ScriptCheck single patient flow – option 1

You can use Skip Basket Check, but it will force a verification check. A pharmacist or ACT with Accredited Access will be required to complete the verification.

Follow these steps to clinically check items.

1. On the ScriptCheck Manager screen, in the Queue tab the list of scanned scripts is displayed. Filters can be applied including CC Status (Clinically Checked Status).

   Tip: Use the filters to view only the scripts required to be processed at this time, for example Today.
   

2. The Responsible pharmacist logged in will be the default pharmacist for completing the clinical checks. Their name is visible on the top ribbon. To amend, click Change to select the required pharmacist, then click  F10 – Save.
   The checking pharmacist does not have to be the Responsible Pharmacist.
   
3. Select the scripts to be clinically checked, then click F2 – Clinical Check.

   Tip: To select all scripts in the current filter, tick the top box beside Date Added.

4. On the Clinical Check screen, the first selected script is displayed with the PMR History in the left pane, the script(s) in the centre pane and the highlighted script details in the right-hand pane.
   
   • If the same patient has multiple scripts, they will be displayed together to be reviewed and clinically checked together.
   • In the left pane:
     • any prescribing history is displayed
     • 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 top-centre pane:
     • an Edit Prescription option if you need to edit the prescription before the clinical check is completed
     • 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
   • In the bottom-centre pane:
     • the currently selected pharmacist is displayed – Click F2 – Select Pharmacist to add or change: a pharmacist must be selected before the clinical check is completed
     • if the script has retained the clinical check, the details will be displayed under Last Clinical Check with the pharmacist’s name, their Registration Number, and the date of the clinical check
   • In the right pane, the Label Details and Script Details are displayed.
5. Once a script has been clinically checked, select Clinically Checked, or click F4 – Select All CC, if there are multiple scripts for this patient.
6. Click F10 – Confirm.
7. On the ScriptCheck Manager screen, those scripts that have been clinically checked are displayed with a tag, along with the pharmacist’s name. If the clinical check has been retained, the date of the retention is displayed.
   

ScriptCheck will retain a clinical check, valid for 6 months, for individual patients and prescriptions. However, if any of the parameters change or the 6 months has expired, the next time a prescription containing those items is dispensed, it will not retain the clinical check. This will require a pharmacist to perform a clinical check once more.

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 on the ScriptCheck Manager screen.

On the warning message screen, click OK.  The token must be clinically checked by a pharmacist before it can be processed through the scanning app.

Only users with Accredited Access to the scanning app can setup and amend scanning app users, including password resets.

Create or amend a new user 

The default when opening the scanning app, is to load a blank picklist every time, on the Pending Patients screen. Check you have no outstanding picklists still on the Pending Picklists screen, these will need to be completed before the default blank picklist is displayed.

You will require Accredited Access to the scanning app to amend the settings for your pharmacy. To access the ScriptCheck app settings, double-click the ScriptCheck app icon on your desktop.

1. On the login details screen, enter your administrator login details and password, then click Login.
2. Within the app, in the left-hand pane, click Settings.
   The App Settings screen is displayed.
3. Select the General tab.
   
4. Select the setting Only load default menu once. If this setting is ticked, the scanning app will only move to the default page once on login, if no picklists are present.
5. To disable this option and default to this screen every time, untick the box to the left of the question mark icon .
6. At the top of the screen, click the save icon .

Verification means that the situation requires a pharmacist or an ACT with Accredited Access to the scanning app to manually check that the items dispensed are the correct packs, going to the correct patient with the correct labels on them.  For example, for a split pack, a basket check has been skipped, or items are owed.

Whether verification is required after using the No More Packs option, is set by your pharmacy, using the settings in the scanning app.

You will require Accredited Access to the scanning app to set the verification settings for your pharmacy. To access the ScriptCheck app settings, double-click the ScriptCheck app icon on your desktop.

1. On the login details screen, enter your administrator login details and password, then click Login.
2. Within the app, in the left-hand pane, click Settings.
   The App Settings screen is displayed.
3. Select the Process tab.
   
4. The No More Packs settings that apply to verification are detailed in the following table.

   If the item is a standard verification item, such as a spilt pack, this will still trigger the verification process, irrespective of your setting.

   Display “No More Packs” button during Basket Check	When selected the No More Packs button is displayed on the screen during the Basket Check To disable this option, tick the box to the left of the question mark icon . Default is Yes.
   Require use of “No More Packs” button to be verified	When ticked, if the No More Packs button is used, all packs must be verified. To disable this option, tick the box to the left of the question mark icon . Default is Yes.

5. To save any changes, click the Save icon.

On the warning message screen, click OK.  The token must be clinically checked by a pharmacist before it can be processed through the scanning app.

If an unknown barcode warning message has been displayed for a scanned pack, a pharmacist is required to map this unknown barcode to the Custom Barcodes product list. Once this has been done, rescan the pack to complete the accuracy check. The basket will require Verification by an accredited user.

Product Manager and barcode mapping

The selected pack needs to match the pack selected during the processing of the EPS script from ProScript Connect, in terms of pack size and drug generic or brand. Check the following:

• Has the incorrect drug been picked? Re-pick and label the correct drug pack.
• Has a different pack size been picked? You can check the script preview to see the expected pack size in brackets next to the drug name. Re-pick the expected drug pack size.
• Has a brand been picked and the dispensed product choice in ProScript Connect is a generic? Pick the expected product.
• Has a generic version of the drug been picked but the product choice selected in ProScript Connect is a brand? Pick the expected product.

If you wish to dispense a different product choice, then this item will need to be dispensed locally and checked by a pharmacist or ACT or the dispensed product choice edited in ProScript Connect.

From ProScript Connect, go to the patient’s PMR. Highlight the drug and expand to the detailed view. This will show you the selected pack detail. In our example the brand Lustral was selected and should be picked.

You can use Skip Basket Check and follow your local Standard Operating Procedures for manually labelling and checking the pack. Use ProScript Connect to edit the dispensed drug as required.

You can use Skip Basket Check and follow your local Standard Operating Procedures for manually labelling and checking the packs. Use Reprints in ProScript Connect to edit the labels.

1. Print all labels as normal, then pick and label the packs that you can supply.
2. Move to the basket check and accuracy check the packs you are going to supply.  Keep the label for the owed pack in the basket with the token.
3. Click No More Packs, verify the basket if asked to do so.
4. A bag label will print to complete the packs you are supplying.
5. Retain the label for the owed pack and store following your local Standard Operating Procedures.
6. When the stock arrives, apply the label, the accuracy check must be completed by a pharmacist or ACT.

   Print a reminder label: If the scanning app setting, Printing > Print Missing Item Warning Label has been enabled to print at Basket Check, a label advising a pack is missing will be printed. You can then return to ProScript Connect and locally dispense this item to obtain labels (affixing labels to token to dispense later) or you can create an owing. Note, if part supply is being made, then the label for the part supply should be applied to the pack and checked by a pharmacist. Take care that the correct quantity is dispensed as there may be more labels than required if part supply is being made as opposed to supplying part quantity.

You will notice that the quantity prescribed on the token is different from the quantity on your printed drug pack labels. Check your labels before you go ahead and unnecessarily splitting a pack.

For example, the token may show 28 have been prescribed but the printed labels have a quantity of 30. OPD has been applied and the full pack of 30 can labelled and supplied. If in doubt, check ProScript Connect for details.

You can go ahead and label the packs as normal and move to the basket check.

If you are unable to complete the accuracy check by scanning:

a) Use Skip Basket Check to move on. This will force the basket to a manual verification by a pharmacist or ACT.

b) The basket will be added to the Pending Picklist screen with a status of Verification.

c) Once verified, a bag label will print.

To reprint damaged labels (note all labels will be reprinted):

There are two ways to reprint labels:

• Reprint labels from ProScript Connect and dispense locally.
  1. From the Basket Check screen, click Skip Basket Check to remove the token from the scanning app process.
  2. Use Reprints to reprint the required labels and dispense the items locally. Note, as these labels display no QR code, the items must be checked by a pharmacist or ACT before handing them to the patient.
• Reset the picklist to continue the scanning app workflow. Note that ALL item labels will be printed.
  1. Click Exit Picklist.
  2. The token will now be displayed on the Pending Picklist screen as status Started.
  3. Click the three vertical dots against the required token, then click Reset Picklist.
  4. The token will now be displayed on the Pending Picklist screen as status New.
  5. Double click the required token to restart the scanning app process.