Clinical Check - Manual (England)

A patient's prescription can be clinically checked upfront, pre-confirming the prescription prior to dispensing. When dispensing the prescription, warnings, contraindications and interactions are confirmed allowing you to quickly finish the dispense and print the labels.

Important - The Clinical Check Module can be restricted to Pharmacists only, see Restricting the Clinical Check Module and Adding a User for details.

You can dispense a prescription without clinically checking it upfront, in this case the warnings are confirmed during the dispensing process.

Note - Warnings may display if the directions, quantity or item are changed during the dispensing process, these must be confirmed before continuing.

To perform a clinical check on prescriptions:

  1. You can check an individual prescription or multiple prescriptions for the same patient, either:

    • From the Prescriptions screen, select ACTIONS - Clinically Check next to the prescription you want to check:

      Training Tip - You do not need to select a patient to select this option.

    • From the Prescriptions screen, highlight one or more prescriptions for the same patient and then select BATCH CHECK :

  2. If the patient is unmatched or partially matched a warning displays. This depends on the option selected:

    Select OK to open the eMessage Details - Find Local Patient screen and search for a patient, see Matching Patients for details. The clinical check continues after matching the patient record.

    Note - If you do not match the patient you are redirected to the Prescriptions screen.

    Select OK to open the eMessage Details screen and search for a patient, see Matching Patients for details. The clinical check continues after matching the patient record.

    The batch of prescriptions you have selected includes an unmatched or partially matched patient, select OK to return to the Prescriptions screen and match the patient, see Matching Patients for details.

  3. The Prescription Details screen displays all the prescribed items for the patient, including the GP directions and label cautions:

    Check the details are correct and if required you can do the following:

    Select Edit to edit the Directions and Cautions, the Edit Directions and Cautions screen displays:

    1. From the Edit Directions and Cautions screen, Prescribed Directions and Current Directions reflect the details on the prescription:

    2. Enter new directions in Current Directions where required.

    3. Enter new cautions in Current Cautions where required.

    4. Select SAVE .

    Select VIEW PROFILE to view a patient's profile:

    The patient's profile is split into the following tabs:

    • Medication - The patient's full medication history displays:

    • Conditions & Sensitivities - All conditions and other sensitivities in the patient's record display:

    • Clinical Check History - Displays previous Clinical Checks carried out for the patient:

      The screen displays the following:

      • Date/Time - The date and time of the check.

      • Completed By - Who was logged in when the check was completed.

      • Warnings - Type of warning.

      • Items - The items on the prescription.

    Select QUIT CLINICAL CHECK to abandon the clinical check.

  4. Select NEXT to proceed to the Warnings screen.

  5. The Warnings screen displays:

    The screen is split into three tabs, Major Warnings, Minor Warnings and Potential Warnings. Select each tab in turn and then select VIEW INFORMATION to display the warning details.

    Note - The Potential Warnings tab only displays if Patient does not have the condition is selected on the Interactions & Contraindications section of the Pharmacy Details - Checking tab. See Pharmacy Details - Checking for details.

  6. For a High Risk Drug Alert Major Warning you must view and confirm the prescription warning from the High Risk Drug Alert Information screen, select CONFIRM AND CONTINUE :

    The High Risk Drug Alert is confirmed. Select CLOSE to close the screen.

  7. All Major Warnings must be confirmed before you can proceed. To confirm a Major Warning select Confirm or press F11 on your keyboard:

    The status changes to Checked:

  8. To confirm all Major Warnings at the same time, select CONFIRM ALL or press Ctrl + F11 on your keyboard:

  9. Once all warnings are confirmed select COMPLETE CHECK or press F12 on your keyboard.

  10. Pharmacy Manager returns to the Prescriptions screen and the Clinical Check column updates to display the prescription(s) as Checked:

Note - You can dispense a prescription that has not been clinically checked, however you need to confirm any warnings during the dispensing process.

If Prevent editing of directions is enabled in Pharmacy Details, and once you have performed a clinical check, you will be unable to edit the directions. In order to edit the directions, you must reset the clinical check first.

See Pharmacy Details - Checking and Resetting a Clinically Checked Prescription for details.

Printing Dispensing Tokens after a Manual Clinical Check

If a dispensing token is printed after a manual clinical check has taken place, and the clinical check module is restricted to a user with a role of Pharmacist, the pharmacists initials, registration number and the date of the check display on the dispensing token:

See Restricting the Clinical Check Module for details.
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