Difference between revisions of "Enter A Drug"

Revision as of 17:57, 13 November 2010

Prerequisites

In order to enter drugs, you need to have access to the menu PSS MGR (Pharmacy Data Management). This menu comes by default in WorldVistA XUCORE (Core Menu).

Even though the menu is not locked, the entry routine checks for a bunch of security keys.

They are: PSNMGR is needed to match/rematch to NATIONAL DRUG file PSORPH or PSXCMOPMGR is needed for OUTPATIENT drugs; PSORPH for non-VA drugs PSJU MGR is needed for UNIT DOSE drugs PSJI MGR is needed for IV drugs PSGWMGR is needed for WARD STOCK drugs PSAMGR or PSA ORDERS is needed for DRUG ACCOUNTABILITY usage PSDMGR is needed for CONTROLLED SUBSTANCES usage

What you really need is the following for a typical hospital implementation PSNMGR (to match the drug) PSORPH (to mark drugs for outpatient and non-VA) PSJU MGR (to mark drugs for Unit Dose) PSJI MGR (to mark drugs for IV)

If you cannot match/rematch a drug; AND/OR get the following message:

You do not have the proper keys to continue. Sorry, this concludes your editing session.

then you are missing security keys.

Here is a session on entering a drug. This is a drug that is not in the US.

<Enter drug as Name conc dosage form route size. You only have 30 characters, so you may need to omit some stuff>
Select DRUG GENERIC NAME: AMBROXOL 15MG/2ML SOLN 50ML BOTTLE
  Are you adding 'AMBROXOL 15MG/2ML SOLN 50ML BOTTLE' as
    a new DRUG (the 1669TH)? No// Y  (Yes)
   DRUG NUMBER: 3372//
   DRUG VA CLASSIFICATION: <Leave all of these blank>
   DRUG FSN:
   DRUG LOCAL NON-FORMULARY:
   DRUG INACTIVE DATE:
   DRUG MESSAGE:
   DRUG RESTRICTION:
GENERIC NAME: AMBROXOL 15MG/2ML SOLN 50ML BOTTLE  Replace
VA CLASSIFICATION:
DEA, SPECIAL HDLG:
DAW CODE:

NATIONAL FORMULARY INDICATOR: Not Matched To NDF
LOCAL NON-FORMULARY:
VISN NON-FORMULARY:
Select DRUG TEXT ENTRY:
Select FORMULARY ALTERNATIVE:
Select SYNONYM:    <These synonyms are what pharamcists can search by>
MESSAGE:
RESTRICTION:
FSN:
NDC:
INACTIVE DATE:

If you are planning to match to a NDF entry later or have no plan of using
the external billing function, you may skip the Service Code entry.
SERVICE CODE:

WARNING LABEL SOURCE is not 'NEW'.
WARNING LABEL will be used until the WARNING LABEL SOURCE is set to 'NEW'.
WARNING LABEL:
Current Warning labels for AMBROXOL 15MG/2ML SOLN 50ML BOTTLE
No warnings from the new data source exist for this drug.
Verify that the drug is matched to the National Drug File.

Would you like to edit this list of warnings? N// O
ORDER UNIT:
PRICE PER ORDER UNIT:
DISPENSE UNIT: BOTTLE  <Very important field--prints on label>
DISPENSE UNITS PER ORDER UNIT:

  Note:     Defaulting the NCPDP DISPENSE UNIT to EACH and the
            NCPDP QUANTITY MULTIPLIER to 1 (one).

NCPDP DISPENSE UNIT: EACH//
NCPDP QUANTITY MULTIPLIER: 1//
PRICE PER DISPENSE UNIT:

<Always try to match to the National Drug file>
Do you wish to match/rematch to NATIONAL DRUG file? Yes//   (Yes)

Deleting Possible Dosages...


Match local drug  AMBROXOL 15MG/2ML SOLN 50ML BOTTLE
                                        ORDER UNIT:
                        DISPENSE UNITS/ORDER UNITS:
                                     DISPENSE UNIT: BOTTLE
No NDC to match...

     I will attempt to match the NDCs from your SYNONYMS.

No match by Synonym NDC... now first word



Match on first word failed...


No match . . . attempting to match by Trade Name
There are no Trade Names...unable to match

Do you want to attempt to match by NDC or UPN:

     Select one of the following:

          N         NDC
          U         UPN

Enter response: NDC//

Please enter NDC Code <WITH DASHES>:

Unable to match by Name, Trade Name or NDC Code/UPN

Select VA GENERIC NAME:    GUAIFENESIN
         ...OK? Yes//   (Yes)


Match made with AMBROXOL 15MG/2ML SOLN 50ML BOTTLE
  Now select VA Product Name

1 GUAIFENESIN 100MG TAB    TAB  RE302  G0079
2 GUAIFENESIN 100MG/5ML (AF) LIQUID    LIQUID,ORAL  RE302  G0218
3 GUAIFENESIN 100MG/5ML (SF & AF) LIQUID    LIQUID,ORAL  RE302  G0130
4 GUAIFENESIN 100MG/5ML (SF & AF) LIQUID,5ML    LIQUID,ORAL  RE302  G0261
5 GUAIFENESIN 100MG/5ML (SF) LIQUID    SYRUP  RE302  G0106
6 GUAIFENESIN 100MG/5ML SYRUP    SYRUP  RE302  G0035
7 GUAIFENESIN 1200MG TAB,SA    TAB,SA  RE302  G0161  **INACTIVE**
8 GUAIFENESIN 200MG CAP    CAP,ORAL  RE302  G0092
9 GUAIFENESIN 200MG TAB    TAB  RE302  G0107
10 GUAIFENESIN 200MG/5ML (SF & AF) LIQUID    LIQUID  RE302  G0125

Enter your choice or press return to continue: 2
          Is this a match  < Reply Y, N or press return to continue > :  y

CHOOSE FROM:
  1    120 ML  BOTTLE
  2    240 ML  BOTTLE
  3    3840 ML  BOTTLE
  4    480 ML  BOTTLE
  5    OTHER  OTHER
          Enter Package Size & Type Combination: 5

Local drug AMBROXOL 15MG/2ML SOLN 50ML BOTTLE
matches    GUAIFENESIN 100MG/5ML (AF) LIQUID
PACKAGE SIZE: OTHER
PACKAGE TYPE: OTHER

< Enter "Y" for yes >
< Enter "N" for no >                              OK? :  y
LOCAL DRUG NAME: AMBROXOL 15MG/2ML SOLN 50ML BOTTLE
                                        ORDER UNIT:
                        DISPENSE UNITS/ORDER UNITS:
                                     DISPENSE UNIT: BOTTLE

VA PRODUCT NAME: GUAIFENESIN 100MG/5ML (AF) LIQUID
VA PRINT NAME: GUAIFENESIN 100MG/5ML (AF) LIQUID         CMOP ID: G0218
VA DISPENSE UNIT: ML                                     MARKABLE FOR CMOP: YES
     PACKAGE SIZE: OTHER
     PACKAGE TYPE: OTHER
VA CLASS: RE302  NON-OPIOID-CONTAINING ANTITUSSIVES/EXPECTORANTS
CS FEDERAL SCHEDULE:
INGREDIENTS:
     GUAIFENESIN 100 MG/5ML
NATIONAL FORMULARY INDICATOR: YES
NATIONAL FORMULARY RESTRICTION:


< Enter "Y" for yes, "N" for no >


          Is this a match ? y

You have just VERIFIED this match and MERGED the entry.

Resetting Possible Dosages..

Press Return to continue:
Just a reminder...you are editing AMBROXOL 15MG/2ML SOLN 50ML BOTTLE.

Strength from National Drug File match => 100    MG/5ML
Strength currently in the Drug File    => 100

Strength => 100   Unit =>

POSSIBLE DOSAGES:
   DISPENSE UNITS PER DOSE: 1         DOSE: 100MG/5ML       PACKAGE: I
   DISPENSE UNITS PER DOSE: 2         DOSE: 200MG/10ML      PACKAGE: I

LOCAL POSSIBLE DOSAGES:


Do you want to edit the dosages? N// y  YES

Changing the strength will update all possible dosages for this Drug.

<May need to change dosage>
STRENGTH: 100// 37.5

Resetting possible dosages:
  Possible Dosage = 37.5MG/1.875ML
  Possible Dosage = 75MG/3.75ML

Select DISPENSE UNITS PER DOSE: ?
    Answer with POSSIBLE DOSAGES DISPENSE UNITS PER DOSE
   Choose from:
   1     37.5    I
   2     75    I

        You may enter a new POSSIBLE DOSAGES, if you wish
        Type a Number between 0 and 99999999, 4 Decimal Digits

Select DISPENSE UNITS PER DOSE: 1    37.5    I

DISPENSE UNITS PER DOSE: 1// @
   SURE YOU WANT TO DELETE THE ENTIRE '1' DISPENSE UNITS PER DOSE? y  (Yes)

Select DISPENSE UNITS PER DOSE: 2    75    I

DISPENSE UNITS PER DOSE: 2// @
   SURE YOU WANT TO DELETE THE ENTIRE '2' DISPENSE UNITS PER DOSE? y  (Yes)

Select DISPENSE UNITS PER DOSE: ?
        You may enter a new POSSIBLE DOSAGES, if you wish
        Type a Number between 0 and 99999999, 4 Decimal Digits

Select DISPENSE UNITS PER DOSE:

Strength: 37.5                Unit: MG/5ML

Select LOCAL POSSIBLE DOSAGE: ?
        You may enter a new LOCAL POSSIBLE DOSAGE, if you wish
        Answer must be 1-60 characters in length.

Select LOCAL POSSIBLE DOSAGE: ?
        You may enter a new LOCAL POSSIBLE DOSAGE, if you wish
        Answer must be 1-60 characters in length.

Select LOCAL POSSIBLE DOSAGE: 5 ML
  Are you adding '5 ML' as a new LOCAL POSSIBLE DOSAGE (the 1ST for this DRUG)?
 No// Y  (Yes)

LOCAL POSSIBLE DOSAGE: 5 ML//
PACKAGE: IO  Both
DOSE UNIT: ML  MILLILITER(S)
NUMERIC DOSE: 5

Strength: 37.5                Unit: MG/5ML

Select LOCAL POSSIBLE DOSAGE:

MARK THIS DRUG AND EDIT IT FOR:
O  - Outpatient
U  - Unit Dose
I  - IV
X  - Non-VA Med

Enter your choice(s) separated by commas : X
                                           X - Non-VA Med
** You are NOW Marking/Unmarking for NON-VA MEDS. **

A Non-VA Med ITEM? No// Y  (Yes)

** You are NOW in the ORDERABLE ITEM matching for the dispense drug. **


   Dosage Form -> LIQUID,ORAL


Match to another Orderable Item with same Dosage Form? NO//


   Dosage Form   -> LIQUID,ORAL
   Dispense Drug -> AMBROXOL 15MG/2ML SOLN 50ML BOTTLE


Orderable Item Name: GUAIFENESIN// AMBROXOL

Matching AMBROXOL 15MG/2ML SOLN 50ML BOTTLE
   to
AMBROXOL LIQUID,ORAL

Is this OK? YES//
Match Complete!

   Now editing Orderable Item:
   AMBROXOL   LIQUID,ORAL

FORMULARY STATUS:
Select OI-DRUG TEXT ENTRY:
INACTIVE DATE:
DAY (nD) or DOSE (nL) LIMIT:
MED ROUTE: PO  ORAL      PO
SCHEDULE TYPE: R  FILL ON REQUEST
SCHEDULE: TID
PATIENT INSTRUCTIONS:

Select SYNONYM: MYCOSOLVAN
  Are you adding 'MYCOSOLVAN' as a new SYNONYM (the 1ST for this PHARMACY ORDER
ABLE ITEM)? No// Y  (Yes)

SYNONYM: MYCOSOLVAN//

Select SYNONYM:

IF you get: You do not have the proper keys to continue. Sorry, this concludes your editing session.

check to make sure you have the proper SECURITY KEY to do the editing.

For example: PSNMGR is needed to match/rematch to NATIONAL DRUG file PSORPH or PSXCMOPMGR is needed for OUTPATIENT drugs PSJU MGR is needed for UNIT DOSE drugs PSJI MGR is needed for IV drugs PSGWMGR is needed for WARD STOCK drugs PSAMGR or PSA ORDERS is needed for DRUG ACCOUNTABILITY usage PSDMGR is needed for CONTROLLED SUBSTANCES usage