Medication Management
- From the Patient Summary screen select Medication button.
The Repeat Medication screen displays and defaults to Repeats. - Select an individual drug to display a summary.
- Last issue date
- Date of initial prescription
- Last authorisation date
- Linked Problems - select to view problem details
- Full History of issues - select to view
- More - Medicines Management options
- To view the issue history select History.
Select Repeat Medication to return to previous screen. - To manage the prescription select the More button at the top right of the screen.
The options of Issue, Reauthorise or Stop display.
The Medication screen allows you to issue and reauthorise repeat medication.
These are not printed, only issued.
- From the Patient Summary screen select the Medication button.
The Repeat Medication screen displays and defaults to Repeats. - To issue repeat(s) tap the Issue button.
All the active repeats are automatically selected for issue. - Swipe any unwanted drugs to the left and tap Exclude.
- Next select the Issue button.
- As the prescriptions are issue a message displays "issuing X of X prescriptions at the top of the screen.
The repeat synchronisation tool is incorporated into the repeat reauthorisation process and looks at the active repeats, calculating a daily dose which can then be applied to a period of issue.
The clinician selects the Treatment duration, for example 6 months, and the Issue frequency, from the drop down lists.
The quantity of each drug for the issue frequency period, ie monthly, populates based on the calculated daily dose.
A drug can be excluded from the synchronisation, or the quantity can be amended as required.
The tool simplifies medication reviews and means the patient has a regular prescription containing all their medication.
When adding new repeat medication, this can be synchronised with the existing schedule.
- From the Patient Summary screen select Medication button.
The Repeat Medication screen displays and defaults to Repeats. - To reauthorise repeat(s) tap the Reauthorise button.
The Reauthorise Repeats screen displays and lists all repeats that require reauthorisation. - If you wish to exclude any items, swipe left and tap Exclude.
- Tap the Reauthorise button to reauthorise all selected repeats.
- Tap the Reauthorise X Repeats message to proceed.
The Synchronise Repeats screen displays.Note - If you do not want to synchronise the repeats you can proceed by selecting the reauthorise button, without selecting the treatment duration and issue frequency options. - Tap Treatment duration and select from the pick list at the bottom of the screen.
This ranges from 1 month to 12 months. -
Press Done to confirm.
- Tap Issue frequency and select from the pick list at the bottom of the screen.
The available options depend on the Treatment duration selected.
See - Duration and Issue Frequency. - Press Done to confirm.
- The quantity of drugs for the issue frequency calculates supply based on the daily quantity. The treatment duration updates the Repeat Until date.
Not all medication can be automatically synchronised, for example drops or inhalers, and alerts display additional information.
See - Synchronisation Alerts. - Review the quantities, the dosage instructions can be changed by selecting the dosage box.Note - A drug can be removed by unchecking the Sync box, this will still be reauthorised.
- Tap the Continue button to proceed.
The Decision Support screen displays. - Select Reauthorise Repeats to proceed.
- As the repeats authorise a message displays on the screen.
- The medication is reauthorised and removed from the Reauthorise Repeats screen.
When synchronising a patient's repeat medication the issue frequency options depend on the duration selected.
For example, if the patient's medication will next be reviewed in 6 months, the prescription issue frequency can be selected from:
7 days,
14 days,
monthly,
6 weekly,
2 monthly or
3 monthly
The full range of options are defined as follows:
Duration - Prescription Issue Frequency
- 1 Month - 7 Days, 14 Days, Monthly
- 2 Months - 7 Days, 14 Days, Monthly, 2 Monthly
- 3 Months - 7 Days, 14 Days, Monthly, 6 Weekly, 3 Monthly
- 4 Months - 7 Days, 14 Days, Monthly, 2 Monthly
- 5 Months - 7 Days, 14 Days, Monthly
- 6 Months - 7 Days, 14 Days, Monthly, 6 Weekly, 2 Monthly, 3 Monthly
- 7 Months - 7 Days, 14 Days, Monthly
- 8 Months - 7 Days, 14 Days, Monthly, 2 Monthly
- 9 Months - 7 Days, 14 Days, Monthly, 6 Weekly, 3 Monthly
- 10 Months - 7 Days, 14 Days, Monthly, 2 Monthly
- 11 Months - 7 Days, 14 Days, Monthly
- 12 Months - 7 Days,
14 Days,
Monthly,
6 Weekly,
2 Monthly,
3 Monthly
Note - If Monthly is selected then 13 issues of 28 days will be made.
Sometimes medication cannot be automatically synchronised, this is usually because a daily dose cannot be easily calculated.
Alerts generate with additional information to assist with this and the errors can be resolved by reviewing or updating the quantity / issues.
- Treatment cannot have the supply calculated
This generally applies to treatments such as drops, inhalers and creams, or medication with As Directed in the dosage instructions.
- Packs are indivisible
The treatment duration, issue frequency and dosage values return a calculated supply that cannot be dispensed as the packs are indivisible.
Note - If reauthorise is selected without updating the quantity, a new repeat master will be created with an indivisible quantity.
- Supply does not match duration, issue frequency and dosage
This occurs when the quantity has been manually altered, and does not meet the minimum number required for the defined period.
Alternatively medication can be removed from the synchronisation by unchecking the Sync box, the repeat will still be reauthorised.
Occasionally the synchronisation fails, and a message "There was a problem synchronising repeat medications" displays.
This is usually due to a connectivity issue.
Error Messages
- Unable to reauthorise the repeat medications. Please try again.
Reauthorise medication again.
- Unable to reauthorise some or all of your selected repeat medications. This may have resulted in some duplicate repeats, please check the medications page.
When medication is reauthorised, the current repeat master stops and a new repeat master generates.
If this error occurs return to the patient's repeat medication view and check for any duplications, as the original repeat master may not have been stopped.
Select any duplicate items, and stop the medication.
See - Stopping Repeat Medication.
- From the Patient Summary screen select Medication button.
The Repeat Medication screen displays and defaults to Repeats. - Tap on a drug to access the details and history.
- Tap the More button at the top right corner of the screen.
The options Issue / Reauthorise / Stop display. - Tap Reauthorise.
The decision support warnings display. - Tap the Reauthorise button to proceed.
The medication reauthorises.
- From the Patient Summary screen select the Medication button.
- Select a drug to display the summary.
- Select the More button.
The options Issue / Reauthorise / Stop display.
- Tap Stop from the list.
The Stop Repeat screen displays. - Select the > to display Reasons for Stopping.
- Tap the reason for stopping.
A tick displays next to the selected reason. - Tap < Stop Repeat to return to the previous screen.
- Enter any notes in the Notes box.
- Choose Stop Now.
The medication moves to the inactive list.
- From the Patient Summary screen, select the Medication button.
- Select the Inactive heading to view inactive medication.
- Tap the medication you want to restart.
- Tap the More button.
The options Issue / Reauthorise / Stop display. - Choose Restart.
- Select the > to choose the reason for restarting.
- Tap the reason, and a tick displays.
- Select Restart Repeat.
- Select Continue to proceed.
The drug warnings display. - Check the warnings and if you want to proceed select Restart.
A message displays while the medication is being restarted. - The medication displays on the Active medication screen.
Selecting a high risk drug, for example methotrexate, triggers the display of a detailed toxicity warning, select Proceed to prescribe.
Dosage Regimen
Methotrexate and derivatives have default dosage regimes, when selected the standard dosage regime populates and alternatives can be selected from the pick list which is accessed via the Book button.
Swipe to select the regime, and tap Done to select.
Alternatively, type in the Dosage box to enter a custom dosage.
Press Continue button to proceed, and an alert "The dosage entered is not a standard regimen. Please confirm you wish to proceed with the following:" displays.
Select Proceed to add the drug.
- Synchronise Repeats
- Reauthorise Repeats
- Issue Repeats
- Stop (Inactivate) Repeat
- Restart (Reactivate) Repeat
- Decision Support