Scenario 5

Prescribe PBS scripts, chart medication orders, administer and supply using clinical items or external to Communicare, verbal orders, no scope of practice

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 are defined by drug schedule. Medications outside the defined scheduled drug parameter require a verbal order.

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

The administration or supply of medications is recorded and displayed in the patient’s clinical record as a clinical item or they are recorded externally to Communicare, such as on a paper-based medication chart.

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

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 Off
Medication View On
Medication Administer Off
Medication Dispense Off
Medication Supply Off
Medication History On
Prescribing Full On
Prescribing Once Off/Short course On
Imprest Management Off
Health Practitioners (who is not a prescriber) Consolidated Orders - Manage Off Common N/A On - select appropriate Off
Medication View On
Medication Administer Off
Medication Dispense Off
Medication Supply Off
Medication History On
Prescribing Full Off
Prescribing Once Off/Short course On
Imprest Management Off
Health Practitioners, prescriber with restrictions, such as Nurse Practitioner Consolidated Orders - Manage Off Common N/A On - select appropriate Off
Medication View On
Medication Administer Off
Medication Dispense Off
Medication Supply Off
Medication History On
Prescribing Full On
Prescribing Once Off/Short course On
Imprest Management Off
Tip: On the Formulary Rights tab, set All Products formulary. Optionally create other locally defined formularies.

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 Off
Health Practitioners, prescriber with restrictions, such as Nurse Practitioner To be recorded On Set one or more options Set as required Off
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.

Printer Assignment - Configuration

Configure the following settings in File > Printer Assignments.

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