Download CHB_Prescribe_012_ EPR clinical checking and supply requests

SOP Title
EPR clinical checking and supply requests via eMM or paper
SOP Number
CHB_Prescribe_012
Version Number
V0.3
Effective Date
09/02/2017
Author
Fiona Smith / Damon Horn
Approved by
David Smith/Mike Culshaw
Approval date
09/02/2017
Distribution
All relevant staff
Location
CHFT_BTHFT
Review Date
09/02/2019
Document Control
Version
Date
Author
Status
Comments
0.1
03.11.2016
Damon Horn
Draft
Initial draft into EPR format using
eMM TRANSCRIPTION AND
SUPPLY REQUESTS SOP previously
approved.
0.2
16.01.2017
E prescribing
Draft
Minor amendments and consulted
with BTHFT
0.3
09.02.2017
Penny Daynes
Approved
Screenshots added and amendments
to Step 5
0.3
09/02/2017
Completed
David Smith/Mike Culshaw
SOP Objectives
Outline ordering of medication within pharmacy by using eMM on ascribe. Clearly
defining the role of EPR and eMM in this fractured workflow.
Scope
Pharmacy Technicians, Pharmacists , Preregistration pharmacists
Performance
Measures
.
Related Documents
eMM TRANSCRIPTION AND SUPPLY REQUESTS
CHB_Prescribe_012_ EPR clinical checking and supply requests via eMM or paper
V0.3 09/02/2017
EPR clinical checking and supply requests via eMM
No.
Action
Responsibility
1.
Pharmacist to login and navigate to Pharmacy care organiser (PCO).
Pharmacist
Use the unverified orders column to identify medication which requires a clinical
check.
2.
Click on the number and then click on Launch pharmacy medication manager
Pharmacist
3.
Review the appropriate medication using the drop down list – this will require
confirmation with the Drug Chart in Powerchart
Pharmacist
Select ACCEPT to denote this medication is clinically suitable for this patient.
CHB_Prescribe_012_ EPR clinical checking and supply requests via eMM or paper
V0.3 09/02/2017
Use REJECT if not suitable – this will provide a visual prompt to the nurse that
this is rejected but it is still able to be administered.
Use INTERVENE to complete an intervention form- (refer to Pharmacy
Intervention QRG)
Do not use the Other options in the menu ie Enquire,History, Product Assign or
Verify
NOTE – both reject and intervene can be applied to the drug if needed, one at a
time.
NOTE - If all orders are to be accepted at once can choose “Accept All” from the
Task Menu at the top of the screen
Click “Apply”
4.
Once accepted the pestle and mortar symbol will be removed from the drug chart
indicating that this is now clinically checked and the capsule icon should appear
Pharmacist
.
Click “Submit”
5.
To order the medication return to Powerchart by clicking on the Powerchart Icon
on the top of the screen
Pharmacist /
Pharmacy
Technician /
Preregistration
pharmacist
Using requests/ care plans or the drug chart, review the medication and identify
which medications need ordering.
6.
Open ascribe and navigate to eMM Pharmacist/ eMM technician.
7.
Search for patient using the search button, select the correct encounter.
o
Pharmacist /
Pharmacy
Technician /
Preregistration
pharmacist
Pharmacist /
Pharmacy
Technician /
Check patient demographics (ward, consultant, speciality, patient Preregistration
status) – edit if incorrect or missing information
pharmacist
CHB_Prescribe_012_ EPR clinical checking and supply requests via eMM or paper
V0.3 09/02/2017
o
If no current episode use the lifetime episode - edit ward,
consultant, speciality and patient status – if not the supply
request will be lost
8.
Check if the medication has previously been ordered and had “clinical check” on
eMM (if so skip to step 10)
Pharmacist /
Pharmacy
Technician /
Preregistration
pharmacist
9.
If new on eMM click on New Rx
Pharmacist /
Pharmacy
Technician /
Preregistration
pharmacist
o
o
o
o
o
10.
11.
If medication from other episodes yet to be reconciled:
-
Stop medication and copy to current PMR (quickest if a number of items to
reconcile)
o Highlight the drug/s – can do multiple lines
o Select `STOP’.
o Select a reason for stopping the drug (or ‘editing)
o Select `save’
o The medication will now go into the patients `History’ PMR
o Enter the ‘history’ tab and expand the episodes
o Highlight the appropriate drug/s and select ‘COPY’
-
Amending items – can also be used to reconcile medication from other
episodes as alternative to stopping drugs if only one or two items (Amend an
item if the drug is the same but the dose/ formulation has changed)
o Highlight the drug
o Select `AMEND’
Pharmacist /
Pharmacy
Technician /
Preregistration
pharmacist
Add a prescription note on eMM to an item :
-
-
12.
Search for the most appropriate prescription as prescribed on
EPR, e.g. asp tab 75
Select the most appropriate prescription
Highlight and select the template to add it to `orders selected’
Multiple items can be added to this list by continuing to add each
new drug in the same way
complete all the order information in eMM and click send.
select `add note’. This is a yellow note pad and will follow the item through
the system, and will be available to view later if the `history’ button is
selected.
A yellow note should only be used when all dispensing details cannot be
communicated via the template or the supply request details. eg complicated
reducing doses of Prednisolone or eye drops.
Check the information is correct on the PMR against EPR then:
CHB_Prescribe_012_ EPR clinical checking and supply requests via eMM or paper
Pharmacist /
V0.3 09/02/2017
Create a supply request
- highlight each item on the PMR and select `New Supply Request’.
o Additional information - which the dispenser needs to know but
is not appropriate to add at the template stage e.g Patient going
home at 2pm
o Additional Details - unless indicated otherwise 28 day supply
OR an ‘original pack’ (whichever is least quantity) will be
dispensed. If a different amount is required, indicate here by
using the drop down menu, or in the additional information box.
o Priority - the item(s) will appear at the top of all work-lists Use
this option when ordering items for TTO, critical medicine e.t.c
Only use this option if really necessary, to help prioritise work
appropriately.
Pharmacy
Technician /
Preregistration
pharmacist
Endorse the drug chart on EPR by right clicking on the drug and “create admin
note”.
Process now ends on the ward.
TRANSCRIPTION CHECK (must be undertaken by a different individual form the
person who ordered the medication this can be a pharmacist or accuracy
checking technician only)
13.
The transcription check will need to take place for all medication which have been Pharmacist /
ordered on eMM and not checked before.
Accuracy
checking
technician
14.
Open up the “clinical check required” section and select the appropriate ward /
group you are working through.
Pharmacist /
Accuracy
checking
technician
15.
Click on the medication in order of priority. And open up the patients PMR
Pharmacist /
Accuracy
checking
technician
16.
Search for the patient on EPR using the NHS or MRN number.
Pharmacist /
Accuracy
checking
technician
17.
Go to the requests and care plan section or drug chart and right click on the drug. Pharmacist /
Select order information.
Accuracy
checking
NOTE – each individual user can set up on requests and care plans to just
technician
straight to order information by right clicking on the drug and untick Disable order
information hyperlink. Then simple click on the drug name to go to order
information from then on.
CHB_Prescribe_012_ EPR clinical checking and supply requests via eMM or paper
V0.3 09/02/2017
18.
Ensure the details match the order information on ascribe then , go to validation
tab and ensure a pharmacist has clinically verified the drug.
19.
If the medication order on eMM matches the prescribed medication on EPR and
Pharmacist /
has had a clinical check click on the “clinical check” button on eMM to allow this to Accuracy
be dispensed.
checking
technician
20.
If EMM is not available the supply request should be made on paper using Trust
Approved Stationary- Transcribe the details across to the supply sheet, double
check all the details and sign. Ensure the supply request is clinically checked and
signed by a pharmacist
CHB_Prescribe_012_ EPR clinical checking and supply requests via eMM or paper
Pharmacist /
Accuracy
checking
technician
Pharmacist /
Pharmacy
Technician /
Preregistration
pharmacist
V0.3 09/02/2017