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How to create a new Regular Prescription

What is a Regular Fill?

Regular Fill prescription in VetView refers to a standard prescription request that will be submitted by student or staff, approved by a clinician, sent to the Pharmacy to be filled, and then picked up by the client to go home.  For a Go Home (Client Labeling) Regular Fill , no MAR will be required as the assumption is the patient will not be taking any of this medication while under the care of the hospital.  For In-Hospital Use (Administration Record), the Pharmacy Fill will require a MAR in the patient record.  If your usual workflow is for one or the other, this can be set as a user preference, alongside a default Pharmacy. 

How do I create a Regular Fill request from the Episode?

From the patient record, Click on the New Rx button.  This will load the New Prescription form.  



Select Go Home (Client Labeling) to start.  Verify that the correct Pharmacy is in the drop down menu, or change to the correct Pharmacy.  Then choose the Regular Fill radio button.

Select the product you wish to prescribe.  If you know the product number you can enter that, or just start typing the drug name to display a list of all matching products.   If the drug you want to prescribe is not in the list, you can enter the name manually.  

To see the details regarding the selected drug, including the drug class, generic family, and the labeling that will be applied, mouse over the info dot.

For states that require certain products to contain the text Dispense as Written,  click on the flag.  (This option is only available if it is turned on for the selected pharmacy.)


 A Dosing Calculator is available to help dosing levels and capture other information like weight and the diagnosis being treated.  The system will prompt for weight to be updated if it is not populated, or if it's marked as approximate.
 

The instructions and the quantity to be filled out are required.  If the drug was selected from VetView products, then an estimated price for the total quantity will be displayed.  

There are also two sections to help quickly create instructions:  Predefined standard instructions (which can be defined for the most commonly prescribed products) and Draft Instructions.  These are built at the Product Setup level by your pharmacy or unit administrators.   (Predefined instructions can automatically fill in the quantities and dosage as soon as the drug is selected, depending on the species and product defaults.)


 

Refill and withdrawal information can be set, and are pre-loaded or limited by the drug class and the product definitions.  The default prescription expiration and refill expiration will also load based on the pharmacy settings and drug class.  These can be modified if you wish the expire the prescription or refills sooner.  In the example below, the drug is considered a Scheduled substance, so no refills are allowed. 

You can fill out a Prescription Request comment to give additional information to the pharmacy.  This comment will not be client visible. 

The Patient Status is used to help the pharmacy prioritize your request.  For products needed in an emergency, you can choose a higher priority status, or for products that can wait longer, you can choose a lower priority one.  These statuses are custom defined by the pharmacies.  They will also sort these on the Prescription Fill Queue by their own fill priorities.

Once the prescription has been prepared, it can be saved by the student to have a clinician review it at a later time, or it can be immediately reviewed and approved over the shoulder of the student.  Click Add Script to save the prescription in a Requested status to the patient record. 

Multiple prescriptions can be created and stored from the form without returning to the patient record.  These can then be reviewed individually, or reviewed and approved all at once.

The prescribing DVM will default to the attending DVM, but it can be changed.  A notice can be sent to the prescribing DVM that there is a prescription ready for review. 

Once a prescription has been Approved, it is sent to the pharmacy and can no longer be edited by the clinician or student.  Any changes will need to be called in to the pharmacy.  


Predefined Instructions

If you find yourself frequently prescribing a very standard course of certain common products, talk to your unit administrator about setting up pre-made instructions!  These will let you load the instructions, the refills, the total quantity, etc in a single double click or even as soon as the drug has been selected from the list.  For products with a standard instruction set, like flea prevention or Clavimox, this can reduce errors.

How do I create a Regular Fill request from the Patient List?

If the Pharmacy column is visible on the Patient List, and you have the right to Request a prescription, you can open the Prescription Request Window directly from this screen.

Click on the prescription icon to start a new prescription request for the patient.

How do I approve a Regular Fill request from my Mail Notifications or the Home Screen?

Clinicians who had a prescription request sent in their name will receive a Mail notification in VetView (as well as their person email if it is set to forward.)

Click on the patient name to go to the patient record.

The requested prescriptions should be at the top of the Active Prescriptions tab.  Click on the product name to open the prescription and approve it. 

These prescriptions can also be viewed on the Home screen on the My Pending Prescriptions (Prescribing DVM) widget.  You can multiselect prescriptions on this widget and have them all load for approval at once.  

On the Prescription Request window, click on the edit pencil icon to view the details of each prescription on the list before giving final approval.

How do I track the status of my Regular Fill prescription?

For students and staff who Requested the prescription, you can see if it's been Approved yet by going to the My Pending Prescriptions (Requested By) widget on the home screen.

This screen also displays all prescription statuses prior to Filled (including the new Ready for Pickup status for schools that want to use that workflow)  so you can see if a prescription has been received, is in process, or is in Review or Ready for Pickup status.  


VetView Wiki

Most recent releases of VetView:  Version 4.2.5 Hotfix (Released 10/31/2024)

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