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pharmacist`s user manual

1. 92 Process Internet Refills ioin e tee teet eee ERR ioe da ee eee EEE E A 93 Complete Orders from OERR etre dines ertet aste e tet amet 95 Flagging and Unflagging a New Pending Order seen enne enne 99 Changes to Finishing Pending Orders Process Digitally Signed Orders Only 103 Finishing an Order from OERR with Multiple Institutions eese esee 4 4 103 Finishing an ePharmacy Order 104 AGCHVIEY LOG E 105 Discontin e PrescriptiOn S um Lettere ett eer PE PE e Le eee eh van 108 e ee 109 Pharmacy i t te eth i b t 111 Ienored Rejects e e ee RU ERR SU e Ene La CoG Saadeh Cee YE Run 112 ePharmacy Medication Profile View Only esee eee entente enne entere 114 NDC Validation EE 116 ePharmacy Medication Profile Division Preferences eese eterne nene 117 ePliarmacy Site Parameters teet be uere p ER e eene ene 117 Third Party Payer Rejects View Process esses
2. ELPRT2 Enter LABELPRT2 OK to assume label alignment is correct YES Enter ALBANY s FDA Medication Guide Printer s on file Select FDA M 1 SUPPOR 20 SUPPOR SESUEBPEOR 1 29 1 Margin 96 ER HOME SUP SUPPORT LI ET SUP HALLWAY LINE 111 ROOM 273 ROOM 269 EXMARK LASERJET SUP HALLWAY LINE 111 Right This device cannot be used for printing FDA Medication Guides Please Network Prin Select FDA M March 2012 contact your IRM and ask them to update the Windows ter Name for t his device HOME L8150 PRT Outpatient Pharmacy V 7 0 15 Pharmacist s User Manual PSO 7 367 16 This page included for two sided copying Outpatient Pharmacy V 7 0 Pharmacist s User Manual November 2010 Chapter 2 Using the Interface Menu This chapter describes the options on the External Interface Menu This menu is locked with the PPOINTERFACE lock The PSOINTERFACE key should be assigned to all persons responsible for performing these functions External Interface Menu PSO EXTERNAL INTERFACE This menu contains the following options for using an external interface device e Purge External Batches e Reprint External Batches e View External Batches Purge External Batches PSO INTERFACE PURGE This option purges entries from the PHARMACY EXTE
3. p OUTPATIENT PHARMACY PSO PHARMACIST S USER MANUAL Version 7 0 December 2007 Revised March 2012 Department of Veterans Affairs Product Development Revision History Each time this manual is updated the Title Page lists the new revised date and this page describes the changes If the Revised Pages column lists All replace the existing manual with the reissued manual If the Revised Pages column lists individual entries e g 25 32 either update the existing manual with the Change Pages Document or print the entire new manual Revised Patch Description Pages Number 1 8 15 24 35 36 41 160 170a 170 1701 170m 170n 177 178 1 Vii 63 107a 1076 160 1606171 172 173 03 12 1 11 iia iib v viii 10 13 14 36 37 43 48a 48b 50 67 67a 67n 75 111 117 119 122 123 123a 123b 125 128 128a 128b 130 134 134a 134b 135 138 138a 138b 139 140 140a 140b 141 141a 141b 142 146 147 149 149a 150 154 156a 156b 157 170e 170f 171 178 02 12 March 2012 PSO 7 367 PSO 7 354 PSO 7 385 Outpatient Pharmacy V 7 0 To add functionality to Outpatient Pharmacy for the printing and storing of FDA Medication Guides Updates to Index N Goyal PM B Thomas Tech Writer Update to TOC Automated Dispensing Device ADD enhancement ADD DNS OPAI added to Glossary Niha Goyal PM John Owczarzak Tech Writer Removed
4. 120 Third Party Payer Rejects Worklist esses entere eene entente etes tenter 125 TRICARE CHAMPVA Bypass Override Report eese eese entere nnne nene 130 View ePharmacy RX noi dieat ot eee putet exe sh gangs eet CE HUE Rte de eh 156a MailMan Message for Open Unresolved nennen 157 Alerts for Discontinued 158 Discontinued by a Background Process eese 158 Discontinued by a Foreground Pharmacy Process entere 159 List One Patient s Archived amp aee RI P EET EPA eer Ere beatae 159 Manual Print of Multi Rx Forms nennen nene 159 Reprint an Outpatient Rx Label eben te Hee ta Ht ORE ER 160 signature Log re hte e rene sides entier dee 160b View Prescriptions eem taedet ae e ee pute p ein 160b Chapter 20 Updating a Patient s Record sess 161 Update Patient Recotd be e eee IRE e t cect fn Ree ere 161 Chapter 21 Verifying Prescriptions eese nnne 163 Verifications OPES 163 Last None Verified Scripts te t e ee EO RP eU bees 164 INon Verified Counts cote ttt toe eem Lore etes iA 165 Rx Verification by Clerk tet iet e HER iet de E ea tee 165 Verifying ePharmac
5. RM Reprint FDA Medication Guide 170h ALBANY s FDA Medication Guide Printer s on file BIRM1SPRT L8150S PRT Select FDA MED GUIDE PRINTER SUPPORT LINE PRINTER ROOM 234 Select FDA Medication Guide to reprint FL FDA MED GUIDE FILE NAME DYER DATE 1 0 Lindane Lotion Generic 2008 WINDOW 07 02 11 2 Lindane Lotion Generic 2008 pdf WINDOW 08 16 11 3 1 Lindane Lotion Generic 2008 pdf WINDOW 09 21 11 4 Lindane Lotion Generic 2008 pdf LATEST Select FDA Med Guide 1 4 3 Lindane Lotion Generic 2008 pdf FDA Medication Guide sent to printer Enter RETURN to continue Outpatient Pharmacy V 7 0 March 2012 Pharmacist s User Manual PSO 7 367 Example 7 Reprinting FDA Medication Guide from Profile OP Medications ACTIVE Qai ZOLLER 52 825 Page ll 2 OUTPATNM CATHLEEN lt NO ALLERGY ASSESSMENT gt PID 666 00 0704 Ht cm DORs mue T 1955 56 Wt kg Rx 300411 1 Orderable Item LINDANE SHAMPOO 2 Drug LINDANE 1 SHAMPOO Verb SHAMPOO 2 Dosage 1 Route ORAL BY MOUTH Schedule QD 4 Pat Instructions SIG SHAMPOO 1 BY MOUTH EVERY DAY 5 Patient Status SC LESS THAN 50 6 Issue Date 09 02 11 0 mall Dace 99 0
6. Rx 400693 06 27 03 OPPATIENT16 ONE 1 AS DIR ON AFFECTED AREA ADHESIVE TAPE WATERPROOF 1IN ROLL OPPROVIDER30 TWO OPPHARMACIST4 THREE of Refills 2 Select LABEL DEVICE L8150SPRI COPY ROOM 1A ALBANY s FDA Medication Guide Printer s on file BIRM1SPRT Default L8150SPRT Select FDA MED GUIDE PRINTER BIRMISPRT Enter LABEL S QUEUED TO PRINT When reprinting you can choose whether or not you want to resend to a dispensing device using an external interface If you do choose to resend then the prescription will be sent to the dispensing system and an entry will be made in the label log This documents that this was a reprint and also resent to the dispensing system device If you do not resend the prescription to the dispensing device then only one entry is made in the label log 160 Outpatient Pharmacy V 7 0 March 2012 Pharmacist s User Manual PSO 7 367 Chapter 24 FDA Medication Guides Medication Guides are paper handouts that come with many prescription medicines These guides address issues that are specific to particular drugs and drug classes and they contain FDA approved information that can help patients avoid serious adverse events The FDA requires that medication guides be issued with certain prescribed drugs and biological products when the agency determines that certain information is nece
7. 170j Label Log and Event Log Display eese nee E oeii ei 170j Audit Trail for FDA Medication Guide 170j Automatically Printing FDA Medication Guides is Optional eene 170j Ghapter 25 Security Keys NE CUYO aO 170m New or Modified Security Keys 2 ied Rede delish 170m PSO TRICARE CHAMPVA ei Ei teu e aes EHE eR PIRE one eere 170m PSO TRICARE CHAMPVA MGR 1 ic ee eei ee i sepe tee eec de 170m GIOSSANY 171 jp m 177 viii Outpatient Pharmacy V 7 0 March 2012 Pharmacist s User Manual PSO 7 367 Using List Manager with Outpatient Pharmacy List Manager is a tool designed so that a list of items can be presented to the user for an action For Outpatient Pharmacy the List Manager does the following Allows the pharmacist or technician to browse through a list of actions Allows the pharmacist or technician to take action against those items Allows the user to select an action that displays an action or informational profile Allows the user to select a different action without leaving an option Entering Actions Actions are entered by typing the name s or synonym s at the Select Item s prompt In addition to the various actions that may be availa
8. Process 159 Dispense as Written 73 Displaying an FDA Medication Guide 170a Display Patient s Name on Monitor 13 DUE Report 20 DUE Supervisor 19 E Edit an Existing Answer Sheet 19 Edit Pharmacy Intervention 33 Edit Prescription s 109 Enter a New Answer Sheet 19 Enter New Patient 13 Enter Pharmacy Intervention 33 Enter Edit Clinic Sort Groups 21 Entering Actions 7 March 2012 ePharmacy Medication Profile Division Preferences 117 ePharmacy Menu 111 ePharmacy Site Parameters 117 Error Information 169 Error Messages 169 Evaluating Drug Usage 19 External Interface Menu 23 F FDA Medication Guides 170a Flagging and Unflagging a New Pending Order 89 99 157 H Host Errors 36 Ignored Rejects Report 112 Introduction 1 L List Manager 3 List Non Verified Scripts 164 List One Patient s Archived Rx s 159 MailMan message for Open Unresolved Rejects 157 Manual Print of Multi Rx Forms 159 Medication Profile 27 Medication Reconciliation 31 N NDC Validation 116 New or Modified Security Keys 170m Non VA Meds Usage Report 8 Non Verified Counts 165 O Order Check Data Caching 167 Ordering Processing a Prescription 53 Other Outpatient Pharmacy ListMan Actions 10 Outpatient Pharmacy V 7 0 177 Pharmacist s User Manual PSO 7 367 Other Rejects 152 Other Screen Actions 10 Outpatient Pharmacy Hidden Actions 8 P Patient Lookup 12 Patient Prescri
9. Network Printer Name are allowed Answer with DEVICE NAM or LOCAL SYNONYM or SI or VOLUME SET CPU or SIGN ON SYSTEM DEVICE or FORM CURRENTLY MOUNTED Do you want the entire Select FDA MED GUIDE PRINTER BAY PINES MED GUIDE PRINTER DEVICE List N No BIRM1 BIRMISPRT BHM ORT MU DA MED GUIDE PRINTER DEFAULT PRINTER PRN VHAISPLAB5 BIRM1 Yes BIRM1SPRT Indicate whether the printer is the default FDA Medication Guide Printer HO cle Choose from ib YES DEFAULT PRINTER 1 Y ES Select FDA MED GUIDE PRINTER Reprinting an FDA Medication Guide PSO LM BACKDOOR ORDERS The system allows the user to reprint the associated FDA Medication Guide for a given prescription fill or the latest FDA Medication Guide available for the medication on the prescription when reprinting a prescription label and for prescription fills sent to CMOP by invoking the RM action under the OTH Other OP Actions after selecting a specific prescription in Backdoor Pharmacy as seen below The system prompts the user whether to reprint a medication guide if an FDA Medication Guide is associated with a Prescription when reprinting a label The Default is set to NO Example 4 Drug Not matched to National Drug File If a user tries to use
10. incorrect listing of View Additional Reject Info ARI action Added signature alerts Updated wording for 4 Days Supply Hold Added rounding functionality for 34 Days Supply Hold Added new actions Submit Multiple Actions SMA and Suspense Date Calculation SMA Added new option View ePharmacy Rx VER Corrected earlier formatting errors Corrected typos Updated Service Code values Updated changed security key names Added TRICARE and CHAMPVA examples of rejects on a new order Updated name of TRICARE CHAMPVA Bypass Override Report Updated screen shots related to patch changes Updated wording based on reviewer feedback Added CHAMPVA functionality Added separate section to list changes to security keys Added CHAMPVA to Glossary S Spence PM C Smith Tech Writer Pharmacist s User Manual PSO 7 367 Revised Patch Description Pages Number i ii 4 7 PSO 7 359 Added new action View Additional Reject Info 10 36 56 58 ARI 64 66 95 118 Expanded ECME Numbers to twelve digits 120 124 126 Updated screen shots related to patch changes 127 128 128b Added TRICARE to Glossary 135 137 139 Corrected typos 145 146 146b Corrected formatting errors from 11 10 reissue 148 149 149b S Spence PM C Smith Tech Writer 150 153 154 154b 155 156 165 175 178 09 11 i vi vii 30a 30f PSO 7 382 Added information regarding the new PSO HRC PROFILE REFILL option N Goyal PM J Owczarzak Tech W
11. prescription earlier users may pull these types of prescriptions early from suspense Host Errors Prescriptions ePharmacy only will be prevented from being filled sent to CMOP when a host processing error occurs as a claim is submitted through ECME Host processing errors are identified by reject codes M6 8 NN and 99 which are returned by the third party payer The following conditions apply when this scenario occurs e The transmission of the prescription fill will be delayed 1 day in hopes that the host processing issues will be resolved by the third party payer e An activity log entry will state the date time along with a comment stating that the Rx fill was left in suspense hold due to a host processing error The following is an example of the log entry 36 Outpatient Pharmacy V 7 0 March 2012 Pharmacist s User Manual PSO 7 367 Chapter 4 Pull Early from Suspense This chapter describes the option for pulling prescriptions early from the SUSPENSE file Pull Early from Suspense PSO PNDRX This option is used to pull a specific prescription or all prescriptions for a patient early If a prescription is pulled early using this option it will not be associated with any printed batch A label cannot be reprinted with the Reprint Batches from Suspense option if the prescription has been pulled early suspense In addition Method of Pickup can be edited Also there is no longer a DELETE FROM SUSPENSE PROMPT That prompt has b
12. this option for a medication that is not matched to the National Drug File the following message will display 0 PN AP MI DO MG RM March 2012 Progress Note OP Action Profile OP tinge QE Print Medication Instructions Display Orders Statuses Display FDA Medication Guide Reprint FDA Medication Guide Outpatient Pharmacy V 7 0 170g Pharmacist s User Manual PSO 7 367 Select Item s RM Reprint FDA Medication Guide AC ETAMINOPHEN 325MG C T not matched to the National Drug File NDF ter RETURN to continue Example 5 No FDA Medication Guide Associated with Drug If a user tries to use this option for a medication that does not have an FDA Medication Guide on file the following message will display 1921 OP ACTIONS PN AP MI DO MG RM Selec Progress Note OP Action Profile OP Print Medication Instructions Display Orders Statuses Display FDA Medication Guide Reprint FDA Medication Guide t Item s RM Reprint FDA Medication Guide o FDA Medication Guide on file for this Rx Enter RETURN to continue Example 6 Reprinting an FDA Medication Guide for a Medication that has an FDA Medication Guide on File Other OP Actiems PN Progress Note OP AP Action Profile OP MI Print Medication Instructions DO Display Orders Statuses MG Display FDA Medication Guide RM Reprint FDA Medication Guide Select Item s
13. 2 11 Last Fill Date 09 02 11 Window Last Release Date 8 Lot 4 Expires 09 02 12 MFG spe SS SSS SSS Enter for more actions DC Discontinue PR Partial RL Release ED Edit RF Refill RN Renew Select Action Next Screen rp RP umber of Copies 1 99 2 17 Print adhesive portion of label only No NO Reprint the FDA Medication Guide No YES Comments TESTING SINGLE RX REPRINT Rx 300411 09 02 11 OUTPATNM CATHLEEN 1 SHAMPOO 1 BY MOUTH EVERY DAY LINDANE 1 SHAMPOO ROBERTSON MARK ROCHA MARCELO of Refills 5 Press Return to Continue Changing the FDA Medication Guide Printer PSO CHANGE PRINTER Users have the ability to change the currently selected FDA Medication Guide printer through the Change Label Printer option PSO Change Printer Example 8 Changing the FDA Med Guide Printer Se Select Outpatient Pharmacy Manager Option Change Label Printer lect PROFILE PRENTER ELNET IN GENERIC INCOMING TELNET lect LABEL PRINTER TELNET IN GENERIC INCOMING TELNET Se OK to assume label alignment is correct YES ALBANY s FDA Medication Guide Printer s BIRM1 PRT March 2012 Outpatient Pharmacy V 7 0 im ii 170i Pharmacist s User Manual PSO 7 367 L8150SPRT Select FDA MED GUIDE PRINTER BIRMISPRT hines HINES FDA MED GUIDE PRINTER NES Prompt During Label Prin
14. Client users copy paste the URL below into a browser to access the FDA Medication Guide for this drug vaww national cmop va gov FDAMedGuides Lindane_ Generic _ 2008 pdf Please wait The system is unable to display FDA Med Guide automatically The FDA Medication Guide will not automatically open on Thin Client and some types of encrypted sessions If you do not believe this is the reason contact your local technical support for assistance You can copy paste the link above into your browser s address bar to retrieve the FDA Medication Guide 120 ios Isle quce V igo esuscs 2 Outpatient Pharmacy V 7 0 November 2010 Pharmacist s User Manual Printing an FDA Medication Guide The Outpatient Pharmacy application automatically prints an FDA Medication Guide on a separate designated printer after printing the prescription label and PMI sheet if one is available for the medication being dispensed Anytime a label is printed the system ensures that if the specific drug has an associated medication guide it will be printed whether the script is a normal fill a partial fill or a refill When an FDA medication guide is sent to the printer information is included in the footer of the document to identify the Patient the Rx and the date it was printed gt The system indicates when an associated medication guide exists on the prescription label printout The printout con
15. OPPATIENT4 ONE LL FEB 28 2007 13 46 07 OPPATIENTS8 ONE Select Batch s to reprint dL 11 g GG Batches selected for Reprint are Batch 5 Queued for FEB 28 2007 08 50 32 by OPPHARMACIST4 THREE Batch 6 Queued for FEB 28 2007 09 15 35 by OPPHARMACIST4 THREE Reprint the FDA Medication Guide No YES Before Reprinting would you like a list of these prescriptions N Enter Are you sure you want to Reprint labels Y Enter YES Select LABEL DEVICE Select Print Device LABEL S QUEUED TO PRINT Select External Interface Menu Option 24 Outpatient Pharmacy V 7 0 March 2012 Pharmacist s User Manual PSO 7 367 Chapter 3 Print from Suspense File This chapter describes the Print from Suspense File option used for printing suspended prescriptions Print from Suspense File PSO PNDLBL This option allows the user to print labels from the RX SUSPENSE file First enter the Print Through date Any prescriptions with a suspense date on or before the date entered will print Additionally if a patient has at least one prescription on or before the date entered any other prescriptions for that patient that are in suspense will be printed for the site parameter specified number of days to be pulled from suspense For example if today s date is entered and Patient A has a prescription to be printed through the that date all of Patient A s prescrip
16. RNAL INTERFACE file Example Purge External Batches Select External Interface Menu Option Purge External Batches Enter cutoff date for purge of External Interface file 022807 FEB 28 2007 Purge entries that were not successfully processed NO lt Enter gt Purge queued to run in background Select External Interface Menu Option November 2010 Outpatient Pharmacy V 7 0 23 Pharmacist s User Manual Reprint External Batches PSO INTERFACE REPRINT This option enables the reprinting of labels for batches of prescriptions that have been sent to the external interface Example Reprint External Batches Select External Interface Menu Option Reprint External Batches Enter a date time range to s all batches sent to the External Interface Start date time 022807 FEB 28 2007 End date time 030707 MAR 07 2007 Gathering batches please wait BATCH QUEUED TO PRINT ON PATIENT ALBANY 1 FEB 28 2007 08 06 14 OPPATIENT12 ONE 2 PAE 28 200 HWS 10s 56 OPPATIENT12 ONE 3 FEB 28 2007 08 19 20 OPPATIENT22 ONE 4 FEB 28 2007 08 38 17 OPPATIENT28 ONE 5 FEB 28 2007 08 50 32 OPPATIENT9 ONE 6 ZS 200 VEO 152335 OPPATIENT9 ONE FEB 28 2007 09 33 48 OPPATIENT18 ONE 8 nae 23 200 700s 3 sie S1 OPPATIENT1 ONE 9 ipm 23 200 70s 362 Sil OPPATIENT10 ONE 10 FEB 28 2007 13 37 24
17. ayed not displayed Exits the screen may be shown as a default Outpatient Pharmacy Hidden Actions The Outpatient Pharmacy hidden actions will display with the previous hidden actions once a completed or finished order is selected and a double question mark is entered at the Select Action prompt The following hidden actions appear on the Medication Profile screen and can only be applied to one order at a time Action Activity Logs AL Copy CO DIN IN Hold HD Other OP Actions OTH Description Displays the Activity Logs Allows the user to copy and edit an order Displays available drug restriction guideline information for the Dispense Drug and Orderable Item associated with the selected medication order Intervention Menu Places an order on a hold status Allows the user to choose from the following sub actions Progress Note PN Action Profile AP Print Medication Instructions MI Display Orders Statuses DO Non VA Meds Report NV Display FDA Medication Guide MG Reprint FDA Medication Guide RM Outpatient Pharmacy V 7 0 March 2012 Pharmacist s User Manual PSO 7 367 Chapter 1 Changing the Label Printer This chapter describes the Change Label Printer option Change Label Printer PSO CHANGE PRINTER This option allows the user to change the printer to which labels are printed Select Outpatient Pharmacy Manager Option Change Label Printer Select LAB
18. ble specific to a particular option List Manager provides generic actions applicable to any List Manager screen A double question mark may be entered at the Select Action prompt for a list of all actions available The following is a list of generic List Manager actions with a brief description The synonym for each action is shown in brackets following the action name Entering the synonym is the quickest way to select an action Action Description Next Screen 4 Move to the next screen may be shown as a default Previous Screen Move to the previous screen Up a Line UP Move up one line Down a Line DN Move down one line Shift View to Right gt Move the screen to the right if the screen width is more than 80 characters Shift View to Left lt Move the screen to the left if the screen width is more than 80 characters First Screen FS Move to the first screen Last Screen LS Move to the last screen November 2010 Outpatient Pharmacy V 7 0 7 Pharmacist s User Manual Action Go to Page GO Re Display Screen RD Print Screen PS Print List PL Search List SL Auto Display On Off ADPL automatically Quit QU Description Move to any selected page in the list Redisplay the current Prints the header and the portion of the list currently displayed Prints the list of entries currently displayed Finds selected text in list of entries Toggles the menu of actions to be displ
19. cation Profile screen Activity Log option AL and also from the View Prescriptions option If the claim submission returns a Refill Too Soon 79 or Drug Utilization Review 88 reject the label is not printed for the prescription and it is moved to the Refill Too Soon DUR section of the patient Medication Profile screen until the user resolves the reject The prescription will also display on the Third Party Payer Reject worklist 34 Days Supply Hold Because of the great number of refill too soon third party claim rejections that can occur due to prescriptions being filled too early the system verifies that 4 of the days supply has elapsed on the previous fill before the ePharmacy prescription may be refilled The following list describes this functionality e ePharmacy prescriptions are delayed from being sent to and printed for local mail until 34 of the days supply has elapsed For suspense a partial day will be rounded up 3 of 30 days will be 23 days With the release of PSO 7 367 this rounding functionality will also be available for local mail suspense e An activity log entry will state the date time that the Rx will be allowed to be removed from suspense The activity log will be defined on the initial evaluation The following is an example of the log entry 4 06 18 08 SUSPENSE REFILL 2 OPHARM ONE Comments 3 4 of Days Supply SUSPENSE HOLD until 6 20 08 e To fill the
20. cation Guide Printer Selection Upon logging into outpatient pharmacy in addition to selecting the Label and Profile printers the user is prompted to select the FDA Medication Guide printer as well Only devices with a WINDOWS NETWORK PRINTER NAME field 135 defined in the DEVICE file 3 5 are selectable The FDA Medication Guide printer can be changed at any point of the dispensing process The user can also change the FDA Medication Guide printer through the Change Label Printer option PSO CHANGE PRINTER Example 2 Selecting the Printer Select OPTION NAME PSO MAN 1 PSO MANAGER Outpatient Pharmacy Manager 2 PSO MANUAL AUTO EXPIRE Manual Auto Expire Rxs CHOOSE 1 2 1 PSO MANAGER Outpatient Pharmacy Manager Outpatient Pharmacy software Version Division ALBANY 500 You are logged on under the ALBANY division Select PROFILE PRINTER HOME GENERIC INCOMING TELNET Select LABEL PRINTER HOME GENERIC INCOMING TE Ey EI OK to assume label alignment is correct YES ALBANY s FDA Medication Guide Printer s on file BIRM1SPRT 181505 Select FDA MED GUIDE PRINTER HINES FDA MED GUIDE PRINTER HINES Bingo Board Display OUTPATIENT The Default FDA Medication Guide Printer PSO SITE PARAMETERS Only one printer from the PHARMACY DIVISION file 59 list of available printers u
21. een changed to Pull Rx s and delete from Suspense Yes must be answered to this prompt to pull the prescriptions and they will always be deleted from suspense Since prescriptions that are pulled early from suspense do not belong to any printed batch and cannot be reprinted from suspense there is no reason to leave them in suspense _4 If the prescription being pulled from suspense has an FDA Medication Guide associated the gt user will be required to enter a valid FDA Medication Guide printer Tf the routing is changed to Window when pulling from suspense early and the bingo board S is being used those prescriptions will be sent to the bingo board If the patient has remote prescriptions then the text THIS PATIENT HAS PRESCRIPTIONS J AT OTHER FACILITIES will appear on the report as shown in the following example PRESCRIPTION PROFILE AS OF 12 30 2008 NAME PSOPATIENT ONE AN WNHIE FACIES PHARMACIST DAMEL If a prescription is determined to be an ePharmacy prescription e g third party electronically billable an electronic claim will be sent by ECME to the third party payer The communication events between Outpatient Pharmacy and ECME are recorded in the ECME Log section of each prescription The ECME log can be viewed in the patient Medication Profile screen Activity Log option AL and also from the View Prescripti
22. ient Address Changes Report Pharmacist Purge Dave Recompile Site Param Enter Edit Cost Data o e Eee Gne View Provider Select Supervisor Functions Option SITE Parameter Enter Edit Select SITE NAME ALBANY 500 Would you like to see all site parameters for this division Y NO NAME ALBANY MAILING FRANK STREET ADDRESS 114 HOLLAND AVE AREA CODE 518 PHONE NUMBER 472 4307 MAILING FRANK ZIP 4 CODE 12208 SITE NUMBER 500 NCPDP NUMBER LOGICAL LINK PSO DISP PROCESS AUTO REFILLS FOR INPAT PROCESS AUTO REFILLS FOR CNH FDA MED GUIDE PRIN ERVER URL This is the Uniform Resource Locator URL and Port Number for the Print Server running the Java Application responsible for automatically printing of the Food and Drug Administration FDA Medication Guides for Ele 6 6122 109 4 23 22 89992 V FDA M March 2012 ED GUIDE PRINT S ERVER URL Make sure this field is blank no Outpatient Pharmacy V 7 0 170k Pharmacist s User Manual PSO 7 367 This page included for two sided copying 1701 Outpatient Pharmacy V 7 0 March 2012 Pharmacist s User Manual PSO 7 367 Chapter 25 Security Keys A security key is a unique entry in the Secu
23. labels High volume window prescription dispensing sites may not have the necessary resources for collating FDA Medication Guides with their corresponding prescription labels Automated dispensing systems such as Optfill also perform the prescription label printing which usually happens at a later time than when the labels are printed in VistA Since FDA Medication 170j Outpatient Pharmacy V 7 0 March 2012 Pharmacist s User Manual PSO 7 367 Guides automatically print at the same time labels print from VistA medication guides may print too early in the dispensing process causing confusion To turn the FDA Medication Guide automatic printing functionality OFF or to not turn it ON for a specific pharmacy division make sure the FDA MED GUIDE PRINT SERVER URL field has no value This field can be edited via the Site Parameter Enter Edit PSO SITE PARAMETERS option as shown below Whether the functionality is being turned ON or OFF the prescription label printed from VistA S will still include the note Read FDA Med Guide when one is associated with the medication being dispensed Example 10 Updating the FDA Med Guide Print Server URL Field Select Outpatient Pharmacy Manager Option SUPERvisor Functions Add New Providers Initialize Daily Rx Cost Delete a Prescription Edit Provider 555 Cos SES SIS Inter Divisional Processing Inventory Lookup Clerk by Code Monthly Rx Cost Compilation Pat
24. numbers and dates of archiving for archived prescriptions for this patient Manual Print of Multi Rx Forms PSO LM MULTI RX PRINT This option allows the user to reprint the Multi Rx Refill Request form on laser label stock without having to reprint the entire prescription labels The user will receive a system confirmation that this form has been queued to print Example Manually Printing Multi Rx Forms Select Rx Prescriptions Option MANual Print of Multi Rx Forms Enter patient to reprint Multi Rx refill form for OPPATIENT2 ONE Select LABEL DEVICE LEX2 LEX2SPRT Bay Pines Multi Rx form queued to print November 2010 Outpatient Pharmacy V 7 0 159 Pharmacist s User Manual Reprint an Outpatient Rx Label PSO RXRPT The label reprint function allows a single label or many copies of the same label to be reproduced When the patient is enrolled in ScripTalk a message is displayed to the user indicating this and prompting the user to use the ScripTalk label for the prescription bottle Example Reprinting an Outpatient Rx Label Select Rx Prescriptions Option REPRINT AN OUTPATIENT RX LABEL Reprint Prescription Label 400693 ADHESIVE TAPE WATERPROOF 1IN ROLL Patient is a ScripTalk patient Use ScripTalk label for prescription bottle Number of Copies 1 99 1 lt Enter gt Print adhesive portion of label only N Enter O Reprint the FDA Medication Guide No YES Comments
25. ons option If the claim submission returns a Refill Too Soon 79 or Drug Utilization Review 88 reject the label is not printed for the prescription and it is moved to the Refill Too Soon DUR section of the patient Medication Profile screen until the user resolves the reject The prescription will also display on the Third Party Payer Reject worklist March 2012 Outpatient Pharmacy V 7 0 41 Pharmacist s User Manual PSO 7 367 42 This page included for two sided copying Outpatient Pharmacy V 7 0 Pharmacist s User Manual November 2010 Discontinued by a Foreground Pharmacy Process When a CMOP prescription with a status of Transmitted or Retransmitted is discontinued by a foreground Pharmacy process due to a duplicate drug scenario that would trigger the duplicate to be discontinued then the Processing Status field of the duplicate drug message is highlighted to alert the user Duplicate Drug in Local Rx Rx 123456789 Drug A AND Z OINTMENT SIG APPLY 1 TUBE TO AFFECTED AREA TWICE A DAY db Refills remaining 5 Provider OPPROVIDER PROV Issued 11 27 09 Status Active ien ome 11 27 09 Processing Status Transmitted to 11 27 09 Days Supply 5 In the above example the line Processing Status Transmitted to CMOP on 11 27 09 is bold List One Patient s Archived Rx s PSO ARCHIVE LIST RX S This option shows the basic patient demographics and the prescription
26. ption Processing 54 Pharmacy Intervention 33 Print from Suspense File 35 Printing an FDA Medication Guide 170e Print Pharmacy Intervention 34 Process Drug Drug Interactions 39 Process Internet Refills 93 Pull Early from Suspense 41 43 Purge External Batches 23 R Release Medication 45 Remove Patient s Name from Monitor 14 Reprint an Outpatient Rx Label 160 Reprint External Batches 21 24 Resolving Open Rejects 125 Return Medication to Stock 51 Rx Prescriptions 53 Rx Verification by Clerk 165 S Security Keys 170m Signature Log Reprint 160 Speed Actions 9 Status of Patient s Order 14 T Therapeutic Duplication 39xx Third Party Payer Rejects View Process 120 Third Party Payer Rejects Worklist 125 TRICARE Reject Processing 139 U Update Patient Record 161 Using List Manager with Outpatient Pharmacy 7 Using the Interface Menu 23 V Verifying Prescriptions 163 View External Batches 25 View Intervention 34 View Prescriptions 160a Viewing and Resolving Open Rejects 120 178 Outpatient Pharmacy V 7 0 March 2012 Pharmacist s User Manual PSO 7 367
27. riter 04 11 i viii 8 170a PSO 7 343 To add functionality to Outpatient Pharmacy for the 170d 177 179 On Demand Displaying of FDA Medication Guides Display FDA Medication Guide MG added to Other OP Actions OTH Updates to Index T Leggett PM B Thomas Tech Writer 04 11 i vi vii viii 5 PSO 7 251 The following changes are included in this patch 8 10 27 27b Outpatient List Manager Screen Views 28 30 39 Added HP and H to Hold Status 39nnn 40 54 Removed DC code Added DF DE DP DD and DA 54t 58 59 60 Added to Hidden Action List IN 601 78 82 Removed DC code Added DF DE DP DD and DA 159 163 167 and 180 Added HP and H to Hold Status Replaced Medication Short Profile Inserted enhanced Order checks Outpatient Pharmacy generated order checks Added IN to Screen Scrape Modified New Order Screen Scrape Inserted Drug Allergy Screens Updated Glossary and Index to start on odd pages G Tucker PM G Scorca Tech Writer ii Outpatient Pharmacy V 7 0 November 2010 Pharmacist s User Manual Using the GOpy ACHON CA see peter re P 76 Rerewing a Prescriptions neiaie ee ae eter b e ERU ee opea etae 64 Flagging and Unflagging a New Pending 89 Barcode RY Menu treu Pee CERE Ine nee Tbe 92 Barcode Batch Prescription ENY ese eee endete eee eire tera teta pene oan nnn 92
28. rity Key file DIC 19 1 which may prevent access to a specific option or action by including the key as part of the option s entry in the Option file DIC 19 Only users entered in the Holder field of the Security Key file may access the option or action New or Modified Security Keys PSO TRICARE CHAMPVA PSO 7 385 renamed the PSO TRICARE security key to PSO TRICARE CHAMPVA Please see TRICARE CHAMPVA Hligible Outpatient Override Function for further information on this security key PSO TRICARE CHAMPVA MGR PSO 7 385 renamed the PSO TRICARE MGR security key to PSO TRICARE CHAMPV A MGR Please see TRICARE CHAMPVA Bypass Override Report for further information on this security key March 2012 Outpatient Pharmacy V 7 0 170m Pharmacist s User Manual PSO 7 367 This page included for two sided copying 170n Outpatient Pharmacy V 7 0 March 2012 Pharmacist s User Manual PSO 7 367 Index 3 3 4 Days Supply Hold 36 A Alerts for Discontinued CMOP Prescription 158 Barcode Batch Prescription Entry 92 Barcode Rx Menu 92 Batch Print Questionnaires 20 Change Label Printer 15 Change Suspense Date 17 Check Quality of Barcode 92 Complete Orders from OERR 95 CPRS Order Checks How They Work 167 Create Edit a Questionnaire 20 D DAW Code 73 DAW NDC Edit 110 Delete Intervention 34 Discontinue Prescription s 108 Discontinued by a Background Process 158 Discontinued by a Foreground Pharmacy
29. rly from suspense will not be part of a batch so they will not be able to Z Mbereprinted through the Reprint Batches from Suspense option Prescriptions with an FDA Medication Guide associated will automatically print along with the KA labels if one is available In order to ensure that the documents are sent to an actual printer users will be required to enter a valid printer for printing the FDA Medication Guides at this option if one has not been selected when they logged on to the Outpatient Pharmacy Division A short profile for every patient for whom a label for a new prescription is being printed will also be printed if the local Profile with New Prescriptions site parameter is set to Yes March 2012 Outpatient Pharmacy V 7 0 35 Pharmacist s User Manual PSO 7 367 4 Ifa patient has partial prescriptions with regular fills only one set of trailing documents will ZS print for that patient In V 6 0 trailer documents were printed after each partial If a prescription is determined to be an ePharmacy prescription e g third party electronically billable an electronic claim will be sent by the Electronic Claims Management Engine ECME to the third party payer TRICARE and CHAMPVA prescriptions are exceptions as noted in the TRICARE and CHAMPVA section The communication events between Outpatient Pharmacy and ECME are recorded in the ECME Log section of each prescription The ECME log can be viewed in the patient Medi
30. ructions DO Display Orders Statuses MG Display FDA Medication Guide Select Item s MG Display FDA Medication Guide The following URL provides the link to the FDA Medication Guide associated with this medication Thin Client users copy paste the URL below into a browser to access the FDA Medication Guide for this Cline 2 vaww national cmop va gov FDAMedGuides Lindane_ Generic _ 2008 pdf Please wait IRFU ico NUS PRP tors or YO jee March 2012 Outpatient Pharmacy V 7 0 170a Pharmacist s User Manual PSO 7 367 The following Internet explorer browser will open automatically 53 http vaww national cmop va gov F DAMedGuides F DAMedicationGuides Lindane Lotion Generic 200 Microsoft Internet Explorer File Edit GoTo Favorites Help ay gt ao Q O B Saws 3 Address a http vaww national cmop va gov FDAMedGuides FDAMedicationGuides Lindane Lotion Generic 2008 pdf Be Links gt Save a Copy a 6 search e Q s m vi i MEDICATION GUIDE Lindane LIHN dane Lotion USP 1 You must read and follow all instructions before using Lindane Lotion Read the information you get every time you or a family member get Lindane Lotion There may be new information This Medication Guide does not take the place of talking with your doctor about your medical condition or treatment If you ha
31. sed to print FDA Medication Guides may be selected as the default printer The use of the list by the sites is optional The user also has the ability to change the default FDA Medication Guide printer through the Site Parameter Enter Edit option PSO SITE PARAMETERS Example 3 Setting the Default FDA Medication Guide Printer Select Outpatient Pharmacy Manager Option MAINtenance Outpatient Pharmacy Select Maintenance Outpatient Pharmacy Option SITE Parameter Enter Edit Select SITE NAME ALBANY 500 Would you like to see all site parameters for this division Y NO NAME ALBANY 170f Outpatient Pharmacy V 7 0 March 2012 Pharmacist s User Manual PSO 7 367 MAIL AREA CHOO Sele ING FRANK STREET ADDRESS 114 HOLLAND AVE CODE Ge IDA al FDA MED GUIDE PRINT SERVER URL 2 FDA MED GUIDE PRINTER Sih d 28 2 itj GUIDE PRINTER c FDA MED GUIDE PRINT e 0 R BAY PINES FDA MED GUIDE PRINTER Answer with FDA MED GUIDE PRINTER Choose from SUPPORT LINE PRINTER BIRMISPRT HINES FDA MED GUIDE BAY PINES ED GUIDE PRINTER PRINTER May enter Only devices wi new FDA MED GUIDE PRINTER if you wish Enter the FDA Medication Guide printer for the division th a Windows
32. ssary to prevent serious adverse effect patient decision making should be informed by information about a known serious side effect with a product or patient adherence to directions for the use of a product are essential to its effectiveness The VA maintains a web enabled repository of all approved FDA Medication Guides both current and archived versions of the documents Following is the link to this repository http vaww national cmop va gov FD A MedGuides Displaying an FDA Medication Guide The system provides users the ability to display individual FDA Medication Guides for a specific prescription when one is available Outpatient Pharmacy provides an option under the OTH hidden action within the Patient Prescription Processing PSO LM BACKDOOR option aka Backdoor Pharmacy allowing users to retrieve the Medication Guide associated with a prescription similar to the reprint of the PMI Users may retrieve an FDA Mediation Guide for a specific prescription by invoking the OTH Other OP Actions hidden action and selecting the new action MG Display FDA Medication Guide A Java software component running on the user s PC will then display the FDA Medication Guide Adobe Acrobat document pdf by automatically opening it through the Adobe Acrobat reader via Microsoft Internet Explorer Example 1 Displaying an FDA Medication Guide Other OP Ariona PN Progress Note OP AP Action Profile OP MI Print Medication Inst
33. t The system prompts the user to select a different FDA Medication Guide printer when printing labels if at least one FDA Medication Guide is associated with a Prescription label being printed Label Log and CMOP Event Log Display The Label Log as well as the CMOP Event Log displays the FDA MED Guide URL under the Comments line to denote that an FDA Medication Guide printed along with the label or that there was one associated with the medication when the prescription fill was transmitted to CMOP Example 9 Label Log and CMOP Event Log Display Label Log Date Rx Ref Printed By 1 10 04 11 ORIGINAL ROCHA MARCELO Comments From RX number 300418 FDA Med Guide Lindane Lotion Generic 2008 pdf CMOP Event Log Date Time Rx Ref TRN Order Stat Comments 10 04 11080943 Orig 15 1 TRAN FDA Med Guide NSAIDs_ Class _ 2009 pdf Audit Trail for FDA Medication Guide Printing The system stores the unique FDA Medication Guide document name for each fill being transmitted to CMOP in the PRESCRIPTION file 52 Automatically Printing FDA Medication Guides is Optional The FDA Medication Guide automatic printing functionality is an optional functionality Each pharmacy division may choose to turn this functionality ON or OFF Reasons a pharmacy division might choose to turn the FDA Medication Guide automatic printing functionality OFF are e FDA Medication Guides print on a different printer than the prescription
34. tains the following statement on the same line where Additional Warnings appear Read FDA MED Guide Site Parameters PSO SITE PARAMETERS There are new site parameters related to the automatic printing of FDA Medication Guides Example 1 Updating the FDA Medication Guide Print Server URL Select Outpatient Pharmacy Manager Option MAINtenance Outpatient Pharmacy Select Maintenance Outpatient Pharmacy Option SITE Parameter Enter Edit Select SITE NAME ALBANY 500 Would you like to see all site parameters for this division Y NO NAME ALBANY MAILING FRANK STREET ADDRESS 114 HOLLAND AVE AREA CODE 518 PHONE NUMBER 472 4307 MAILING FRANK ZIP 4 CODE 12180 SITE NUMBER 514 NCPDP NUMBER FDA 1 FDA MED GUIDE PRINT SERVER URL 2 FDA MED GUIDE PRINTER CHOOSE 1 2 1 FDA MED GUIDE PRINT SERVER URL FDA MED GUIDE PRINT SERVER URL This is the Uniform Resource Locator URL and Port Number for the Print Server running the Java Application responsible for automatically printing of the Food and Drug Administration FDA Medication Guides for iple ess 4 21 2228092 FDA MED GUIDE PRINT SERVER URL http 10 234 173 93 8092 March 2012 Outpatient Pharmacy V 7 0 170e Pharmacist s User Manual PSO 7 367 FDA Medi
35. tions between the date entered plus the number of days set in the local site parameter will be printed If there are no prescriptions for Patient A through the date entered no labels will print Labels can be sorted by the patient name the SSN or the DEA Special Handling code If sorted by DEA the labels must then sort by patient name or SSN Sorting by DEA will send the labels to the printer in three groups e First group will contain all the prescriptions with drugs that contain an narcotics and alcoholics or a C controlled substances non narcotic in the DEA Special Handling field e Second group will contain all the prescriptions with drugs containing S supply in the DEA Special Handling field Third group will contain all others If a patient has prescriptions in suspense that fall in all three categories that patient s labels will be printed three times once in each group Only one job is tasked for all of the prescriptions in the batch therefore if the job is queued by mistake only one tasked job must be undone Any prescription that is put in suspense for the Print Through Date between the times the job was queued until the time it actually runs will be included in the job Labels for each job printed from suspense will be part of a batch Each batch is identified by the Division the user who queued the batch and the date time that the job was queued to begin Prescriptions pulled ea
36. ve any questions about Lindane Lotion ask your doctor or pharmacist What is the most important information should know about Lindane Lotion Lindane Lotion is a poison if you do not use it the right way Lindane Lotion goes through your skin and may affect your brain and nerves Lindane Lotion can cause seizures also called convulsions fits or epilepsy 2 e Seizures and death can happen in people who use Lindane Lotion too much or too often i Seizures can happen some people even if they use Lindane Lotion exactly as directed A If you or a family member has a seizure while using Lindane Lotion get emergency help right 5 away 8 Do not use Lindane Lotion unless e You have scabies and were treated with another medicine that did not work for you or e You cannot use other safer medicines to treat your scabies Donotuse Lindane Lotion more than 1 time to treat an attack of scabies Do not use Lindane si id 4 b M O O Unknown Zone Example 2 Displaying an FDA Medication Guide for an Rx when the Java Software Component is not installed If a user tries to use this option from a computer which does not have the required Java software component installed the following message will display 170b Select Item s MG Display FDA Medication Guide The following URL provides the link to the FDA Medication Guide associated with this medication Thin
37. y Orders RR GREECE epi el ae 166 Chapter 22 CPRS Order Checks How They 167 Introduction ar vu nce tte tele ts Uere RU EIN PR ep 167 Order Check Data Caching serisini r a trip Eee o 167 23 169 Error nformatiOn to Re e RUE YER TENE NE EHE EORR Ode Ee YR Ye ES e eoa 169 November 2010 Outpatient Pharmacy V 7 0 vii Pharmacist s User Manual Two Levels of Error Messagesc agus c dt e Ee aie eee pet ied tus 170 Chapter 24 FDA Medication Guides 170a Displaying an FDA Medication 170a Printing an FDA Medication 170 eee 170 FDA Medication Guide Printer Selection esee eene nre 170f The Default FDA Medication Guide Printer esee enne ener 170f Reprinting an FDA Medication 170g Changing the FDA Medication Guide Printer sees enne nre 1701 Prompt During exe dE Ree de

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