Narcotic System Maintenance DHIMS by liaoqinmei

VIEWS: 13 PAGES: 80

									                       DEFENSE HEALTH INFORMATION MANAGEMENT SYSTEM




     CHCS Virtual Classroom (VC) Instructor Guide
                         For:
                   Pharmacy (PHR):
            Narcotic System Maintenance




                                       Visit Us Online at:
                                    http://dhims.health.mil

The DHIMS Program Office is a component of the Military Health System Office of the Chief Information Officer.
                                  Course Notes

                    • Purpose of Course

                    • Target Audience

                    • Environment for Application Share

                    • Pronunciations/Key Words/Acronyms




        July 2006                    PHR Narcotic System Maintenance, V2   2




Instructor Note:
Purpose of the Course:
The goal of this training is to ensure that pharmacy narcotic vault managers learn
how to create a narcotic vault, manage and maintain narcotic-related activities
surrounding the vault, as well as generate narcotic reports.

Target Audience:
Pharmacy narcotic vault managers, supervisors and pharmacists who are tasked to
manage the vault

Environment for Application Share:
CHCS Training Database

Pronunciations/Key Words/Acronyms:
Acronyms and key words are addressed within the presentation.




                                                                                     2
PHR: Narcotic System Maintenance




         Pharmacy narcotic vault managers,
         supervisors and pharmacists




                                             3
                            Table of Contents

       •    Agenda                                                       6
       •    Course Objectives                                            8
       •    Course Introduction                                          9
       •    Topic 1: Define a Narcotic Site - NSD Option                11
       •    Topic 2: Create an Inventory Record - CIR Option            19
       •    Topic 3: Enter a New Location - LOC Option                  26




           July 2006              PHR Narcotic System Maintenance, V2        4




Instructor Note:
For the class presentation, skip this and the next Table of Contents slide, and
proceed to the Agenda.




                                                                                  4
                      Table of Contents (cont.)

       • Topic 4: Adjust an Inventory Record - ADJ Option                33
       • Topic 5: Place Audit Point on a Controlled
         Item - AUD Option                                               39
       • Topic 6: Generate Narcotic-Related Reports                      44
       • Summary                                                         78
       • References                                                      79
       • Questions                                                       80




        July 2006                 PHR Narcotic System Maintenance, V2         5




Instructor Note:
For the class presentation, skip this slide and proceed to the Agenda.




                                                                                  5
                                         Agenda

                •    Course Objectives
                •    Course Introduction
                •    Topic 1: Define a Narcotic Site - NSD Option
                •    Topic 2: Create an Inventory Record - CIR Option
                •    Topic 3: Enter a New Location - LOC Option
                •    Topic 4: Adjust an Inventory Record - ADJ Option




         July 2006                    PHR Narcotic System Maintenance, V2   6




Instructor Note: Point to bulleted items as they are discussed.
Text:
Let’s go over the agenda for our class today. We have six topics for this class [read
the topics].




                                                                                        6
                                Agenda (cont.)

               • Topic 5: Place Audit Point on a Controlled Item -
                 AUD Option
               • Topic 6: Generate Narcotic-Related Reports
               • Summary
               • References
               • Questions




        July 2006                  PHR Narcotic System Maintenance, V2   7




Instructor Note: Point to bulleted items as they are discussed.
Text:
This the continuation page of our agenda items [read the topics]. We will conclude
with the summary of what we’ve covered, and then go over the references and any
final questions you may have.




                                                                                     7
                              Course Objectives

                 Define a narcotic site using the NSD option
                 Create an inventory record using the CIR option
                 Enter a new location using the LOC option
                 Adjust an inventory record using the ADJ option
                 Place an audit point on a controlled item using the
                  AUD option
                 Generate narcotic-related reports




         July 2006                  PHR Narcotic System Maintenance, V2     8




Instructor Note:
By the end of this course, you will be able to [read the bulleted items].




                                                                                8
                               Course Introduction
          • Narcotic Vault and Inventory
          • Track and Adjust Narcotic Vault Supply
          • Narcotic-related Reports
          • Methodology
                     PowerPoint Slides
                     Polling Questions




         July 2006                       PHR Narcotic System Maintenance, V2   9




Instructor Note:
Point to the bulleted items as they are discussed. .
Text:
This course provides instruction on how to create a narcotic vault and how to create
an inventory record for controlled items stored in the vault.
The course also includes a demonstration of the menu option that is used to track
and adjust narcotic vault supply. This information is critical to ensure that electronic
records for narcotics meet the standards set forth both by law and by accrediting
organizations.
Narcotic-related reports will also be covered.
We will incorporate screen shots from the CHCS training database in the
PowerPoint slides to illustrate and clarify the process. You will be asked questions
from time to time to test your knowledge on topics being covered.




                                                                                           9
        NAR – Narcotic System Maintenance Menu
                      IVM    IV Menu
                      NSM    Narcotic System Menu
                      OPM    Outpatient Menu
                      UDM    Unit Dose Menu
                      PSM    Pharmacy Support Menu
                      PRM    Pharmacy Reports Menu
                      SFM    Supervisory Functions Menu

                    Select Pharmacy System Menu Option: SFM      Supervisory Functions Menu


                      FOM    Formulary Menu
                      NAR    Narcotic System Maintenance Menu
                      HCM    Health Care Provider Maintenance
                      CSP    Clinical Screening Parameters
                      CWD    Correct Workload Data

                    Select Supervisory Functions Menu Option: NAR        Narcotic System Maintenance Menu


                                     SFM MENU KEY: PSO MAINTENANCE
                                     NAR MENU KEY: PSN SUPER



        July 2006                               PHR Narcotic System Maintenance, V2                         10




Text:
We will begin this training by accessing the Narcotic System Maintenance Menu
(NAR) option; and this option will be used in Topics 1 – 5. The Narcotic System
Reports Menu (NRR) option is used in Topic 6. A total of four (4) security keys are
needed in order to gain access to the options covered in this training.
We will first discuss the security keys you need to access the NAR option. You need
the PSO MAINTENANCE security key to access the Supervisory Functions Menu
(SFM) and the PSN SUPER security key to access the NAR menu. These menu
options will not display if you do not have the appropriate keys.
Now, let’s access the NAR menu option.




                                                                                                                 10
                    Topic 1: Define a Narcotic Site
                    [Narcotic Site Definition (NSD) Option]




        July 2006                 PHR Narcotic System Maintenance, V2     11




Text:
A new narcotic vault needs to be added in your military treatment facility (MTF) and
you must define the vault and set the vault parameters. These tasks are completed
through the NSD option.




                                                                                       11
                          NSD - Narcotic Site Definition

                       ADJ    Adjustments to Inventory
                       CIR    Create Inventory Record
                       LOC    New Location Entry
                       NSD    Narcotic Site Definition
                       AUD    Place Audit Point on Controlled Item

                     Select Narcotic System Maintenance Menu Option: NSD             Narcotic Site Definition




                     Select CONTROLLED INVENTORY VAULT NAME:
                        Are you adding 'MAIN VAULT' as
                            a new CONTROLLED INVENTORY VAULT? Y




         July 2006                             PHR Narcotic System Maintenance, V2                              12




Instructor Note: Point to the highlighted text.
Text:
The Narcotic Site Definition (NSD) option is shown highlighted; and this is one of
the submenus under the NAR menu. It is through the NSD option that we will create
the narcotic vault and define the vault parameters. This will include assigning a vault
name, drug schedule name, group description and group identifier, as well as the
beginning range number for schedules issued from this vault.
The initial prompt allows you to name the new vault. Once defined, the vault cannot
be deleted from the system. The entry here is not case sensitive.




                                                                                                                     12
                NSD - Narcotic Site Definition (cont.)
           CONTROLLED INVENTORY VAULT: MAIN     VAULT                        Narcotic Site Definition

             Controlled Inventory Site: MAIN VAULT
             Division: DIV A - TRAINING HOSPITAL
             Performing MEPRS Code: DAAA\0037




           This MEPRS code is used to report workload performed by the controlled inventory vault.
           Only a Pharmacy MEPRS code (beginning with "DA" belonging to the Group DMIS ID of the
           vault's division may be entered).

           This is a required field. No workload will be reported for sites for which no
           PERFORMING MEPRS CODE is entered.




        July 2006                             PHR Narcotic System Maintenance, V2                       13




Acronyms:
MEPRS: Medical Expense Performance Reporting System
Text:
Next, you need to enter the division and the associated Medical Expense
Performance Reporting System (MEPRS) Code for that division. As you can see,
this is required so that CHCS can attach the appropriate workload originating from
this vault.




                                                                                                             13
                 NSD - Narcotic Site Definition (cont.)

                     CONTROLLED INVENTORY VAULT: MAIN VAULT                          Narcotic Site Definition

                     Controlled Inventory Site: MAIN VAULT
                     Division: DIV A - TRAINING HOSPITAL
                     Performing MEPRS Code: DAAA\0037
                     Vault Identifier: MA




                     ANSWER MUST BE 1-2 CHARACTERS IN LENGTH AND UNIQUE AMONG ALL ENTERIES.
                     This alpha prefix will be concatanated to the front of the issue
                     number along with Schedule Group Identifier. These two identifiers
                     make the issue numbers unique to the system.




         July 2006                             PHR Narcotic System Maintenance, V2                              14




Text:
This screen is very important! This is where you assign either one or two unique
characters to identify the drugs issued from this vault. This is a required entry. This
alpha prefix will be added to the front of the issue number along with the schedule
group identifier. CHCS will not allow you to enter any duplicate characters. We enter
‘MA’ as our unique vault ID.
You will see examples of complete issue numbers later in the class.




                                                                                                                     14
                     NSD- Narcotic Site Definition (cont.)

                     CONTROLLED INVENTORY VAULT: MAIN VAULT                          Narcotic Site Definition

                      Controlled Inventory Site: MAIN VAULT
                      Division: DIV A - TRAINING HOSPITAL
                      Performing MEPRS Code: DAAA\0037
                      Vault Identifier: MA
                      Schedule Group Description:
                      ALL




                     Are you adding ‘ALL' as a new SCHEDULE NAME (the 1st
                               for this CONTROLLED INVENTORY VAULT) ? Y




         July 2006                             PHR Narcotic System Maintenance, V2                              15




Acronyms:
DEA = Drug Enforcement Agency
Text:
We entered “ALL” at the ‘Schedule Group Description’ prompt because we want to
stock all the drug schedules, S1 to S5, in this vault. You can also enter Schedule II-
III, if only S2 & S3 are being stocked in this vault. The schedule group description
refers to user-defined Drug Enforcement Agency (DEA) schedule groups.




                                                                                                                     15
                          NSD - Narcotic Site Definition

                     SCHEDULE NAME: ALL                     Narcotic Site Definition -- CONTINUATION

                     Schedule Group Description: ALL
                     Schedule Group Identifier: A
                     Schedules Included:
                     NON-SCHEDULED
                     SCHEDULE I
                     SCHEDULE II
                     SCHEDULE III
                     SCHEDULE IV
                     SCHEDULE V

                     Beginning Issue #: 100             Current Issue #:




         July 2006                            PHR Narcotic System Maintenance, V2                      16




Text:
This next screen allows you to enter the ‘Schedule Group Identifier.’ This is also a
required field. This drug schedule group ID, together with the vault ID entered in the
previous page, uniquely identifies where issues are coming from and the drug
schedule group. This is different than the vault identifier and CHCS only requires
one (1) character to identify this group. As shown here, we entered “A” to identify all
drug types that are in this group.
The ‘Beginning Issue #’ field is where you specify the beginning issue number for
each of the drug schedules in this vault. In this case, we start at number 100. You
can only set this number during this stage.
With the vault parameters we have just defined, CHCS will tag the first issue from
this vault as MAA100, others will follow with MAA101 and so forth. “MA” is the vault
identifier, followed by “A,” for the schedule group identifier, and the number ”100,”
as we have defined in the ‘Beginning Issue #’ field.




                                                                                                            16
                NSD - Narcotic Site Definition (cont.)
                    CONTROLLED INVENTORY VAULT: MAIN VUALT                          Narcotic Site Definition

                    Controlled Inventory Site: MAIN VAULT
                    Division: DIV A - TRAINING HOSPITAL
                    Performing MEPRS Code: DAAA\0037
                    Vault Identifier: MA
                    Schedule Group Description:
                    ALL




                    _________________________________________________________________________
                    File/exit    Abort     Edit
                    File changes and exit.




        July 2006                             PHR Narcotic System Maintenance, V2                              17




Text:
After setting the beginning issue number, you are now taken back to the initial
Narcotic Site Definition screen so you can file and save the data that was entered.
Next, is a question.




                                                                                                                    17
                                     Question

                True/False (Yes/No):

                The narcotic vault or inventory site name entered
                through the NSD option is case sensitive.




         July 2006                  PHR Narcotic System Maintenance, V2   18




Instructor Note: Read the question.
Question: The narcotic vault or inventory site name entered through the NSD
option is case sensitive.
Answer: False (No). It is not case sensitive.




                                                                               18
                 Topic 2: Create an Inventory Record
                     [Create Inventory Record (CIR) Option]




         July 2006                 PHR Narcotic System Maintenance, V2     19




Text:
In Topic 2, we will create an inventory record in the vault, using the CIR option. You
should only use this option if this is the first time you are stocking this controlled
item in your vault.




                                                                                         19
                         CIR – Create Inventory Record


                      ADJ    Adjustments to Inventory
                      CIR    Create Inventory Record
                      LOC    New Location Entry
                      NSD    Narcotic Site Definition
                      AUD    Place Audit Point on Controlled Item


                    Select Narcotic System Maintenance Menu Option: CIR           Create Inventory Record




        July 2006                               PHR Narcotic System Maintenance, V2                         20




Text:
As mentioned before, the Create Inventory Record (CIR) option is used to add a
new product to the controlled item file. This is where you will define the unit of
inventory, quick code, DEA schedule, and the allocation of vaults in which the item
can be stocked.




                                                                                                                 20
               CIR – Create Inventory Record (cont.)

                     Select Narcotic System Maintenance Menu Option: CIR Create Inventory Record
                     Select INVENTORY RECORD INVENTORY ITEM: BENADRYL
                        Are you adding ‘BENADRYL' as a new INVENTORY RECORD? Y (YES)




                     REFERENCE DRUG: BENAD
                          1   BENADRYL DIPHENHYDRAMINE--PO 25MG CAP         $0.0843/Each
                          2   BENADRYL DIPHENHYDRAMINE--INJ 10MG/ML INJ         10ML/VIAL
                              $ Unknown
                          3   BENADRYL DIPHENHYDRAMINE--INJ 50MG/ML          1ML/VIAL    $ Unknown
                      **Interactions, Class Overlaps, Allergy checks disabled**
                      **Drug checking information is not available**
                          4   BENADRYL DIPHENHYDRAMINE--PO 50MG CAP         $ Unknown
                      **Interactions, Class Overlaps, Allergy checks disabled**
                      **Drug checking information is not available**
                          5   BENADRYL DIPHENHYDRAMINE--PO 12.5MG/5ML LIQ         120ML/BT
                              $1.6400/Pkg (120 ML)
                     Choose 1-5: 2


         July 2006                               PHR Narcotic System Maintenance, V2                 21




Acronyms:
MG = milligram
ML = milliliter

Text:
At the ‘Select INVENTORY RECORD INVENTORY ITEM’ prompt, you must
enter a drug name. We’ll enter ‘BENADRYL,’ and then a “Y” to confirm the
addition of this drug.
Next, you are prompted to enter the ‘REFERENCE DRUG’ for this item. This is
the actual drug name associated with this drug in your formulary. The
“Reference Drug” must have statuses of “active” and “formulary” in your drug
files.
For our scenario, we enter “BENAD,” for “BENADRYL.” By entering a few letters
of the drug, a picklist of drugs beginning with these letters will display. Be careful
to select the appropriate item from the list. We will select number 2 −
BENADRYL INJ 10MG/ML.




                                                                                                          21
               CIR – Create Inventory Record (cont.)

                     INVENTORY RECORD: BENADRYL                                         Inventory Record Entry

                     Record Name: BENADRYL
                     Reference Drug: DIPHENHYDRAMINE--INJ 10MG/ML INJ
                     Unit of Inventory: ML            Units/Package: 10
                     National Stock Number:
                     DEA Schedule: C-IV
                     Inventory Quick Codes:
                     BEN-INJ


                     Inventory Site:
                     MAIN VAULT




         July 2006                                PHR Narcotic System Maintenance, V2                            22




Instructor Note: Point to items as they are discussed in the text.
Text:
Once the item is selected, you can then enter the appropriate drug parameters. It is
recommended that you enter an inventory quick code to facilitate ordering of the
drug. We will enter “MAIN VAULT” at the ‘Inventory Site’ prompt since this is where
we are going to stock this new item.




                                                                                                                      22
                          CIR – Create Inventory Record

                     VAULT: MAIN VAULT                          Inventory Record Entry -- CONTINUATION

                     Inventory Site: MAIN VAULT                                   Current Quantity:   100
                     Status: ACTIVE




         July 2006                                PHR Narcotic System Maintenance, V2                       23




Instructor Note: Point to the items as they are discussed in the text.
Text:
This next slide is where we enter the amount of the controlled item that we are
storing in this vault - in this case, 100. The status is automatically set to “ACTIVE.”
The status is “active” whether a quantity was entered or not. You can use the down
arrow key to bypass entering an amount in the ‘Current Quantity’ field if you are
unsure of the exact amount at the moment. You can always go back later and
populate the field once you are certain of the quantity because once entered, it
cannot be edited.
The “Active” status means that the counting mechanism for the drug is now initiated.
Any amount added using the ADD option or deducted using the DCI option, will be
appropriately reflected in the vault inventory of the drug.
The ‘Status’ field can only be set to “Inactive” when the ‘Current Quantity’ field had
been reduced to a “0” amount using the DCI option. Once “Inactive,” you can no
longer add or deduct using the ADD or DCI options unless you go back to the CIR
option and change data in the ‘Status’ field from “Inactive” to “Active.”




                                                                                                                 23
                          CIR – Create Inventory Record
                     INVENTORY RECORD: BENADRYL                                         Inventory Record Entry

                     Record Name: BENADRYL
                     Reference Drug: DIPHENHYDRAMINE--INJ 10MG/ML INJ
                     Unit of Inventory: ML                     Inventory Units/Package: 10
                     National Stock Number:
                     DEA Schedule: C-IV
                     Inventory Quick Codes:
                     BEN-INJ


                     Inventory Site:
                     MAIN VAULT




                     --------------------------------------------------------------------------

                     ...FILING...




         July 2006                                PHR Narcotic System Maintenance, V2                            24




Text:
CHCS will now add Benadryl to the MAIN VAULT, as shown on this screen.
Now, it’s time for a question.




                                                                                                                      24
                                      Question

                Yes/No:

                Can you enter a Controlled Item in the vault if the drug
                does not have an “active” status in your formulary?




         July 2006                   PHR Narcotic System Maintenance, V2    25




Instructor Note: Read the question.
Question: Can you enter a Controlled Item in the vault if the drug does not have an
“active” status in your formulary?
Answer: No. You can only enter the item if it has a status of “active” in your site’s
formulary.




                                                                                        25
                    Topic 3: Enter a New Location
                     [New Location Entry (LOC) Option]




        July 2006                PHR Narcotic System Maintenance, V2   26




Text:
In Topic 3, we will access the LOC option, which is used to create a new pharmacy
location.




                                                                                    26
                               LOC- New Location Entry

                      ADJ    Adjustments to Inventory
                      CIR    Create Inventory Record
                      LOC    New Location Entry
                      NSD    Narcotic Site Definition
                      AUD    Place Audit Point on Controlled Item

                    Select Narcotic System Maintenance Menu Option: LOC           New Location Entry




                                                                                        New Location Entry

                    Select HOSPITAL LOCATION NAME: ACUTE WALK-IN
                       Are you adding ‘ACUTE WALK-IN' as a new HOSPITAL LOCATION (the 804th)? Y
                    (YES)




        July 2006                               PHR Narcotic System Maintenance, V2                          27




Acronyms:
DBA = Database Administrator
Text:
The LOC option allows a pharmacy user to enter a new location to the Hospital
Location file in CHCS. This feature is available in case the pharmacy area needs to
create a new location to be served by the narcotic vault. You will enter the
information associated with this location such as the name, abbreviation, location
type, etc.
It is recommended that you coordinate with your CHCS Database Administrator
(DBA) when creating a new location because the Hospital Location (HOS) file also
needs to be updated and you do not have access to this file.
Let’s create ACUTE WALK-IN as the new location.




                                                                                                                  27
                       LOC- New Location Entry (cont.)
                                                                                       New Location Entry

                    Select HOSPITAL LOCATION NAME: ACUTE WALK-IN
                       Are you adding 'ACUTE WALK-IN' as a new HOSPITAL LOCATION (the 804th)? Y
                      (YES)
                    ABBREVIATION: ACWI
                    DESCRIPTION: FOR WALK-IN ACUTE CASES
                    LOCATION TYPE: ??
                     This field identifies the classification/category of a hospital
                     location. This is a required field for all hospital locations.

                    Choose from:
                           S         AMBULATORY PROCEDURE UNIT
                           C         CLINIC
                           D         DENTAL
                           F         FILE AREA
                           I         IMAGING
                           L         LAB
                           O         MCP NON-MTF
                           Z         OTHER LOCATION
                           T         PRE-OP TEACHING
                           V         RECOVERY
                           R         REMOTE
                           W         WARD
                    LOCATION TYPE: C C        CLINIC
                    DIVISION: 6 NAVY INPATIENT DIVISION
                    MEPRS CODE: DAAA     0124      INPATIENT UNIT DOSE

        July 2006                                PHR Narcotic System Maintenance, V2                        28




Text:
This screen shows the different information needed to create a new location. Aside
from the ‘ DESCRIPTION’ field, all the fields require an entry because the Hospital
Location file is a common file used by all functionalities in CHCS.




                                                                                                                 28
                        LOC- New Location Entry (cont.)
                     HOSPITAL LOCATION: ACUTE WALK-IN                                  Hospital Location Edit

                     Name: ACUTE WALK-IN                                               Location Type: CLINIC
                     MTF: MNC PORTSMOUTH VA
                     Service: EMERGENCY MEDICAL SERVICE

                     Clinic Specialty:




                     Enter a Clinic Specialty. This field is a pointer to the Provider Specialty
                     File. Entry is limited to those whose SIDR APPROVED flag is set to NO.
                     Clinic Specialties are used in PAS/MCP Consult Tracking to identify the
                     medical specialties provided at this hospital location.




         July 2006                               PHR Narcotic System Maintenance, V2                            29




Instructor Note: Read the statement inside the red box.
Text:
This next LOC screen is where you identify the clinic specialties provided at this
location. Even though this is not a required field, it is still a good practice to enter
the specialty because this data is used by Patient Appointment & Scheduling/
Managed Care Program (PAS/MCP) module for tracking purposes.




                                                                                                                     29
                        LOC- New Location Entry (cont.)
                     HOSPITAL LOCATION: ACUTE WALK-IN                                  Hospital Location Edit

                     Name: ACUTE WALK-IN                      Location Type: CLINIC
                     MTF: NMC PORTSMOUTH VA
                     Service: EMERGENCY CARE SERVICE

                     Clinic Specialty: EMERGENCY MEDICINE



                     MEPRS Code: DAAA
                     Cost Pool Code:




                     -----------------------------------------------------------------------------
                     File/exit    Abort     Edit
                     File changes and exit.




         July 2006                               PHR Narcotic System Maintenance, V2                            30




Instructor Note: Point to the ‘File/exit’ action when it is mentioned in the text.
Text:
Now that you have completely entered the information for this new location, you
need to select the “File/exit” action to save your work and exit the LOC option.
Let’s now issue the Benadryl from the vault we have created. We will issue this drug
to the new location that we have just created.




                                                                                                                     30
                           New issue to the new location
                     CONTROLLED ISSUES: MAA100                                         Pharmacist Issue Entry

                     Drug: BENADRYL
                     Issue Number: MAA100
                     Log Date: 12 May 2006@1531
                     Requestor's Name: ALEXANDER,MARY
                     Issue to Location: ACUTE WALK-IN
                     Units Dispensed: 10           Dispensed In: PACKAGE UNIT
                     Calculated Inventory Units: 100 MLS           Current Status: OUTSTANDING

                     ==============================================================================
                      Received by: ALEXANDER,CLERK
                      Expiration Date of Product: 20 May 2008
                      Manufacturer: TYRH                    Lot #: 345678




                     -----------------------------------------------------------------------------
                     File/exit    Abort     Edit
                     File changes and exit.




         July 2006                               PHR Narcotic System Maintenance, V2                            31




Acronyms:
MLS = milliliters
Text:
As you can see on this screen, we have issued the Benadryl from the vault we just
created - the MAIN VAULT. The first item issued will have an issue number of
MAA100 and it is issued to the new location we have just created - ACUTE WALK-
IN. We have issued 10 packages at 10 MLs per package, which equals 100 MLS in
inventory units.
For the next topic, we will go over the menu used to maintain the narcotic vault. But
first, I have a question.




                                                                                                                     31
                                     Question

                Yes/No:

                Do you need to consult your Database Administrator
                when creating a new location through the LOC option?




         July 2006                  PHR Narcotic System Maintenance, V2       32




Instructor Note: Read the question.
Question: Do you need to consult your Database Administrator when creating a
new location through the LOC option?
Answer: Yes. Once the new location is created, the Hospital Location file (HOS)
also needs to be updated and only the Database Administrator has access to this
file. If this step is not done, the new location that is created is not totally mapped;
and pointers (‘links” between files) are not set properly in CHCS.




                                                                                          32
                    Topic 4: Adjust an Inventory Record
                      [Adjustment to Inventory (ADJ) Option]




        July 2006                 PHR Narcotic System Maintenance, V2    33




Text:
From Topic 4 to Topic 6, we will cover menu options used to track and maintain
narcotic vault activities.
The ADJ option is used to reconcile discrepancies between the inventory count and
the quantity on hand. Access to this option should only be given to a selected few,
preferably the vault manager.
Every effort should be made to investigate where the discrepancy lies, and then use
the ADJ option as your last resort to reconcile the inventory record.
Adjustments made through the ADJ option will generate an entry in the Transaction
log, an audit trail that records the name of the user and the date/time of the
adjustment. Accrediting agencies closely monitor the facility’s narcotic-related
records within the pharmacy.




                                                                                      33
                         ADJ − Adjustment to Inventory


                       ADJ    Adjustments to Inventory
                       CIR    Create Inventory Record
                       LOC    New Location Entry
                       NSD    Narcotic Site Definition
                       AUD    Place Audit Point on Controlled Item

                     Select Narcotic System Maintenance Menu Option: ADJ              Adjustments to Inventory




         July 2006                              PHR Narcotic System Maintenance, V2                              34




Text:
For this topic, we will adjust the Benadryl count since there is an extra package of
10 MLS on hand although the vault quantity indicates that there is a zero balance.
So let’s adjust the vault quantity to reconcile the discrepancy. We’ll access the ADJ
option from the Narcotic System Maintenance option.




                                                                                                                      34
                ADJ - Adjustment to Inventory (cont.)

                     Select Narcotic System Maintenance Menu Option: ADJ           Adjustments to Inventory

                     Select CONTROLLED ITEM FOR ADJUSTMENT: BENADRYL         BENADRYL
                     Select VAULT FOR ADJUSTMENT: MAIN VAULT                 NAVY INPATIENT DIVISION

                     Controlled item BENADRYL
                     has a zero or negative balance.   You may only Increment the inventory.

                     How many MLS do you wish to ADD to the current
                     inventory of 0 MLS?     QUANTITY: 10




         July 2006                               PHR Narcotic System Maintenance, V2                          35




Instructor Note:
Point to the prompts/field on the screen when mentioned in the text.
Text:
You will be prompted to enter the name of the controlled item you need to adjust
and also the name of the vault that will be adjusted. You will also enter data in the
‘QUANTITY’ field.




                                                                                                                   35
                ADJ - Adjustment to Inventory (cont.)
                     CONTROL AUDIT TRANSACTION: 587                                    Adjustment to Inventory

                     Transaction Log #: 587
                     Date Logged: 12 May 2006@1550
                     Controlled Item: BENADRYL                       QUANTITY IN MLS: 10
                     Reason for ADJUSTMENT: MADE MISTAKE IN COUNTING




                     ...FILING...

                     DONE!




         July 2006                               PHR Narcotic System Maintenance, V2                             36




Instructor Note:
Point to the fields on the screen when mentioned in the text.
Text:
At the top left of the screen, notice the Control Audit Transaction number. This
number is systematically assigned by CHCS to this particular transaction.
CHCS will also calculate the quantity based on how the drug is packaged. There are
10 counts of Benadryl 1ML per package which, in this case, equals 10MLS.
You will be prompted to enter the reason for adjusting the amount. This is a
required field. Then the inventory adjustment data is filed.
Now, let’s look at a transaction report through the General Transaction Report
(GTR) option where we can review the adjusted record of Benadryl.




                                                                                                                      36
                 Adjustment Transaction Report - Adj
                                    ADJUSTMENT TRANSACTION REPORT
                                  From: 13 May 2003 To: 12 May 2006


           --------------------------------------------------------------------------------------
           TRANSACTION DATE PRODUCT    REFERENCE # ACTION                   USER      QUANTITY

           --------------------------------------------------------------------------------------
                  VAULT DISPENSED FROM: MAIN VAULT

           12May06          BENADRYL   AD-587         ADJUSTMENT (INCREMENT)      SUC   10   -MLS

           MADE MISTAKE IN COUNTING




         July 2006                          PHR Narcotic System Maintenance, V2                     37




Text:
This is a screen shot of the Adjustment Transaction Report. This report will display
the name of the user who made the adjustment, as well as the reason for the
adjustment. As you can see, it also includes the date and amount of the
adjustment.
This adjustment data will also display on the Narcotic Movement Report (NMR) and
the Specific Transaction Report (STR), but these reports do not include the
comments entered about the adjustment.
Now, it’s time for our end of topic question.




                                                                                                         37
                                      Question
               Which of the following should be considered when using
               the ADJ option to reconcile discrepancies in your vault
               inventory?
                    1. Access to this option should be limited to a
                        minimal number of Pharmacy personnel.
                    2. Use of this option generates an audit trail that
                        includes the date and time of the adjustment and
                        the name of the staff member who made the
                        adjustment.
                    3. Only 1 is correct
                    4. Only 2 is correct
                    5. Both 1 and 2 are correct
        July 2006                    PHR Narcotic System Maintenance, V2   38




Instructor Note: Read the question.

Question: Which of the following should be considered when using
the ADJ option to reconcile discrepancies in your vault
inventory?
   1. Access to this option should be limited to a minimal number of Pharmacy
       personnel.
   2. Use of this option generates an audit trail that includes the date and time of
      the adjustment and the name of the staff member who made the made the
      adjustment.
   3. Only 1 is correct
   4. Only 2 is correct
   5. Both 1 and 2 are correct
Answer: 5




                                                                                       38
                    Topic 5: Place Audit Point on a
                            Controlled Item
          [Place Audit Point on Controlled Item (AUD) Option]




        July 2006                PHR Narcotic System Maintenance, V2   39




Text:
This topic deals with placing an audit point on the inventory record to designate
where the audit ends and where it should begin for the next audit. We use the AUD
menu option to accomplish this.




                                                                                    39
                         AUD – Place an Audit Point


              ADJ    Adjustments to Inventory
              CIR    Create Inventory Record
              LOC    New Location Entry
              NSD    Narcotic Site Definition
              AUD    Place Audit Point on Controlled Item

          Select Narcotic System Maintenance Menu Option: AUD          Place Audit Point on Controlled Item




         July 2006                           PHR Narcotic System Maintenance, V2                          40




Text:
You will need to place an audit point on every controlled item in the vault - one by
one. Let’s now place an audit point on the Benadryl.




                                                                                                               40
                     AUD – Place an Audit Point (cont.)
         Select Narcotic System Maintenance Menu Option: AUD Place Audit Point on Controlled Item
         Select INVENTORY RECORD INVENTORY ITEM: BENADRYL
         Select CONTROLLED INVENTORY VAULT NAME: MAIN VAULT MAIN VAULT     NAVY INPATIENT DIVISION

         12 May 2006@1636                          Place Audit Mark on Controlled Inventory

                                    Controlled Item:      BENADRYL

         Current Quantity on Hand: 10 MLS
         For Vault: MAIN VAULT

         Is this the Item and is this the Quantity
         you wish to place an AUDIT point at (Yes/No)? Y (YES)
         Select INVENTORY RECORD INVENTORY ITEM: DEMEROL--PO 50MG TAB
         Select CONTROLLED INVENTORY VAULT NAME: MAIN VAULT                        NAVY INPATIENT DIVISION

         12 May 2006@1640                          Place Audit Mark on Controlled Inventory

                                    Controlled Item:      DEMEROL--PO 50MG TAB

         Current Quantity on Hand: 93 TABS
         For Vault: MAIN VAULT

         Is this the Item and is this the Quantity
         you wish to place an AUDIT point at (Yes/No)? Y        (YES)
         Select INVENTORY RECORD INVENTORY ITEM:


         July 2006                           PHR Narcotic System Maintenance, V2                         41




Instructor Note: Point to prompts as they are mentioned in the text.
Text:
Under the AUD menu, you will enter Benadryl at the ‘Select INVENTORY RECORD
INVENTORY ITEM’ prompt, and the vault where this is stored, in this case, MAIN
VAULT.
CHCS will display the quantity on hand for the item. You need to confirm this audit
by entering “Yes,” as pointed out by the red arrow. You are then prompted to enter
the next controlled item on which you wish to place an audit. This time, we’ll place
an audit on Demerol and go through the same steps.
We have now placed an audit on two controlled items. We will just press <Enter> at
the next prompt.




                                                                                                              41
                     General Transaction Report - Audit
                                              ADJUSTMENT TRANSACTION REPORT
                                           From: 13 May 2003 To: 12 May 2006


         -------------------------------------------------------------------------------------------
         TRANSACTION DATE PRODUCT                REFERENCE #    ACTION        USER     QUANTITY
         -------------------------------------------------------------------------------------------
                    VAULT DISPENSED FROM: MAIN VAULT

         12May06           BENADRYL                   AD-587               ADJUSTMENT    SUC   10   -MLS
                                                                           (INCREMENT)
         MADE MISTAKE IN COUNTING
         12May06           BENADRYL                   AU-588               AUDIT         SUC   0    -MLS

         12May06           DEMEROL--PO 50MG TAB       AU-589               AUDIT         SUC   0    -TABS



                                      *********   END OF REPORT       **********




         July 2006                            PHR Narcotic System Maintenance, V2                           42




Acronyms:
AD = adjustment
AU = audit
Text:
To view the audit that we just completed, we’ve generated another adjustment
transaction report from the GTR menu. As you can see, both the adjustment and
the audits we made are displayed on this report. CHCS tracks these transactions by
assigning a transaction code and reference numbers to these transactions.
The highlighted text (shown under the ‘Reference #’ field) indicates what type of
transaction was performed; AD refers to adjustment and AU refers to audit. The
number following the code; 587,588,589, is sequentially generated by the system
and stored in the Control Audit Transaction file in CHCS. These reference numbers
are used for tracking these narcotic transactions and will appear in various narcotic
reports.
As mentioned earlier, this report shows the comment entered for the adjustment as
well as the name of the user who entered the comment.
Next, is a question.




                                                                                                                 42
                                          Question

               What is the purpose of placing an audit on the
               controlled items in the vault?
                      1. To document your verification in CHCS.
                      2. To know at which point you will start your
                         next audit.
                      3. It’s good practice in vault management.
                      4. None of the above are true.
                      5. All of the above are true.



        July 2006                        PHR Narcotic System Maintenance, V2    43




Instructor Note: Read the question.
Question: What is the purpose of placing an audit on the controlled items in the
vault?
                    1. To document your verification in CHCS.
                    2. To know at which point you will start your next audit.
                    3. It’s good practice in vault management.
                    4. None of the above are true.
                    5. All of the above are true.
Answer: 5




                                                                                     43
        Topic 6: Generate Narcotic-Related Reports




         July 2006                   PHR Narcotic System Maintenance, V2      44




Text:
This last topic deals with reports associated with the narcotic vault activities. As a
vault manager, you need to be able to keep records that tracks issues that were
dispensed to various locations, narcotic movements as well as inventory records
throughout your MTF.
                     Menu Path: Pharmacy System Menu Option >PRM>NRR
You also need two security keys: the PS REPORTS to access the PRM option, and
the PSN REPORTS security key to access the NRR option.




                                                                                         44
                              INR – Inventory Reports
             EMR     Expiring Medication Report
             INR     Inventory Reports
             GIR     Issue Reports (general)
             SIR     Issue Reports (specific)
             NMR     Narcotic Movement Report
             OIR     Outstanding Issue Report
             SVR     Supply Voucher Reports
             GTR     Transaction Reports (general)
             STR     Transaction Reports (specific)

         Select Narcotic System Reports Menu Option: INR         Inventory Reports




         July 2006                            PHR Narcotic System Maintenance, V2    45




Text:
This is the list of narcotic-related reports that are available when you access the
Narcotic System Reports Menu (NRR). We will only cover the fundamental reports
you need in tracking and maintaining your vault. All the reports you see here are
discussed in detail on the Pharmacy Narcotics Functions course.
We will start with the INR menu, which is used to track inventory in the vault.




                                                                                          45
                        INR – by Alphabetic Name
          Select Narcotic System Reports Menu Option: INR Inventory Reports
        This option will print the inventory records of all Controlled Items that
        are active, regardless of current quantity on hand.
             by (A)lphabetic Name:
             by (D)EA Schedule:
             by (N)ational Stock Number:

        Sort by: Alphabetic Name


        Select VAULT: MAIN VAULT   MAIN VAULT        NAVY INPATIENT DIVISION

        Queue to print on
        DEVICE:




        July 2006                           PHR Narcotic System Maintenance, V2     46




Instructor Note: Point to and read the top where it says “This option…on hand.”
Text:
You have three choices of how this report is displayed, by Alphabetic Name, DEA
schedule, or National Stock Number. We will select “A,” for Alphabetic Name for the
first report, and then “D,” for DEA schedule.
Since most pharmacy reports are lengthy, it is recommended that you spool the
reports and then print them at a non-peak time. By doing this, you are preventing
undue strain and slowing down of your system. Steps used to spool and delete
reports are also covered in other VC Pharmacy classes, so we will not cover them
here.




                                                                                         46
         16 May 2006@1233                                                                     Page 1

                                        INVENTORY RECORD REPORT
                                             (ALPHABETIC)
         -------------------------------------------------------------------------------------------
         PRODUCT                         NSN            DEA      UNITS/PKG               QTY ON HAND
         -------------------------------------------------------------------------------------------
                 VAULT: MAIN VAULT
          ALPRAZOLAM                                    C-IV     1000 TABS                10000
          BENADRYL                                      C-IV     10 MLS                   10
          DEMEROL--PO 50MG TAB                          C-II     25 TABS                  93
          DEXEDRINE 15MG                                C-II     2500 CAPS                54880
          DILAUDID                                      C-II     1000 TABS                20000
          LORCET                                        C-III    100 TABS                 24920
          MORPHINE PCA SYRINGE                          C-II     100 SYRINGES             497
          MS CONTIN                                     C-II     1000 TABS                25000
          PERCOCET TAB                                  C-II     100 TABS                 9870
          VALIUM                                        C-IV     1000 TABLETS             10715
          VALIUM 10MG                                   C-IV     1000 TABS                24986
          VIAGRA               6506-00-543-5638         NON SCHEDULED 100 TABS            9970
          VICODIN ES                                    C-III    1000 TABS                9614

                                **********    END OF REPORT        **********

         The items listed above were inventoried and found correct except for the items listed below
         which had discrepancies as noted.

                     Inventory Officer __________________________                  Date ________




         July 2006                           PHR Narcotic System Maintenance, V2                       47




Instructor Note: Point to the red box and signature line when mentioned in the text.
Text:
This is a sample of INR report showing the drugs displayed in alphabetic order.
Notice the Benadryl that we have added to the vault. At the end of this report is
where the vault manager, or inventory officer, signs to confirm the amounts listed
under the “QUANTITY ON HAND” column convey an accurate count.




                                                                                                            47
                             INR – by DEA Schedule
           Select Narcotic System Reports Menu Option: INR Inventory Reports
         This option will print the inventory records of all Controlled Items that
         are active, regardless of current quantity on hand.
              by (A)lphabetic Name:
              by (D)EA Schedule:
              by (N)ational Stock Number:

         Sort by: DEA Schedule


         Select VAULT: MAIN VAULT MAIN VAULT            NAVY INPATIENT DIVISION
             Start with DEA SCHEDULE: FIRST// C-III
             Go to DEA SCHEDULE: LAST// C-IV

         Queue to print on
         DEVICE:




         July 2006                          PHR Narcotic System Maintenance, V2      48




Text:
This time, we will sort by DEA Schedule and we only want C-III and C-IV in this
report. If you only want all C-IVs, then enter C-IV at the “First” and “Last” prompts.




                                                                                          48
                                          INVENTORY RECORD REPORT
                                             (BY DEA SCHEDULE)


         -------------------------------------------------------------------------------------------
         PRODUCT                     NSN           DEA         UNITS/PKG                QTY ON HAND
         -------------------------------------------------------------------------------------------
                 VAULT: MAIN VAULT
          LORCET                                   C-III       100 TABS                  24920
          PHENERGAN W/CODEINE                      C-III       1920 MLS                  47550
          SCHEDULE III                             C-III       100 TABS                  450
          VICODIN ES                               C-III       1000 TABS                 9614
          ALPRAZOLAM                               C-IV        1000 TABS                 10000
          BENADRYL                                 C-IV        10 MLS                    10
          VALIUM                                   C-IV        1000 TABLETS              10715
          VALIUM 10MG                              C-IV        1000 TABS                 24986
          ZOLPIDEM10                               C-IV        30 TABS                   3120



                            **********   END OF REPORT      **********

         The items listed above were inventoried and found correct except for the items listed below
         which had discrepancies as noted.

                       Inventory Officer __________________________                 Date ________




         July 2006                          PHR Narcotic System Maintenance, V2                     49




Instructor Note: Point to the red box when mentioned in the text.
Text:
This is the INR report. The drugs are listed with the red box displaying the DEA
Schedule. The report only displays drugs from C-III to C-IV because that is the
search criteria we requested. Again, the inventory officer signs and dates the report
to confirm that the count is accurate. As stated on this report, any inventory
discrepancies should be listed below the signature.




                                                                                                         49
                       GIR – General Issue Reports
            EMR     Expiring Medication Report
            INR     Inventory Reports
            GIR     Issue Reports (general)
            SIR     Issue Reports (specific)
            NMR     Narcotic Movement Report
            OIR     Outstanding Issue Report
            SVR     Supply Voucher Reports
            GTR     Transaction Reports (general)
            STR     Transaction Reports (specific)

        Select Narcotic System Reports Menu Option: GIR Issue Reports (general)




        July 2006                            PHR Narcotic System Maintenance, V2   50




Text:
Next, we are going to generate reports through the General Issue Reports (GIR)
option. This GIR option allows you to print all controlled issue records.




                                                                                        50
                               GIR – Sort by Location
            Select Narcotic System Reports Menu Option: GIR Issue Reports (general)
         This option will print the issue records of all Controlled Items.

                by (L)ocation Issued to:
                by (A)lphabetic Drug name:
                by (D)EA Schedule:

         Sort by: Location Issued to



         Select VAULT: MAIN VAULT    MAIN VAULT          NAVY INPATIENT DIVISION

         Earliest DATE LOGGED: FIRST// T-7    (10 May 2006)

         Latest DATE LOGGED: TODAY//     (17 May 2006)



         Queue to print on
         DEVICE:




         July 2006                            PHR Narcotic System Maintenance, V2     51




Text:
Your choices are to either print by Location, by Alphabetic Drug Name, or by DEA
Schedule on a specified date range for a specific vault.
We will first print a GIR report by selecting L, for “Locations Issued to.” We will enter
T-7 to designate the last seven days (or one week). CHCS will echo back with a
date, in this case, 10 May 2006.
We accepted the default of TODAY at the ‘Latest Date Logged’ prompt.




                                                                                            51
                       GIR – Location Report Details
                                                CONTROLLED ISSUE REPORT
                                            From: 10 May 2006 To: 17 May 2006
                                                   (BY LOCATION)
                                                  VAULT: MAIN VAULT


        ------------------------------------------------------------------------------------------------
        ISSUE DATE       DRUG                    LOCATION       ISSUE #     QTY              STATUS
        ------------------------------------------------------------------------------------------------
        12 May 2006      DEMEROL--PO 50MG TAB    4B             MAA101      1 TABS           RETURNED
        17 May 2006      PERCOCET TAB            4B             MAA102      30 TABS          RETURNED
        12 May 2006      BENADRYL                ACUTE WALK-IN MAA100       10 PACKAGE UNITS RETURNED
        17 May 2006      XANAX                   EMERGENCY ROOM MAA103      20 TABS          OUTSTANDING


                                        **********    END OF REPORT       **********




          July 2006                          PHR Narcotic System Maintenance, V2                    52




Text:
Here’s the Controlled Issue Report showing the issue records arranged by location.
The report will list numbered locations first, shown in the red box, followed by
locations in alphabetic order. Information on the issues will include the date issues
were made, the drug, location, issue number, quantity, and the status of the issues.




                                                                                                           52
                      GIR – Alphabetic Report Details
                                              CONTROLLED ISSUE REPORT
                                           From: 10 May 2006 To: 17 May 2006
                                                     ALPHABETIC
                                                 VAULT: MAIN VAULT


        ------------------------------------------------------------------------------------------------
        ISSUE DATE    DRUG                  LOCATION       ISSUE #    QTY                 STATUS
        --------------------------------------------------------------------------------------------
        12 May 2006   BENADRYL              ACUTE WALK-IN MAA100      10 PACKAGE          RETURNED
        12 May 2006   DEMEROL--PO 50MG TAB 4B              MAA101     1 TABS              RETURNED
        17 May 2006   PERCOCET TAB          4B             MAA102     30 TABS             RETURNED
        17 May 2006   XANAX                 EMERGENCY ROOM MAA103     20 TABS             OUTSTANDING


                                        **********    END OF REPORT       **********




          July 2006                          PHR Narcotic System Maintenance, V2                    53




Text:
Here’s the Controlled Issue Report showing issue records arranged alphabetically.
Benadryl is the first drug on the list, shown in the red box, followed by Demerol and
so on. The same information found on the previous report is also included here,
such as, issue date, the drug name, issue location, issue number, quantity, and the
status of the issue.




                                                                                                           53
                      GIR – DEA Schedule Report Details
                                            CONTROLLED ISSUE REPORT
                                         From: 10 May 2006 To: 17 May 2006
                                               (BY DEA SCHEDULE)
                                                VAULT: MAIN VAULT


        ------------------------------------------------------------------------------------------------
        ISSUE DATE      DRUG                     LOCATION        ISSUE #   QTY           STATUS
        ------------------------------------------------------------------------------------------------
                    DRUG NAME:DEA SCHEDULE: C-II
        12 May 2006     DEMEROL--PO 50MG TAB     4B               MAA101   1 TABS            RETURNED
        17 May 2006     PERCOCET TAB             4B               MAA102   30 TABS           RETURNED
                    DRUG NAME:DEA SCHEDULE: C-IV
        12 May 2006     BENADRYL                 ACUTE WALK-IN    MAA100   10 PACKAGE UNITS RETURNED
        17 May 2006     XANAX                    EMERGENCY ROOM   MAA103   20 TABS           OUTSTANDING


                                  **********     END OF REPORT       **********




          July 2006                            PHR Narcotic System Maintenance, V2                  54




Text:
This Controlled Issue Report shows issue records arranged by DEA Schedule.
CHCS will display DEA Schedule C-II first, followed by C-III, and then C-IV. Since
we did not issue anything from the C-III drugs during this date range (one week),
nothing from that DEA classification will appear on this report. Notice, the same
information from the previous report is also included here.




                                                                                                           54
                        SIR – Specific Issue Reports
            EMR     Expiring Medication Report
            INR     Inventory Reports
            GIR     Issue Reports (general)
            SIR     Issue Reports (specific)
            NMR     Narcotic Movement Report
            OIR     Outstanding Issue Report
            SVR     Supply Voucher Reports
            GTR     Transaction Reports (general)
            STR     Transaction Reports (specific)

         Select Narcotic System Reports Menu Option: SIR Issue Reports (specific)




        July 2006                            PHR Narcotic System Maintenance, V2    55




Text:
Next, we will generate reports through the Specific Issue Reports (SIR) option. The
SIR menu option is the same as the GIR menu option except that you will have to
indicate the specific drug or location you want to display in the report.




                                                                                         55
                                    SIR – Sort by Drug
           Select Narcotic System Reports Menu Option: SIR Issue Reports (specific)
         This option will print the ALL issue records of a particular:
              (D)rug:
              (L)ocation:

         SELECT Record Type: Drug


         Select DRUG NAME: XANAX XANAX
         Select VAULT: MAIN VAULT MAIN VAULT          NAVY INPATIENT DIVISION

         Earliest DATE LOGGED: FIRST// T-7   (10 May 2006)

         Latest DATE LOGGED: TODAY//   (17 May 2006)


         Queue to print on
         DEVICE:




        July 2006                            PHR Narcotic System Maintenance, V2      56




Text:
As you can see on this screen, if we select a record type of “Drug,” we need to
enter/specify a drug. Here, we’ve entered “XANAX.” Again, we will only pull this
report for the last seven days (or one week).




                                                                                           56
                           SIR – Drug Report Details
                                             CONTROLLED ISSUE      REPORT
                                        From: 10 May 2006 To:      17 May 2006
                                              ALL ISSUES FOR:      XANAX
                                                  VAULT: MAIN      VAULT


        ------------------------------------------------------------------------------------------------
        ISSUE DATE      DRUG           LOCATION            ISSUE #    QTY         STATUS
        ------------------------------------------------------------------------------------------------
        17 May 2006     XANAX          EMERGENCY ROOM      MAA103      20 TABS    OUTSTANDING


                                    **********   END OF REPORT       **********




          July 2006                          PHR Narcotic System Maintenance, V2                    57




Text:
Here’s the report showing issue records for XANAX. For a date range of one week,
the report indicates only one issue of XANAX. As you can see, the report columns
provide the same information as you saw using the GIR report option.




                                                                                                           57
                       SIR – Location Report Details
                                             CONTROLLED ISSUE REPORT
                                        From: 10 May 2006 To: 17 May 2006
                                              ALL ISSUES FOR: 4B
                                                 VAULT: MAIN VAULT


        -----------------------------------------------------------------------------------------------
        ISSUE DATE     DRUG                      LOCATION ISSUE #     QTY           STATUS
        ------------------------------------------------------------------------------------------------
        12 May 2006    DEMEROL--PO 50MG TAB      4B        MAA101      1   TABS      RETURNED
        17 May 2006    PERCOCET TAB              4B        MAA102      30 TABS       RETURNED


                                  **********   END OF REPORT        **********




          July 2006                            PHR Narcotic System Maintenance, V2                  58




Text:
Here’s another SIR report showing issue records for location 4B. For the same date
range of one week, it shows two controlled item issues.




                                                                                                           58
                    NMR – Narcotic Movement Report
            EMR     Expiring Medication Report
            INR     Inventory Reports
            GIR     Issue Reports (general)
            SIR     Issue Reports (specific)
            NMR     Narcotic Movement Report
            OIR     Outstanding Issue Report
            SVR     Supply Voucher Reports
            GTR     Transaction Reports (general)
            STR     Transaction Reports (specific)

         Select Narcotic System Reports Menu Option: NMR Narcotic Movement Report




        July 2006                            PHR Narcotic System Maintenance, V2    59




Text:
Next, we are going to generate reports through the Narcotic Movement Report
(NMR) option. The NMR menu option provide data about the types of transactions
that occurred for each drug in the vault in a detailed summary format. Data for each
drug will print separately.




                                                                                         59
                            NMR – for MAIN VAULT
            Select Narcotic System Reports Menu Option: NMR         Narcotic Movement Report
         Movement Summary alphabetically by date range.

         Select VAULT FOR MOVEMENT SUMMARY: MAIN VAULT         MAIN VAULT          NAVY INPATIENT DIVISION


         Date ranges GREATER than 31 days will REQUIRE QUEUEING for output


         Earliest Date: FIRST// T-7   (10 May 2006)

         Latest Date: TODAY//   (17 May 2006)


         QUEUE ON DEVICE:




         July 2006                           PHR Narcotic System Maintenance, V2                             60




Text:
For this vault-specific report, you only need to specify the vault and of course the
date range. This is a lengthy report since it will report all the drugs that are stored in
the vault. For example, if you have 50 drugs in that vault, you will have 50 pages of
report. We will only show two examples of the NMR report for two drugs that are in
the MAIN VAULT.




                                                                                                                  60
                      NMR – Benadryl Report Details
                                   CONTROLLED DRUG MOVEMENT REPORT
                              FOR THE PERIOD 10 May 2006 TO 17 May 2006
                                         For Vault: MAIN VAULT

             ACTION                                                            PLUS       MINUS

        *** BENADRYL    ***
            Reported in MLS

        STARTING BALANCE                                                        100
         o VERIFIED ISSUE (OUTSTANDING) - - - - - - - - -               1
           VERIFIED ISSUE (OUTSTANDING) QUANTITY:                                           100   Detail
         o RETURN ISSUE (NON-ZERO BALANCE) - - - - - - - -              1
           RETURN ISSUE (NON-ZERO BALANCE) QUANTITY:                                  2
         o ADJUSTMENT (INCREMENT) - - - - - - - - - - - -               1
           ADJUSTMENT (INCREMENT) QUANTITY:                                       10
         o AUDIT - - - - - - - - - - - - - - - - - - - - -              1
           AUDIT QUANTITY:                                                            0

        *****************************      S U M M A R Y      ******************************

        ADJUSTMENT TRANSACTIONS:                                        1
        AUDIT POINTS:                                                   1
        ISSUE TRANSACTIONS:                                             2
        PRESCRIPTION TRANSACTIONS:                                      0
        SUPPLY TRANSACTIONS:                                            0

        ENDING BALANCE                                                            12

          July 2006                             PHR Narcotic System Maintenance, V2                        61




Instructor Note: Point to the items being discussed in the text.
Text:
Here’s the NMR report for Benadryl. The top part is the detail report and the bottom
part is the summary of the transactions that occurred on this drug. We will start with
the top part first, the detail report.
The 100 under the PLUS column is the starting balance, or the amount we entered
under the CIR option.
The yellow arrow shows the one time that we dispensed 100 MLS of Benadryl to the
Acute Walk-in location that we created. This 100 was listed under the minus column
because this was deducted from the vault.
The pink arrow shows the one time that a non-zero balance return of two was made
on this drug. This amount is listed under the plus column because it was returned.
Let’s discuss the next arrow in the next slide.




                                                                                                                61
               NMR – Benadryl Report Details (cont.)
                                   CONTROLLED DRUG MOVEMENT REPORT
                              FOR THE PERIOD 10 May 2006 TO 17 May 2006
                                         For Vault: MAIN VAULT

             ACTION                                                            PLUS       MINUS

        *** BENADRYL    ***
            Reported in MLS

        STARTING BALANCE                                                        100
         o VERIFIED ISSUE (OUTSTANDING) - - - - - - - - -               1
           VERIFIED ISSUE (OUTSTANDING) QUANTITY:                                           100   Detail
         o RETURN ISSUE (NON-ZERO BALANCE) - - - - - - - -              1
           RETURN ISSUE (NON-ZERO BALANCE) QUANTITY:                                  2
         o ADJUSTMENT (INCREMENT) - - - - - - - - - - - -               1
           ADJUSTMENT (INCREMENT) QUANTITY:                                       10
         o AUDIT - - - - - - - - - - - - - - - - - - - - -              1
           AUDIT QUANTITY:                                                            0

        *****************************      S U M M A R Y      ******************************

        ADJUSTMENT TRANSACTIONS:                                        1
        AUDIT POINTS:                                                   1
        ISSUE TRANSACTIONS:                                             2
        PRESCRIPTION TRANSACTIONS:                                      0
        SUPPLY TRANSACTIONS:                                            0

        ENDING BALANCE                                                            12

          July 2006                             PHR Narcotic System Maintenance, V2                        62




Instructor Note: Point to the items being discussed in the text.
Text:
The green arrow shows the one time that an adjustment was made on this drug, in
the amount of 10 MLS. Recall the adjustment we made on this drug through the
ADJ option. This amount is also listed under the plus column because this was
added to the vault.
The last arrow in beige color shows the one time an audit was made on this drug.
This is listed as zero because this audit did not affect the amount in the vault.
So, if you total the plus column, you will have 112, and the total for the minus
column is 100. The 112 minus 100 will yield an ending balance of 12.
Under the Summary column is the number of transactions you have seen on the
detail section. The verified and return issues totaled as two issue transactions, one
adjustment, and one audit point.




                                                                                                                62
                         NMR – Demerol Report Details
             ACTION                                                            PLUS       MINUS

        *** DEMEROL--PO 50MG TAB     ***
            Reported in TABS

        STARTING BALANCE                                                          40
         o VERIFIED ISSUE (OUTSTANDING) - - - - - - - - -               1
           VERIFIED ISSUE (OUTSTANDING) QUANTITY:                                             1
         o CANCEL A VERIFIED ISSUE - - - - - - - - - - - -              1
           CANCEL A VERIFIED ISSUE QUANTITY:                                      25
         o RETURN ISSUE (ZERO BALANCE) - - - - - - - - - -              2
           RETURN ISSUE (ZERO BALANCE) QUANTITY:                                      0
         o SUPPLY TRANSACTION (DECREMENT) - - - - - - - -               1
           SUPPLY TRANSACTION (DECREMENT) QUANTITY:                                         10
         o ADJUSTMENT (INCREMENT) - - - - - - - - - - - -               11
           ADJUSTMENT (INCREMENT) QUANTITY:                                       39
         o AUDIT - - - - - - - - - - - - - - - - - - - - -              1
           AUDIT QUANTITY:                                                            0

        *****************************      S U M M A R Y      ******************************

        ADJUSTMENT TRANSACTIONS:                                        1                         1
        AUDIT POINTS:                                                   1
        ISSUE TRANSACTIONS:                                             4
        PRESCRIPTION TRANSACTIONS:                                      0
        SUPPLY TRANSACTIONS:                                            1

        ENDING BALANCE                                                            93
          July 2006                             PHR Narcotic System Maintenance, V2                   63




Instructor Note: Type in the 104 -11= 93
Text:
In this NMR report for Demerol, you will see that if you total all the amounts under
the PLUS column, you will have 104. The total for the MINUS column is 11. 104
minus 11 equals 93. This is the amount shown in the ending balance.
The total of the transaction occurrence in the green box is 4. This is the 4 shown in
green under the summary column. The other colors you see corresponds to the
transactions listed in the detail section of the report.




                                                                                                           63
                     OIR – Outstanding Issue Report
             EMR     Expiring Medication Report
             INR     Inventory Reports
             GIR     Issue Reports (general)
             SIR     Issue Reports (specific)
             NMR     Narcotic Movement Report
             OIR     Outstanding Issue Report
             SVR     Supply Voucher Reports
             GTR     Transaction Reports (general)
             STR     Transaction Reports (specific)

         Select Narcotic System Reports Menu Option: OIR Outstanding Issue Report




         July 2006                            PHR Narcotic System Maintenance, V2   64




Text:
Next, we will generate a report through the Outstanding Issue Report (OIR) option.
The main purpose of this report is to let the vault manager know if there are open
issues that need to be closed out.
Issues entered by a user (with the PSN RPH security key assigned) will have a
status of “Outstanding,” and CHCS will automatically deduct the amount issued
from the vault and considers these issues as already dispensed to the requesting
location.
These issues will only be closed when they are returned − either as:
 - “zero returns” (meaning that all issues were appropriately dispensed to
    patients and documented). Therefore nothing is returned to the vault.
 - “non-zero returns” (meaning that some, but not all, of the originally
    dispensed issues were used and a balance was retuned to the vault.
Regardless of the amount, these issues need to be returned or closed out.
Closing outstanding issues helps to ensure that the vault inventory is current.




                                                                                         64
                              OIR – for ALL DRUGS
           Select Narcotic System Reports Menu Option: OIR Outstanding Issue Report
         This option will print outstanding issues in the following formats.
              (A)ll
              (D)rug - Specific
              (L)ocation - Specific
              (R)ange of Dates Asked

         Select: All


         Select VAULT: MAIN VAULT MAIN VAULT         NAVY INPATIENT DIVISION
               Start with DRUG NAME:DEA SCHEDULE: FIRST// C-II
               Go to DRUG NAME:DEA SCHEDULE: LAST// C-IV

         Queue to print on
         DEVICE:




         July 2006                          PHR Narcotic System Maintenance, V2       65




Text:
For this report, you have the choice of printing all drugs, a specific drug, a specific
location, or a range of dates. We will select “A,” for All Drugs in the C-II to C-IV DEA
classification. Notice that CHCS do not prompt you for a date range because it will
print the outstanding issues for all drugs.




                                                                                           65
                        OIR – for Emergency Room
                                        OUTSTANDING CONTROLLED ISSUES REPORT
                                          From: 12 Jan 2005 To: 17 May 2006
                                                    VAULT: MAIN VAULT
                                          ISSUE LOCATION: EMERGENCY ROOM
         ------------------------------------------------------------------------------------------
          ISSUE NUMBER    DRUG ITEM     DATE DISPENSED        QUANTITY               EXPIRATION DATE
         ------------------------------------------------------------------------------------------
          MAA103          XANAX         17 May 2006           20      TAB(S)         7 February 2009
         -------------------------------------------------------------------------------------------

                                 **********     END OF REPORT        **********




         July 2006                            PHR Narcotic System Maintenance, V2                 66




Text:
The report will list all outstanding issues for each location. As you can see from this
example, we only have one outstanding issue to the Emergency Room.
This data was pulled from a software testing environment so this may not be a true
picture; but the idea is to make sure that there are not a lot of outstanding issues in
the various locations within the medical treatment facility.




                                                                                                       66
                             OIR – for Location 10B
                                  OUTSTANDING CONTROLLED ISSUES REPORT
                                       From: 18 Jun 2001 To: 21 Mar 2006
                                              VAULT: VAULT-I
                                            ISSUE LOCATION: 10B
         -------------------------------------------------------------------------------------------
          ISSUE NUMBER    DRUG ITEM         DATE DISPENSED    QUANTITY               EXPIRATION DATE
         -------------------------------------------------------------------------------------------
          ZZ66            MORPHINE PCA      21 Jun 2001       1     SYRN(S)          01 Jan 2002
         -------------------------------------------------------------------------------------------
          ZZ70            MORPHINE SULFATE 21 Jun 2001        4     ML(S)            01 Mar 2002
         -------------------------------------------------------------------------------------------
          ZZ68            MORPHINE--PO      21 Jun 2001       4     TAB(S)           01 Jun 2002
         -------------------------------------------------------------------------------------------




         July 2006                          PHR Narcotic System Maintenance, V2                   67




Text:
This next screen shows an OIR report pulled from a different vault, VAULT-I and a
different location, 10B. Notice that there are several outstanding issues that have
not been returned to the vault and that the issues/drugs have exceeded their
expiration dates.
You will use the Return an Issue (RAI) option to return these issues. This option is
covered in a separate Virtual Classroom (VC) Pharmacy course. The menu path to
access this option is:
        Pharmacy System Menu -> Narcotic System Menu (NSM) ->
        Issue Menu (ISM) -> RAI




                                                                                                       67
                    GTR – General Transaction Reports
            EMR      Expiring Medication Report
            INR      Inventory Reports
            GIR      Issue Reports (general)
            SIR      Issue Reports (specific)
            NMR      Narcotic Movement Report
            OIR      Outstanding Issue Report
            SVR      Supply Voucher Reports
            GTR      Transaction Reports (general)
            STR      Transaction Reports (specific)

        Select Narcotic System Reports Menu Option: GTR Transaction Reports (general)




        July 2006                             PHR Narcotic System Maintenance, V2       68




Text:
The next report menu we’ll discuss is the General Transaction Report (GTR). The
GTR menu option display every transaction that occurred for each controlled item
that causes a change to the quantity on hand for that product.




                                                                                             68
                                 GTR – Sort by Drug
         Select Narcotic System Reports Menu Option: GTR Transaction Reports (general)
         This option will print the transaction records of all Controlled Items.
              by (D)rug:
              by (P)rescription Number:
              by (I)ssue Number:
              by (S)upply Voucher Number:
              by (A)djustment Number:

         Sort by: Drug


         Select VAULT DISPENSED FROM: MAIN VAULT   MAIN VAULT                NAVY INPATIENT DIVISION
           Start with CONTROLLED ITEM:DEA: FIRST// C-IV
           Go to CONTROLLED ITEM:DEA: LAST// C-IV

         Earliest DATE TRANSACTION COMPLETED: FIRST// T-7       (10 May 2006)

         Latest DATE TRANSACTION COMPLETED: TODAY//      (17 May 2006)

         Queue to print on
         DEVICE:




         July 2006                          PHR Narcotic System Maintenance, V2                        69




Text:
This report provides you with several display options. First, we will select to display
all drugs in the C-IV classification only. You can also choose to select all drugs in all
of the DEA classifications, from C-II to C-IV. Again, we will only select to display
data for the last seven days (or one week).




                                                                                                            69
                             GTR – for ALL DRUGS
                                   PERPETUAL TRANSACTION REPORT BY DRUG PRODUCT
                                       From: 10 May 2006 To: 17 May 2006
                                               ALL DRUGS
                                          VAULT: MAIN VAULT


         ------------------------------------------------------------------------------------------
         DATE    PRODUCT     REFERENCE # ACTION                           USER    QTY    QTY ON HAND
         -------------------------------------------------------------------------------------------
                    CONTROLLED ITEM:DEA: C-IV
         12May06 BENADRYL    IS-MAA100    VERIFIED ISSUE (OUTSTANDING)    SUC     100 -MLS        0
         12May06 BENADRYL    AD-587       ADJUSTMENT (INCREMENT)          SUC      10 -MLS       10
         12May06 BENADRYL    AU-588       AUDIT                           SUC       0 -MLS       10
         17May06 BENADRYL    IS-MAA100    RETURN ISSUE (NON-ZERO BALANCE) SUC       2 -MLS       12
         10May06 VALIUM 10MG RX-MA1906    RETURN TO STOCK FROM RX         smw       5 -TAB    24986
         17May06 XANAX       IS-MAA103    VERIFIED ISSUE (OUTSTANDING)    SUC      20 -TABS       5


                                   **********    END OF REPORT        **********




         July 2006                          PHR Narcotic System Maintenance, V2                   70




Text:
On this report, you will only see drugs with a DEA C-IV classification since that was
all we requested.
Let’s look at the first line where it indicates that Benadryl was issued on 12 May for
a quantity of 100MLS, causing the quantity on hand to have 0 amount left.
On the next line, an adjustment (increment) was made in the amount of 10 MLS,
causing the quantity on hand to have the 10 MLS added back.
This is followed by an audit transaction which did not cause any change to the
remaining amount, so the quantity remained at 10.
And on the fourth line, 2 MLS were returned, causing the quantity on hand to
increase to 12.
This is an example of how each transaction is displayed on the GTR report. Notice
also that each transaction is referenced by a transaction code and number, i.e., AU-
588.




                                                                                                       70
                              GTR – for ALL ISSUES
                                         ISSUE TRANSACTION REPORT
                                      From: 10 May 2006 To: 17 May 2006
                                              ALL ISSUES
        ------------------------------------------------------------------------------------------------
        TRANSACTION DATE PRODUCT               REFERENCE # ACTION                       USER    QUANTITY
        ------------------------------------------------------------------------------------------------
                VAULT DISPENSED FROM: MAIN VAULT
        10 May 2006      DEMEROL--PO 50MG TAB IS-MAA101    CANCEL A VERIFIED ISSUE       smw    25 -TABS
        10 May 2006      DEMEROL--PO 50MG TAB IS-MAA101    RETURN ISSUE (ZERO BALANCE)   smw     0 -TABS
        12 May 2006      BENADRYL              IS-MAA100   VERIFIED ISSUE (OUTSTANDING) SUC    100 -MLS
        17 May 2006      BENADRYL              IS-MAA100   RETURN ISSUE (NON-ZERO BALANCE)SUC    2 -MLS
        17 May 2006      PERCOCET TAB          IS-MAA102   VERIFIED ISSUE (OUTSTANDING) SUC     30 –TABS
        17 May 2006      PERCOCET TAB          IS-MAA102   RETURN ISSUE (ZERO BALANCE)   SUC     0 -TABS
        17 May 2006      XANAX                 IS-MAA103   VERIFIED ISSUE (OUTSTANDING) SUC      2 –TABS

                                **********   END OF REPORT       **********




          July 2006                          PHR Narcotic System Maintenance, V2                    71




Text:
This GTR report displays data for all controlled issues with a C-II to C-IV DEA
classification but does not provide a running total of the drug that is in the vault.




                                                                                                           71
             GTR – Adjustment Transaction Report

                                            ADJUSTMENT TRANSACTION REPORT
                                          From: 10 May 2006 To: 17 May 2006


         -------------------------------------------------------------------------------------------
         TRANSACTION DATE PRODUCT                REFERENCE # ACTION                  USER   QUANTITY
         -------------------------------------------------------------------------------------------
                 VAULT DISPENSED FROM: MAIN VAULT
         10May06           DEMEROL--PO 50MG TAB AD-584        ADJUSTMENT (INCREMENT) smw     39-TABS
         12May06           BENADRYL              AD-587       ADJUSTMENT (INCREMENT) SUC     10- MLS
           MADE MISTAKE IN COUNTING
         12May06           BENADRYL              AU-588       AUDIT                  SUC      0- MLS
         12May06           DEMEROL--PO 50MG TAB AU-589        AUDIT                  SUC      0-TABS



                                       **********    END OF REPORT        **********




        July 2006                           PHR Narcotic System Maintenance, V2                   72




Text:
This is the GTR report to generate when you select to display the adjustment
numbers. As shown earlier, the adjustment transaction report will display any
adjustments or audits placed on a controlled item. As you can see, these
transactions are referenced by the transaction code and a number. The transaction
code for “Audit” is AU, and AD for “Adjustment.” The numbers attached to the
transaction code are systematically assigned to uniquely identify each transaction.




                                                                                                       72
                     STR – Specific Transaction Reports
             EMR      Expiring Medication Report
             INR      Inventory Reports
             GIR      Issue Reports (general)
             SIR      Issue Reports (specific)
             NMR      Narcotic Movement Report
             OIR      Outstanding Issue Report
             SVR      Supply Voucher Reports
             GTR      Transaction Reports (general)
             STR      Transaction Reports (specific)

         Select Narcotic System Reports Menu Option: STR Transaction Reports (specific)




         July 2006                             PHR Narcotic System Maintenance, V2        73




Text:
The last report we will cover is called the Specific Transaction Report (STR). The
STR report displays the same information as the GTR output, except that in this
report, you need to identify the specific drug or specific issue number you wish to
display on your report.




                                                                                               73
                             STR – for Drug (Benadryl)
          Select Narcotic System Reports Menu Option: STR Transaction Reports (specific)
         This option will print the ALL transaction records of a particular:
              (D)rug:
              (I)ssue:
              (P)rescription:
              (S)upply Vouchers

         SELECT Record Type: Drug


         Select CONTROLLED ITEM: BENADRYL BENADRYL
         Select VAULT DISPENSED FROM: MAIN VAULT MAIN VAULT                NAVY INPATIENT DIVISION

         Earliest DATE TRANSACTION COMPLETED: FIRST// T-7       (10 May 2006)

         Latest DATE TRANSACTION COMPLETED: TODAY//      (17 May 2006)

         Queue to print on
         DEVICE:




         July 2006                          PHR Narcotic System Maintenance, V2                      74




Text:
For the STR report, you are provided several display options for your report. As
mentioned in the previous slide, you need to provide the specific items/number for
the report format selected.
Let’s select to print all transaction records for the drug, Benadryl, from the main
vault for a period of 7 days.




                                                                                                          74
                      STR – Benadryl Report Details

                                  PERPETUAL TRANSACTION REPORT BY DRUG PRODUCT
                                        From: 10 May 2006 To: 17 May 2006
                                                FOR: BENADRYL
                                              VAULT: MAIN VAULT


        ------------------------------------------------------------------------------------------------
        DATE     PRODUCT    REFERENCE # ACTION                        USER    QTY          QTY ON HAND
        ------------------------------------------------------------------------------------------------
        12May06 BENADRYL    IS-MAA100     VERIFIED ISSUE (OUTSTANDING) SUC    100 -MLS            0
        12May06 BENADRYL    AD-587        ADJUSTMENT (INCREMENT)        SUC    10 -MLS           10
        12May06 BENADRYL    AU-588        AUDIT                         SUC     0 -MLS           10
        17May06 BENADRYL    IS-MAA100     RETURN ISSUE (NON-ZERO BALANCESUC     2 -MLS           12


                                       **********   END OF REPORT        **********




          July 2006                          PHR Narcotic System Maintenance, V2                    75




Instructor Note: Click back to slide number 70 to show the similarity.
Text:
Notice that the STR report displays the same information as the GTR output shown
on slide 70.




                                                                                                           75
                     STR – Issue Number MAA100
                            Report Details

                                              ISSUE AUDIT REPORT
                                            ISSUE REFERENCE NUMBER           MAA100
                                                PRODUCT: BENADRYL


         -------------------------------------------------------------------------------------------
         TRANSACTION DATE   ACTION                           USER       VAULT             QUANTITY
         -------------------------------------------------------------------------------------------
         12 May 2006        VERIFIED ISSUE (OUTSTANDING)     S. CLEAL   MAIN VAULT        100   -MLS
         17 May 2006        RETURN ISSUE (NON-ZERO BALANCE) S. CLEAL    MAIN VAULT          2   -MLS


                                         **********     END OF REPORT        **********




         July 2006                          PHR Narcotic System Maintenance, V2                   76




Text:
This is the STR report for Issue Number MAA100 which is also for the drug,
Benadryl.
If there are no questions about the narcotic-related reports, let’s move to our final
question.




                                                                                                       76
                                   Question

               True/False (Yes/No):

               You have automatic access to the Narcotic System
               Reports Menu (NRR) once you have access to the
               Pharmacy Reports Menu (PRM).




        July 2006                 PHR Narcotic System Maintenance, V2   77




Instructor Note: Read the question.
Question: You have automatic access to the Narcotic System Reports Menu
(NRR) once you have access to the Pharmacy Reports Menu (PRM).
Answer: False (No). You still need the PSN REPORTS security key in order to
access to the NRR option.
Now that we have completed the reports section, let’s summarize what was covered
in this training.




                                                                                   77
                                    Summary
               In the class we have:
                Created and defined a new narcotic vault
                Created an inventory record for a controlled item in
                  the vault
                Created a new location to be served by the vault
                Adjusted an inventory record to reconcile quantity
                  discrepancies
                Placed an audit point on controlled items in the vault
                Generated narcotic-related reports



        July 2006                   PHR Narcotic System Maintenance, V2   78




Instructor Note:
Read the bulleted items.




                                                                               78
                                   References
               The content of this training course is based on
               information provided by the contractor’s subject matter
               experts (SMEs) and the following official CHCS
               documentation:
                     - CHCS Version 4.5 documentation
                     - SAIC/CHCS Document TC-4.5-0403
                     - Narcotic System Maintenance Student Guide




        July 2006                   PHR Narcotic System Maintenance, V2   79




Text:
This course was developed using official CHCS documentation and subject matter
experts (like myself) who have extensive experience in training, implementing, and
troubleshooting CHCS pharmacy software for military sites worldwide.
The Student Guide for this course is also available upon request.




                                                                                     79
                               Questions??




        July 2006                PHR Narcotic System Maintenance, V2   80




Text:
This concludes our training today. Do you have any other questions?




                                                                            80

								
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