The medicine catalogue¶

The catalogue lists the medicines the house uses. Every treatment points at one of its medicines, and the round, the pillboxes and the pharmacy’s sachets read what the medicine record says.

Open it from the Medicines workstation, Catalogue tab: the tab lists the Medicines in Use; The Medicines opens the whole catalogue and Interactions the house’s list of drug interactions.

The medicine record¶

At the top: the name, the Active Ingredient, the Form (Tablet, Capsule, Liquid/Syrup, Injectable, Cream/Ointment, Patch, Drops, Inhaler, Suppository, Other), the Strength, the Category (Analgesic, Antibiotic, Anxiolytic, Antipsychotic, Hypnotic/Sedative…) and the Manufacturer.

What the round and the pillboxes read:

• Prescription Required and Controlled Substance;

• Do Not Crush — the treatment refuses a crushed intake;

• Glucose Before Giving — the care app asks the blood glucose before the dose (an insulin);

• Discard After Opening (days) — sets the discard date of an opened box;

• Never in the Pharmacy’s Sachets — the pharmacist leaves it out of the sachets prepared per moment;

• Food Supplement.

The tabs:

• Information — Contains Allergens (used by the allergy check), Indications, Contraindications, Side Effects, Storage Instructions;

• Official Documents — SPC URL and Leaflet URL;

• Billing — Billable and Sale Price;

• Notes.

The Create Product smart button makes the stock product of the medicine, for a house that keeps a stock in Inventory; once made, it shows the quantity In Stock.

Filters: Controlled Substances, Prescription Required, Billable, Archived; groupings by Category and Form.

Allergens¶

Nursing Care → Configuration → Clinical Catalogues → Allergens lists the allergens: name, Category (Drug, Food, Environmental, Contact, Insect/Venom), ImmunoCAP Class, Allergen Type for a drug, and the Default Severity:

• Low - Monitor;

• Medium - Warning;

• High - Strong Warning;

• Critical - Block Prescription.

The Cross-Reactivity tab names the allergens that react together. The Residents and Medications smart buttons show who is allergic and which medicines contain the allergen. A resident’s allergies are recorded on their medical record (see The resident’s medical record).

Drug interactions¶

Interactions, in the Catalogue tab, opens the house’s list of drug interactions. An interaction names two medicines (Medication 1, Medication 2) or two active ingredients, with:

• the Severity — Minor, Moderate, Major, Contraindicated;

• the Interaction Type and the Evidence Level;

• the tabs Clinical Information (clinical effect, mechanism, management), Active Ingredients and References.

Each treatment is checked against this list: a major interaction warns, a contraindicated pair refuses the treatment. See Treatments.

Dosages¶

Nursing Care → Configuration → Clinical Catalogues → Dosages is the list the treatments and prescription lines pick their dose from: a quantity and its unit (1 tablet, 500 mg, 5 ml). Drag the lines to order them; archive one you no longer use. A dosage typed elsewhere joins the list by itself.

What the reading of prescriptions learns¶

When the lines of prescriptions are read off their PDF:

• Nursing Care → Configuration → Clinical Catalogues → Prescription Reading Memory keeps what each confirmed prescription taught: the medicine each name read was matched to, and the physician behind a letterhead (filters Medicines Read, Letterheads). Delete a line to forget it.

• Nursing Care → Reports → Prescription Reading measures, field by field, what was kept as read and what was corrected (filters Not Kept, PDF Text, OCR).

Both are for the head nurse and the medication manager. See Prescriptions.

Going further¶

• Treatments

• Prescriptions

• Medicines