IDL v4 Guide to MedicationChanges made from Wednesday the 26th of May 2010

Slide 1 of 35

The Medication tab can be found

here.

Slide 2 of 35

When you select the Medication tab, this is the screen you will see.

Slide 3 of 35

Changes have been made to comply with the Scottish Patient

Safety Programme.

Slide 4 of 35

This is the area where drugs are added to the list.

Slide 5 of 35

When adding the admission drugs (those drugs the patient was already

on upon admission), you can tick here before clicking the Add button.

Slide 6 of 35

Also, when adding any drug, you can state the reason for the drug being taken here.

Slide 7 of 35

This means when drugs are added, the admission drugs

are clearly labelled.

And the reason (indication) for the drug being taken can be

seen by hovering over the page icon with your mouse.

Slide 8 of 35

On the Summary tab, it automatically begins categorising the drugs and

adding valuable information, which will appear on the letters.

Slide 9 of 35

On the Medication tab you can use this button

to open a form.

Slide 10 of 35

By selecting File and Print, you can print off this form and use it for Medicines

Reconciliation.

Slide 11 of 35

When an anticoagulant is added to the medication list, the anticoagulant form is added as a tab automatically.

Slide 12 of 35

The Anticoagulant form has been improved to minimise clinical risk.

Slide 13 of 35

First, you would need to choose a reason for the

therapy from this list.

If Other is chosen, you would need to state a

reason here.

Slide 14 of 35

Then state whether it is a previous or a new

episode.

Slide 15 of 35

Choose an INR target value and possibly type a reason for variation.

Slide 16 of 35

Doses of the week prior and current must be

added here.

Slide 17 of 35

Duration and free text information

would go here.

Slide 18 of 35

This form must be authorised before the prescription can be

sent to Pharmacy.

Slide 19 of 35

And there is the ability to state a reducing dose.

Slide 20 of 35

And type the reducing dose instructions in

this box here.

Slide 21 of 35

Drugs can be modified by clicking on the drug name.

Slide 22 of 35

You are then presented with an edit screen, where medication

details can be changed.

Slide 23 of 35

A reason for change can be entered here.

Slide 24 of 35

Use the Update button to confirm the changes to the prescription of that drug.

Slide 25 of 35

On the Summary screen, the drug will be moved to the

amended category if it was an admission drug.

Slide 26 of 35

If you wish to correct a data entry error, you would need to use the Correct Entry button.

Slide 27 of 35

If you wish to stop an admission drug, you would need to use the

Delete Entry button.

Slide 28 of 35

On the Summary screen, the deleted drug will be moved to the discontinued category if it is an

admission drug.

If it is not an admission drug, a deleted drug will not appear at all

on the Summary screen.

Slide 29 of 35

So if an admission drug is entered in error on the

wrong patient, you could prevent it appearing on the letters, by un checking the

admission box.

And use the Correct Entry button.

Slide 30 of 35

Then when you use the Delete Entry button, the

drug will not appear on the letters, or the summary tab.

Slide 31 of 35

New drugs are added as normal, but these would not be ticked as an

admission drug, so they fall into the Additional Drugs category on the letters.

Slide 32 of 35

You can authorise the prescription from the Summary tab when the

Clinical Details and the Anticoagulant Therapy tabs are

authorised.

Slide 33 of 35

Confirm your User ID and PIN.

Then choose either Dispense at Pharmacy or Dispense on Ward (whatever the protocol

is on your ward).

Slide 34 of 35

Those are the main changes made for the Medication elements to the IDL system.

Slide 35 of 35