Difference between revisions of "Pharmacy CS Setup"
Line 294: | Line 294: | ||
PRIME VENDOR?: | PRIME VENDOR?: | ||
+ | Select NAOU: ADULT | ||
+ | Are you adding 'ADULT' as a new DRUG ACCOUNTABILITY STATS? No// Y (Yes) | ||
+ | CONTROLLED SUBSTANCES SITE : INTRACARE SOUTH | ||
+ | |||
+ | Select one of the following: | ||
+ | |||
+ | M MASTER VAULT | ||
+ | S SATELLITE VAULT | ||
+ | N NARCOTIC LOCATION | ||
+ | |||
+ | LOCATION TYPE: NARCOTIC LOCATION | ||
+ | NAOU: ADULT// | ||
+ | PRIMARY DISPENSING SITE: INPATIENT PHARMACY | ||
+ | USING PERPETUAL INVENTORY?: Y YES | ||
+ | Is this a Pharmacy NAOU for Working Stock?: N NO | ||
+ | ADJUSTMENT MAIL GROUP: | ||
+ | TIME LIMIT FOR DELAYED DOSES: | ||
+ | |||
+ | ... the rest of the NAOUs are Narcotic Locations ... | ||
</pre> | </pre> | ||
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em"> | <pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em"> |
Revision as of 21:59, 17 September 2011
I am documenting here how to partially set-up the CS package. I don't cover initializing the inventory here, mostly because the receiving function relies on IFCAP/Prime Vendor functionality which I don't have set-up. I also don't cover how to set-up printing green sheets. Consult the technical manual for that.
The main reason I am setting up the package is to tell inpatient pharmacy which CS drugs are ward stock at which Wards.
Contents
Menu
The main menu for pharmacy is PSD MENU. For nurses it's PSD NURSE MENU.
Keys
To initialize the package, you need the following keys:
- PSDMGR
- PSD TRAN
- PSD PARAM
Package users rely on the same keys as Inpatient Pharmacy (PSJ RPHARM and PSJ RNURSE)
Jobs
PSD PURGE should be run daily after the package is intialized.
Set-up Steps
Define CS Site
Select the site you made for Ward Stock, and tell VISTA it's to be used for Controlled Substances as well.
UD Unit Dose Medications ... W Automatic Replenishment ... PDM Pharmacy Data Management ... NDF National Drug File Menu ... BCMA Medication Administration Menu Pharmacy ... NUD Controlled Substances Nurses' (CS) Menu ... PSD Controlled Substances Menu ... Select Pharmacy Menus Option: psd Controlled Substances Menu Controlled Substances Inpatient Site Name: INTRACARE SOUTH Please contact your Pharmacy Coordinator. You have not defined a pharmacy Dispensing Site Supervisor (CS) Menu ... Technician (CS Pharmacy) Menu ... Pharmacist Menu ... Production Reports ... Barcode Drug Labels for Vault Select Controlled Substances Menu Option: SUPervisor (CS) Menu Set Up CS (Build Files) Menu ... Management Reports ... Balance Adjustments Destructions Menu ... Add Existing Green Sheets at Setup Correction Menu ... Print Pharmacist ID Labels Inspectors Label Print Unscheduled Order Report Select Supervisor (CS) Menu Option: SET Up CS (Build Files) Menu Site Parameters Enter/Edit Menu ... Ward (for Drug) Transfer Add/Delete Ward (for Drug) Inactivate NAOU Inactivate NAOU Stock Drug Transfer Stock Entries ... Sort NAOUs in Inventory Group Print CS Set Up Lists ... Check Stocked Drugs for CS Use Initialize Balance at Setup Select Set Up CS (Build Files) Menu Option: SITE Parameters INTRACARE SOUTH You may enter a new INPATIENT SITE, if you wish This contains the name of the Inpatient Site. A VAMC may have more than one inpatient site name, i.e. for multi-divisional sites or nursing homes. A second site name would be used, for example, whenever differen t parameters are required. Select INPATIENT SITE NAME: `1 INTRACARE SOUTH Is INTRACARE SOUTH selectable for Controlled Subs: YES // Y YES
Mark Drugs for CS Package Use
Before you go on, collect the following on the drugs that are treated as controlled substances in your pharmacy:
- Drug Name
- DEA # for reference
- Location in Pharmacy (which safe, which shelf, position on shelf)
After that, go and mark each drug for CS use.
Select Set Up CS (Build Files) Menu Option: enter/Edit Menu Mark/Unmark Drugs for Controlled Substances Use Inventory Types - Enter/Edit Enter/Edit CS Drug Location Codes Create/Edit the Narcotic Area of Use Stock CS Drugs - Enter/Edit Manufacturer, Lot #, and Exp. Date - Enter/Edit Narcotic Breakdown Unit/Package Size - Enter/Edit NAOU Inventory Group - Enter/Edit Select Enter/Edit Menu Option: mark/Unmark Drugs for Controlled Substances Use Select DRUG: adder,5ADDERALL AMPHETAMINE/D-AMPHETAMINE 5MG TAB CN801 A CONTROLLED SUBSTANCES ITEM? No// y (Yes) Select DRUG: adder,10ADDERALL AMPHETAMINE/D-AMPHETAMINE 10MG TAB CN801 A CONTROLLED SUBSTANCES ITEM? No// y (Yes) Select DRUG: etc...
Check DEA #'s for Drugs
Here, I actually notice that my Midrin is missing a DEA#. So I will fix that.
Select Set Up CS (Build Files) Menu Option: print CS Set Up Lists Drug File Stats for CS Drugs DEA Special Handling List Print Inventory Types List CS Drug Location Codes Show Narcotic Area of Use Stock Drug Print (Stock Level and Location) Stock Drug List (Inventory Type and Location) Breakdown/Dispensing Unit Report Inventory Group List (80 column) Manufacturer and Narcotic Information Report Select Print CS Set Up Lists Option: dea Special Handling List This report lists Drug name, DEA Special Handling, and NDC information for all drugs marked for Controlled Substances use. This report is designed for an 80 column format. DEVICE: ;;9999 TELNET DEA SPECIAL HANDLING FOR CS PHARM DRUGS SEP 17,2011 PAGE: 1 DEA SPECIAL DRUG NAME HANDLING NDC ------------------------------------------------------------------------------- ACETAMINOPHEN/CODEINE 300MG/30MG TAB 3A 68084-372-01 ALPRAZOLAM 0.25MG TAB 4 68084-018-01 ALPRAZOLAM 0.5MG TAB 4 68084-019-01 ALPRAZOLAM 1MG TAB 4 51079-790-20 AMPHETAMINE/D-AMPHETAMINE 10MG TAB 2C 00185-0111-01 AMPHETAMINE/D-AMPHETAMINE 15MG TAB 2C 00555-0777-02 AMPHETAMINE/D-AMPHETAMINE 20MG TAB 2C 0555-0973-02 AMPHETAMINE/D-AMPHETAMINE 5MG TAB 2C 00555-0971-02 BUPRENORPHINE 2MG TAB SL 3A 0054-0176-13 BUPRENORPHINE 8MG TAB SL 3A 00054-0177-13 CHLORDIAZEPOXIDE 10MG CAP 4 51079-0375-20 CHLORDIAZEPOXIDE 25MG CAP 4 51079-141-20 CHLORDIAZEPOXIDE 5MG CAP 4 51079-0374-20 CLONAZEPAM 0.25MG TAB ODS 4 49884-0307-02 CLONAZEPAM 0.5MG TAB 4 51079-0881-20 CLONAZEPAM 1MG TAB 4 51079-0882-20 CLONAZEPAM 2MG TAB 4 51079-0883-20 DEXMETHYLPHENIDATE 10MG TAB 2C 0093-5277-01 DEXMETHYLPHENIDATE 2.5MG TAB 2C 00093-5275-01 DEXMETHYLPHENIDATE 5MG TAB 2C 0093-5276-01 DIAZEPAM 2MG TAB 4 51079-284-20 DIAZEPAM 5MG TAB 4 68084-359-01 DIAZEPAM 5MG/ML 2ML INJ PFS 4 0409-1273-32 DIPHENOXYLATE/ATROPINE 2.5MG/0.025MG TAB 5 51079-0067-20 DRONABINOL 2.5MG CAP 3C 68084-0174-01 HYDROCODONE/APAP 10MG/325MG TAB 3A 0406-0367-62 HYDROCODONE/APAP 5MG/325MG TAB 3A 68084-0368-01 HYDROCODONE/APAP 5MG/500MG TAB 3A 0904-3440-61 HYDROCODONE/APAP 7.5MG/750MG TAB 3A 63739-131-10 LISDEXAMFETAMINE 30MG CAP 2C 59417-0103-10 LISDEXAMFETAMINE 40MG CAP 2C 59417-0104-10 LISDEXAMFETAMINE 50MG CAP 2C 59417-0105-10 LORAZEPAM 0.5MG TAB 4 68084-0088-01 LORAZEPAM 1MG TAB 4 68084-0089-01 LORAZEPAM 2MG TAB 4 68084-0090-11 LORAZEPAM 2MG/ML 1ML INJ 4 10019-0102-01 METHYLPHENIDATE 10MG TAB 2C 00406-1122-01 METHYLPHENIDATE 18MG TAB ER 2C 50458-0585-01 METHYLPHENIDATE 20MG TAB 2C 0781-5753-01 METHYLPHENIDATE 27MG TAB ER 2C 50458-588-01 METHYLPHENIDATE 36MG TAB ER 2C 50458-0586-01 METHYLPHENIDATE 54MG TAB ER 2C 0591-2718-01 METHYLPHENIDATE 5MG TAB 2C 0406-1121-01 MIDRIN CAP NOT LISTED 62584-0139-01 MODAFINIL 100MG TAB 4 63459-0101-30 PHENOBARBITAL 30MG TAB 4 51079-095-20 TEMAZEPAM 15MG CAP 4 51079-418-20 TEMAZEPAM 30MG CAP 4 51079-419-01 TRAMADOL 50MG TAB NOT LISTED 62584-559-01 ZOLPIDEM 10MG TAB 4 68084-0226-01
Set-up Inventory Types
These were set-up from the WS package.
Select Enter/Edit Menu Option: inventory Types - Enter/Edit Select NAOU INVENTORY TYPE NAME: ? Answer with AOU INVENTORY TYPE NAME Choose from: ALL INJECTIBLES ORAL MEDS You may enter a new AOU INVENTORY TYPE, if you wish Answer must be 3-30 characters in length
Set-up Location Codes
Here I will enter my abbreviations for safes, shelves, and medication cabinets.
Select Enter/Edit Menu Option: enter/Edit CS Drug Location Codes Select DRUG ADDRESS CODE: ? You may enter a new AOU ITEM LOCATION, if you wish Answer must be 1-3 characters in length Select DRUG ADDRESS CODE: MC Are you adding 'MC' as a new AOU ITEM LOCATION (the 1ST)? No// Y (Yes) AOU ITEM LOCATION CODE EXPANSION: Medication Cabinet DRUG ADDRESS CODE: MC// CODE EXPANSION: Medication Cabinet// Select DRUG ADDRESS CODE: S1 Are you adding 'S1' as a new AOU ITEM LOCATION (the 2ND)? No// Y (Yes) AOU ITEM LOCATION CODE EXPANSION: Shelf 1 DRUG ADDRESS CODE: S1// CODE EXPANSION: Shelf 1// Select DRUG ADDRESS CODE: S2 Are you adding 'S2' as a new AOU ITEM LOCATION (the 3RD)? No// Y (Yes) AOU ITEM LOCATION CODE EXPANSION: Shelf 2 DRUG ADDRESS CODE: S2// CODE EXPANSION: Shelf 2//
Create Narcotic Areas of Use
My hospital has a pretty standard set-up for a small hospital. The "VAULT" is the Inpatient Pharmacy; and each of the Wards (4) has a Narcotic Cabinet. So I have 5 areas of use: 1 vault and 4 cabinets.
Select Enter/Edit Menu Option: create/Edit the Narcotic Area of Use Select NAOU: INPATIENT PHARMACY Are you adding 'INPATIENT PHARMACY' as a new DRUG ACCOUNTABILITY STATS? No// Y (Yes) CONTROLLED SUBSTANCES SITE : INTRACARE SOUTH Select one of the following: M MASTER VAULT S SATELLITE VAULT N NARCOTIC LOCATION LOCATION TYPE: MASTER VAULT NAOU: INPATIENT PHARMACY// ASK MFG/LOT #/EXP.DATE?: N NO AUTO GENERATE DISPENSING #'S?: Y YES LOW DISPENSING #: 1 HIGH DISPENSING #: 999999999 LAST DISPENSING #: 1 PRINT GREEN SHEET: ? Enter "YES" to print the Green Sheet after process only, "NO" to print after RPh verification. Choose from: 1 YES 0 NO PRINT GREEN SHEET: GREEN SHEET STOCK: DISPENSING WORKSHEET SORT: DEFAULT GREEN SHEET PRINTER: DEFAULT REPORT PRINTER: DEFAULT LABEL PRINTER: EMERGENCY ORDER PRINTER: ORDER ENTRY BANNER: THERE ARE NO LINES! Edit? NO// ALLOW ONE-TIME REQUESTS?: PRIME VENDOR?: Select NAOU: ADULT Are you adding 'ADULT' as a new DRUG ACCOUNTABILITY STATS? No// Y (Yes) CONTROLLED SUBSTANCES SITE : INTRACARE SOUTH Select one of the following: M MASTER VAULT S SATELLITE VAULT N NARCOTIC LOCATION LOCATION TYPE: NARCOTIC LOCATION NAOU: ADULT// PRIMARY DISPENSING SITE: INPATIENT PHARMACY USING PERPETUAL INVENTORY?: Y YES Is this a Pharmacy NAOU for Working Stock?: N NO ADJUSTMENT MAIL GROUP: TIME LIMIT FOR DELAYED DOSES: ... the rest of the NAOUs are Narcotic Locations ...
<pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em"> <pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em"> <pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em"> <pre style="padding:1em;border:1px dashed #2f6fab;color:black;background-color:#f9f9f9;line-height:1.1em">