Where do I manage medicines in WideCare?

Open Nursing Care → Medicines. One screen, the Medicines workstation, gathers the prescriptions to read, the treatments, the pharmacy orders, the pillboxes, the round, the follow-up and the catalogue, each in its own tab.

What does the To Do Now tab show?

Everything that waits for someone now: a prescription to read, a resident back from hospital, a pillbox to prepare again, missed doses, a basket for the pharmacy, mandates to have signed. Each line has a button that opens the right record.

Why does a care assistant see fewer things than a nurse?

Each line and each tab is shown only to whoever may act on it. A care assistant sees the doses and treatments of their sectors; reading prescriptions, ordering and the pillbox gestures are for nurses and physicians.

How do I see one wing only?

Choose the sector in the drop-down at the right of the header. The counters, the lists and the buttons then count that sector only; the Care dashboard keeps the same choice.

Which settings act on the medication circuit?

In Nursing Care → Configuration → Settings, the Prescriptions block: receiving prescriptions by e-mail, reading their lines off the PDF, tracking the pillboxes, the house’s pharmacy and the hour the pharmacy’s basket leaves.

Medicines¶

Everything about medicines sits behind one entry of the Care app: Nursing Care → Medicines. It opens the Medicines workstation, a single screen that follows the circuit in the order things happen: the physician’s prescription, the treatments it starts, the pharmacy that supplies them, the pillboxes prepared then checked, the round that gives the doses, and the follow-up of what did not go as planned. The Medicines card of the Care dashboard opens the same screen.

Settings of the medication circuit¶

The settings live in Nursing Care → Configuration → Settings, block Prescriptions (managers):

Receive prescriptions by e-mail — each e-mail sent to the address you set becomes a draft prescription, its PDF beside the form. See Prescriptions.
Read the lines off the PDF — Typed by hand or Local OCR (Tesseract): the lines of a received prescription are filled in from its PDF, for a nurse to check. The same setting holds the certainty from which a medicine missing from the catalogue is created from the reference catalogue (0 = never created, only proposed in the line’s notes).
Track the pillboxes — each dose records who prepared it and who checked it. Switched off, the Pillboxes tab, its buttons and its counters do not show at all. See Pillboxes and the pharmacy’s sachets.
The house’s pharmacy — the pharmacy that serves the residents who chose no pharmacist of their own: their orders go to it.
The pharmacy’s basket leaves at — every morning from this hour, the basket leaves for the pharmacy by itself, where a secure channel to the pharmacy exists. See Pharmacy orders.

Sectors

A nurse or a care assistant assigned to one or more sectors sees the prescriptions, treatments, doses, allergies and pathologies of the residents whose room is in those sectors. An employee with no sector assigned sees the whole house.

The header¶

Prepare the Orders — shown when boxes run low, are expired or opened too long: puts them into one basket per pharmacy (nurses and physicians).
The sector drop-down, at the right — The whole house or one of your sectors. The choice applies at once and is shared with the Care dashboard.

Under the title, the day’s gestures: The Round (today’s doses still to give, by moment), Tomorrow’s Pillboxes (when the pillboxes are tracked), New Prescription and New Treatment.

Below, the day’s figures: the round of the moment (or the next moment that has doses), tomorrow’s pillboxes, the If Needed doses given since midnight and the pharmacy’s basket.

The smart buttons¶

Each counter opens the list it counts, for the chosen sector. A button with nothing to count stays hidden when it is optional.

Button	What it opens
To Read	The prescriptions still in draft.
To Order	The boxes running low, expired or opened too long, not yet on an order.
Baskets	The pharmacy orders.
Mandates to Sign	The residents without a pharmacy mandate in force.
Doses to Give	The round.
Pillbox Issues	The pillbox doses with an issue found at the check (pillboxes tracked).
Back From Hospital	The residents whose treatments wait to be reconciled.
Repeated Refusals	The treatments refused several times in a row.
To Review	The residents whose medication deserves a review.

The tabs¶

Tab	What it holds
To Do Now	One line per thing waiting for a hand, with Open; then Waiting, nothing to do, greyed out (a renewal asked, an order on its way, the week’s sachets).
Prescriptions	The prescriptions to read; All the Prescriptions, New Prescription.
Treatments	The running treatments with their box; All the Treatments, If Needed, New Treatment.
Pharmacy	Boxes to order, orders, the pharmacy’s deliveries, residents without a mandate; Prepare the Orders, All the Orders, Pharmacy Mandates, Pharmacy’s Deliveries.
Pillboxes	Tomorrow’s doses with Prepared and Checked on each line (pillboxes tracked).
Round	The doses of the round with Distributed, Given and Given Earlier; The Whole Round, Administrations.
Follow-up	Back from hospital, repeated refusals, medication review; Incidents, Corrections.
Catalogue	The medicines in use; The Medicines, Interactions.

Who sees what

A line appears only to whoever can handle it. Nurses and physicians read prescriptions, reconcile, order and prepare pillboxes; a care assistant sees the doses and the treatments of their sectors, without the prescriptions to read or the pillbox buttons. Incidents is for the medication manager and the head nurse.

In Belgium

The workstation adds the medicines without a national product code, the SAM database and, with the pharmacy link, the schedules sent, the pharmacy’s stock and invoices: see The SAM medication database and The pharmacy link.

Medicines¶

Settings of the medication circuit¶

The header¶

The smart buttons¶

The tabs¶

Going further¶