Flu Injection Prescriptions Notes PDF

**[Flu Injection Prescriptions]** - Efficient data entry by easily selecting which vaccine is being administered and auto-populating prescription information. - Auto-processes flu injection prescriptions, in provinces where applicable, entering the appropriate Third-Party information a...

**[Flu Injection Prescriptions]** - Efficient data entry by easily selecting which vaccine is being administered and auto-populating prescription information. - Auto-processes flu injection prescriptions, in provinces where applicable, entering the appropriate Third-Party information as required. - Automatically prints an Immunization Record. - Electronically obtain consent through **Patient Centre**, either on a workstation or on an iPad. **SLIDE 1 -** There are 4 steps for documenting and processing a flu injection: 1. Gather patient consent. 1. Complete the **Pharmacy Use** section on the consent form. 1. Submit the **Flu Injection** claim. 1. *Optional:* Notify the prescriber of the flu injection administration. **Gathering Patient Consent Using the Flu Injection Module** Consent for a flu injection can be completed on a workstation or an iPad, and can be gathered for the following: - An existing patient - A new patient - Copying an existing patient from the same family When completed, the flu injection consent form is automatically attached to the prescription and can be viewed at a later time from the **Patient** **Profile** tab. **If a flu injection prescription is not completed within 48 hours of gathering consent, the patient consent will be deleted. If you need to process a flu injection prescription after 48 hours, you must gather patient consent again.** For a quick demo on gathering flu consent using the **Flu Injection** module, watch the video below. **SLIDE 2 -- VIDEO SLIDE 4:49** **SLIDE 3 - Gathering Patient Consent on a Workstation** [**Existing Patient**](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Gathering%20Patient%20Consent%20Using%20the%20Module.htm) To gather consent for an existing patient on a workstation: 1. Launch the **Flu Consent Form** using one of the two following methods: a. From the **Workbench**, select **RX** \> **PFS** \> **e Consent**, then search for and select the patient. a. From the **Patient Folder**, select **RX** \> **PFS** \> **e Consent**. The **Flu Consent Form** launches in **Patient Centre**. 1. Confirm the patient\'s information. 1. Select **Proceed**. 1. Have the patient complete the sections on the form. 1. Select **Confirm**. 1. If a signature pad is attached, the **Patient Signature** window opens. Have the patient sign in the space provided. Select **OK**. **Patient Centre** auto-logs out the user. **If you are gathering consent electronically using a workstation without a signature pad, you must print the form afterwards and obtain the patient\'s signature. For more information, see [Printing Completed Flu Consent Forms](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Completed%20Flu%20Consent%20Forms.htm). Otherwise, you can pre-print the form and have the patient complete it by hand. For more information, see [Pre-Printing a Flu Consent Form](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Pre-Printing%20Consent%20Forms.htm).** [**New Patient**](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Gathering%20Patient%20Consent%20Using%20the%20Module.htm) To gather consent for a new patient, a new **Patient Folder** must be created. This can be done during the process of getting consent. To gather consent for a new patient on a workstation: 1. From the **Workbench**, select **RX** \> **PFS** \> **e Consent**. The **Patient Search** window appears. 1. Search for the patient to ensure they do not already exist in your system. 1. If no applicable results are returned, select **New**. A blank **Patient Folder** appears. 1. Enter the patient\'s information. For more information, see [Creating a New Patient Folder](https://portal.mckesson.ca/static/PTS/Rx/Content/Patient%20Folder/Create/Creating%20a%20New%20Patient.htm). 1. Select **OK**. The **Flu Consent Form** launches in **Patient Centre**. 1. Select **Proceed**. 1. Have the patient complete the sections on the form. 1. Select **Confirm**. 1. If a signature pad is attached, the **Patient Signature** window opens. Have the patient sign in the space provided. Select **OK**. **Patient Centre** auto-logs out the user. **If you are gathering consent electronically using a workstation without a signature pad, you must print the form afterwards and obtain the patient\'s signature. For more information, see [Printing Completed Flu Consent Forms](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Completed%20Flu%20Consent%20Forms.htm). Otherwise, you can pre-print the form and have the patient complete it by hand. For more information, see [Pre-Printing a Flu Consent Form](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Pre-Printing%20Consent%20Forms.htm).** [**Copying an Existing Patient from the Same Family**](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Gathering%20Patient%20Consent%20Using%20the%20Module.htm) A new **Patient Folder** can be created for patients wanting the flu injection by copying information from an existing **Patient Folder**, if a member of that family already has a **Patient Folder**. Their last name and address information can quickly be copied to the new **Patient Folder**. To gather consent for a new patient by copying an existing **Patient Folder** on a workstation: 1. From the **Workbench**, select **RX** \> **PFS** \> **e Consent**. The **Patient Search** window appears. 1. Search for the patient to ensure they do not already exist in your system. 1. If no applicable results are returned, select **Copy**. A new **Patient Folder** appears with the **Last Name** and address fields populated. 1. Add or modify any information, if required. For more information, see [Creating a New Patient Folder](https://portal.mckesson.ca/static/PTS/Rx/Content/Patient%20Folder/Create/Creating%20a%20New%20Patient.htm). 1. Select **OK**. The **Flu Consent Form** launches in **Patient Centre**. 1. Select **Proceed**. 1. Have the patient complete the sections on the form. 1. Select **Confirm**. 1. If a signature pad is attached, the **Patient Signature** window opens. Have the patient sign in the space provided. Select **OK**. **Patient Centre** auto-logs out the user. **If you are gathering consent electronically using a workstation without a signature pad, you must print the form afterwards and obtain the patient\'s signature. For more information, see [Printing Completed Flu Consent Forms](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Completed%20Flu%20Consent%20Forms.htm). Otherwise, you can pre-print the form and have the patient complete it by hand. For more information, see [Pre-Printing a Flu Consent Form](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Pre-Printing%20Consent%20Forms.htm).** **SLIDE 4 - Gathering Patient Consent on an iPad** [**Existing Patient**](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Gathering%20Patient%20Consent%20Using%20the%20Module.htm) To gather consent for an existing patient using an iPad: 1. Launch **Patient Centre** from the iPad. 1. Select **Flu Injection**. The **Patient Search** window appears. *If you are immediately directed to **Medication Review**, select the **Logout** button. Login using your **Propel Rx** credentials and select **Flu Injection** from the homepage.* 1. Search for and select the patient. 1. Confirm the patient\'s information. 1. Select **Proceed**. 1. Have the patient complete the sections on the form. 1. Select **Confirm**. The **Patient Signature** window opens. 1. Have the patient sign in the space provided. Select **OK**. **Patient Centre** auto-logs out the user. [**New Patient**](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Gathering%20Patient%20Consent%20Using%20the%20Module.htm) To gather consent for a new patient, a new **Patient Folder** must be created. This can be done during the process of getting consent. To gather consent for a new patient using an iPad: 1. Launch **Patient Centre** from the iPad. 1. Select **Flu Injection**. The **Patient Search** window appears. *If you are immediately directed to **Medication Review**, select the **Logout** button. Login using your **Propel Rx** credentials and select **Flu Injection** from the homepage.* 1. Search for the patient to ensure they do not already exist in your system. 1. If no applicable results are returned, select **New**. 1. Enter the patient\'s information. 1. Select **Save**. This information is saved and written back to **Propel Rx**. 1. Select **Proceed**. 1. Have the patient complete the sections on the form. 1. Select **Confirm**. The **Patient Signature** window opens. 1. Have the patient sign in the space provided. Select **OK**. **Patient Centre** auto-logs out the user. [**Copying an Existing Patient from the Same Family**](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Gathering%20Patient%20Consent%20Using%20the%20Module.htm) A new **Patient Folder** can be created for patients wanting the flu injection by copying information from an existing **Patient Folder**, if a member of that family already has a **Patient Folder**. This last name and address information can quickly be copied to the new **Patient Folder**. To gather consent for a new patient by copying an existing **Patient Folder** on a workstation: 1. Launch **Patient Centre** from the iPad. 1. Select **Flu Injection**. The **Patient Search** window appears. *If you are immediately directed to **Medication Review**, select the **Logout** button. Login using your **Propel Rx** credentials and select **Flu Injection** from the homepage.* 1. Search for the patient to ensure they do not already exist in your system. 1. If no applicable results are returned, select **Copy**. A new window opens with the **Last Name** and address information auto-populated. 1. Enter the patient\'s information. 1. Select **Save**. This information is saved and written back to **Propel Rx**. 1. Select **Proceed**. 1. Have the patient complete the sections on the form. 1. Select **Confirm**. The **Patient Signature** window opens. 1. Have the patient sign in the space provided. Select **OK**. **Patient Centre** auto-logs out the user. **Printing Completed Flu Consent Forms** If flu consent was gathered electronically, the consent form is automatically attached to the flu injection prescription. If you wish to print the form, you can do so before filling the flu injection prescription or afterwards. **SLIDE 5 - Printing a Flu Consent Form when Filling a Flu Injection Prescription** To print a completed consent form when filling a flu injection prescription: 1. From the **Flu Injection** window, select **e Consent**. 1. Scroll to the bottom and enter any additional information that must be kept on file in the **Pharmacy Use** section. 1. Select **Confirm**. The information is saved. 1. Select **Print**. The **Print Options** window appears. 1. Set the preferred printing options. 1. Select **OK**. The **Flu Consent Form** prints. **SLIDE 6 -- Printing a Flu Consent Form after Filling a Flu Injection Prescription** To print a completed consent form after filling a flu injection prescription: 1. Search for and select a patient. 1. Select the **Profile** tab. 1. Locate the flu injection prescription. 1. Select the paperclip icon . A PDF of the attachment opens. 1. From the PDF window, select **File** \> **Print**. 1. Confirm the printing settings and select **Print**. **SLIDE 7 - Pre-Printing a Flu Consent Form** A flu injection consent form can be pre-printed with patient demographic information for individuals, families, and groups. When printed from **Propel Rx**, the form can be printed for one patient at a time. For a quick demo on pre-printing flu consent forms, watch the video below. -- **VIDEO SLIDE 3:12** **SLIDE 8 -- From Patient Centre** 1. 1. From the **Workbench**, select the **Patient Centre** icon  \> **Home**. **Patient Centre** opens in a new window. 1. Select **Flu Injection**. The **Patient Search** window appears. 1. Enter information based on who the consent form is for: - **Individual** - enter the first and last name, and any additional information. - **Family** - enter the family\'s last name. - **Groups** - select the group from the **Group** dropdown. 1. Select **Search**. Any applicable results display. 1. Select the specific patient(s). *If printing flu consent forms for all patients of a group, this step is not required.* 1. Select one of the following options: - **Print All** - if searching by group, prints flu consent forms for all patients of that group. - **Print Selected** - prints flu consent forms for only the highlighted patients. 1. Select **OK** to search for another patient or group. **SLIDE 9 -- From Propel Rx** 1. Open the **Patient Folder**. 1. Select the **Profile** tab. 1. Select **Rx** \> **PFS** \> **Flu Injection**. The **Flu Injection** window opens. 1. If you want vaccine information to pre-populate on the form, do the following: - Select a vaccine listed in the window. - In the **Lot** field, enter the lot number for the vaccine. - In the **Expiry** field, enter the expiry date for the vaccine. *The **Lot** and **Expiry** fields pre-populate based on the same values entered in the **Drug Folder** **Main** tab. However, you can manually override them if needed. Changes made to the lot number and expiry date in the **Flu Injection** window will not write-back to the **Drug Folder**.* 1. You have two options for printing the flu injection consent form. - **Print Consent on Submit** - select this checkbox if you want the consent form to print when the flu injection prescription is filled. - **Print Consent** - select this button if you want the consent form to print immediately. 1. *Optional* - select a **Ready Time**. 1. Fill the flu injection prescription as per usual process. *The **Print Consent on Submit** and **Print Consent** options are intended for when you are not gathering patient consent electronically. If patient consent was gathered using the **e Consent** button and you then printed the form using the **Print Consent on Submit** checkbox or **Print Consent** button, the printed form will NOT pre-populate with the responses that were gathered from the patient electronically.* **Next Steps?** Once the patient completes the consent form, fill out the **Pharmacy Use** section of the form. Once complete, you can process the flu injection prescription. See [Processing a Flu Injection Prescription](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Processing%20a%20Flu%20Injection%20Prescription.htm). **SLIDE 10 - Entering Pharmacy Use Information for a Flu Injection Prescription** **Pharmacy Use** information, such as the date, time, and route of a flu injection, can be recorded electronically through the **Flu Injection** module in **Patient Centre** on a workstation with a signature pad. This can be done after [patient consent is gathered electronically](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Gathering%20Patient%20Consent%20Using%20the%20Module.htm). If you do not have a signature pad, you can still enter the **Pharmacy Use** information using the **Flu Injection** module, but you must print the form afterwards and obtain the patient and pharmacist signatures. For more information on printing the form, see [Printing Completed Flu Consent Forms](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Completed%20Flu%20Consent%20Forms.htm). To enter **Pharmacy Use** information on a workstation: 1. From the **Flu Injection** window, select the DIN or PIN for the flu injection. 1. Select **e Consent**. 1. Scroll down until you reach the **Pharmacy Use** section. 1. In the **Pharmacy Use** section, enter the appropriate information. This information can be viewed at a later time from the **Profile** tab. *The **Lot\#** and **Expiry Date** fields pre-populate based on the values entered in the **Flu Injection** window and cannot be edited. If either or both are incorrect, they must be updated in the **Flu Injection** window, and **e Consent** should be re-launched.* **SLIDE 11 --** 1. Select **Confirm**. A **Signature** window appears. 1. Use the signature pad to sign the **Signature** window. 1. Select **OK**. The **Pharmacy Use** information is saved and the **Signature** window closes to the **Flu Injection** module. 1. Exit **Patient Centre** and return to **Propel Rx**. **Next Steps?** [Processing a Flu Injection Prescription](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Processing%20a%20Flu%20Injection%20Prescription.htm) **SLIDE 12 -- Processing a Flu Injection Prescription** Flu injection prescriptions can be processed from either the **Workbench** or the **Patient Folder**. When entered, the prescription is automatically processed and does not require any user intervention (in provinces where applicable). Prior to filling a flu prescription, patient consent can be gathered by completing the flu injection consent form. For more information, see [Gathering Patient Consent Using the Flu Injection Module](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Gathering%20Patient%20Consent%20Using%20the%20Module.htm). For a quick demo on processing a flu injection prescription, watch the video below. **-- VIDEO SLIDE 2:49** **Flu Program DINs and PINs** *A Custom Class has been added in the **Drug Folder** for each of these PINs to ensure the appropriate dispensing fee is submitted to the province, along with no cost or markup.* **Submitting a Flu Injection Claim** 1. Launch the **Flu Injection** window using one of the two following methods: a. From the **Workbench**, select **RX** \> **PFS** \> **Flu Injection**, then search for and select the patient. a. From the **Patient Folder**, select **RX** \> **PFS** \> **Flu Injection**. a. From the **Quick Patient** window, select **Quick Patient & Flu** and then select **OK**. *If the patient is new to your pharmacy, you can use the **Quick Patient** feature to streamline the creation of the **Patient Folder** and processing of the flu injection. For more information, see [Creating a New Patient Folder Using Quick Patient](https://portal.mckesson.ca/static/PTS/Rx/Content/Patient%20Folder/Create/Creating%20a%20New%20Patient%20using%20Quick%20Patient.htm).* 2. The **Flu Injection** window appears. 1. Enter the following information: a. **Pharmacist** dropdown - pharmacist administering the vaccine. b. Select the appropriate flu injection PIN in the table. c. **Injection Administration DIN** - DIN of the vaccine being administered. d. **Lot** - lot number of the vaccine. e. **Expiry** - expiry date of the vaccine. *The **Lot** and **Expiry** fields pre-populate based on the same values entered in the **Drug Folder** **Main** tab. However, you can manually override them if needed. Changes made to the lot number and expiry date in the **Flu Injection** window will not write-back to the **Drug Folder**.* f. **Notes** - any additional information to record for the flu injection. g. **Ready Time** 1. Select **Submit**. The **Flu Injection** window closes and the prescription is automatically processed. *Pharmacy use information, such as date of vaccine, time, route and more can be recorded electronically from a workstation with a signature pad prior to selecting **Submit**.* *For more information, see [Entering Pharmacy Use Information for a Flu Injection Prescription](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Consent%20Form/Pharmacy%20Use%20Information.htm)* **Next Steps?** Once the prescription has been processed, it moves to **Packaging** or **Clinical Review** depending on your **Workflow** preferences. If your pharmacy has no queues activated, the prescription is completed and a hard copy or Thermal labels print. *The prescription will appear in the **Pick Up/Delivery** tile if your pharmacy has POS Integration activated.* If you would like to notify the patient\'s prescriber of their flu injection, you can fax a notification form from **Propel Rx**. For more information, see [Faxing a Flu Injection Notification Form](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Faxing%20a%20Flu%20Injection%20Notification%20Form.htm). **Faxing a Flu Injection Notification Form** It is best practice to notify the patient\'s family doctor when a flu injection is administered to a patient. There are two parts when faxing a **Flu Injection Notification** form to the prescriber: 1. [Adding the Flu Injection Notification Form to List Maintenance](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Faxing%20a%20Flu%20Injection%20Notification%20Form.htm#Adding) 1. [Faxing the Flu Injection Notification Form to the Prescriber](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Faxing%20a%20Flu%20Injection%20Notification%20Form.htm#Faxing) **SLIDE 13 - Adding the Flu Injection Notification Form to List Maintenance** Adding the **Flu Injection Notification** form to **List Maintenance** allows the form type to be selected from the **Request Form** window when faxing the prescriber. *If this step is already completed, proceed to [Faxing the Flu Injection Notification Form to the Prescriber](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Faxing%20a%20Flu%20Injection%20Notification%20Form.htm#Faxing).* To add the **Flu Injection Notification** form to **List Maintenance**: 1. From the **Workbench**, select  \> **List Maint**. 1. From the dropdown, enter or select **Request Form - Names**. 1. Select **Add**. A new row appears. 1. Enter the following information: - **Form Names** - enter **Flu Injection Notification** - **Active** checkbox 1. Select **OK**. 1. From the dropdown, enter or select **Request Form - Reason for Communication**. 1. Select **Add**. A new row appears. 1. In the **Reason for Communication** field, enter **Vaccine Administration**. **-- SLIDE 14** 1. Select **OK**. 1. Proceed to [Part 2: Faxing the **Flu Injection Notification** Form to the Prescriber](https://portal.mckesson.ca/static/PTS/Rx/Content/Prescription%20Information/Flu%20Prescriptions/Faxing%20a%20Flu%20Injection%20Notification%20Form.htm#Faxing). **SLIDE 15 - Faxing the Flu Injection Notification Form to the Prescriber** Once the **Flu Injection Notification** form has been added to **List Maintenance**, the form can be faxed to the prescriber from **Propel Rx**. To fax the **Flu Injection Notification** form: 1. From the **Workbench** or the **Profile** tab, highlight the **Flu Injection** prescription. 1. Select **RX** \> **PFS** \> **Forms**. The **Request Form** window appears. 1. Enter the following information: - **Report Name** dropdown - **Flu Injection Notification** - **Reason** dropdown - Vaccine Administration - **Info From the Pharmacy** - any additional information, if required. 2. Select **Fax**. **SLIDE 16 - Gross Profit for Flu Injection Prescriptions** To review gross profit for flu injection prescriptions, there are two reports you can run: - **Flu Injection Summary** - provides overall gross profit dollar values and percentages for new and refill/reAuth flu injection prescriptions. For more information, see [Flu Injection Summary report](https://www.pharmacytechnologysolutions.ca/pharmaclik-rx-doc/Default.htm#Reports/Report%20Descriptions%20and%20Samples/Accounting%20Reports/Flu%20Injection%20Summary%20Report.htm). - **Gross Profit by Prescription** - provides gross profit information for each prescription. For more information, see [Gross Profit by Prescription Report](https://portal.mckesson.ca/static/PTS/Rx/Content/Reports/Descriptions%20and%20Samples/Accounting%20Reports/Gross%20Profit%20by%20Prescription/Gross%20Profit%20by%20Prescription%20Report.htm). To generate this report for flu injection prescriptions only, select the Flu Injection Custom Class in the Criteria tab prior to previewing the report.- **SLIDE 17** **SLIDE 18 - Troubleshooting Negative Gross Profits for Flu Injection Prescriptions** Negative gross profits for flu injection prescriptions on accounting reports can be caused by incorrect Acquisition Costs in the Drug Folders. If your pharmacy is participating in the provincial flu immunization program and using publicly supplied flu vaccines, the Acquisition Cost must correctly reflect the zero cost you incur for your flu vaccine supply. By default, the Acquisition Cost is null if you do not monitor the Drug and receive inventory through purchase order reconciliation. In these cases, the Supplier Cost is used in place of the Acquisition Cost to calculate gross profit. As the Supplier Cost reflects the listed price of the drug from your supplier, the Supplier Cost will not be zero even if your pharmacy is participating in the flu program. This may cause gross profits to appear negative for flu injection prescriptions. To update the Acquisition Cost in the Drug Folders: 1. Open the flu vaccine Drug Folder. 1. On the **Inventory** tab, enter 0.0001 in the **Acq Cost (ut)** field. The **Acq Cost (pk)** field automatically calculates to the appropriate value. *If the field is locked, select the **Override** checkbox to enable it.* *Do not enter 0. If 0 is entered it will be treated as if there is no value, and the Supplier Cost will be used to calculate gross profit.* 1. Uncheck the **Override** checkbox to lock the **Acq Cost** fields. 1. Select **Save**. 1. Repeat steps 1 - 4 for the remaining flu vaccine Drug Folders.