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Webster-pak Cold Seal
Dispensing Procedures Manual
Product Code: s155
Webster-pak® Cold Seal Dispensing Manual
Webster-pak® Cold Seal
Dispensing Manual
Introduction............................................................................... 2
Essential components for packing Webster-pak Cold Seal ...................... 3
Getting Started ........................................................................... 5
Patient Profile ............................................................................ 5
Medication ‘Not Suitable for Packing’ ............................................... 6
Dispensing the Prescriptions .......................................................... 6
Complying With PBS/Medicare Requirements ...................................... 6
Complying with other Guidelines ..................................................... 7
Packing and Sealing the Webster-pak Cold Seal ................................... 7
Having the Prescriptions When Needed ............................................ 10
Re-Ordering Medication ............................................................... 11
What about Dosage Changes? ......................................................... 11
What If The Customer Needs More Than One Pack? ............................. 11
For More Information .................................................................. 12
Webstercare, Webster-pak, Webstersystem, W-Device, MedsPro and Unit Dose 7 are Registered
Trademarks of Manrex Pty Ltd t/as Webstercare. Blu-lok, QA Sig box Device and Virtual Pill
Count (VPC) are Trademarks of Manrex Pty Ltd t/as Webstercare
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© Manrex Pty Ltd (ABN: 29 974 510 173) t/as Webstercare – 2014
Webster-pak® Cold Seal Dispensing Manual
Introduction
The Webster-pak® Cold Seal is a multi dose pack designed to assist people to correctly
take their medication as prescribed. The Webster-pak Cold Seal is a completely
disposable system, once used; the entire pack can be discarded. This eliminates concern
about losing folders. Webster-pak Cold Seal is very quick and easy to use and is also
ideal for situations like hospital discharge, short term medication such as antibiotics,
and children going to school. It is also greatly benefits respite customers.
Benefits that can be achieved through using Webster-pak Cold Seal include:
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•
•
•
Encouraging a safe and responsible attitude towards use of medication
Maximising the likelihood of the right medication being taken at the right time
Allowing for easy monitoring of medication use by a relative or carer
Using a disposable Webster-pak eliminates the risk of losing stock for
pharmacies, and removes the added responsibility for the customer (they do not
have to worry about returning the folder to the pharmacy)
Supply of a Webster-pak is totally consistent with the concept of quality use of
medicines, for both residential care and home care customers. The Webster-pak makes
medication monitoring and medication review a practical and cost effective option for
pharmacists servicing community customers.
With Webster-pak Cold Seal the medication profile can be printed onto specially
designed labels or alternatively hand written if preferred. These labels can be printed
by either ink jet or laser printers. The unique Cold Seal Card is self adhesive, and
provides a safe and secure seal which is tamper evident.
Once the pack is complete, the pack itself will serve as an effective complete medication
profile as well as a dose administration aid. In the event of an emergency all the
information is at hand for the doctor, ambulance officer or hospital staff.
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© Manrex Pty Ltd (ABN: 29 974 510 173) t/as Webstercare – 2014
Webster-pak® Cold Seal Dispensing Manual
Essential components for packing
Webster-pak Cold Seal
The following materials will be needed prior to starting. Some purchases for example
Blisters, Cards, and labels will be on going while other items are generally a one-off
purchase, such as the pressure roller and platen.
Cold Seal Cards
The fully disposable cards are pre-foiled (foil is attached to the card), so all that you
need to do is remove the backing from the card and seal. The Cold Seal cards can be
purchased with a pre-inserted blister in each (Large Concertina Blister size only).
Alternatively ‘Card Only’ Cold Seal Cards can be purchased which allow any sized blister
in the Webster-pak/Unit Dose 7 range to be inserted into the card.
Cold Seal Card with
pre-inserted Large Concertina Blister
Cold Seal card only
(product code: 758 pack of 100)
(product code: 756 pack of 250)
Blisters
Webster-pak Cold Seal uses the existing Webster-pak/Unit Dose 7® blisters. Where
possible we recommend it is best to use the smallest blister to assist in the easy removal
of the pills.
Small Concertina
Blister
(product code:
780 pack of 500)
Medium Concertina
Blister
(product code:
787 pack of 500)
Large Concertina
Blister
(product code:
782 pack of 500)
King Concertina
Blister
(product code:
790 pack of 250)
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© Manrex Pty Ltd (ABN: 29 974 510 173) t/as Webstercare – 2014
Webster-pak® Cold Seal Dispensing Manual
Pressure Roller
The pressure roller (product code 553) is a recommended piece of sealing equipment
which helps to reinforce the seal.
Cold Seal Pressure Roller
(product code: 553 sold individually)
Labels
The Webster-pak Cold Seal labels (product code 760) come in packs of 250.
They are printed direct from Webstercare’s Medication Management Software (MMS)
and can be printed by either ink jet or laser printers. Tailored dosage times can be
printed to suit your customer’s requirements.
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•
•
Tailor the dosage times to meet individual requirements
Start on the day of the week that suits you
You can even add ‘indications’
Cold Seal printed laser Header Card
(product code: 760 pack of 250 labels)
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© Manrex Pty Ltd (ABN: 29 974 510 173) t/as Webstercare – 2014
Webster-pak® Cold Seal Dispensing Manual
Platen
The Blu-lok™ platen (product code 660) is used to hold the blister and Cold Seal card
whilst packing the medication. It has cut-out holes matching the Webster-pak blisters. It
is the standard platen which is currently used with most other Webster-pak systems.
Blu-lok™ Platen
(product code: 660 sold individually)
Webstercare Medication Management Software
Software for the Webster-pak Cold Seal is available in all versions of the Webstercare
Medication Management Software.
Getting Started
It is most important that before you start to package medication into a Webster-pak you
have complete and accurate information. To record this, use the Doctor Order/ Patient
Medication Profile Form (Product Code 284). Exact dosage times and complete profiles
of all medication must be recorded and maintained.
It is essential to check this information with the doctor or carer from written
documentation supplied by the doctor. It is essential to cross check this information
against the prescriptions. You may find discrepancies that will need to be discussed and
resolved before commencing. At this time it is opportune to check for any potential
drug/drug or drug/disease allergies, interactions or dosage discrepancies and take
appropriate action.
Patient Profile
The pharmacist prepares accurate information on all medication and dosages. Doctor
Order/Patient Medication Profile Forms are completed from prescriptions. If prescription
details are different from other medication records, the pharmacist verifies this
information with the doctor, (unless the information was completed by the doctor).
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© Manrex Pty Ltd (ABN: 29 974 510 173) t/as Webstercare – 2014
Webster-pak® Cold Seal Dispensing Manual
The Doctor Order/ Patient Medication Profile Form should be retained and used at all
times as your master copy record for each individual’s medication profile. This is kept up
to date at all times and used for your final check against each finished pack. These
profiles are best kept in a ring binder or similar, preferably protected in a plastic sleeve.
All medication should be listed on the Doctor Order/Patient Medication Profile Form, not
only those items which are going to be packed into the Webster-pak, but also any other
items, such as: liquids, eye drops, ointments, patches, sprays, and 'when necessary’
medication eg. analgesics or sedatives.
Medication ‘Not Suitable for Packing’
Solid dose medication unsuitable for repackaging can be dispensed in their original
containers. The header label, where “Also On” or “Non-packed” medication is printed, is
a reference for when non-packed medication should be administered. This gives a
complete record of all the medicines a person is taking. Some examples of medicines
that may be unsuitable for repackaging include: effervescent tablets, dispersible tablets,
buccal tablets, hygroscopic preparations and solid dose cytotoxic preparations as well as
liquids etc.
Dispensing the Prescriptions
Dispense all the prescriptions for each individual customer in your normal pharmacy
dispensing program. If you already use Webstersystem® double ply labels we
recommend you label everything you dispense for Webster-pak, with these labels.
Double ply labels make re-ordering much easier. If you are not using Webstersystem
labels, use your dispensing labels as you would normally.
Complying With PBS/Medicare Requirements
Medications are dispensed via the PBS in the usual way. Once the dispensing is
complete, a record of the dispensed medication for each customer must be maintained.
This can be done through the use of the MedsPro® Virtual Pill Count (VPC)™ system. A
record of your customer’s medications is retained in the software. If at any time a
customer requests their medications, you have a record of their balance held of their
behalf and you can supply at short notice. Alternatively, Integrity bags can be used to
store each customer’s medications with the identification similar to “this medication is
the property of…….”
Non-packed medication will be dispensed and labelled as normal and supplied as normal
eg. Liquids, eye drops, ointments, PRNs.
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© Manrex Pty Ltd (ABN: 29 974 510 173) t/as Webstercare – 2014
Webster-pak® Cold Seal Dispensing Manual
Complying with other Guidelines
Professional guidelines such as QCPP and PSA should be taken into consideration. Any
directives from state pharmacy boards must also be followed.
Packing and Sealing the Webster-pak Cold Seal
The Webster-pak Cold Seal is a quick and convenient way for pharmacies to prepare
Webster-paks.
The first step for the Webster-pak Cold Seal is to print the medication profile onto the
Cold Seal Labels using the Webstercare Medication Management Software. Please refer
to the instructions supplied with the software order.
The front of the Cold Seal Label
On the front of the label you can print the customer’s name, photo and other nonpacked medication to be administered. Pharmacy name and contact details can also
printed.
Front of the Cold Seal printed Header Card
The back of the Cold Seal Label
You can print your customer’s complete medication profile onto the Cold Seal Label.
Printed on the header card you will see: Customer’s Name, Doctor, Date and a reference.
The drug name, strength, dosage and description will also be printed.
Back of the Cold Seal printed Header Card
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© Manrex Pty Ltd (ABN: 29 974 510 173) t/as Webstercare – 2014
Webster-pak® Cold Seal Dispensing Manual
1. Peel
Place blister in the Blu-lok™ platen,
and peel off protective sheet on the blister side.
2. Pack
Add medication and check for accuracy before sealing the pack.
Make sure the profile of the medication on the back label corresponds with the
appropriate blister.
IMPORTANT: You are packing the blister sheet from the right side across to
the left. Breakfast is on the right, bedtime on the left. It is back to front in
packing.
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© Manrex Pty Ltd (ABN: 29 974 510 173) t/as Webstercare – 2014
Webster-pak® Cold Seal Dispensing Manual
3. Seal
Peel off white protective sheet on the foil
side and fold the card to seal the blister.
Reinforce the seal by applying pressure
with a pressure roller.
4. Label
Place labels on the front and back of the pack.
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© Manrex Pty Ltd (ABN: 29 974 510 173) t/as Webstercare – 2014
Webster-pak® Cold Seal Dispensing Manual
The Final Check
The minimum checking process recommended should be at least a double check:
1. The pack is checked before sealing by the packing technician, by checking the contents
of each blister against the back of the header card. Sign the “Tech” QA sig box on the
front of the header card to confirm the pack has been checked.
2. The pack is then passed over to the pharmacist. The original dispensed packs are
always available to verify the identity of the medications packed.
3. The pharmacist then does a final audit of the pack against the master patient profile.
The pack is then signed in the QA signature box by the pharmacist.
Having the Prescriptions When Needed
To comply with the PBS regulations you must ensure that prescriptions are available at
the time of dispensing. It is unacceptable and illegal for there to be owing prescriptions
unless in the case of an emergency order from the doctor. The Webster-pak makes it far
easier for you to get prescriptions when you need them because you know exactly how
much medication is on hand at any time.
Depending on the normal response time and visiting patterns of the doctors, you need
to order prescriptions in advance of them being required. This is very simple with the
Webster-pak. You can tell at any time how much of any medication is left in any original
pack or bottle. Once this gets down to say for example between 1 and 2 weeks supply,
you may need a new prescription.
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© Manrex Pty Ltd (ABN: 29 974 510 173) t/as Webstercare – 2014
Webster-pak® Cold Seal Dispensing Manual
Re-Ordering Medication
This is done on the blue Weekly Pharmacy Order Sheet. During the packing process, if
the packing technician notices that a medication has run out, or will need to be
dispensed for the following weeks pack, the medication order is completed either in
writing, or if you are using the Webstersystem double ply labels, you can peel off the top
copy and attach this to the order sheet.
A letter can be sent (when required) directly to the customer’s doctor so they can supply
repeats. This ensures you always have medication on hand.
You can judge the re-order time depending on your own local circumstances and the
prescription writing habits of the doctors.
What about Dosage Changes?
In a community setting a complete new pack may be supplied each time there is a
change. The previous pack used must be returned to the pharmacy.
What If The Customer Needs More Than One
Pack?
There are a few occasions where a second pack may be required;
• A customer may have too many medications to fit into one blister compartment
• There are too many medications in the one compartment making it hard to check
the pack
• A customer may have more than four dosage times per day
Once a second pack is prepared, attach them together with a split ring eg. shower
curtain ring or similar device.
The Webster-pak Cold Seal enables you to record “card ___ of ___” in the bottom right
hand corner.
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© Manrex Pty Ltd (ABN: 29 974 510 173) t/as Webstercare – 2014
Webster-pak® Cold Seal Dispensing Manual
For More Information
Your success with Webster-pak depends on you understanding the procedures involved.
Please feel free to contact us at any time if you need further assistance or advice on
Free Call 1800 244 358 or email info@webstercare.com.au
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© Manrex Pty Ltd (ABN: 29 974 510 173) t/as Webstercare – 2014