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Qld Drug Electronic Ordering

Submitted by Ben_Charlton on Wed, 12/10/2016 - 16:23
in

It has been bought to my attention that electronic drug ordering is not legal in qld. However relaxations have been made were a electronic system shows that ordering can be restricted to only clinicians

I dont believe that order finalization can be restriced as per the existing roles system without affected order saving.  

To be compliant a vet nurse must not be able to send an order containing s4 drugs to suppliers.   In effect this means that all order must be finalized and sent by a vet.  The nurse can still construct the order.

If its agreed that a patch that adds a practice configurable option to allow order finalization ONLY if the user is a clinician then I will submit a patch.

 

Ben

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Re: Qld Drug Electronic Ordering

Submitted by tanderson on Wed, 12/10/2016 - 17:01.

OK with me. Do you have a definitive reference? I found http://www.vsb.qld.gov.au/drugspoisons1996.html#Obtaining :

Obtaining drugs on purchase orders
Controlled drugs
Veterinary surgeons can only obtain controlled drugs on a purchase order, which includes the following information:

(a) the date the order is written
(b) the name and address of the veterinary surgeon
(c) the description and quantity (or volume) of the controlled drug required and
(d) a number which distinguishes it from other purchase orders used by the veterinary surgeon.

The veterinary surgeon must sign all purchase orders.

Controlled drugs

Veterinary surgeons can only obtain controlled drugs on a purchase order, which includes the following information:

(a) the date the order is written
(b) the name and address of the veterinary surgeon
(c) the description and quantity (or volume) of the controlled drug required and
(d) a number which distinguishes it from other purchase orders used by the veterinary surgeon.

The veterinary surgeon must sign all purchase orders.

This regulation was created in 2001 and perhaps that is why it makes no mention of online ordering.

Re: Qld Drug Electronic Ordering

Submitted by Ben_Charlton on Wed, 12/10/2016 - 17:16.

Yeah thats CONTROLLED drugs(s8) the legislation in question is this : 
 

The next line covers RESTRICTED DRUGS(s4) which is

Restricted drugs

Veterinary surgeons can obtain restricted drugs on a verbal order or a purchase order.  However, if a purchase order is used it must comply with the above requirements.

 

What this actually means (and I know because I just went through a coronial inquest on the matter) is that Vet Nurses cannot order(by electronic, phone or paper) a restricted drug from a supplier.

However the unit has agreed that as long as the electronic system is secured with password authentication and restricts them from sending an order they wont prosecute users that are sending orders electronically.

The legislation is being updated currently to meet current needs. 

For OpenVPMS this means as long as we show that ordering by a vet nurse is restricted we can be said to comply - that being said I would advise all qld vets to use electronic ordering using any solution carefully.

 

Regards
 
Ben 
OpenVPMS Installer and Helper 
Ph: +61423044823 
Email: info[at]charltonit.com[dot]au

Re: Qld Drug Electronic Ordering

Submitted by Ben_Charlton on Wed, 12/10/2016 - 17:28.

I do have a link to the full legislation and regulation but it is very very wordy

Excerpt:

200 Authorised persons to obtain restricted drugs on
purchase order
(1) An authorised person must not obtain a restricted drug other
than on a purchase order complying with this section.
Maximum penalty—60 penalty units.
(2) The purchase order must have on its front—
(a) the date it is written; and
(b) the name and address of the person placing the order;
and
(c) the description and quantity or volume of the drug to be
supplied; and
(d) a number that allows the purchase order to be
distinguished from other purchase orders used by the
person ordering the restricted drug.
(3) A purchase order placed by a dentist, doctor, endorsed
podiatrist, midwife, nurse practitioner, optometrist,
pharmacist, podiatrist or veterinary surgeon—
(a) must be signed by the dentist, doctor, endorsed
podiatrist, midwife, nurse practitioner, optometrist,
pharmacist, podiatrist or veterinary surgeon placing the
order; and
(b) if it is placed—
(i) by an endorsed podiatrist—must have ‘Section
172B’ written on it; or
(ii) by a midwife—must have ‘Section 167’ written on
it; or
[s 201]
Regards
 
Ben 
OpenVPMS Installer and Helper 
Ph: +61423044823 
Email: info[at]charltonit.com[dot]au

Re: Qld Drug Electronic Ordering

Submitted by Ben_Charlton on Wed, 12/10/2016 - 18:39.

https://openvpms.atlassian.net/browse/OVPMS-1821

Regards
 
Ben 
OpenVPMS Installer and Helper 
Ph: +61423044823 
Email: info[at]charltonit.com[dot]au

Re: Qld Drug Electronic Ordering

Submitted by tanderson on Sat, 15/10/2016 - 14:54.

The patch as it stands requires all orders to be finalised by a clinician, ESCI or not.

This may be a bit too restrictive?

 

Re: Qld Drug Electronic Ordering

Submitted by Ben_Charlton on Sun, 30/10/2016 - 10:39.

Under qld law that is currently the requirement...unfortunately our because we cant flag an order as containing S4 drugs it makes it hard to seperate those that dont..

 

Regards
 
Ben 
OpenVPMS Installer and Helper 
Ph: +61423044823 
Email: info[at]charltonit.com[dot]au

Re: Qld Drug Electronic Ordering

Submitted by tanderson on Fri, 04/11/2016 - 14:37.

You can examine if each of the medication products in an order to determine if any have restricted drugSchedule. Different jurisdictions have different restricted schedules, so this would need to be configurable.

Also note that the patch as it stands doesn't handle the situation where the order status is set to Finalised within the editor.

 

Re: Qld Drug Electronic Ordering

Submitted by Ben_Charlton on Tue, 08/11/2016 - 15:08.

I guess the issue is that internationally the term s4 or s8 may not apply.  Perhaps a solution that I will add to the patch is to move from a lookup.local to a full lookup.

lookup.drugSchedule maybe

then in the practice option set an option rather than True False to select the lookup.drugShedule above which ordering would be restricted to clinicians. or NONE which would mean the restriction would not be active at all.

 

Also I will adjust so we listen for a finalization and the check is performed then.

 

Regards
 
Ben 
OpenVPMS Installer and Helper 
Ph: +61423044823 
Email: info[at]charltonit.com[dot]au

Re: Qld Drug Electronic Ordering

Submitted by Ben_Charlton on Tue, 08/11/2016 - 15:13.

Actually maybe the lookup itself determines restriction....ie the lookup has a 

id/code/name/description/active/isDefault/isRestricted

Regards
 
Ben 
OpenVPMS Installer and Helper 
Ph: +61423044823 
Email: info[at]charltonit.com[dot]au

Re: Qld Drug Electronic Ordering

Submitted by Ben_Charlton on Fri, 11/11/2016 - 16:59.

Updated the JIRA

 

The patch now does 3 things

Allows product.meds to use a proper lookup for schedule..and allows the names in this schedule to be customised ...each schedule can be restricted.  

If the clinic also sets restricted ordering 

when a restricted drug is added to an order the orders status is set to restricted.

If the order is then sent and the practice has restrictions on it will not send and will log a error.

What the patch does not do

If all restricted items were removed the order would still currently be restricted. 

Currently archtype testing fails...I cant workout how to adjust the @setup to work correctly with the new lookup.

Regards
 
Ben 
OpenVPMS Installer and Helper 
Ph: +61423044823 
Email: info[at]charltonit.com[dot]au
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