How to prescribe electronically in Adastra
Please read the Smartcard User information sheet.
There are two concise but comprehensive training videos that talk you through how to use EPS within Adastra:
You can also find these videos on the Clinical Toolkit – just search for EPS.
If you have not already done so, please email your Smartcard number to firstname.lastname@example.org to register your card. If you have already provided your Smartcard number to BrisDoc, it will have been registered to use EPS in the IUC Service. Please watch the videos, bring your smartcard to your next shift and liaise with the Shift Manager to validate your card. Once your Smartcard has been validated, simply insert your Smartcard and click ‘smartcard’ on the Adastra login window. It will ask you for your Smartcard password, then you will need to select BrisDoc and Adastra will open.
Please feedback about any problems with EPS by completing an IT support form via the portal on the Brisdoc Weblinks page. Please note that you will only be able to use EPS for patients who have been matched to the spine – if the patient is matched, their NHS number on the Adastra notes will be highlighted in green. If the number is not green, then you will need to print the prescription.
FAQs about EPS
- Can I use EPS in the car?
No, EPS is not currently available in the cars. There is no change to prescribing for visiting clinicians. You will need to log your prescription on Adastra, labelling it as ‘issued by hand’ and then use a handwritten FP10.
- Can remote working clinicians use EPS?
We hope this will be possible in due course, and will contact remote working clinicians to get this activated. Remote working clinicians will need a smartcard reader which they can connect to their computer at home.
- I have tried to use my Smartcard in IUC but it does not work. What should I do?
Your Smartcard needs to be registered with BrisDoc/ Severnside, and then validated before you can use EPS. To register your Smartcard for use at BrisDoc, please email your Smartcard number to email@example.com. Once it has been registered, you will need to validate your card by liaising with the Shift Manager.
If you cannot use EPS while on shift, please let the Shift Manager know, and they may be able to access IT support for you while on shift. If the problem cannot be resolved during your shift, please prescribe and print your prescriptions as you have done previously. Ask the shift manager to log the problem(s) on the shift report or complete an IT support form via the Brisdoc weblinks page. You can only electronically prescribe if you are using a Smartcard and the patient’s NHS number has been validated (ie the NHS number is not highlighted in green on the patient’s Adastra record). You will need to print prescriptions if the patient’s NHS number has not been validated.
- How will the pharmacy know that there is a prescription for them to dispense?
The pharmacies have been advised that clinicians in IUC will be using EPS. The patient will need to present at the agreed pharmacy, and advise the pharmacist that a prescription has been sent electronically.
- Can I use EPS to send a prescription to a chemist which is currently closed?
Yes, you can. The EPS training video outlines how you can identify which pharmacies are closest to the patient’s home address.
- What about dispensing medications from BrisDoc stock?
Severnside stocks a small range and quantity of drugs at each of the Treatment Centres, and in the cars. We continue to ask that patients are given a prescription (EPS or paper) for a pharmacist to dispense at all times when a community pharmacy is open. If the community pharmacies are closed, most patients will be able to wait for them to reopen to obtain their medication. Unlike a faxed prescription, you can EPS a prescription to a closed pharmacy. If a Treatment Centre patient cannot safely wait until a pharmacist is open to receive their medications, please issue a paper prescription and leave this in the prescription box before checking the drug(s) and dispensing from stock.
- What about controlled drugs?
You can EPS Schedule 3 controlled drugs (including buprenorphine, gabapentin, midazolam, pregabalin, tramadol). We hope to be able to EPS Schedule 2 controlled drugs (eg morphine, fentanyls, alfentanyl, oxycodone) from Severnside but this is not currently active. We will let you know if/when this is active. It is vital that IUC clinicians continue to exert the same caution in prescribing all drugs with potential for diversion/ misuse/ dependence.
Expiry Date: November 2020
Review Date: May 2020