     1   CLONIDINE       TAB     
     2   CLONIDINE       PATCH     
     3   CLONIDINE ER       TAB     
CHOOSE 1-3: 1  CLONIDINE     TAB     
  Are you adding 'CLONIDINE' as a new ORDERABLE ITEM? No// Y  (Yes)
  DOSAGE ORDERED: ?    
     Answer must be 1-60 characters in length.
  DOSAGE ORDERED: ??
        This is the total amount of the medication that is to be administered
        as one dose, such as '500MG' or '100CC'. This cannot be a number only.
        The type of unit (MG, CC, etc.) must be included.
         
   
  DOSAGE ORDERED: 0.1MG
  DAY (nD) OR DOSE (nL) LIMIT: 
  START DAY AND TIME: 
  MED ROUTE: PO  ORAL      PO
  SCHEDULE TYPE: O  ONE TIME
  SCHEDULE: NOW       
  SPECIAL INSTRUCTIONS: 
  Select DISPENSE DRUG: CLONIDINE
     1   CLONIDINE 0.1MG TAB           CV490           
     2   CLONIDINE 0.2MG TAB           CV490           
     3   CLONIDINE 0.3MG TAB           CV490           
CHOOSE 1-3: 1  CLONIDINE 0.1MG TAB         CV490           
  Are you adding 'CLONIDINE 0.1MG TAB' as 
    a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y  (Yes)
    UNITS PER DOSE: 1
  Select DISPENSE DRUG: 
Select ORDERABLE ITEM: CLONIDINE PATCH ??
Select ORDERABLE ITEM: CLONIDINE  CLONIDINE     TAB     
         ...OK? Yes// N  (No)
     CLONIDI
     1   CLONIDINE       PATCH     
     2   CLONIDINE ER       TAB     
CHOOSE 1-2: 1  CLONIDINE     PATCH     
  Are you adding 'CLONIDINE' as a new ORDERABLE ITEM? No// Y  (Yes)
  DOSAGE ORDERED: ?  
     Answer must be 1-60 characters in length.
  DOSAGE ORDERED: 0.2MG/WEEK
  DAY (nD) OR DOSE (nL) LIMIT: 
  START DAY AND TIME: 
  MED ROUTE: po  ORAL      PO
  SCHEDULE TYPE: C  CONTINUOUS
  SCHEDULE: QWEEKLY       09
  SPECIAL INSTRUCTIONS: 
  Select DISPENSE DRUG: CLONIDI
     1   CLONIDINE 0.1MG/DAY TRANSDERMAL SYS           CV490           
     2   CLONIDINE 0.2MG/DAY TRANSDERMAL SYS           CV490           
     3   CLONIDINE 0.3MG/DAY TRANSDERMAL SYS           CV490           
CHOOSE 1-3: 2  CLONIDINE 0.2MG/DAY TRANSDERMAL SYS         CV490           
  Are you adding 'CLONIDINE 0.2MG/DAY TRANSDERMAL SYS' as 
    a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y  (Yes)
    UNITS PER DOSE: 1
  Select DISPENSE DRUG: 
Select ORDERABLE ITEM: PEPCID  FAMOTIDINE     TAB     
  Are you adding 'FAMOTIDINE' as a new ORDERABLE ITEM? No// Y  (Yes)
  DOSAGE ORDERED: 20MG
  DAY (nD) OR DOSE (nL) LIMIT: 
  START DAY AND TIME: 
  MED ROUTE: PO  ORAL      PO
  SCHEDULE TYPE: C  CONTINUOUS
  SCHEDULE: BID       09-21
  SPECIAL INSTRUCTIONS: 
  Select DISPENSE DRUG: FAMOTIDINE 20MG TAB           GA301           
  Are you adding 'FAMOTIDINE 20MG TAB' as 
    a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y  (Yes)
    UNITS PER DOSE: 1
  Select DISPENSE DRUG: 
Select ORDERABLE ITEM: FELDENE  PIROXICAM     CAP,ORAL     
  Are you adding 'PIROXICAM' as a new ORDERABLE ITEM? No// Y  (Yes)
  DOSAGE ORDERED: 20MG
  DAY (nD) OR DOSE (nL) LIMIT:  
  START DAY AND TIME: 
  MED ROUTE: PO  ORAL      PO
  SCHEDULE TYPE: C  CONTINUOUS
  SCHEDULE: QDAY       09
  SPECIAL INSTRUCTIONS: 
  Select DISPENSE DRUG: FELDENE  PIROXICAM 20MG CAP         MS102           
  Are you adding 'PIROXICAM 20MG CAP' as a new DISPENSE DRUG? No// Y  (Yes)
    UNITS PER DOSE: 1
  Select DISPENSE DRUG: 
Select ORDERABLE ITEM: CLONIDINE
     1   CLONIDINE       TAB     
     2   CLONIDINE       PATCH     
CHOOSE 1-2: 1  CLONIDINE     TAB     
  ORDERABLE ITEM: CLONIDINE// 
  DOSAGE ORDERED: 0.1MG// 
  DAY (nD) OR DOSE (nL) LIMIT: 
  START DAY AND TIME: 
  MED ROUTE: ORAL// 
  SCHEDULE TYPE: ONE TIME// 
  SCHEDULE: NOW// 
  SPECIAL INSTRUCTIONS: 
  Select DISPENSE DRUG: CLONIDINE 0.1MG TAB// 
    DISPENSE DRUG: CLONIDINE 0.1MG TAB// 
    UNITS PER DOSE: 1// 
  Select DISPENSE DRUG: 
Select ORDERABLE ITEM: "CLONIDINE"
     1   CLONIDINE       TAB     
     2   CLONIDINE       PATCH     
     3   CLONIDINE ER       TAB     
CHOOSE 1-3: 1  CLONIDINE     TAB     
  Are you adding 'CLONIDINE' as a new ORDERABLE ITEM? No// Y  (Yes)
  DOSAGE ORDERED: 0.1MG
  DAY (nD) OR DOSE (nL) LIMIT: 
  START DAY AND TIME: 
  MED ROUTE: PO  ORAL      PO
  SCHEDULE TYPE: P  PRN
  SCHEDULE: Q8H       01-09-17
  SPECIAL INSTRUCTIONS: FOR SBP > 150
  Select DISPENSE DRUG: CLONIDINE
     1   CLONIDINE 0.1MG TAB           CV490           
     2   CLONIDINE 0.2MG TAB           CV490           
     3   CLONIDINE 0.3MG TAB           CV490           
CHOOSE 1-3: 1  CLONIDINE 0.1MG TAB         CV490           
  Are you adding 'CLONIDINE 0.1MG TAB' as 
    a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y  (Yes)
    UNITS PER DOSE: 1
  Select DISPENSE DRUG: 
Select ORDERABLE ITEM: LOPERAMIDE
     1   LOPERAMIDE       CAP,ORAL     
     2   LOPERAMIDE       LIQUID,ORAL     
CHOOSE 1-2: 1  LOPERAMIDE     CAP,ORAL     
  Are you adding 'LOPERAMIDE' as a new ORDERABLE ITEM? No// Y  (Yes)
  DOSAGE ORDERED: 4MG
  DAY (nD) OR DOSE (nL) LIMIT: 
  START DAY AND TIME: 
  MED ROUTE: PO  ORAL      PO
  SCHEDULE TYPE: P  PRN
  SCHEDULE: Q2H PRN??
     Enter the schedule for this orderable item.
  SCHEDULE: Q2H       01-03-05-07-09-11-13-15-17-19-21-23
  SPECIAL INSTRUCTIONS: 
  Select DISPENSE DRUG: ^SPECIAL INSTRUCTIONS  
  SPECIAL INSTRUCTIONS: MAX 10MG DAILY
  Select DISPENSE DRUG: loperamide 2MG CAP           GA208           
  Are you adding 'LOPERAMIDE 2MG CAP' as a new DISPENSE DRUG? No// y  (Yes)
    UNITS PER DOSE: 1
  Select DISPENSE DRUG: 
Select ORDERABLE ITEM:    LOPERAMIDE
  ORDERABLE ITEM: LOPERAMIDE// 
  DOSAGE ORDERED: 4MG// 2mg
  DAY (nD) OR DOSE (nL) LIMIT: ^DOSAGE ORDERED  
  DOSAGE ORDERED: 2mg// 2MG
  DAY (nD) OR DOSE (nL) LIMIT: 
  START DAY AND TIME: 
  MED ROUTE: ORAL// ^DOSE??
  MED ROUTE: ORAL// ^DAY (nD) OR DOSE (nL) LIMIT  
  DAY (nD) OR DOSE (nL) LIMIT: 10L
  START DAY AND TIME: 
  MED ROUTE: ORAL// 
  SCHEDULE TYPE: PRN// 
  SCHEDULE: Q2H// 
  SPECIAL INSTRUCTIONS: MAX 10MG DAILY// 
  Select DISPENSE DRUG: LOPERAMIDE 2MG CAP// 
    DISPENSE DRUG: LOPERAMIDE 2MG CAP// 
    UNITS PER DOSE: 1// 
  Select DISPENSE DRUG:       
Select ORDERABLE ITEM: "LOPERAMIDE"
     1   LOPERAMIDE       CAP,ORAL     
     2   LOPERAMIDE       LIQUID,ORAL     
CHOOSE 1-2: 1  LOPERAMIDE     CAP,ORAL     
  Are you adding 'LOPERAMIDE' as a new ORDERABLE ITEM? No// Y  (Yes)
  DOSAGE ORDERED: 4MG
  DAY (nD) OR DOSE (nL) LIMIT: 
  START DAY AND TIME: ^DAY (nD) OR DOSE (nL) LIMIT  
  DAY (nD) OR DOSE (nL) LIMIT: 10L
  START DAY AND TIME: 
  MED ROUTE: ^START DAY AND TIME  
  START DAY AND TIME: NOW??
Examples of Valid Dates:
   JAN 20 1957 or 20 JAN 57 or 1/20/57 or 012057  (omitting punctuation)
   T   (for TODAY),  T+1 (for TOMORROW),  T+2,  T+7, etc.
   T-1 (for YESTERDAY),  T-3W (for 3 WEEKS AGO), etc.
If the year is omitted, the computer uses CURRENT YEAR.
A 2-digit year means no more than 20 years in the future, or 80 years in
the past.
 
If the date is omitted, the current date is assumed.
Follow the date with a time, such as JAN 20@10, T@10AM, 10:30, etc.
You may enter NOON, MIDNIGHT, or NOW to indicate the time.
Time is REQUIRED to be entered.
     Enter the day and time after the order is selected that this order should
     start.
  START DAY AND TIME: NOW??
Examples of Valid Dates:
   JAN 20 1957 or 20 JAN 57 or 1/20/57 or 012057  (omitting punctuation)
   T   (for TODAY),  T+1 (for TOMORROW),  T+2,  T+7, etc.
   T-1 (for YESTERDAY),  T-3W (for 3 WEEKS AGO), etc.
If the year is omitted, the computer uses CURRENT YEAR.
A 2-digit year means no more than 20 years in the future, or 80 years in
the past.
 
If the date is omitted, the current date is assumed.
Follow the date with a time, such as JAN 20@10, T@10AM, 10:30, etc.
You may enter NOON, MIDNIGHT, or NOW to indicate the time.
Time is REQUIRED to be entered.
     Enter the day and time after the order is selected that this order should
     start.
  START DAY AND TIME: 
  MED ROUTE: PO  ORAL      PO
  SCHEDULE TYPE: O  ONE TIME
  SCHEDULE: NOW       
  SPECIAL INSTRUCTIONS: MAX 10MG/DAY (5 CAPS)
  Select DISPENSE DRUG: ?
      
     You may enter a new DISPENSE DRUG, if you wish
     Only dispense drugs that are marked for Unit Dose use and that are
     tied to this order's ORDERABLE ITEM are selectable.

 Answer with DRUG NUMBER, or GENERIC NAME, or VA PRODUCT NAME, or
     NATIONAL DRUG CLASS, or NDC, or [[APPLICATION~|Application]] PACKAGES' USE, or
     ATC MNEMONIC, or DRUG TEXT ENTRY, or SYNONYM
 Do you want the entire DRUG List? N  (No)
  Select DISPENSE DRUG: LOPERAMIDE 2MG CAP           GA208           
  Are you adding 'LOPERAMIDE 2MG CAP' as a new DISPENSE DRUG? No// Y  (Yes)
    UNITS PER DOSE: 2
  Select DISPENSE DRUG: 
Select ORDERABLE ITEM: ?
    Answer with ORDERABLE ITEM
   Choose from:
   CLONIDINE   
   CLONIDINE   
   PIROXICAM   
   LOPERAMIDE   
   LOPERAMIDE   
   FAMOTIDINE   
   CLONIDINE   
         
        You may enter a new ORDERABLE ITEM, if you wish
        Enter the orderable item to identify this medication. Each orderable
        item chosen is an individual order within the order set.
   
 Answer with PHARMACY ORDERABLE ITEM NAME, or SYNONYM, or
     OI-DRUG TEXT ENTRY
 Do you want the entire 408-Entry PHARMACY ORDERABLE ITEM List? N  (No)
Select ORDERABLE ITEM: PHENRGAN ??
Select ORDERABLE ITEM: PROMETH
     1   PROMETHAZINE       TAB     
     2   PROMETHAZINE       INJ,SOLN     
     3   PROMETHAZINE       SUPP,RTL     
CHOOSE 1-3: 1  PROMETHAZINE     TAB     
  Are you adding 'PROMETHAZINE' as a new ORDERABLE ITEM? No// Y  (Yes)
  DOSAGE ORDERED: 25MG
  DAY (nD) OR DOSE (nL) LIMIT: 
  START DAY AND TIME:  
  MED ROUTE: PO  ORAL      PO
  SCHEDULE TYPE: P  PRN 
  SCHEDULE: Q8H       01-09-17
  SPECIAL INSTRUCTIONS: 
  Select DISPENSE DRUG: ^SPECIAL INSTRUCTIONS  
  SPECIAL INSTRUCTIONS: FOR N/V
  Select DISPENSE DRUG: PROMETHAZINE 25MG TAB           AH100           
  Are you adding 'PROMETHAZINE 25MG TAB' as 
    a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y  (Yes)
    UNITS PER DOSE: 1
  Select DISPENSE DRUG: 
Select ORDERABLE ITEM: PROMETHAZINE  PROMETHAZINE     TAB     
         ...OK? Yes//   (Yes)

  ORDERABLE ITEM: PROMETHAZINE// 
  DOSAGE ORDERED: 25MG// ^
Select ORDERABLE ITEM: PROME  THAZINE  PROMETHAZINE     TAB     
         ...OK? Yes// N  (No)
     PROME
     1   PROMETHAZINE       INJ,SOLN     
     2   PROMETHAZINE       SUPP,RTL     
CHOOSE 1-2: 1  PROMETHAZINE     INJ,SOLN     
  Are you adding 'PROMETHAZINE' as a new ORDERABLE ITEM? No// Y  (Yes)
  DOSAGE ORDERED: 25MG
  DAY (nD) OR DOSE (nL) LIMIT: 
  START DAY AND TIME: 
  MED ROUTE: IM  INTRAMUSCULAR      IM
  SCHEDULE TYPE: P  PRN
  SCHEDULE: Q8H       01-09-17
  SPECIAL INSTRUCTIONS: 
  Select DISPENSE DRUG: PHENERGAN  PROMETHAZINE 25MG/ML 1ML INJ         AH100   
        
  Are you adding 'PROMETHAZINE 25MG/ML 1ML INJ' as 
    a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y  (Yes)
    UNITS PER DOSE: 1
  Select DISPENSE DRUG: 
Select ORDERABLE ITEM: LIBRIUM  CHLORDIAZEPOXIDE     CAP,ORAL     
  Are you adding 'CHLORDIAZEPOXIDE' as a new ORDERABLE ITEM? No// Y  (Yes)
  DOSAGE ORDERED: 25MG
  DAY (nD) OR DOSE (nL) LIMIT: 
  START DAY AND TIME: 
  MED ROUTE: PO  ORAL      PO
  SCHEDULE TYPE: P  PRN
  SCHEDULE: Q4H       01-05-09-13-17-21
  SPECIAL INSTRUCTIONS: 
  Select DISPENSE DRUG: LIBRIUM,25LIBRIUM  CHLORDIAZEPOXIDE 25MG CAP         CN3
02           
  Are you adding 'CHLORDIAZEPOXIDE 25MG CAP' as 
    a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y  (Yes)
    UNITS PER DOSE: 1
  Select DISPENSE DRUG: 
Select ORDERABLE ITEM: "LIBRIUM"  CHLORDIAZEPOXIDE     CAP,ORAL     
  Are you adding 'CHLORDIAZEPOXIDE' as a new ORDERABLE ITEM? No// Y  (Yes)
  DOSAGE ORDERED: 50MG
  DAY (nD) OR DOSE (nL) LIMIT: 
  START DAY AND TIME: 
  MED ROUTE: PO  ORAL      PO
  SCHEDULE TYPE: P  PRN
  SCHEDULE: Q4H       01-05-09-13-17-21
  SPECIAL INSTRUCTIONS: 
  Select DISPENSE DRUG: CHLORA,50 ??
  Select DISPENSE DRUG: LIBR,50 ??
  Select DISPENSE DRUG: LIBRIUM
     1   LIBRIUM  CHLORDIAZEPOXIDE 5MG CAP         CN302           
     2   LIBRIUM  CHLORDIAZEPOXIDE 10MG CAP         CN302           
     3   LIBRIUM  CHLORDIAZEPOXIDE 25MG CAP         CN302           
CHOOSE 1-3: 3  CHLORDIAZEPOXIDE 25MG CAP         CN302           
  Are you adding 'CHLORDIAZEPOXIDE 25MG CAP' as 
    a new DISPENSE DRUG (the 1ST for this ORDERABLE ITEM)? No// Y  (Yes)
    UNITS PER DOSE: 2
  Select DISPENSE DRUG: 
Select ORDERABLE ITEM: AMBIEN  ZOLPIDEM     TAB     
  Are you adding 'ZOLPIDEM' as a new ORDERABLE ITEM? No// Y  (Yes)
  DOSAGE ORDERED: 10MG
  DAY (nD) OR DOSE (nL) LIMIT: 
  START DAY AND TIME: 
  MED ROUTE: PO  ORAL      PO
  SCHEDULE TYPE: P  PRN
  SCHEDULE: QHS       21
  SPECIAL INSTRUCTIONS: FOR INSOMNIA
  Select DISPENSE DRUG: AMBIEN  ZOLPIDEM 10MG TAB         CN309           
  Are you adding 'ZOLPIDEM 10MG TAB' as a new DISPENSE DRUG? No// Y  (Yes)
    UNITS PER DOSE: 1   
  Select DISPENSE DRUG: 
Select ORDERABLE ITEM:

Drug File Advanced Set-up

Auto Stop Dates for specific drugs

      Orderable Item ->  WARFARIN
      Dosage Form    ->  TAB

Dispense Drugs:
---------------
WARFARIN 1MG TAB   N/F
WARFARIN 2.5MG TAB   N/F
WARFARIN 5MG TAB   N/F

Are you sure you want to edit this Orderable Item? NO// YES

   Now editing Orderable Item:
   WARFARIN   TAB
Orderable Item Name: WARFARIN// 

This Orderable Item is Non-Formulary.

This Orderable Item is marked as a Non-VA Med.

Select OI-DRUG TEXT ENTRY: 
INACTIVE DATE:  
DAY (nD) or DOSE (nL) LIMIT: 4D
MED ROUTE: ORAL// 
SCHEDULE TYPE: FILL ON REQUEST// 
SCHEDULE: QDAY// 
PATIENT INSTRUCTIONS: 

Select SYNONYM:

Dose limits for specific drugs

PHARMACY ORDERABLE ITEM List                          AUG 15,2011@10:03   PAGE 1
NAME                                      DAY (nD) or DOSE (nL) LIMIT
--------------------------------------------------------------------------------

ACETAMINOPHEN/CODEINE                     4D
ACETAMINOPHEN/HYDROCODONE                 4D
ACYCLOVIR                                 10D
ACYCLOVIR                                 10D
ALPRAZOLAM                                4D
AMOXICILLIN                               10D
AMOXICILLIN                               10D
AMOXICILLIN/CLAVULANATE                   10D
ATROPINE/DIPHENOXYLATE                    4D
AZITHROMYCIN                              10D
AZITHROMYCIN                              10D
BUPRENORPHINE                             4D
BUSPIRONE                                 60L
CEFPROZIL                                 10D
CEFTRIAXONE                               10D
CEPHALEXIN                                10D
CEPHALEXIN                                10D
CHLORDIAZEPOXIDE                          4D
CIPROFLOXACIN                             10D
CIPROFLOXACIN                             10D
CLARITHROMYCIN                            10D
CLINDAMYCIN                               10D
CLONAZEPAM                                4D
CLONAZEPAM                                4D
DEXAMETHASONE/NEOMYCIN/POLYMYXIN B        10D
DIAZEPAM                                  4D
DIAZEPAM                                  4D
DOXYCYCLINE                               10D
DRONABINOL                                4D
ERYTHROMYCIN                              10D
ERYTHROMYCIN                              10D
FLUCONAZOLE                               10D
GENTAMICIN                                10D
GENTAMICIN                                10D
HYDROCORTISONE/NEOMYCIN/POLYMYXIN B       10D
HYDROCORTISONE/NEOMYCIN/POLYMYXIN B       10D
KETOROLAC                                 5D
LEVOFLOXACIN                              10D
LOPERAMIDE                                16L
LORAZEPAM                                 4D
LORAZEPAM                                 4D
METRONIDAZOLE                             10D
MODAFINIL                                 4D
NITROFURANTOIN                            10D
NYSTATIN                                  10D
NYSTATIN                                  10D
NYSTATIN                                  10D
OSELTAMIVIR                               5D
PENICILLIN                                10D
PENICILLIN G BENZATHINE                   10D
PENICILLIN G PROCAINE                     10D
PENICILLIN VK                             10D
PHENOBARBITAL                             4D
SULFACETAMIDE                             10D
SULFAMETHOXAZOLE/TRIMETHOPRIM             10D
SULFAMETHOXAZOLE/TRIMETHOPRIM             10D
SUMATRIPTAN                               12L
TEMAZEPAM                                 4D
WARFARIN                                  4D
ZANAMIVIR                                 10D
ZIPRASIDONE                               40L
ZOLMITRIPTAN                              10L
ZOLMITRIPTAN                              10L
ZOLPIDEM                                  4D