Management of Red Listed drugs

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1 Appendix 1(c) EMIS Web, PCS and LV April 2014

2 DOCUMENT CONTROL Document Location Copies of this document can be obtained from: Name: Medicines Management Team Address: Greater Manchester CSU St James s House Pendleton Way Salford M6 5FW Telephone: Revision History The latest and master version of this document is held in the medicines management library and represents the only approved copy. REVISION DATE ACTIONED BY SUMMARY OF CHANGES VERSION 22/08/2013 J Cheung Initial draft produced for review by CCG Leads /08/2013 J Cheung Comments by Bury and Trafford CCGs /01/2014 J Cheung Revised as per EMIS and user comments /04/2014 J Cheung Final version produced 2.0 Approvals This document must be approved by the following before distribution: NAME GM CCGs GMMMG Distribution TITLE This document has been distributed to: DATE OF ISSUE VERSION 19/09/ /04/ NAME TITLE DATE OF ISSUE VERSION GM CCGs GMMMG GM CCGs 19/09/ /02/ /04/

3 Guidance for recording Red drugs on EMIS systems Web, LV and PCS Web 1. Go to the medication tab of the patient, then Add Drug. 2. This will launch the drug browser where the clinician must select the Red drug given by secondary care. 3. Complete the other required details of the Red drug on prescription section. Note: Ensure rules are adhered to minimise risk of the Red drug(s) being supplied even if prescription is inadvertently printed in error. - Dose: CONSULTANT/SPECIALIST PRESCRIBED - DO NOT ISSUE (You will get a dosage not recognised message. Enter lowest quantity and frequency and proceed) - Quantity: Enter lowest quantity i.e Proceed to issue and select Change All from the top selection. Select as issued by Hospital (No Print) as per screen shot below. 3

4 5. This enables the Red drug to be placed in a different section of the medication screen. 6. If they try to issue the Red drug a warning would appear in the Approve and Complete print box stating it was Issued by hospital. You would need to click Override to proceed. NOTE: There is still the potential risk by staff to issue the Red drug in error, hence the above Red drug prescription entry instructions must be strictly adhered. 4

5 PCS 1. Go to the medication tab of the patient, then Add Drug. 2. This will launch the drug browser where the clinician must select the Red drug given by secondary care. 3. Complete the other required details of the Red drug on prescription section. Note: Ensure rules are adhered to minimise risk of the Red drug(s) being supplied even if prescription is inadvertently printed in error. - Dose: CONSULTANT/SPECIALIST PRESCRIBED - DO NOT ISSUE - Days/Quant: Enter lowest quantity i.e Proceed to issue and highlight item as O for obtained from Outside (see screen shot below). 5

6 5. This labels the Red drug with O on the right hand side of the medication screen. 6. Any attempts to issue the Red drug shall be flagged with a warning Issued Validation message. You would need to click Override to proceed. NOTE: There is still the potential risk by staff to issue the Red drug in error, hence the above Red drug prescription entry instructions must be strictly adhered. 6

7 LV 1. Select patient and then Add drug 2. This will launch the drug browser where the clinician must select the Red drug given by secondary 3. Complete the other required details of the Red drug. Note: Ensure rules are adhered to minimise risk of the Red drug(s) being supplied even if prescription is inadvertently printed in error. - Dose: CONSULTANT/SPECIALIST PRESCRIBED - DO NOT ISSUE - Days/Quant: Enter lowest quantity i.e. 0*0 4. Proceed to issue and select item as O for obtained from Outside (see screen shot below). 7

8 5. This labels the Red drug with O on the right hand side of the medication screen. 6. Any attempts to issue the Red drug shall be flagged with a warning Issue Validation message. You would need to click Override to proceed. NOTE: There is still the potential risk by staff to issue the Red drug in error, hence the above Red drug prescription entry instructions must be strictly adhered. Add additional screen Message (M) to reduce risk of Red drug being issued in error 8