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I have recently joined the ranks of 'locum pharmacist' and am dismayed by the plethora of PMR systems. It strikes me that we (all locum pharmacists) require a simple help sheet for each system we use. I think that the selection of patient, drug, dose and frequency in all systems is not complex and easily mastered with little time required. The problems arise when 'things go wrong'. I have identified some problems which need addressing and list them below. I suggest that it would be helpful if those competent with any particular system could provide the information to solve these problems all locum pharmacists could benefit by having the key problems solved by reference to this list. I find the manuals take too long to examine when dispensing - this short list of key problems only requires a glance. (Below was in table form but I cannot reproduce here.) Computer system From which screen What to do Change label after printing/closed patient Balance (owing) - originate - before printing Change quantity of drug dispensed after printing - eg due to lack of stock etc (raise owing/balance) Balance (owing) - clear ( from where) Balance (owing) - clear - number (balance or orig quantity) Loan - originate Loan - clear Bag label Reprint label Delete item from record Delete script Re-endorse after completing script (endorser not working first time) List patients today List of drugs dispensed today Type of script FP10, emergency, private etc Go back one instruction I am certain that this list is not all inclusive. The addition of other significant points is to be encouraged but the key to this project is to keep the list short and thus a rapid reference document. Perhaps we could develop a 'quick reference' and an 'in depth reference'. Derek Balon |