Medications List

The Medications List provides the chocies that crew members have when recording (in the PCR) a medication administered to a patient.

Medications


Adding a new medication

You may add medications to AngelTrack's list any time, without restriction.

Although the built-in list contains all medications that can reasonably be carried onboard an ambulance, you may wish to create additional entries representing different dosages, dilutions, or delivery methods... whatever suits your bookkeeping and reporting needs.


RxCUI codes

Every medication in AngelTrack's list has an accompanying RxCUI code, as defined by the National Institute of Health's RxNorm project.

An RxCUI code can refer to a general medication or it can specify a dosage and/or delivery mechanism. AngelTrack's medication list specifies general medications, not specific dosages; the dosages are normally provided by the crew in the PCR... and so AngelTrack's preconfigured RxCUI codes reflect this. If you create new medication types in AngelTrack for specific doses or delivery mechanisms, then choose the specific RxCUI codes that reflect this.

AngelTrack's Medication Edit page will provide some assistance in looking up the correct RxCUI codes. You can also use the RxNorm project's RxNAV tool to query the RxNorm database to find the appropriate RxCUI codes.

RxCUI codes are required for NEMSIS uploads

Your state trauma registry requires you to upload your run reports in NEMSIS 3 format. NEMSIS 3 requires the corresponding RxCUI code for each medication administered by your crews, which is why AngelTrack demands an RxCUI code for each medication type you define.

To learn more about uploading to your state trauma registry, read the State Trauma Registry Uploads guide.


☑ Narcotic flag

Each medication has a "Narcotic" flag. The flag is already set for AngelTrack's built-in medications; you can set it yourself for medications you add.

The purpose of the flag is to enable AngelTrack's narcotics tracking systems, including the Medication Usage Report under Supervisor home and the Narcotics Usage Report under HR home. These reports will help you survive a DEA audit. You will also need your crews to record the dose ID numbers from the vials, as discussed in the next paragraph.


☑ Crew must record a dose ID number from the vial flag

Each medication has this flag. When set, the PCR requires the crew member to type in the dose identification number from the vial. The number is stored and tracked, for later reference by the Medications Usage Detail report.

Surviving a DEA Audit

Sooner or later, your narcotics usage will be audited by the DEA. Begin preparing now for that event, because every unaccounted dose can carry a $2,000.00 fine, as well as possible restriction or revocation of your DEA number... so this flag is an important part of your medication compliance policy. Read the Narcotics Compliance guide to learn more.


☑ Thrombolytic flag

Each medication has a "Thrombolytic" flag. The flag is already set for AngelTrack's built-in medications; you can edit it, and you can set it yourself for medications you add.

The purpose of the flag is to warn crews when they need to use the reperfusion checklist. In the PCR, in the "Meds" tab, when the crew selects a medication that is marked ☑ Thrombolytic, a warning icon appears along with a link to pop up the reperfusion checklist. The checklist looks like this:

PCR reperfusion checklist

If the crew member fills out the checklist, AngelTrack will permanently save the answers in the run report for that dispatch.


Price

If you charge for the administration of certain medications (e.g. oxygen), specify the price. When the crew uses the PCR to record the administration of a priced medication, AngelTrack automatically adds an appropriate line-item service charge to the dispatch.

The service charge will be automatically deleted if the crew deletes the associated medication record in the PCR. Also keep in mind, line-item service charges are ignored when an insurance carrier adjudicates a price for the run.

To learn more about billing for medications and other on-scene services, read the Billing for On-Scene Services guide.


Retiring a Medication

When a medication is no longer in use, mark it 'Inactive' by clicking the 'Active' button. Leave it in the list as-is; do not rename it in order to reuse its record for a different medication. This is important. Older PCR records in AngelTrack may be keyed to it, and if you then rename it to something else, it will inadvertently change those older PCR records too.

You can always un-retire a medication by clicking the 'Inactive' button to change them back to active. At that point, they will reappear as a choice in the PCR's medication list.



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