The Detail:

1. First display the Repeat Masters screen or press F5 function key.
2. List the valid master lines for the repeat prescriptions (see "List Repeat Masters Therapy"), by making sure either the Valid icon is selected or the Active repeat masters .

   Note - If no repeats are listed when you click on one of the above, check the "Note to VAMP Medical users issuing repeat prescriptions for the first time" on page -; and check in the Expired list of repeats.

   • Valid repeats are those that are valid for issue and are marked .
   • An issue can only be made if the number issued is less than the maximum number of permitted issues; and the prescription is marked as in-practice.
   • Active items are those that have not been inactivated, and include both valid and non-valid (expired) repeat prescriptions.
   • Inactivated items are marked but these are not shown on the Active Repeats view.
   • Any expired items, marked , will need to be re-authorised before an issue can be made (see Reauthorise Repeat Master).
   • If you are just reprinting a Repeat Reorder Form, you do not need to start a consultation first (see ). You can reach step 6 Therapy Print Records - Add screen directly by pressing F9 on your keyboard anywhere within Consultation Manager, without first opening a Therapy window.
   • Check the printer - Make sure the prescription printer is on-line and loaded with computerised prescription paper.
3. Select the lines to be issued -
   • Either click in the checkbox by each item required to tick it.
   • Or, if all items are to be selected, click on the Select All icon to select all and tick.
   • Or, if all except one or two items are to be selected, click on the Select All icon to select All, then single click on any items NOT required.

     Note - Any date in red in the Last Issued column is warning you that it is some time since the last issue was made (see Old Repeat Offset in Default Settings for Therapy which defines the period).

4. Click on the Print/Issue icon , or press F9 on your keyboard to display the Print Therapy screen. This records the prescription as having been issued. So if a GP has hand-written a script on a house call, for example, after pressing F9 on your keyboard, click Close at this screen if printing is not required. If you see any messages about which you are not clear, see Messages you may encounter while issuing repeat scripts. But if you see:
   • If nothing happens when you press F9 on your keyboard or press the Printer icon, you have not selected and marked a repeat master. You may have just highlighted an item with actually marking it as selected with a tick. Go back and select item(s) by clicking or pressing the space bar (step 3).
   • There are no more issues left for [drug name] If you wish to prescribe further issues, you will need to reauthorise. This is warning you that this is the last permitted issue of this repeat and after this, you must reauthorise before you issue it again. See Reauthorise Repeat Master.
   • If the printer icon is disabled, then the item you selected is not valid, has expired, needs reauthorising.
5. Print Therapy - Once the Print Therapy screen displays, you have made an issue of the repeat. Your choice is then to print the prescription or close the screen without printing. Click on the Print icon orpress F9 on your keyboard again to print the prescription.

   Note - If you are satisfied with the options on the Therapy Print Records - Add screen, you can click F9 twice in quick succession in step 4.

   If you close the screen without printing, an issue will be recorded in the Iss column.

6. Before printing, check or amend the following:
   • Authorised Signatory (previously called Doctor to sign prescription - The prescribing GP is determined by which GP is signed on (see Date Prescribed, Prescriber, Source of Drug, Print Script). You may select a signing GP who may differ from the issuing or prescribing GP. If in Consultation - Options - Setup - General, you have the option Print Signing GP Name ticked, then name of whichever doctor is selected in Authorised Signatory will print on the prescription (see Default Settings for Therapy).
   • Every time a clinician is selected in the Authorised Signatory field in the Simple and Active tabs on Prescription Manager, the script types will be updated to suit the clinician's ETP status. So if someone who is set up for ETP is selected, any items that can be dual will be switched to dual. If the person cannot do ETP, all items will be set to paper. Note that when a different clinician is selected, the item selections will not change, even if the new person is able to sign more items. This is because the user may have already selected all the items they want to print and they will not want to have to redo that.
   • Drug Labels - Select this box if a dispensing label is to be printed at the same time as the prescription (it will automatically be checked if the patient is marked as dispensing in Registration). If, however, you want to print the labels at a later time (eg when actually dispensing), click to de-select this box for now. Later, when you come to print them, access the Therapy Acute/Issues , select the issue of that therapy item and click on (see Dispensing Labels and Caution Codes).
   • Bag labels - If you are dispensing and want to print a label for bag to hold the dispensed items, make sure there is a quantity (of labels) in this box. See Printing Dispensing Drug, Pack and Bag Labels and Caution Codes.
   • Print Reorder Form - The reorder form is the right-hand part of the prescription listing the patient's repeat therapy (see Repeats Reorder Form). Make sure Print Reorder form is selected if this is an issue of a repeat script. This will default to whatever is set up in Consultation Options - Setup (see "Print Reorder Form"). This default can be overridden for individual print/issues by clicking on the Print Reorder Form box to reverse the selection.
   • Deselect therapy items - At the Print Therapy screen, you can temporarily exclude items from printing by double clicking on a line, or moving to a line and pressing the space bar or Enter. This removes the mark >. If you change your mind and want to include them again, click on the line again.
   • The prescription(s) are printed (before the labels). The Issues column for that therapy repeat is updated by one. Any reprinting of the issue is done from the Therapy Acute List screen (see Reprint a prescription).
   • If you are also printing dispensing drug labels, the Caution Code screen for each therapy item will then be displayed in turn. The caution code is a warning message(s) associated with that drug, eg Warning, May Cause Drowsiness, which will be printed on the dispensing label (see Dispensing Labels and Caution Codes). Click on Close once you have checked the message is correct. The dispensing label(s) will then be printed.

   If the dispenser wants to print drug and bag labels for items without printing the prescription, uncheck the check box against the therapy line. Make sure Drug and Bag Labels are ticked. Print, or press F9 on your keyboard.

7. Click on Print, or press F9 on your keyboard to print the prescription and labels.

   Note - When printing any of the following dangerous drugs, the signature area on the prescription form will be shaded in order to draw attention to it: methotrexate, penicillamine (125mg and 250mg), mercaptamine (50mg and 150 mg), mecaptopurine 50 mg tabs and 150 mg, co-proxamol sf susp 32.5mg + 325mg and co-proxamol tabs 32.5mg + 325mg, and dextropropoxyphene HCl with paracetamol tabs.