Rx-Link Friday Fax for September 1, 2000

Please deliver to the Pharmacy Department Latest Version on the web: 7.69

LABOR DAY HOLIDAY

We will be closed Monday - September 1, 2000. If you need support choose the emergency option on the answering system.

Did you know?

That is you choose 1,2 and put your cursor in the “L” field on a patient’s medication that you can print several different reports?

For example:

An “X” will print a pass med label

An “R” will print a pass med label and a discharge instruction

A “Z” will print a discharge instruction

A “T” allows the “transfer” function

A “Y” will print a label

A “1” – “9” will print that number of labels

Pass med labels are essentially a “Take Home” prescription label. You simply put the number of meds that you are going to send home with the patient in the CHG field and put an “X” in the “L” field and press F8. You can do multiple labels at the same time. The system will generate a prescription label to put on the bottle for the patient. It generates a new unique RX number and enters the prescription in the take home log to be printed at the end of the day run.

Discharge Instructions use the data from FirstDataBank to print informational sheets for the patient. The system automatically prints the sheets, and documents in the intervention worksheet file that it was printed.

Transfer function allows you to mark specific medications for transfer to another account number. This is useful if you have a patient on one account number for an overnight stay and then they are admitted to another number. They have 15 meds and only 12 are going to be on the new admission. Simply call up the old number, mark the 12 meds with a “T” and then choose 1,9,9 and fill out the form as appropriate. It will:

  1. enter the same patient information but use the new account number
  2. discharge the old number
  3. take the 12 medications and enter them under the new number

A NEW feature is being added in Rx-Link version 7.70. The user will be able to put a “W” in the “L” field and it will do EXACTLY the same as an “X” BUT – it will not generate a new RX number for the prescription. It will simply use the transaction number from the medication as the prescription number. This is so that facilities that are dispensing “cards” of medication and “refilling” those cards can have a new prescription label printed without generating a new RX number.

Recommendation

You should choose 8,1,3 and press F3 and then SHIFT F9 and save the resulting printout. Do the same with 8,1,4,F3 and Shift F9 then 8,1,1 and F3 and then Shift F9. Save all three of these printouts. They are the settings you are using for your system. Any time you make a change to your system settings in any of these files you should press SHIFT F9 and save the resulting printout.

Periodically you should look through each of these files and make sure that you like the settings you are using. You will be surprised at the number of reports that can automatically be generated or the system controls you can change easily in these files. Press ALT-F1 on any field that you are not sure about.

Drug Master File

We get a surprising number of questions about the drug master file and package size information. There are several fields that are pretty important:

  1. NDC number – all information in Rx-Link is updated based on this number
  2. Pkg Size – this is the size of the package you get with the specified NDC number
  3. Unit Meas – this is the measuring unit
  4. Dse/Cont – how many charges do you want to get out of this NDC number
  5. Disp unit – this is the numerical unit of dispensing
  6. You charge for: this is an English explanation of what the system thinks you have as a charge unit

Make sure that your NDC number is the one that you are actually using. The package size is the numerical designation of what you are buying. For example: Twelve one thousand ml bags of IV solutions would have a 12000 in this field. A 15 gram tube would be 15 in this field. Four fifteen gram tubes of ointment would be 60 in this field. The Unit of measure would be “ml” or “cc” in the IV case, “gm” probably in the ointment case, “tab” or “cap” in a tablet or capsule case.

The doses per container when divided into the Package size SHOULD give you the actual charge unit that you bill for. For example: in the IV scenario above you would put 12 in the doses per container. This would give you a “You charge for:” of “1000 ml”.

Remember, the FDB price updates and your wholesaler updates ONLY affect the Pkg Size field. YOU determine how many doses you are going to get from whatever the AWP or Contract price is. In other words – as long as the AWP price (or contract price if you base your patient charge off of Contract Price) is correct, we will take the appropriate price and divide it by the number of doses per container and THEN apply your formula to it.

It’s so HOT in Texas that. . .

The birds have to use pot holders to pull worms out of the ground.

The potatoes cook underground, and all you have to do to have lunch

is to pull one out and add butter, salt and pepper.

Farmers are feeding their chickens crushed ice to keep them from

laying hard-boiled eggs.

"IT'S SO DRY IN TEXAS THAT..."

The catfish have ticks and have forgotten how to swim.

An Odessa man fainted and they threw sand in his face to bring him to.

The cows are giving evaporated milk.

Robins have to soak their worms before they can be swallowed.

The trees are whistling for the dogs.

A sad Texan once prayed, "I wish it would rain - not so much for me, cuz I've seen it -- but for my 7-year-old."

A visitor to Texas once asked, "Does it ever rain out here?" A rancher quickly answered "Yes, it does. Do you remember that part in the Bible where it rained for 40 days and 40 nights?"

The visitor replied, Yes, I'm familiar with Noah's flood." "Well," the rancher puffed up, we got about two and a half inches of that."

"YOU KNOW YOU'RE IN TEXAS WHEN..."

You no longer associate bridges (or rivers) with water.

You can say 110 degrees without fainting.

You eat hot chilies to cool your mouth off.

You can make instant sun tea.

You learn that a seat belt makes a pretty good branding iron.

The temperature drops below 95, you feel a bit chilly.

You discover that in July, it takes only 2 fingers to drive your car.

You discover that you can get a sunburn through your car window.

You notice the best parking place is determined by shade instead of distance.

Hot water now comes out of both taps.

It's noon in July, kids are on summer vacation, and not one person is out on the streets.

You actually burn your hand opening the car door.

You break a sweat the instant you step outside at 7:30 a.m. before work.

No one would dream of putting vinyl upholstery in a car or not having air conditioning.

Your biggest bicycle wreck fear is, "What if I get knocked out and end up lying on the pavement and cook to death?"

You realize that asphalt has a liquid state.

END OF FAX