When starting to use labelSyringe you can create your account in the web drug editor or in the smartphone app. It does not matter where you start, as long as you make sure that the Email and password are the same in both environments. So when you create an account in the web editor you can use this Email and password to ‘Log In’ the smart phone app and you do NOT ‘Sign Up’ again and vice versa. It is important that you supply your real name as your name will appear in every drug record that you edit, save and synchronise with users of the smartphone app that are connected to your file(s). See our privacy statement on our policy with handling your personal data.
It is recommended that you use a laptop ore desktop computer for using the web drug editor.
After logging in on https://labelsyringe.com you will see a screen with 2 ‘Example Files’ and ‘Files’ size:0. In Files the files will be stored that you create.
At the top beside the question mark there is a switch button displaying ‘Deploy Mode’
Switch the ‘Deploy Mode’ button: The text will change to ‘Develop Mode’ and in front of the two examples files:
‘dilution kg ranges’ and ‘dilution kg based’ a file copy icon will appear. When you click this icon a copy of the example file will be placed in your own file section.
In dilution kg ranges the weight adaptation is done with ranges of the patients weight (eg 1-20 kg) where the dilution inside this range is the same, hence the volume of the dose or infusion rate will differ between patients with a different weight.
in dilution kg based the dilution is, within groups of weight, done per kg. Hence the volume of the dose or infusion rate for patients with different weights is the same if the fall in the same weight group. LabelSyringe allows a mixture of both approaches so with one drug record you can accommodate both paediatric dosages with dilutions based on weight as well adult dosages with fixed dilutions.
You can have a look at the drugs and the dilutions by clicking on the filename and drug respectively. Trying to change anything in the example file will result in an error as these example files are not editable.
You can start with a clean file, or you can copy one of the example files and edit the drug records. If you copy one of the example files you will be made owner and responsible editor of ALL drug records EVEN IF YOU DID NOT CHANGE THE RECORDS. So you will have to make sure that ALL the drug records conform with dosages you use in your professional environment. If you do not want to expose these records to the smartphone app(s) then delete or change them or add your own dosage protocol. No change will appear on the smartphone app drug list until you have synchronised the development in the deploy environment.
When, after a submitted change, you switch back from development to deploy mode you will noticed that the arrowed circle next to the file name has become red. When you press this circle, the file in deploy mode is updated with the changes you made in development mode. From then on the changes will also be applied in the drug lists on the smartphone app, after the user starts the smartphone app with network connection on. If the change is critical you will have to notify the users to restart the smartphone app.
It is advised to use the TallMan lettering system for your drug names. Lists with the TallMan lettering configuration from the FDA and ISMP(Institute for Safe Medication Practice) can be found here http://rx-wiki.org/index.php?title=Tallman_lettering
There is no international standard for Tallman drug names so not all drug names are listed and you may have to invent your own if you recognise a possible mix-up error. If within a department 2 or more preparations are common it can be wise to mark that in the drugname which will increase visibility on distance like NORadrenaline(2mg/ml) and NORadrenaline(5mg/ml).
The comment will appear in the smartphone app but not on the label. You can supply information to the user like how to administer, central or peripheral, compatibility with other infusion and so on. You can also put one or more links in the comment to online useful information. This could be a drug monograph for example that resides on your departments network or somewhere else.
Stock holds information on in what form the drug is delivered to you. You specify the total amount and the total volume (his is NOT the concentration). If the drug is supplied as a solid you can indicate this in the volume field.
You can specify the lower and upper dosing ranges for the administration in [mg,mcg,U] /kg /[hr,min] The smartphone app will recalculate this range in ml/hr so that users can easily identify pump settings that are outside the normal range. In addition the amount of 1 ml/ hr is given to facilitate the calculation for the pump settings.
Add a new infusion or bolus and specify the lowest weight for which the preparation and label is valid. Although the value can be set to 0, the smartphone app lowest value will be 1 kg. If the weight should have an upper limit: switch from No Limit to Limited and fill in the upper weight. Warnings will be generated for weight ranges that are not covered or weights ranges that overlap. If the dilution itself is based on weight then switch on the PerKg button. Specify the dose unit [mg mcg nanogr U] the diluent glucose NaCl or both and the default size of the syringe for the preparation. Every preparation has a comment. Like the drug comment you can use this for adding additional information or a link where information can be found.(example: cyklokapron in the dilution kg ranges file)
Boluses are kind of special. You can specify amount(dose) and concentration. The amount is the dose that has to be given to the patient. The dose can be weight dependent(example : cefazolin for weights below 20 kg). The dilution is fixed and the units for amount and concentration are the same. The volume in this record will be the initial size of the syringe in which the drug is prepared. Users can change the size of the syringe in the app but this will NOT change the preparation.
After you have completed the drug record: CHECK, CHECK, CHECK and DOUBLE CHECK:let a colleague have a look at your proposal. When you press SUBMIT CHANGES, your record will be stored in the development environment but not in the deploy environment so it will be not available in the operational app. You can always come back and make changes before it is released.