ScriptCheck – clinically checking items

ScriptCheck enables a pharmacist to carry out and record a clinical check for patients and their prescription items, and retain that clinical check for up to 6 months. However, if any parameter changes or if the 6-month period has expired for an item, the next time that item is dispensed it will not retain the clinical check. This requires a pharmacist to clinical check again those items on the prescription that have not retained the clinical check.

At any time, you can access an explanation of how the clinical check retention works by simply clicking the info icon  to the right of the blue bar.

ScriptCheck Manager screen

On the ScriptCheck Manager screen, you can see which items have retained a clinical check from the previous 6 months with no changes – they have a Clinically Checked tag. These clinically checked scripts are ready to be dispensed using the scanning app to aid pharmacy staff to complete accuracy and clinical checks for each item dispensed.

To indicate scripts that have some items that have retained a clinical check, and some item(s) that are either new or changed within the script, these are tagged Partially Checked. For the items in that script that have not retained a clinical check, a pharmacist only needs to clinically check those individual items and not the full script.

All other ScriptCheck items must be clinically checked by a pharmacist before they can be processed through the scanning app.  This can possibly be done away from the main area. Access to the clinical checking screen can be restricted by assigning a Role Profile (RBAC) to the pharmacist’s user profile

Filters

To assist in filtering out those scripts that require clinically checking, we have several filter options available. Once the filter has been applied, the pharmacist just needs to clinically check the items that are new on these scripts, using F2 – Clinical Check.

The Clinical Check screen

The clinical check can only be completed by a pharmacist.

On the Clinical Check screen, if the same patient has multiple scripts, they will be displayed together to be reviewed and clinically checked together.

The screen is divided into 3 key areas to provide the information needed to clinically check the items for the selected patient:

In the left pane:

• The PMR History is displayed. Items can be sorted by column headings
• If there is an active retained clinical check from within the last 6 months – a CC tag is displayed
• Remove Retention – a pharmacist can remove the retained clinical check on an item as a one-off: next time the item is dispensed to this patient the clinical check will be retained
• Last Clinical Check – with the pharmacist’s name, their Registration Number, and the date of the clinical check
• If there are Patient Notes and/or Allergies/Conditions recorded, Yes is displayed against each accordingly – to view these details and the full PMR history, click View PMR

In the centre pane:

• Use Edit Prescription option if you need to edit the prescription before the clinical check is completed
• Use Add to Force Check option if a pharmacist has decided that for the selected item for this specific patient it is to be always manually checked – force checked – and not to retain a clinical check. The force check can be removed by a pharmacist as required
• Each script for the patient is listed, with any blue hyperlink warnings against the medication – click the blue link to view the warning
• If there is more than one script, use the arrow icon, to open and close the details
• Coloured tags against scripts or at item level include New, Acute, Repeat Dispensing (x of x), Force Check (FC), High Risk item (HR)
• The retained clinical check date , if applicable, is displayed under the Retained column
• The currently selected pharmacist is displayed – Click F2 – Select Pharmacist to change: a pharmacist must be selected before the clinical check is completed

In the right pane:

• The Label Details of the item selected are displayed
• The Script Details of the item selected are displayed

Force check

A pharmacist can add an item (at preparation level) to be “force checked” for a specific patient.  This means that for this item, the clinical check is NOT retained, and you are forcing a manual clinical check every time it is dispensed for this patient, for example, if it is a high-risk medication item. This force check will remain on this item for this patient, until a pharmacist deems otherwise and removes the force check tag.

To add an item to be force checked when next dispensed for a specific patient, select the item, then click Add to Force Check.

To remove the item from the force check, select the item, then click Remove from Force Check.

Remove retention

This is one-time only scenarios. For example, if a patient’s dosage of an item has been increased, a pharmacist can remove the clinical check retention for the previous dosage being dispensed.

In the PMR History section of the Clinical Check screen, select the item that has a retained clinical check (indicated by a CC tag) to be removed and click Remove Retention. The item no longer has the CC tag. Next time this item is dispensed for this patient, the clinical check will be retained.

High Risk items

Within the MKB, high risk items are flagged for alerts. The default is NOT to allow these high risk items to retain the clinical check when being processed through ScriptCheck.

High Risk items are tagged in red with HR on the Clinical Check screen and will require a pharmacist to clinically check these items every time they are dispensed.

Allergies, Conditions and Patient Warning notes

When an allergy or condition is added to a patient or a change is made to the warning notes, all medications the patient has previously had will require a manual check before the clinical check can be retained again. This ensures that every previously dispensed medication is reviewed considering the new allergy, condition or warning note.

Warning: Once a script is marked as clinically checked, the clinical check can’t be undone. Scripts can be edited (which will automatically remove the clinical check) and will require being re-checked by a pharmacist. However, depending upon the reason for the edit, e.g. an SSP endorsement added, the script may then need to be dispensed locally, using F3 – Dispense Now. 

KB5004546