Add Medication to a Packing Patient

Fred Pak

Add a Medication from Fred Dispense Patient History

1. Select the patient in Fred Dispense.

2. Press <SHIFT +F6> or click on the Fred Pak icon in Fred Dispense to access Fred Pak.

   

3. Press <A> or click Add Meds to add medication

   

4. Highlight the drug to be packed from the patient history and press <ENTER>.

   

   The Medication Details Screen displays.

   Enter the details for the medication and then click Save. Refer to The Medication Details Screen for more information.

The Medication Details Screen

Field	Description
Directions	Drug directions transfer across from Fred Dispense. These can be adjusted in Fred Pak as required.
Type	P Packed - Medication is standard, ongoing medication that does not require an end date. W When required - (PRN Medication) is packed in a separate foil. It will display in the patient history screen in Red with *When Required* Require Foil – YES/NO S Short Course - Is taken for a set date range, e.g. antibiotics. A start and end date should be entered. The medication will cease to print on foils and charts after the end date has passed. Short course medication displays with an asterix in the Fred Pak patient history screen. Short course medication will not print in the nursing home print run. Short Course medication will print when printing for an individual patient. A Additional Medication the patient is using but is not packed in the foil. Examples are Inhalers, Lotions and Syrups. Other medications not in Foil will print on the foil with a list of the additional items. Additional medications appear in the Fred Pak packing history screen in purple. If using Medico-PAK foils with the Large Label name setting, the names of the additional medications will not be listed on the foil. Only Other medications not in Foil will print.
Start	Date the drug begins being packed.
End	Date the drug ceases to be packed. An end date is not required for standard ongoing medications.
Freq	C Custom - refer to Set Custom Dosage Frequencies for details. D Daily A Alternate Days 3 Every 3rd Day S Set Days Monday to Sunday. (You will be prompted to select the days). M Monthly B Bi-Monthly Q Quarterly T Twice Yearly Y Yearly
Qty	Enter the number of tablets to be taken at each dosage time.
Preferred Packed Name	If an alternate drug name is required to be printed on the foil, enter this here. (Limit 15 characters).
Tray No	Medications can be packed on separate trays up to a maximum of five. Medications may need to be packed on a separate tray if a patient is on a large number of medications.

Set Custom Dosage Frequencies

You can specify a dosage frequency as a number of days using the Custom dosage frequency.

For example, if you specify “every 4 days”, the medication will be packed on its start date, then four days later, and will continue to be packed every four days until its end date (if set).

1. From the packing screen, select the option to Add or Edit a medication.

2. On the Medication Details window, in the Freq field, enter C (for custom frequency).

   A notification is displayed, listing the options for this field.
   

3. In the dropdown box below the Freq field, enter the number of days, then press [Enter].

The frequency will be displayed on reports and printouts, including the Medication Summary report (shown below); the Pre Packing Report; the Signing Sheet; and Medico Pak printouts.

Add a Medication Not Dispensed

Patients may bring in medications that have not been dispensed in your pharmacy. In this instance the medication needs to be added as an outside medication.

1. Select the patient in Fred Pak.

2. Press <A> to add medication. The ADD ITEM (NOT Dispensed) option is in red at the top of the patient history screen.

   

3. Highlight ADD ITEM (NOT Dispensed) and press <ENTER> to select it.

4. At the Add Item – NOT Dispensed screen enter the drug to be packed.

   

   A drug can also be selected by generic name. In this example we could have entered Omeprazole and then selected the brand as required.

5. Configure details such as the pack type and dosage times as required.

   

   The Fred Pak Packing Screen

   

   How Many Medications Can I Pack?

   Packing Format	Capacity
   Medicopak	11 drugs per tray with 8 drugs maximum per single compartment
   Websterpak	8 drugs per tray
   Baxter ATC	N/A
   PersoCare Disposapak	12 drugs per tray
   PersoCare Persopak	8 drugs per single compartment
   JV Medi	N/A
   Nomad	12 drugs per chart
   Practicare Practipak	8 drugs per tray

   You may not realistically be able to pack the maximum number of medications into each compartment due to the size and shape of the individual tablets or capsules you are packing.