Pharmacy CS Setup
From VistApedia
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.
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)
- Location in each of the Nursing Units (if available)
- Breakdown Units and Package Size. A breakdown unit is how much would you give nursing at one time. Typically, for UD packaged drugs, that's 10.
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 ...
Configure Drugs in VAULT
The next step is to configure each of the drugs in the Vault. No joke--that's very time consuming. Here's one.
Select DRUG: ADD,10ADDERALL AMPHETAMINE/D-AMPHETAMINE 10MG TAB CN801
Are you adding 'AMPHETAMINE/D-AMPHETAMINE 10MG TAB' as
a new DRUG (the 2ND for this DRUG ACCOUNTABILITY STATS)? No// Y (Yes)
LOCATION: NS,S1,2
Select TYPE: ORAL MEDS
Select TYPE:
STOCK LEVEL: 100 (Ideal Stock Level)
REORDER LEVEL: (When should you re-order?)
QUANTITY TO REORDER: (How much to reorder?)
BREAKDOWN UNIT: TAB (How dispensed? Liquids may be mLs)
PACKAGE SIZE: 20 (Multiples of this are transferred to a Ward Location at a time)
LIQUID?:
RESTRICT FROM NAOUS?: (Restrict from One-Time unscheduled requests)
ALWAYS PRINT VA FORM 10-2638?: (Should a green sheet always print?)
MAXIMUM QUANTITY PER ORDER: (Wards cannot exceed this)
MANUFACTURER:
LOT #:
EXPIRATION DATE:
Configure Drugs in Narcotic Ward Locations
Now that you have entered all the drugs into the VAULT, it's time to add them to each of the wards. Note that (logically) you cannot add drugs that are not in the main VAULT.
Select Enter/Edit Menu Option: STOCK CS Drugs - Enter/Edit
Select NAOU: ?
Answer with DRUG ACCOUNTABILITY STATS PHARMACY LOCATION
Choose from:
ADOLESCENT
ADULT
CHILDREN'S
DAPA
INPATIENT PHARMACY
Select NAOU: DAPA
Do you wish to ADD or EDIT stock drugs? ADD//
You may select only CS drugs stocked in your dispensing vault.
Select DRUG: AMBIEN,10AMBIEN ZOLPIDEM 10MG TAB CN309
ARE YOU ADDING 'ZOLPIDEM 10MG TAB' AS A NEW DRUG (FOR THIS DRUG ACCOUNTABILITY S
TATS)? Y// ES
LOCATION: MC
Select WARD (FOR DRUG): DAPA 3R 314-326 S
Select WARD (FOR DRUG):
Select TYPE:
STOCK LEVEL: 20
REORDER LEVEL:
QUANTITY TO REORDER:
MANUFACTURER:
LOT #:
EXPIRATION DATE:
Conclusion
For my purposes, I am done. All narcotics on wards will now be recognized as ward stock by the UD package.
//Sam
