nomad© Software Users Manual - April 2005
From the main window select ‘Reports’ and a window will appear similar to the one shown below. In the reports window you can print the following reports:Drug usage report. Select a drug by typing part of the drug name in the ‘Drug Search’ text box, then press <Enter> or select ‘Drug’. A window will appear listing drugs matching the search. Use the up and down arrow keys to navigate the list of drugs then press <Enter>. The drug usage report gives a list of all patients using the drug and the details of each script currently printing on a backing sheet for that drug Patient Drug Summary Report. This prints a list of all patients in the carehome and their current medications Drugs Required Report. Enter the desired number of days and the cassette start date and a report will be generated listing the quantity of all drugs required to pack the cassettes for the selected carehome. A number in square brackets is printed after each drug name on the report – this is the number of patients using the drug.
Note: Depending on your dispensing system other reports may be available.
The program can keep track of all tablets and capsules dispensed in a Nomad cassette. If there are any tablets or capsules left in the cassette when it is returned you can enter these into the system enabling you to identify compliance problems with specific drugs and time periods.
To ‘turn on’ compliance recording for a patient, edit the patient’s details as described in the section ‘Editing a Patient’s Details’. In the Patient details window put a check in the ‘Compliance’ check-box. Each time you print a backing sheet, a record of each tablet and capsule dispensed in the cassette will be kept. If a backing sheet is reprinted on the same day, or it is reprinted on a different day with the same start date then the record of the first backing sheet will be overwritten. This allows for printing a backing sheet, discovering a mistake, and reprinting the sheet and the correct sheet will be recorded.
In the main window select Modules Þ Compliance. A window will appear similar to the one shown on the next page. In this window select ‘Entry’ and a window will appear listing all the backing sheet start dates. Select the desired start date and select ‘Ok’ and a window similar to the one below will appear.
Use the left, right, up, and down arrow keys to navigate the image of the cassette. When the appropriate compartment has been reached press <Enter> to focus the list of medications on the right. This list is the list of dispensed (‘Disp’) and returned (‘Ret’) medications in the selected compartment of the Nomad cassette. Use the up and down arrow keys to navigate this list. An optional comment can be attached to each drug entry. To enter a comment press <Enter> to focus the comment text-box then type in your comment.
When you have finished entering the returned medications select ‘Ok’.
When the compliance window is first opened, a window similar to the one shown below will appear. The default display of this window is to plot all medications (dispensed and returned) as a function of cassette start date. You can change the visual properties of this graph using the buttons at the top of the screen.
Select ‘Medication’ and a window will appear listing the medications. Put a check in the check-box next to the name of medication you want to appear on the above plot. To toggle between showing the dispensed and/or returned medications select ‘Dispensed’ and ‘Returned’.
Select ‘Page’ in the window on the previous page to see the accumulative dosage graphs similar to the window shown below. This plots the dosage versus dosage time which enables you to identify compliance problems at specific dosage times. For example in the window on the previous page it can be seen that the patient has not been taking all Amoxycillin in the cassette. It can be seen that between 1 – 3 tablets per week are not being taken (out of 21 tablets per week). This may or may not be significant. In the graph in the window shown below it can be seen that most of the Amoxycillin not being taken, is not being taken at ‘bfast’. This may be more significant.
Select ‘Print’ to print the graphs (to the reports printer – see ‘Setting up a Laser or Ink-Jet Printer’ for details on how to setup the reports printer). When printing the accumulative dosage graphs put a check beside the names of the medications you wish to print in the above window.
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