The CAPA system checks the details of the prescriptions you have inputted against the patient’s “Repeat med” file (their eMAR chart). If there are any changes or differences between the prescription and what the patient is currently taking, then a check is created and these are viewed by clicking on “ready to check” on the prescription menu. If there is no difference no checks are created.
These checks are categorised by the allocation of the prescription for dispensing either interim or monthly dispensing. To view a check, Double click on a item to load the checking screen.
The checking screen
The screen shows the prescription on the right hand side, you can also access the patients record by clicking the “…” next to the patient name.
The screen shows the proposed change to the patients record From and To. Please note that you are also able to see the items current administration schedule (if applicable).
You are then prompted to check particular things. These can be viewed under Recommendations.
The recommendations vary depending on the type of change:
For dosage changes you are firstly requested to consider if you want to change the care home administration schedule on the care home’s e-MAR system. – The check will prompt the following request, "do you wish to change the repeat med record or stick with the existing?" If there is actually no change to the administration schedule but the dosage wording has changed then you can simply select stick with current dosage and times and that is the end of the check.
For New Drugs or dosage changes that you want to change the schedule you are requested to answer the following:
When will the dosage change take place? ( for new drugs immediately, for dosage changes the next day.)
(Setting a dosage change to take place immediately may result in the item re-prompting for administration on the care home's e-MAR as a result of the dosage being changed)
Enter a dosage so that the drug prompts on the e-MAR
Select the appropriate dosage
Now select approve, decline or leave a note in the dedicated box and press verification needed(You can view the verification marked checks again).
Tips
We recommend that checks for Drug interactions, allergy queries, increasing or decreasing dosages and the stopping and starting of medication on the repeat med record are reviewed by a pharmacist.
Separate checks awaiting review by a pharmacist by using the verification needed status and the note functionality.