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This section on the patient record tracks any medication administered to the patient in the course of the episode.

This includes over the counter medications, vaccines, and prescriptions.   You can complete Medication Administration Records (MARs) for prescriptions of controlled substances, and Vaccine Certificates for vaccines that require them.

You can also track Client Reported medications for things that were prescribed outside of your hospital, to ensure a patient's complete medication history.

Add Medication

If no medication section appears on the episode yet, you can Add Medication using the Add New Element menu that is found by right clicking on the Episode Header.

After at least one Medication has been added to the episode, the Medication section is visible, and you can add additional medications using the right click menu there.

The Episode Type can also be pre-set to display the Medication record as soon as the episode is created, if it is an episode type that will require the use of medications (e.g. a surgery.) 

Medication Types

The main medication types are Prescriptions, Medications (OTC), and Client Reported.  In addition, any prescriptions issued during the course of the episode will appear here even if they did not originate from the episode.  This includes prescriptions routed through the pharmacy, and any medications issued from a Controlled Drug Machine. 

Add Prescription

To add a prescription, right click on the Episode Header and choose Add New Element > Add prescription.

A new window will open for a Prescription Request.  This is a dynamic form that will change based on the selections that your hospital has set up on a per pharmacy basis.

Prescription Types

After selecting Go Home Labeling and a pharmacy, the form will prompt you to select a prescription type.

Prescription Options

In addition to the types, there are other prescription options that may become available based on the selections.

Hold Approved Script for Later Fill allows the DVM to pre-approve a prescription to be filled by the pharmacy at a later date.  The prescription will not show up in the Fill Queue to be processed until the date entered.  

Drug Not In List allows a DVM to issue a prescription to an external pharmacy without having the product in local inventory.  This also can be used to request a specific compound from an internal pharmacy, if the pharmacy is set up to allow it.

Dispense as Written prints that text on the prescription label.  This is required in some states.

Prescription Instructions

The instructions entered will be printed on the prescription.  Quantity values provide the pharmacy with the information that they need to complete the fill.

Expirations and Withdrawals

Dose Calculator

This tool is available on standard prescriptions to assist the clinical staff in figuring out the correct dosage.  This tool can be hidden on a per pharmacy level to force a student to perform a manual calculation, e.g. for a Junior Surgery installation of VetView. 

For this to work, both the species setup and the specific drug setup must be complete. 

Predefined Instructions

The Predefined Instructions are set at the Product Setup.  Clinical staff should work with pharmacy to build out a list of the most common courses of a given product.  These can be filtered or restricted based on species, or set as the default.  Once selected, this will auto populate the Instructions, Quantity, and Refill values. 

Draft Instructions

The Draft Instructions are a legacy teaching tool to help guide students in the correct pattern for writing a prescription.  The key words available in each drop down menu can be defined at the Product Setup level.  The Draft button will import the words into the Instructions field, and fill the Total Quantity and Daily Quantity fields. 

Prescription Statuses

Prescriptions that are submitted as part of an episode will appear in the Medication section of the episode.  The prescription status will display on the far right.

Medication Administration Records

If a product is flagged as required a MAR on the Product Setup level, then after the prescription is issued, clinical staff will have to fill out a Medication Administration Record to account for the products.

A warning will appear at the top of the Medication group that the MAR is incomplete.

Click on the red X to open the MAR form.

Once the form has been filled out and all the medications have been accounted for, the X will change to a green check mark on the Medication section, and the background of the form will appear as green the next time it is opened.

For certain Dispensed types, the form will required a Witness.  In addition, the logged in user must provide a password in order to Save the form.   The witness cannot be the same as the Dispensed/Administered by user. 

MAR Automatic Pop Up Notifications

If he MAR Automatic Email job is turned on for your hospital, and you have overdue MARs, you may receive a pop up as soon as you log in to VetView.

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This notice can be dismissed but will return as long as there are overdue MARs.

To make this pop up go away, click on Go To Administration Search to view your MARs on the Administration Search Screen and complete them. 

Dispensary Prescriptions

If a product has been designated as being permitted from a Dispensary pharmacy, then the Pharmacy Queue workflow can be bypassed, allowing a DVM to Approve and Issue the prescription in a single step.

The Billing and Inventory section will appear when a qualified product has been selected from the Drug listing.

Use the scroll bar to go down past the Patient Status field to find this section.

Reset, Add Script, and Done/Close

Add Medication

Medication in VetView is broken down into sub types.  Each sub type has its own fields, and will display on the medical record differently based on those fields.

To assign a pharmacy product to these categories, you should have a system administrator work with a pharmacist to have them associated to the categories on the Pharmacy Setup Screen or on the Product Setup Screen > Medical Record Tab. 

Type: Antibiotic

One common use case for antibiotic medications that do not require a prescription may be topical ointments.  These products can be flagged as an Antibiotic under the Medical Record Setup, and become available from the non prescription Medication list.

In the example below, the product has been administered to the patient to treat an external wound.

The product will be added to the patient's bill, and pulled from Inventory based on the entered information.  

Once saved, the product will appear in the Medication list.

Click on the Print Button to open a PDF for a prescription style label that can be applied to the product to comply with any state or province laws regarding antibiotics. 

Type:  Antiparasitic

The Parasite option in Medication can be used as a teaching tool in addition to a means of narrowing down recommended treatment options.  The clinician must first choose the parasite, and then a list of associated products to treat that parasite appear.  (These must be previously associated under the Pharmacy Setup screens.)

Like the Antibiotics, a prescription style label can be printed using the Print Button from the Medication section.

Type:  Euthanasia

A product used for euthanasia can be added via the Medication section.  

Adding this product will not automatically mark the patient as Deceased. 

Instead, this should be done via the Discharge process, by selecting Euthanasia or another Discharge type set up to mark a patient deceased.  The date of death will be the Discharge date from this window.

Type: Medication

Use this option for any other non specific medication that your office supplies to the client that may require an instruction label.  For example, supplements and vitamins can be tracked under this, if they do not require a prescription.

Once added, Medication can have the label printed out and applied to a container, just like a prescription.

Type: Other

The Other category is intended for items that don't fall into any of the other categories, but may still need go-home label instructions for an owner.  Bandages, e-collars, and other such products can be included in this section. 

Once saved, the Other medication type can have its label printed like all other types in this category.

Type: Over the Counter

This Medication classification can be used for pharmaceutical products that do not require a prescription, but still require instructions for the client for usage or safe dosing.  Standard OTC drugs like pet safe laxatives may be added to this category, or topical products like shampoos that will be used to treat a skin condition.

Once added, the OTC medication will appear in the Medication section, and the clinician can print a go-home label for the client.

Type: Vaccine

(Updated in Version 3.1 of VetView)

If a Vaccine is added, either directly through the Medication section or via the patient's orders, it will generate an entry on episode.  

In addition, if the vaccine is set up to require a tag number, it may generate a Vaccine Certificate requirement on the episode as well.

After selection the Medication type for Vaccine, you will be prompted to choose a Vaccine Type from the list.  (These types are custom created by your hospital.)

This selection will further restrict the available products to those that have been designated for that Vaccine type.

If the product has been flagged to Generate Vaccine Certificate, then the window will adjust to display the required vaccine fields.

Patient demographic information, owner information, and DVM information will automatically import to the vaccine certificate.

This form mimics how it will appear when printed.

Print Vaccine Certificate

The Vaccine Certificate PDF is designed to comply with USDA requirements for international pet travel.  Your hospital may adjust the layout of this form to include university branding, so the exact layout may be slightly different.

The DVM issuing the vaccination should physically sign this certificate, if no digital signature was automatically recorded. 

Incomplete Vaccine Certificate

if a vaccine was added to the patient orders and the vaccine certificate was not completed by the tech adding the order item, it will appear on the patient record as a deficiency.  (MAR incomplete in 3.2, Vaccine Certificate Incomplete in 3.3)

The clinical staff should click on the Edit button to complete the form.

If this form is incomplete, the Order cannot be closed on the cashier screen.

Delete Medication

A non-prescription medication can be deleted from the patient record at any time.  Right click the Medication, and choose Delete.

Prescription medications cannot be deleted from the patient record after they have been Approved.  Contact the Pharmacy you requested it from to cancel the prescription request.  

If the deleted Medication was associated with a Vaccine Certificate, the corresponding tag will also be removed from the patient record.

Add Client Reported

Any medication list provided by an RDVM or given verbally by the client can be added as a Client Reported Medication.  This includes prescription medications, over the counter medications, vaccines, etc.

Client reported medications will appear in the appropriate subsection within the Medication category.

The Info Dot will display the Client Reported Medication flag. 

CDM Medications, Daily Fills, and other external sources of medications

The Medication section on the episode will also display medications added via Controlled Drug Machines, via prescriptions outside of the episode but added to this episode's bill, and products added directly to the patient orders that have been flagged to display as a Medication.

This allows for streamlined workflows for nurses and technicians who will add the product via the Patient Orders, instead of adding them to the episode.  For routine visits that do not include a teaching component or heavy documentation, this eliminates the need for double entry, but still allows for a complete capture of the medications administered during an episode. 

Stopping Daily Fills

When a Daily Fill prescription is added, there is a set expiration date.  The prescription is considered Active until the expiration has been reached, or the clinical staff clicks on the Stop button that is hidden next to the Daily Fill prescription on the patient record.

The clinician will receive a warning to verify they really want to stop the prescription.

Once Stopped, the prescription status will change.  If no products were dispensed, the drug will appear with a strike through the name.