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manual:medications

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Medications

Medication Settings

The Medications module is highly configurable to suit a range of medication workflows. Your Organisation Administrator can manage these settings for your organisation. See here for the full range of setting options.

Explain it to me in 15 seconds…

You will require an MMEx Clinical Licence to prescribe medications.

  1. Go the Medications Tab
  2. There are two views (drop down list at top left side of tab)
    1. Current Medications - the medications the patient is currently taking - may include information only meds
    2. Scripts - all valid prescriptions created at your org
  3. Create a new Prescription:
    1. From Scratch: Click New Script at top of screen
    2. Re-prescribing on Current Meds: view from action menu select New Prescription OR
    3. Re-prescribing on Scripts view: from action menu select Cancel and Re-prescribe
    4. Re-Prescribe multiple meds at once - select the medications to include and click Bulk Prescribe.
      1. NB: Cannot prescribe authority meds from Bulk Prescribe.
  4. Select your medication from MIMS (or Imprest if your organisation uses that)
  5. Modify the dosage and instructions
  6. Click “Add and Print” if you need to produce a prescription for the patient
  7. Click “Add” if your organisation functions under S100 rules and does not need to produce a prescription
  8. Click “Add & Complete” if you will be supplying or administering the medication immediately.

Watch a tutorial here Read on for additional detail about these views and actions.


Decision Support

MMEx has a range of built in alerts and comprehensive drug history information. These include:

Specific Medication Actions

Optional Medication Workflows

MMEx supports a range of medication work processes, validation and confirming options.
To learn more about the options available to you for preferred workflows and authorising medications click on the link.

Navigating Medications

The Medications module is structured in a number of views

  • Current Medications - displays current medication records including prescribed medications and information only medications.
  • Scripts - displays all prescriptions that have been created at the organisation
  • Medication Events - displays medication events including dispense, supply and administration.
  • Allocated Medications - displays medications from the imprest that have been allocated to a patient and allows you to see the remaining balances
  • Variable Dose Medication - displays if a patient has a variable dose prescription. Variable dose guides can be printed and managed from this list
  • Dose Administration Aid - displays if a patient has a dose administration aid prescription. These can be managed from this list
  • Favourites - list of medications that have been configured as favourite items
  • Immunisations - direct link to the Immunisations module

Medication views

There are two Medication view options available for users. Organisations can set a default preference, but this can be overridden by users. Your last selection will be displayed for all subsequent patient records that you open.

Simple View



Comprehensive View

Use the Change View option to choose your preferred view.

Current Medications

To view the medications that a patient is currently taking, click on the drop-down menu in the top right hand corner and select Current Medications.

This list, the default view of medications, displays the medications that have been recorded that a patient is currently taking and includes both Prescriptions and Information only medications.
It is not a list of Prescriptions created at your organisation - that is available on the Scripts list.

You can sort the list of medications by:

  • Drug Name
  • Route
  • Added By User
  • Added By DateTime
  • Reviewed By User
  • Reviewed By DateTime
  • Script Date
  • Confirmed By
  • Expected Finish Date

You can add a new Information Only medication by clicking on the Add Info Only Med button, and add a new Prescription by clicking on the New Script button.

Additional actions are available on the Action menu. Available actions will vary depending on the properties of the medication record and user permissions.

When a current medication record is ceased, it will be moved to the Archived Current Medications list.
Medications that are re-prescribed remain on the Current Medications list, and are not moved to the Archived view.

Clicking on Print Current will print all current medications.

Scripts (and Prescribing)

From the top left-hand corner drop-down menu, select Scripts. This will display the Prescriptions created for the patient

A new prescription can be added by clicking the New Script button that displays on both the Current Medications and Scripts views. This will bring up the New Prescription window, allowing you to select a medication from MIMS, a pre-configured medication list or from an Imprest depending on your organisation's local protocols and configuration.
NB: please note that the naming of the New Script button is configurable and some organisation have chosen to label this button Add Med

Fields to note:

  • Script Date - the date the prescription was created
  • Review Date - the date the medication will display the red review flag - this is configurable per organisation in the Organisation Centre
  • Expected Finish Date - a calculated field that is determined by the formula:
    • Quantity (units in packet) x Repeats / Number x Frequency = date medication supply should run out.
    • This field will be blank if an “other” frequency is recorded or if you are not prescribing a MIMS medication, but may be manually set.
  • Prescription Expiry Date - legislated validity date of a prescription:
    • 6 months - Schedule 8 medications
    • 12 months - other scheduled medications

From the prescription window you have the following action options:

  • Add if you want to create a second (or third) prescription without printing
  • Add & Close if you only want to create one prescription without printing
  • Add & Print to create and print a prescription (will display as an option when prescribing PBS, RPBS or Private Scripts)
  • Add & Complete if you want to create the prescription and record a medication event (e.g. dispense, supply or administer) as well.
  • Close to leave the window without recording an action
  • Save as Favourite to add the configured medication to your personal favourites list. You can then prescribe from that list - use this for frequently used medications or medications with complex details.

Prescriptions can also be added by selecting New Prescription or Cancel and Re-Prescribe from a medication Action menu. This will bring up the New Prescription window pre-filled with the details of the relevant medication.


Searching MIMS

Searching MIMS for medications can be made easier by understanding a few search “rules”.

The search looks at the Name,Formulation and Strength columns.
The Name column searches both displayed and not displayed information such as Brand name, generic name and active ingredients. For some medications the full list of ingredients may not be visible on screen (eg Multivitamins) – opening the Product Information will display the full ingredients list.

  • In the name column, medications are generally written with a space between the quantity and unit of measure, whilst in the strength column, they are not.
    • Searching for 500 mg will produce a filtered list based on the medication name
    • Searching for 500mg will produce a filtered list based on the strength field
  • You may complete abbreviated searches, for example.
    • Para tablet - will display a list of tablets with “para” in the name
    • Paracetamol t - will display a list of paracetamol options with formulation beginning with “t” eg tablet, followed by formulations containing “t” eg solution
    • Para t - will display a list of medications with “para” in the name that also have formulation beginning with “t” eg tablet, followed by formulations containing “t” eg solution
    • 500 con - will display medications that include both “500” and “con” in the name, form or strength
  • Where you search with a strength and form, the same rules apply
    • 500 mg capsules will display search results with 500 mg and capsules first, then results with only capsules
  • Searching for 500 mg will produce a list of options that includes items that have a concentration higher than 500. This is because “500” is a partial search term for 1500, 2500 etc.
  • Searching by Brand Name will produce a list with Brand name options displayed first followed by Generic Options
    • entering a generic name when you have Brand name selected will display the exact match (generics) first followed by the brand name medications of the same type.
    • the medication will be prescribed by brand name
  • Searching by Generic Name will produce a list with Generic options displayed first followed by matching Brand name medications
    • the medication will be prescribed by its generic name

The more data you enter into the search field, the more refined your search results will be.

Duplicate Medications

If you select a medication to prescribe, that is the same or very similar to a medication that has already been prescribed (and is an active script) you will be advised that the medication matches another in the list. MMEx provides the prescriber the option to link if the ingredient and the formulation (e.g.tablet,capsule) both match- dosage may be different (e.g.1mg v 5mg).

This functionality is controlled by an Organisation Setting - Enable Medication Linking Functionality
Option 1
If the medication is intended to replace an existing prescribed medication, select Link this script to the existing medication (this script will supersede the details of the older one). You will be shown a list of the matching medications. Select the medication from the list that you wish to supersede.

On the Current Medications list:

  • the new medication will display. as the medication has been re-prescribed (not ceased) it will not be displayed on the Archived view of the Current Medications list.

On the Scripts list:

  • both prescriptions will be visible.


Option 2
If the medication is intended to be a new script, created in addition to the existing script, select Do not link this script with the current medication (these medications are separate). The new prescription will be added.

Adjusting Dose

After selecting the required medication the default MIMS dose properties of the medication will populate the number and dose fields. The Frequency field will be defaulted to morning which is at the top of the drop down menu.

NB: If you have selected an imprest medication that has default frequency set, this will display. If you have selected a pre-configured favourite, the saved settings will display.

Adjust the number of tablets or amount of a liquid medication and the dose field will adjust proportionally. Record the frequency that you wish the medication to be taken.
After checking the details are correct, proceed with completing the remaining fields.
The Other Instructions field will print on the prescription and should be used for additional information about the medication, not dose information.

Edit Dose Functionality

If dosage information is available in MIMS, underneath the medication you will see a Show dosage information link.

Click on the link to reveal the dosage information. This information can be used to guide prescribing choices.


Click Edit Dose to open the edit dose pop up, you will see three options for editing the medication dose.

  • Dosage
  • Weight
  • Other

Dosage

Each active ingredient will display with an editable field. Modifying the strength field will change the dose number field. Where a medication has multple active ingredients, when one strength field is changed, the other will adjust proportionally. Medication with Single Active Ingredient
Medication with multiple active ingredients

Weight

Calculate doses based on weight and dose per kg.

  • The strength field to enter the medication strength per unit.
  • Adjusting weight, strength, dose units and doses per day will calculate an indicative total daily dose.
  • Editing any single field will cause the others to update with the relative calculation.
  • The dose saved will print on the prescription and label.

Medication with Single Active Ingredient
Medication with multiple active ingredients

Other

Either change the dose units label, or describe a free text dose.
The text entered and saved will print on the prescription and label.

Medications with three or more multiple active ingredients and multi part medications will only have the other option available.

Dosage Calculator

MMEx also includes a stand alone Dosage Calculator to assist with determining the correct dose for the patient.
The Dosage calculatore is accessible at the top of each medication screen view. Opening the Dosage Calculator enter the patient weight, recommended dosage per kg and modify the dosage frequency to calculate the dose and total daily dose.

For liquid formulations enter the recommended dosage per kg and the number of doses per day. The calculator will display the volume required for each liquid dose and the daily liquid dose.

The Dosage Calculator units can be changed between:

  • mcg, mg, gm
  • ml, L - for liquid dose/volume fields.

Re-Print Scripts

To reprint a script for one of the medications prescribed to a patient, first ensure that you are in the Scripts view.

You will see selection boxes adjacent to scripts that you have prescribed. Check the boxes for all scripts that you wish to print, then click the Print Scripts button on the right side of the screen.

If you have the MMEx Assistant installed locally, clicking print on the screen will send the prescription to your printer directly. If not, open the PDF document that MMEx generates to view your script

Select Print from File in the menu at the top of your screen (or press CNTRL + P).

Bulk Prescription

On the Current Medications tab select the medications that you wish to prescribe. Then click Bulk Prescribe. Modify the prescription properties and click Prescribe All and Prescribe All & Print

manual/medications.txt · Last modified: 2020/02/14 03:25 by sarahb