Additional items
> Dispensary tab
When dispensing a prescription it may sometimes be necessary to add an item that does not appear on the prescription e.g. an applicator may be dispensed with a cream or water for an injection may be added to a prescribed powder.
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Start to dispense the item as you would normally e.g. select the patient and number of items.
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Select the Written As generic, choosing a Dispensed asitem for which you have stock.
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Entering the full prescribed quantity and press Enter on your keyboard to confirm.
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Type in the appropriate dosage and direction codes/text.
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Before printing the labels, and whilst the cursor is still within the Directions box, press Ctrl + Alt + U on your keyboard.
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The Select multiple items window appears.
The helpfile illustration will assume Amoxicillin 1g injection and Water for injections are to be used.
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Click the up pointing arrow
to increase the number of items
from one to two. Alternatively, press Alt + N on your keyboard and then press
the 
up arrow to increase the number
or the 
down arrow to decrease the
number. -
A second level opens.
Each level is distinctly numbered 
, 
etc. The
system can accommodate what would be considered as an unrealistic maximum
of 15 levels.
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The focus is on the first level which is highlighted with a pale background.
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The initial selection populates the first level Dispensed as with your default item
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Press Enter on your keyboard and the cursor moves down to highlight the second entry.
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Type e.g. Water and press Enter on your keyboard.
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Select the additional item Water for Injections
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An alert appears.
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Check
the Additional
item box. -
Click the OK button.
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The multiple items screen appears with both the main item and the additional item displayed.
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Enter the second item's quantity e.g. 1P
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Enter any different directions you want for the Additional item.
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Click the OK button to confirm your selections.
You cannot combine these two different
items onto one label.
Dispensary tab
When you revert back to the Dispensary tab, the item that is being dispensed by both items is signified with a blue cross.
If you subsequently need to amend some related detail e.g. you change the quantity to dispense, you will lose the additional item selection made previously, indicated by the blue cross disappearing. However, you can safely change other unrelated detail e.g. you can change the prescriber or you can increase the number of items on the prescription without affecting the items. In these cases, the blue cross would remain.
Other options
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Owing balances can be entered for one or both makes if applicable. These balances display automatically if you are keeping stock whilst labelling.
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Click the Remove all button to remove all work to-date in order to restart.
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Click the Remove button to clear the highlighted entry, for example, the second level in the above illustration.
See also Endorsing & claiming additional items.
Updated 27th March 20104
