pharmacy file clean-up it’s never over…. review & edit standard schedules and med routes ...

Pharmacy File Pharmacy File Clean-upClean-upIt’s Never Over…It’s Never Over…

Review & edit Standard Review & edit Standard Schedules and Med RoutesSchedules and Med Routes

Make sure that there is an Outpatient Make sure that there is an Outpatient Expansion & frequency is correctExpansion & frequency is correct

Edit “forbidden abbreviation” schedules & Edit “forbidden abbreviation” schedules & schedules that may cause confusion:schedules that may cause confusion:

QD QD QDAYQDAY

ASAS LEFT EAR LEFT EAR

Edit Medication Edit Medication InstructionsInstructions

Review instructions that could possibly Review instructions that could possibly be used as schedules & enter frequency be used as schedules & enter frequency in minutesin minutes

Q2H = 120Q2H = 120

Q3DAYS = 4320Q3DAYS = 4320

Enter/Edit DrugsEnter/Edit Drugs

Make sure that the drug is marked for the Make sure that the drug is marked for the correct Application Package Usecorrect Application Package Use

Drugs used in the Inpatient Package Drugs used in the Inpatient Package should be marked for Unit Dose useshould be marked for Unit Dose use

Intermittent IV (piggyback) additives Intermittent IV (piggyback) additives should be marked for both Unit Dose & should be marked for both Unit Dose & IV use so that pharmacists can correctly IV use so that pharmacists can correctly finish these orders from EHRfinish these orders from EHR

Enter/Edit DrugsEnter/Edit Drugs

IV additives that are used in continuous IV additives that are used in continuous infusion bags should be marked YES for infusion bags should be marked YES for ‘Used in IV Fluid Order Entry’ – review ‘Used in IV Fluid Order Entry’ – review the Additive entry to make surethe Additive entry to make sure

This allows providers to select the This allows providers to select the additive when ordering continuous additive when ordering continuous infusions through EHRinfusions through EHR

Enter/Edit DrugsEnter/Edit Drugs

Mark all new drug entries as Non-VA Mark all new drug entries as Non-VA Meds (X) in addition to marking them for Meds (X) in addition to marking them for the correct Application packagethe correct Application package

This will allow your site to get ready for This will allow your site to get ready for the new Outside Rx option when IHS the new Outside Rx option when IHS moves to the next version of EHRmoves to the next version of EHR

Enter/Edit DrugsEnter/Edit Drugs

Mark controlled drugs with a C for Mark controlled drugs with a C for Controlled Substances in addition to the Controlled Substances in addition to the correct Application Package usecorrect Application Package use

Do not mark drugs as Ward Stock Do not mark drugs as Ward Stock through the Drug Enter/Edit optionthrough the Drug Enter/Edit option

Drugs must be added as Ward Stock Drugs must be added as Ward Stock through the Automatic through the Automatic Replenishment/Ward Stock packageReplenishment/Ward Stock package

Review the Dosage Form Review the Dosage Form FileFile

This is found under PDM / Dosages / This is found under PDM / Dosages / Dosage Form File Enter/EditDosage Form File Enter/Edit

Make sure that there are no Prepositions Make sure that there are no Prepositions under each dosage formunder each dosage form

If a particular dosage has multiple routes If a particular dosage has multiple routes (IV, IM, SC) you can enter each one here (IV, IM, SC) you can enter each one here

Limit Access to PDMLimit Access to PDM

Only pharmacy staff who have received Only pharmacy staff who have received thorough training on these options should thorough training on these options should be given accessbe given access

Can be locked with the APSPSS keyCan be locked with the APSPSS key Inadvertent changes made in the drug file Inadvertent changes made in the drug file

and other files can cause problems for and other files can cause problems for providers as well as pharmacistsproviders as well as pharmacists