• Search for the Patient you want to set up a Monitored Dosage System for using the patient search or by pressing F2 on your keyboard and open their PMR

• Click F3 to open the Patient Maintenance screen

• Select the Dosage System tab or (Keyboard: ALT + S)

• Select the Monitored Dosage option at the top of the Dosage System

• Double-click the 'Dosage System' dropdown, highlighted below

• Select the Insert button

• Enter a Name for the dosage system. (This should be kept meaningful, so either the packaging type and dispensing period, or a brand name for the blistering service e.g. 'Care Meds', or 'Blister' etc...)

• Enter the Round Times - click the 'Description' heading and select the down arrow on your keyboard to add the first round description & time. Click the down arrow again to add the next round time and so on.

  • These are the default times at which patients will take their medication. Upon assigning a patient to a home/dosage system, these round times will appear. They are only default times because users can adjust or insert new round times per patient if their round times are different. There is a maximum of 6 round times.

Period

• Daily means 1 day – NOT in USE
• Weekly means 7 days. Drugs are dispensed 7 days at a time.
• Monthly means 28 days. Drugs are dispensed for 28 days at a time.

File Location

• Only used when connected to a Packaging robot. Only TouchStore uses this option. We currently link to the HDMEDI packaging robot and the Tosho Packaging robot. The file location can be anywhere on the network. If the location doesn't exist, an error message will appear.

Print MAR Sheet

• No longer in use

Number of cycles

• A weekly system with only 1 week supplied at a time = 1 cycle= 7 days

• A monthly system with only 1 month supplied at a time = 1 cycle = 28 days

• A monthly system but supplying 4 weeks at a time = 4 cycles. = 7 x 4 = 28 days

• A monthly system but supplying a fortnight at a time = 2 cycles = 2 x 14 days

Print Paperwork

• If you are using paperwork, this should be ticked.

• To add paperwork, click on the 'paperwork' title at the bottom of the screen, use the down arrow on your keyboard to bring up the dropdown and select the appropriate paperwork type. As highlighted bellow.
• Enter in the number of copies you want, tick 'auto print' if you want them to print automatically.

Short Course Monthly/Complex Dosage

The default for Short Course is 7 days. If you tick the Short Course Monthly option this will be changed to a full 28 days, this may be desired if the Dosage System is one cycle over one month.

Auto Phase

Turn this setting on if using a monthly 1 cycle, or monthly 4 cycle system. Either way, the allocation will automatically phase each item as it is dispensed, with the exception of separate items. (A separate item is like a bottle of Gaviscon or an inhaler. They cannot be phased.)

Any user setting up a dosage system for a community based tray (blistering) system should have ‘Auto Phase’ turned on, otherwise they lose out on significant fees in the form of the Phased Dispense Fee.

Show Product Links

Option to enable product links while dispensing under MDS to a patient with this dosage system.

Default Phased Reason

If you have Auto Phase ticked, this option needs to be chosen. Chose the reason for phasing to this patient. E.G “Patient cannot manage”

Default Supplier

This option allows you to configure a preferred supplier for the reordering of items on a ‘Per Dosage’ system basis.

• Once you have completed filling out your Dosage System details, Click 'OK' to save

• Your Dosage System has now been created successfully.

• Your next step would be to assign the Dosage System to your patient(S). Please click on the below link under 'How Do I Assign a Patient to a Monitored Dosage System?'

How Do I Assign a Patient to a Monitored Dosage System?

Click on the following link which will explain how this is done. How Do I Assign a Patient to a Monitored Dosage System