Introducing the Prescription Formulary

Over the past few months we have been working hard on an exciting update to the Prescriptions extension. Today we are happy to share with you the Prescription Formulary: a faster and more reliable way to write your most common prescriptions.

What Is A Formulary?

A formulary is a list of medication prescription protocols that may contain information on approved dosage, route, frequency, duration and more. Formularies are a helpful tool to guide a user to prescribe a recommended and safe prescription. You might be familiarly with this formulary: https://www.amazon.com/Exotic-Animal-Formulary-James-Carpenter/dp/0323444504.

How Does the Prescription Formulary Work in WRMD?

If you are using the Prescription extension, then you are familiar with filling out each field of the prescription form to write your prescriptions. Now with the Prescription Formulary, you can define the values for a prescription that should be auto-populated when choosing a particular medication from your formulary. This will not only make it faster to write a prescription, it will also help you and you coworkers to follow consistent medication protocols.

In settings, when your Prescription extension is activated, the Prescription Formulary link will be in the Extensions box on the left column. After you click on Prescription Formulary you can click the green plus icon to add a new formula.

Next; fill out the displayed form for the formula you want to create. Remember that a formula is used to create a prescription so your formula should be named something that represents what its prescriptions would be used for. For example, if you give all cat caught song birds clavamox, you might name it Cat caught clavamox for songbirds. You can then fill out all the default values of the formula that you want autofilled in a prescription. You can also specify that you want the prescription’s dose to be automatically calculated based on the patients most recent weight. If you want the prescription to start on the same day it’s written, then check the indicating checkbox and provide the number of days the prescription should run for.

Formula for Cat caught clavamox for songbirds
Formula for Cat caught clavamox for songbirds

After you have created your formulas you will see them listed on the settings screen. You can always edit them later if they need to be updated.

Formula list
Formula list

Now For the Exciting Part!

Now on a patients prescriptions page when you type in the Drug / Medication field, WRMD will search your formulas matching the text. You can then click the formula name to fill out the prescription!

Using the formula for cat caught clavamox for songbirds

Of course, you’re not required to use a formula to write a prescription. Additionally you can modify the values of the prescription after the formula has populated the fields.

What About Veterinarians?

In addition to the Prescription Formulary we are integrating veterinarians into prescriptions. In case you did not know, WRMD allows you to keep a list of the veterinarians you work with. As a Super Admin in the settings area, click the veterinarians link under the Account heading on the left sidebar. When adding or updating an existing veterinarian you can now indicate which user the veterinarian is.

Now when writing a prescription you will see a list of your veterinarian(s). If a veterinarian is logged in and is writing a prescription, their name will be automatically selected from the dropdown list.

What Do You Think?

We love your feedback so please tell us what you think! Don’t forget to click the Ask For Help link on the top right of WRMD to reach out to us. WE ARE HERE FOR YOU.

We’re Hiring a Technical Writer!

Organization Description

The Wild Neighbors Database Project is a 501(c)3 non-profit organization which supports international wildlife rehabilitation by developing online data management software and helping implement its use worldwide. Through the continuing development of data management software, including WRMD, we are enabling wildlife rehabilitators to collect, manage and analyze data from their patients, so that together we can continue to improve our best practices and make a difference in all wild lives.

Reports To

The Technical Writer will report to Rachel Avilla, Customer Relations Manager.

Job Overview

This position will be responsible for creating content for the WRMD knowledge base. We are looking for a person that can take the detailed and nuanced technical attributes of WRMD and distill them down to conceptual and task-based documentation that any end user can understand and use.

This is a contracted job until the project is completed. After that point the contract may be extended for maintenance of the knowledge base and to help answer daily questions that come through WRMD’s forum.

Responsibilities and Duties include but are not limited to:

  • Developing and writing user documentation on how to use WRMD’s many features.
  • Developing and applying uniform style guide for the formatting, approval, presentation, and release of technical documents.
  • Help create online video tutorial screencasts that compliment the written tutorials.
  • Create a glossary of WRMD terms and uses.
  • Write descriptions and overviews of WRMD’s extensions.

Qualifications

  • Two years of experience working in wildlife rehabilitation.
  • Experience using WRMD.
  • Excellent technical writing skills.
  • Experience with WordPress.
  • Proficiency with computers and learning new software.
  • Ability to be a self-starter and take a project and run with it.

Budget

The Wild Neighbors Database Project has a budget of $10,000 for this project. Payment plan will be negotiated depending on skills, output of work and timeline.

How to Apply

Please send a cover letter, resume, and an example written tutorial of any WRMD task to [email protected]. We will be accepting submissions until October 15, 2019.

Generating Reports

Last week we had to make a change to how reports (including rechecks) are generated in WRMD. Over the past few days we have been making adjustments to fix issues with this change.

We Need Your Feedback!

In all our tests and through our monitoring of errors and server loads it appears that this new system is working. However , we still want to hear from you and address any issues. If you are having any troubles please reach out to us. We are here for you! Email us at [email protected] or send us a Help request in WRMD.

Devin Dombrowski

New Reporting System

For a very long time I (Devin) have been annoyed with how reports were created in WRMD. Starting from the layout of the Reports page, through the inability to customize reports for my own needs. Well, as of today all that is changing.

We are Excited to Release a New Reporting System into WRMD

This new reporting system has some very simple goals.

  1. To simplify the processing of finding the report you want to produce.
  2. To create more flexibility around the formats of the reports.
  3. To allow you to customize what the report is reporting on.

Favorite Reports

Finding a report should not be a chore. Your most commonly used reports should be on top of the list, so we created a feature for that purpose. Reports will now be listed in groups instead of being tiled all over the screen. And, to make your life easier, you can now star a report as a Favorite! By doing this, those reports will be put on top of the list.


Report Formats

Reports can now be generated in multiple formats. The most basic format is just to see a preview of the report on your screen. When you click on a report you will be taken to a screen to preview the report and from there you can choose to print the report as a pdf or email the report. Now, many reports will have the ability to export the data directly to Excel!

Report Filters

The best part of the new reporting system are the filters. For a long time people have asked for the ability to adjust what a report, reports on. For example, limiting the date range to a specified time frame instead of an entire year or excluding certain species taxonomies if you don’t rehabilitate all classes.

A very simple example of this are the annual reports. Each annual report has a filter for a given year that it should report on.

USFWS Wildlife Rehabilitation Annual Report has 1 Filter: Year


Many reports will now have multiple filters like the Disposition by Species report!


Generated Reports

Once you create one of these reports it will be saved in the Generated Reports page for 14 days. If you think you want to permanently save this report, we suggest saving the PDF that is created to your computer.


Adding these filters were not just for our users, but also to help us manage the reports on the backend. Previously, we had to create multiple reports for what was essentially the same information but with slight variations. For example the Prescriptions Due report existed four times with slightly different pre-set filters. Now we can maintain one Prescriptions Due report but use the filters within the report itself to adjust what the report, reports on.

Still to Come…

Customized Reports: This capability will allow you to save a specified search and then report on the specific dataset you wish to see. This will be available in the near future.

Filters you suggest: If there is a filter that you would like to see added to any of the reports, that would be a valuable addition, please let us know.

We hope you appreciate this update. It has been a lot of work for the past few months and we think it’s going to be the beginning of a wonderful and powerful new feature of WRMD. If you have any feedback or suggestions then please tell us either by email or in by clicking Ask for Help in WRMD.

2018 Recap and Plans for 2019

I’ll admit it. We’ve been terrible at keeping you informed about how WRMD is doing and what updates we are making. Sorry!

2018 was another busy year for us with lots of new wildlife rehabilitation organizations signing up, some major new features added. We also traveled to meet with our users as often as we could afford it.

In 2018 WRMD admitted an incredible 231,903 patients! That is a major increase over past years. These patients were admitted in by over 500 accounts across 15 countries. Speaking of countries, we are proud to welcome organizations from South Korea, Ireland and Trinidad and Tobago!

We had some amazing milestones in 2018 that we are very proud of:

Wildlife Rehabilitation Medical Database was written into California legislation in Assembly Bill 1031. The Native California Wildlife Rehabilitation Voluntary Tax Contribution Fund allows California tax payers to make voluntary contributions into a competitive grant program whereby California wildlife rehabilitation organizations can apply for a grant, for the purposes of the recovery and rehabilitation of injured, sick, or orphaned wildlife, and conservation education. To be eligible to grant funding “The applicant shall maintain active participation in the Wildlife Rehabilitation Medical Database.”

On October 26 2018 the 1,000,000th patient was admitted into WRMD! A Great Horned Owl from Raymond California admitted to Fresno Wildlife Rescue & Rehabilitation Services.

We (The Wild Neighbors Database Project) have been accepted as an Oiled Wildlife Care Network (OWCN) member organization. The OWCN is a statewide collective of trained wildlife care providers, regulatory agencies, academic institutions and wildlife organizations working to rescue and rehabilitate oiled wildlife in California. Over the past few years we have been developing a specialized version of WRMD to work specifically for oiled wildlife events. That project is nearing completion and we are now proud to be part of the OWCN response team if (hopefully never) an oil spill occurs in California.

Plans for 2019

In 2019 there will surely be many tweaks and updates but we do have 3 major changes to announce.

Entirely New Way to Generate Reports

Very very soon, WRMD, will have a new way to view and generate reports. In this new way, you will be able to favorite reports for quicker access and preview reports before printing, emailing or exporting them. Each reports will also have unique filters to allow you to modify them as needed. For example, in some reports you will be able to set the reporting dates or exclude certain species taxonomies. This new feature will be available in about 1 week. Expect a blog post detailing how this works.

Prescription Formulary

A commonly requested features is to allow users to maintain their own prescription formulary for common drug/medication prescriptions. This is number 2 on the to-do list. In the formulary you will be able to define a drug, dosage, concentration, route, frequency, duration and many other things. When your formulary is created, you can then choose a formula when writing a prescription to autopopulate the prescription fields. You will also be able to set the dose to be automatically calculated based on the patients last weight.

Species Notifications

Another common request is to have automatically triggered notifications if (for example) a certain species is admitted. We think this is a cool idea. These notifications could be sent by email and/or text message. We need to gather more information about how this might work and how you might use it so please tell us your thoughts.

Contributors

Lastly but not least, we would like to thank everybody that has made donations to our 501(c)(3). Your generosity is what keeps WRMD going, creating new features and answering your questions. Thank you from the bottom of our hearts.

Notes About Rescue and Freeze Patient

Hello There, It’s Been a While 🙂

We try not to make any changes during the summer because we know how busy you are but we had to make a few to resolve some issues.

Notes About Rescue

There is a new field called Notes About Rescue. You can use this field to document any supplementary information about the animals rescue such as ‘had a sibling dead/escaped‘, ‘location found is not suitable for release‘ or ‘rescuer would like to be at the release‘. Adding these notes will compliment the Reason for Admission, Care by Rescuer and Transported By fields for a complete picture of the animals life before arriving in your care.

We have noticed that this type of information may be written into the Notes About Rescuer field which should be reserved for information specifically about the rescuer. Such as “Nice person, has offed to have animals released at their property” or “Can be disagreeable, only staff should communicate with him“.

Freeze Patient

We have added the ability to freeze a patient so that it can no longer be updated. This could be very helpful for patients with pending lawsuits or if your governing agency requires no modifications be made after the patient is dispositioned. To freeze a patient go to its record and click More then Patient Settings (More was previously called Share). By default Patient Settings is only available to users with the role Super Admin or Admin.

In Patient Settings, click the Freeze this Patient to Prevent Any Further Updates button. The patient will now be frozen and a “This patient has been frozen and can not be updated.” message will be display above the patients record.

Teaser 😉

Currently Freeze Patient is the only patient setting available, however we have some neat ideas for features to add this fall. Stay tuned! If you have ideas of patient related settings, share those with us. Maybe we can plan it out. [email protected]

New Extensions and Updates

During the NWRA 2018 Symposium, we are pleased to announce some fantastic new features. You may have already seen some of them but there are few that are just RIGHT NOW being released.

Three New Extensions

Daily Exams

With this extension you may now record as many “daily” exams as you want. The form is just like the Intake Exam form on Initial Care.

Expenses

This amazing extension helps you record daily expenses for each of your patients and helps you calculate the Cost-of-Care. Each expense transaction can be categorized so you may report on (for example) how much was spent on prescriptions. You can also print out an Expense Statement for an individual patient as well as an Expense by Category report for all of your patients.

Hotline

If you are a wildlife rehabilitator, you probably receive all sorts of calls from the public. We are very proud to announce our new Hotline extension. You can now log your communications with the public as well as track the progress of an incident’s continued communications. Not only will be able to search the callers to see if they are repeat offenders but also be able to identify calls that may be about the same incident.


We want to thank Belize Bird Rescue for sponsoring the development of the Expenses and Hotline extensions. Because of their support we were able to develop these way ahead of schedule. If you ever want to visit Belize please check out the Rock Farm Guest House at Belize Bird Rescue for a fabulous Belizean experience.


Admitting a Patient Into Any Year

When admitting a new patient, you may now specify the year that patient should be added to. Of course if you change the year dropdown list the “Next Case Number” will change to reflect the year you selected.

More Recheck List Filters

On the recheck list you can now filter it to only view pending patients. Also, if you are using prescriptions extensions, prescriptions can be filtered into each patient and will only show up if the prescription is actually due on the day request.


Searching Lab Values

Previously searching lab values was difficult to do and returned inconsistent results. We’ve mad that process much more simple (and it works)!

Two New Lists On the List Patients Screen

On the List Patients screen you can click the List All Patients heading to select a different list to look at. We recently added Forgotten Patients and Patients Without a Location.

  • Forgotten Patients – shows all patients that have not been updated in the past 7 days or does not have a pending recheck.
  • Patients Without a Location – Hopefully self explanatory. Shows all patients that do not have a location on their record.


Lots of Smaller Updates and Bug Fixes

  1. Begun adding new analytics and ways of filtering the analytics.
  2. Added a taxonomy tree map in analytics.
  3. In the people section there is a tab for members.

Of course if you discover any bugs or have an idea that you think other WRMD users would benefit from then please reach out to us. We love to hear from you all and want to make WRMD as best as possible!

Hope to See you at the NWRA Symposium!

WRMD will again have a booth at the NWRA symposium. This year it is in Anaheim/Orange, CA, in our home state!!! Please come and visit us, we love to meet our users and put a name to the face. We may even ask to take a photo with your name tag so we can remember the face that belongs to the name.

We will also have a presentation on Friday, March 2 at 8AM. We will talk about some of the projects we have been working on and we are going to reveal some exciting new features and extension that have just been developed!

Come and find us! We look forward to seeing everybody!

More Fixes and Updates

The WRMD team has been working as diligently as we can to make sure WRMD is fully functional. We wanted to touch on several fixes that we recently implemented and discuss some issues that have come up.

Recent Fixes

  1. The List Patient’s screen is loading much faster.
  2. We have added the “Save your Changes” Prompt back. This means you can not leave a page unless you save your data. There seemed to be several occasions where data was missing. When we researched it in the background it appeared to have never been saved to begin with. We, hope this prompt will fix the “missing data” issue.
  3. The feature that would not allow you to access a record because someone else was accessing it has been fixed.
  4. The Prescription Units will default to the most common used.
  5. Calculators are fixed.
  6. Date Picker… We are continuing to see if we can create a manual way to add a date as well as pick a date. This has been very complicated and thank you for you patience.
  7. The Search Rescuer Tab under the Add New Patient screen has been fixed, there was an issue with the new Permissions.
  8. There is no longer a Shortcut Extension, however we have added a permanent “Map to Address Found” to Quick Links.

Other notes

  1. Federal Report: The Nature of Injury section is filled in by the Diagnosis field, which is what we were told by the Feds to do. However Section C. “Reported Injuries/Mortalities” wants the “Cause/Nature of Injury”. This will autofill the Circumstances of Admission and the Diagnosis.
  2. Species Reconciliation: when a patient is added to the database and the Common Name is not chosen from the drop down list, the database will try to guess what you meant. If it can not figure it out it will remain an unidentified species. During this update the database attempted to reconcile many of these patients that were not identified, so you may have had a slight change in your report numbers since this update reconciled many species. If you find something funky please let us know and we will fix it.

Still to work on

  1. Shortcuts Extension: this extension included the Map to where the patient was found and the quick link to print record.
  2. Search Lab Values
  3. The ability to combine Rechecks and Medications in one report.

Update Fixes

Thank you everybody for being forth coming with the issues that are popping up. I want to let everybody know what we have fixed so far.

  1. Attachments are now uploading and printing.
  2. “Forgot my Password” is now working.
  3. Exports now have data in them.
  4. The “Treatment Log” should be saved by clicking “Create New Treatment Log” and can also be saved by clicking “Update Patient” at the bottom of the screen.
  5. Pagination in List View allows you to skip to the end.
  6. Prescriptions are not making everything a Controlled Substance on the List of Prescriptions.
  7. You can now have the “Search Rescuers Tab” default on the “Create New Patient” page.
  8. With the new Date Picker there are some differences. You may notice that when recording the “Date Admitted” different then “Now” you have to click out of the box to move on. This is because there is a good chance that if you are creating a new patient at a later time, the time admitted will not be the same time as “Now”, so the box can’t automatically retract. If you press enter on this screen, that signifies you want to submit the whole page. We will research if there is any way we can improve.
  9. “Autocomplete” has had an attitude adjustment and is working better.

Other new features we didn’t tell you about

  1. For Autocomplete there is a new feature. In “Settings” under “Autocomplete” the default is set to allow for multiple Autocompletes or you can change it to just allow for one. For Example in “Reason for Admission” you can select Hit Window, Cat Caught – or – for “City Found” you can have it so that you can only select one.
  2. We have created a new feature called Authorizations. Within “Settings” if you have access, you will see an “Authorizations” link. We have defaulted these features to certain “Roles”. You can now change the Authorizations of the entire Role or you can change an Individuals “Authorizations” by going to “Users and Staff” and clicking on the “Edit” icon associated with that persons name.

We are still working on some of the more complicated issue that have come up. Thank you again and Happy New Year!!!