How to Add a New Dosage to a Dispense Drug

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A dosage can be added to the Dispense Drug so that when selected during order entry in Inpatient Order Entry or CareVue, the dosage will translate with the correct units to dispense.  This will also help when transferring orders from inpatient to outpatient, that way the dosage will show correctly.  Please see below how to add a new dosage for a Dispense Drug.
 

Select Systems Manager Menu <TRAIN> Option: Test an option not in your menu
Option entry to test: Enter/Edit Dosages  PSS EDIT DOSAGES     Enter/Edit Dosages
Select Drug: LEVETIRACETAM 500MG TAB           CN400
This entry is marked for the following PHARMACY packages:
Outpatient
Unit Dose
Non-VA Med

LEVETIRACETAM 500MG TAB                             Inactive Date:

Strength from National Drug File match => 500    MG
Strength currently in the Drug File    => 500    MG

Edit Strength? N// O

Strength => 500   Unit => MG

Select DISPENSE UNITS PER DOSE: ? You can view the Dispense Units Per Dose that are setup by typing ?
Answer with POSSIBLE DOSAGES DISPENSE UNITS PER DOSE
Choose from:
1     500    IO
2     1000    IO

You may enter a new POSSIBLE DOSAGES, if you wish
Type a Number between 0 and 99999999, 4 Decimal Digits

Select DISPENSE UNITS PER DOSE: 1    500    IO You can view the setup of the Dispense Unit Per Dose

DISPENSE UNITS PER DOSE: 1//
PACKAGE: IO//
BCMA UNITS PER DOSE:

Strength => 500   Unit => MG

Select DISPENSE UNITS PER DOSE: 2    1000    IO

DISPENSE UNITS PER DOSE: 2//
PACKAGE: IO//
BCMA UNITS PER DOSE:

Strength => 500   Unit => MG

Select DISPENSE UNITS PER DOSE: 3 To add a new one, type the number of units that will be needed.  This is the multiple of 1 unit of the medication to make the dosage needed i.e. 3 500mg tabs = 1500mg
Are you adding ‘3’ as a new POSSIBLE DOSAGES (the 3RD for this DRUG)? No// Y
(Yes)
Dosage = 1500MG
POSSIBLE DOSAGES DOSE: 1500//   (‘DOSE’ is UNEDITABLE)

DISPENSE UNITS PER DOSE: 3//
PACKAGE: IO This will add the dosage to the different packages available
BCMA UNITS PER DOSE:

Strength => 500   Unit => MG

Select DISPENSE UNITS PER DOSE:

Enter/Edit Local Possible Dosages? N// NO

When ordering in CareVue, the newly created dosage will show for the user to select.

After entering the order in CareVue, the order in Inpatient Order Entry will show the dosage and units needed for the order.

Once the order is ready for verification, the U/D shows the correct number to make the dose.

The order in CareVue will show the new dosage and how many units will be needed for the order.

By having a correct dosage built it will populate over in CareVue to an appropriate form of the medication and how many units are needed, if it needs to be transferred to outpatient.  Notice the outpatient order shows Keppra 750mg Take 2 tabs.  This is due to there being a Keppra 750mg setup in the Drug File with a Dispense Unit Per Dose of 2.  Since the Keppra 500mg had a new dosage of 1500mg added, it will translate the dosages among others if they are built and active.

The outpatient order in CareVue will show the medication needed and how much will need to be dispensed for the order.