Webster Packs in Teiro

Overview

A Webster pack, or dose administration aid, is medication a pharmacy has pre-sorted into pocketed slots, one per time of day. In Teiro, a Webster pack is its own record for the client: which pharmacy dispensed it, the dispense date, the next pack due date, and the cycle length. Each medication that comes packed is flagged as such, so it groups sensibly on the daily and monthly views, but it is still administered and signed the same way as any other medication, one entry at a time. This guide covers setting up the pack record, flagging packed medications, and recording an administration from a packed pocket. For the reasoning behind per-medication signing and how it compares to software that signs a whole pocket at once, see Webster packs and dose administration aids: what a support worker actually records.

Step 1: Add the Webster pack record

From the client's Medications tab, open Webster Packs and choose Add Webster Pack. Record the dispensing pharmacy, the dispense date, the next pack due date, and the pack's cycle length if known. This is a coordinator or admin-level task; support workers see the client's Webster pack list but cannot add or edit it.

A pack record carries a status of current, pending, or superseded, so a coordinator can see at a glance which pack is the one actually in use if a client has more than one on file, for example a morning pack and a separate evening-only pack from a different source.

Step 2: Flag which medications are packed

On each medication that is dispensed via the pack, mark it as packed into a Webster pack. This is what groups the medication sensibly alongside the client's other packed medications on the daily and monthly MAR views. PRN medications are not usually packed and are recorded separately regardless, with their own trigger and effect on each entry.

Recording an administration from a packed pocket

A support worker administering a Webster pack pocket sees every medication due in it grouped together on the daily view. They work through the pocket in one pass and sign each medication individually, then confirm the whole batch as one atomic write. There is no single signature that stands in for the whole pocket: if one medication in it needs a different outcome, for example it is withheld while the rest of the pack is given as normal, it is recorded with its own outcome rather than folded into the rest.

Each medication in the pocket still carries its own schedule classification, so if a controlled drug happens to be packed alongside general medications, that entry follows the same stepped-up biometric or PIN confirmation as any other controlled drug entry.

Frequently asked questions

Does a Webster pack pocket get signed once for everything in it? No. Every medication in the pocket is signed individually. What the pack changes is the workflow: a support worker works through everything due in the pocket in one pass through the administer sheet and confirms it as one batch, rather than the record itself being collapsed into a single signature.

What is the Webster Packs record actually for, if it is not the administration record? It tracks the pharmacy logistics: which pharmacy dispensed the current pack, when, when the next one is due, and the cycle length. That is deliberately kept separate from the administration record, which tracks what was actually given, refused, withheld, or missed for each medication.

What if the pharmacy repacks the client's medications and the contents change? Update which medications are flagged as packed. Past administration entries are not changed retroactively; only future entries reflect the update.

Can a client have more than one Webster pack, for example a morning pack and an evening-only pack from a different source? Yes, a client can have more than one Webster pack record if that matches how their medications are actually packed.

Next steps

• Setting Up a Client's Medications in Teiro: add the individual medications before flagging them as packed
• Recording a Medication Administration in Teiro: the day-to-day recording flow, packed pockets included

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