Scenario 8

Prescribe PBS scripts, chart medication orders, administer and supply medications using medications management, verbal orders, scope of practice, imprest.

Clinicians employed at our health service are authorised, within their defined national registration category, to write prescriptions (for example, PBS, rural and remote prescriptions (S100 Scheme, HCP)) which are printed on individual PBS script paper.

Health Practitioners employed at our health service are authorised, within their defined national registration category to chart a medication order.

Health practitioners who are not prescribers are authorised to chart medication orders within a defined scope of practice (for example, CARPA, SASA, nurse initiated medications). These medications may be defined by drug or by schedule. Medications outside the scope of practice require a verbal order.

Health practitioners who are not prescribers are required to seek verbal orders for specific scheduled medication (for example, S8).

The quantity and the date last administered and last supplied or both, of a medication are displayed in the patient’s medication summary.

Medication imprest cupboard stock ordering is managed through the imprest drug list and imprest orders.

System Parameter - Configuration

Configure the following settings in File > System Parameters.

Table 1. System Parameters - Configuration
System Parameters
System - Modules	Medication View	On
	Medications Management	On
	Prescribing	On
System Parameters - Clinical	Brand	Off
	Generic Prescribing	On
	Generic Prescribing Mandatory	Off
	Enforce choice of once off/short course or regular medication	Optional
	Print prescription by default	Optional
	Use Health Centre Prescription defaults	Off
	Show generics in Drug Browser	Optional
	Use default prescription repeats	Optional
	Show Prescriber’s Comments	Off
	Use RTPM Service	VIC only optional
	Require password on adverse reaction prescribing	Optional
	Enable label printing	On
	Print Labels by default	Off
	Default label count	Set as required
System Parameters - Prescription Forms	Custom prescriptions	Optional
	Interactions - Include non-specific category interactions	Optional
	Interactions - Exclude minor non-specific pregnancy	Optional
	Consolidated orders	Off
	Consolidated order templates	Off
	Medication Requests Name Plural Name Information Text Selection Information Text	Off
	Medication Request template	Off
	Create medication request by default	Off
	Show out of stock inventory	Off
	Print S8 prescriptions on a separate page	Off
System Parameters - Web Services	Clinical Decision Support (CDS)	Optional - but encouraged as a clinical safety initiative

Tip: If the Medications Management module is enabled, Print labels by default doesn't work.

Reference Tables - Configuration

Configure the following settings in File > Reference Tables.

Table 2. Reference Tables - Configuration
Reference Tables
Editing Encounter Places	Medication Pick up Location	Off
Formularies	Formulary	On - Create as required
Scope of Practice	Scope of Practice	On - Create as required

Tip:

Set up formularies to restrict what medications a nurse can view in MIMS or create medication orders for.

Medications listed in a Scope of Practice will not require a verbal order for user groups assigned with the scope of practice.

User Group - Configuration

Configure the following settings in File > User Groups.

Table 3. User Group - Configuration
User Groups
Provider Type	System Right		Viewing Right	Program Right	Formulary Right	Scope of Practice
PBS Prescriber	Consolidated Orders - Manage	Off	Common	N/A	On - select appropriate	On - select appropriate
	Medication View	On
	Medication Administer	On
	Medication Dispense	Off
	Medication Supply	On
	Medication History	On
	Prescribing Full	On
	Prescribing Once Off/Short course	On
	Imprest Management	On - Assign to imprest managers
Health Practitioners (who is not a prescriber)	Consolidated Orders - Manage	Off	Common	N/A	On - select appropriate	On - select appropriate
	Medication View	On
	Medication Administer	On
	Medication Dispense	Off
	Medication Supply	On
	Medication History	On
	Prescribing Full	Off
	Prescribing Once Off/Short course	On
	Imprest Management	On - Assign to imprest managers
Health Practitioners, with restrictions, such as a Nurse Practitioner	Consolidated Orders - Manage	Off	Common	N/A	On - select appropriate	On - select appropriate
	Medication View	On
	Medication Administer	On
	Medication Dispense	Off
	Medication Supply	On
	Medication History	On
	Prescribing Full	On
	Prescribing Once Off/Short course	On
	Imprest Management	On - Assign to imprest managers

Tip:

On the Formulary Rights tab, set All Products formulary. Optionally create other locally defined formularies.

Formulary - create a formulary to restrict the MIMS medication view and available list of medications for charting medication orders. Assign the formulary to the user group.

Scope of Practice - assign the same formulary as scope of practice.

Providers - Configuration

Configure the following settings in File > Providers.

Table 4. Providers - Configuration
Providers
Provider Type	Prescriber Number	Verbal Order	Schedule Drug Selection	Encounter Place	Use Scope of Practice
PBS Prescriber	To be recorded	N/A	N/A	N/A	Off
Health Practitioner (who is not a prescriber)	N/A	On	Set one or more options	Set as required	On
Health Practitioner, prescriber with restrictions, such as a Nurse Practitioner	To be recorded	On	Set one or more options	Set as required	On

Tip: Verbal Order:S1, S2, S3, S4, S5, S6, S7, S8, S9, Un-Scheduled- set one or more options to require that any medication order created for medications included in the selected Schedule requires a Verbal Order. For example, if a nurse needs to be able to prescribe S1, S2 and S3 medications without a verbal order, deselect S1, S2 and S3 and set S4-S9.

Tip: To require a verbal order only for particular encounter places, select the required Encounter Place.

If you deselect an encounter place, the provider does not require a verbal order at that encounter place.

If you want a provider to always require a verbal order at all encounter places,for Encounter Places, set Select All.

Tip: Medication listed in a Scope of Practice that is assigned to a user group that the provider belongs to overrides Verbal Order > Schedule Drug Selection selected for the provider.

Printer Assignment - Configuration

Configure the following settings in File > Printer Assignments.

Table 5. Printer Assignments - Configuration
Printer Assignments
Printer Assignments	Prescriptions	Set tray default
Printer Assignments	Medication Labels - Label Template	Select dispense label template