Blister Check Out User Guide - 60-5050 Rev B - Omnicell.com
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About Omnicell Omnicell, Inc. (NASDAQ:OMCL) is a leading provider of systems and software solutions targeting patient safety and operational efficiency in healthcare facilities. Since 1992, Omnicell has worked with numerous healthcare facilities to enhance patient safety and allow clinicians to spend more time with their patients. This guide and accompanying software and/or hardware described in it are protected under copyright laws and may not be copied, wholly or in part, without the express written consent of Omnicell, Inc. The same proprietary and copyright notices must be attached to any permitted copies as were attached to the original documents. Omnicell, Inc. Omnicell Ltd 590 E. Middlefield Road 2 Omega Dr Mountain View, CA 94043 River Bend Technology Centre (650)251-6100 Irlam, Manchester, M44 5GR, UK www.omnicell.com Tel +44 (0)161 413 5333 www.omnicell.co.uk Omnicell MTS Omnicell GmbH 2003 Gandy Blvd. N Robert-Bosch-Str. 7 St. Petersburg, Fl 33702 64293 (727) 576-6311 Darmstadt, Germany www.mts-mt.com Tel: +49 615 1800-1650 www.omnicell.co.uk Omnicell, M5000, SureMed, OnDemand, and the Omnicell design mark are trademarks/ registered trademarks of Omnicell, Inc. in the United States and internationally. All other trademarks and trade names are the property of their respective owners. The VBM 200F is provided by: Global Factories TEM B.V. Nassaulaan 23 2514 JT The Hague The Netherlands No part of this manual may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning or otherwise, without the prior written permission of Global Factories TEM B.V. Please note that the contents of this manual are protected under copyright law even if it is not distributed with the software and/or hardware that includes an end user license agreement. The content of this manual is subject to change without notice. Global Factories TEM B.V. assumes no responsibility or liability for any errors or inaccuracies that may appear in the informational content contained in this manual. Blister Check Out User Guide/60-5050 Rev B © 2018 Omnicell, Inc.
Table of Contents 3 Table of Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Navigating BCO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Related Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Contacting Omnicell Technical Assistance Center (TAC) . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Understanding the BCO Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Scanning the Blister Tray Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Viewing Blister Tray and Cup Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Cup Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Detailed Cup View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Emptying and Discarding Cups and Blister Trays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Reviewing Fill Needs Checked Cups. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Manual Filling in BCO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Printing the Label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Checking Out . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Performing the BCO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Understanding the SureMed Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Lid Specifics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Patient Label Specifics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Understanding the Drug Label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Drug Label Specifics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Label Data Restriction Guidelines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Verifying Printer Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Troubleshooting Label Issues. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Verifying the Printer Driver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Removing the Incorrect Driver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Downloading the HP Printer Driver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Creating Print Presets for the SureMed Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 © 2018 Omnicell, Inc. Blister Check Out User Guide/60-5050 Rev B
Introduction 5 Introduction Blister Check-Out (BCO) is an application that manages the final steps of the blister tray production process. BCO’s primary function is to walk you through checking out a blister tray. Figure 1 BCO Main screen (1) (2) (3) (4) (1) Header with overall blister tray information (3) Blister tray layout with pill images (2) Check out visual walk-through (4) Blister tray and Cup Details The main screen depicts order, batch, blister tray, customer, institution, and patient information. The blister tray content displays in the middle section of the screen with cup images on the left and intake information on the right. You can review where you are in the BCO process at the bottom of the screen with the check out visual walk-through. You can extend the medication panel to reveal detailed medication information. You can also extend the cup panel to show more information about the selected cup. Both panels contain printing icons, which can print either a list of medications or an overview of the cups. © 2018 Omnicell, Inc. Blister Check Out User Guide/60-5050 Rev B
6 Introduction Related Documents Navigating BCO BCO has a visual walk through that you click to move from one screen to another. The color orange indicates the screen you are on, and you can click on the green tabs to move to another screen. Grey means you cannot click or go to the screen. Figure 2 BCO Walk-through Navigation Related Documents The following additional documents are available for Omnicell VBM 200F: 60-5048 Omnicell VBM 200F Operation and Maintenance Manual 60-5049 Omnicell VBM Bridge User Manual 60-5051 Vision Station Operation and Maintenance, and Pill Programmer User Guide 60-5053 Omnicell VBM 200F Manager User Guide Contacting Omnicell Technical Assistance Center (TAC) For US-based customers, call: Technical support: 1-800-671-0587. Email: mtstac@omnicell.com Customer service (consumable orders): 1-800-845-0053. Blister Check Out User Guide/60-5050 Rev B © 2018 Omnicell, Inc.
Understanding the BCO Process 7 Scanning the Blister Tray Holder Understanding the BCO Process The BCO process involves scanning the blister tray holder, adding any manual fills, and combing the blister and blister carton (SureMed card). Scanning the Blister Tray Holder To begin using BCO, you need to log in and scan the blister tray holder you want to check out. While logged into BCO, the system tracks all of your actions for accountability purposes. To log in and scan the bar code: 1. Start up BCO and log in with your username and password. 2. To begin in BCO, scan the bar code on the blister tray holder you want to check out. 3. BCO validates the bar code and checks if the blister tray is valid. Once confirmed, the blister tray is “in use” and BCO loads the relevant data. © 2018 Omnicell, Inc. Blister Check Out User Guide/60-5050 Rev B
8 Understanding the BCO Process Viewing Blister Tray and Cup Information Viewing Blister Tray and Cup Information Once a blister tray is in use, select a cup to view the information for that particular cup. To view multiple cups, you can use filters. You can access the filter menu by right clicking on the blister tray section screen, or by press and holding the screen for 3 seconds. Figure 3 Right mouse click menu All: Select all cups. None: Deselect all cups. Multiple dispenses: All cups that have multiple dispenses by the VBM. Filled with error: All cups that have been incorrectly filled by VBM. Discarded by machine: All cups discarded by VBM. Ready for manual fill: All cups that need manual filling by BCO. Partially filled: Partially manual filled cups. Filled correctly: Correctly dispensed cups by VBM. Discarded in BCO: Cups discarded in BCO. Blister Check Out User Guide/60-5050 Rev B © 2018 Omnicell, Inc.
Understanding the BCO Process 9 Viewing Blister Tray and Cup Information Cup Indicators If the cup needs adjustments or had multiple dispense or inspection takes, an orange icon appears to the right of the cup. A red question mark icon appears if the cup is flagged as Fill Needs Check for a manual review. Figure 4 Cup Indicators (1) (2) (3) (4) (1) Multiple dispense attempts and empty cup (2) Multiple dispense attempts (3) Manual fill required (4) Fill Needs Checked. Manual review required © 2018 Omnicell, Inc. Blister Check Out User Guide/60-5050 Rev B
10 Understanding the BCO Process Viewing Blister Tray and Cup Information Detailed Cup View When you select a cup, an orange frame highlights the cup and you can view the contents of the cup in the detailed cup view. Click the magnifying glass icon in the bottom left corner of the cup to open the details view. Figure 5 Magnifying Glass Icon Figure 6 Detail Cup View (1) (2) (3) (4) (1) Cup with pills (3) Cup information (2) Dispense attempts (4) Empty or discard cup The left panel represents the cup, the number of dispense attempts, and the number of inspection attempts. Every dispense attempt can have more than one inspection attempt. The right panel shows the cup’s medication information and includes the following: Medication details Amount found and missing Medication images Blister Check Out User Guide/60-5050 Rev B © 2018 Omnicell, Inc.
Understanding the BCO Process 11 Emptying and Discarding Cups and Blister Trays Emptying and Discarding Cups and Blister Trays If you determine that the cup contents are incorrect, you can empty or discard the cup. If you empty a cup, you throw away the medications and are able to reuse the cup. You will need to empty a cup if you need to make any adjustments or corrections to a cup. If you discard a cup, the entire cup and its contents are not usable. You can also discard the entire blister tray, which removes the blister tray and all associated data from the system. To discard or empty a cup/tray: 1. Select the cups you want to empty or discard. 2. Click the trash can icon. BCO prompts you to confirm emptying or discarding the cups. 3. To discard the entire blister tray, select the crossed out grid icon below the trash can on the bottom right. Reviewing Fill Needs Checked Cups Depending on how pills drop from the tower, they may land in certain ways that makes the pills look very similar, if not the same. To make sure there are no errors with the tray, BCO flags the affected cups as Fill Needs Check. To review a cup: 1. Manually review and verify each cup marked with the red Fill Needs Check icon. 2. Mark the cup as reviewed and complete by highlighting the cup and then selecting the eye Reviewed icon on the bottom right. © 2018 Omnicell, Inc. Blister Check Out User Guide/60-5050 Rev B
12 Understanding the BCO Process Manual Filling in BCO Manual Filling in BCO You can use BCO to manually fill blister trays if VBM is down, if you aborted a batch and need to fill any trays from that batch, or if you are unable to manually fill a cup with the MDA tray. If you are filling an aborted batch, you first need to reproduce the tray. Manual fill in BCO requires a PV2 check—a pharmacist or other approved staff member must verify any changes to the blister tray. In BCO, the right panel lists the missing medication and the total amount of medication missing for the blister tray. The left panel shows where to put the pill and how many pills are needed. Figure 7 Manually Filling a Cup example To manually fill a drug: 1. Choose a medication on the right. This highlights where to manually add the medication in the blister tray. The number signifies how many pills you need to add. Blister Check Out User Guide/60-5050 Rev B © 2018 Omnicell, Inc.
Understanding the BCO Process 13 Manual Filling in BCO 2. Select + to add the lot number and expiration date of the medication. Click V to confirm your entry. 3. Click the manual fill icon and add the pills to the cup. © 2018 Omnicell, Inc. Blister Check Out User Guide/60-5050 Rev B
14 Understanding the BCO Process Manual Filling in BCO 4. As you add pills, the number in the cup decreases. Once complete, a pharmacist or other approver must review your additions and enter their login information and click V at the bottom to validate the manual fill. 5. Repeat as necessary to fill the whole tray or all empty cups. If you have to fill multiple medications, you can click the green numbers in the grid to assist with filling the medications one at a time. Important: BCO only tracks an action when you click V to validate and save an action. At any point after you click V, you can leave the manual fill screen or remove the blister tray. BCO remembers where you were in the check out process based on your last save and allows you to pick up where you left off. Blister Check Out User Guide/60-5050 Rev B © 2018 Omnicell, Inc.
Understanding the BCO Process 15 Printing the Label Printing the Label The final step in BCO is printing the label and applying the label to the SureMed card. The label contains medication and patient information, as well as a 2D bar code associated with the blister tray. To print the label, click the green print icon in the Blister Label section. Note: Once you click Print, you can not make any adjustments to the blister tray. Only click Print when you are ready to finish the check out process. Figure 8 Label Print Icon © 2018 Omnicell, Inc. Blister Check Out User Guide/60-5050 Rev B
16 Understanding the BCO Process Checking Out Checking Out After printing and applying the label to the SureMed card, scan the 2D bar code to complete the check out process. This marks the card as complete and releases the blister tray holder for another order. If the printer is not working and you cannot print a label but still want to check out the blister tray, you can click Blister Emergency. Then, enter a unique number by either scanning the bar code on the card or typing a number you will remember. This allows you to release the blister tray and set aside the blister tray holder until you are ready to print the label. Note: Do not scan the label bar code for Blister Emergency. This causes BCO to close out the order and you will not be able to access the label for printing at a later time. Figure 9 Emergency Print Blister Check Out User Guide/60-5050 Rev B © 2018 Omnicell, Inc.
Performing the BCO 17 Performing the BCO To perform BCO, you need to scan the blister tray holder, add any manual fills, and combine the blister tray to add a label and finish packing the blister tray. To perform BCO: 1. Start up BCO and log in with your username and password. 2. Scan the bar code for the blister tray holder you want to check out. The blister tray data loads. 3. View, correct, and/or manually fill any cups, if necessary. See Manual Filling in BCO on page 12. 4. Scan a blister tray and press Print. Then, apply the SureMed card to the blister tray. 5. Scan the 2d barcode on the label to complete the BCO process. The blister tray is now ready for distribution. If you need to reprint the label after completing the checkout process, scan the 2d barcode on the existing SureMed card and select Print. © 2018 Omnicell, Inc. Blister Check Out User Guide/60-5050 Rev B
18 Performing the BCO Blister Check Out User Guide/60-5050 Rev B © 2018 Omnicell, Inc.
Understanding the SureMed Card 19 Understanding the SureMed Card The SureMed card is made up of a patient label, the lid with the administration time, the spine, and the drug label. Each card contains a week’s worth of medications for a single patient, divided across four administration times per day (morning, noon, evening, bedtime). The individual blister cups on the SureMed card are perforated, so patients can tear off individual blister cups or row of cups when needed. For example, they may be away from home for lunch and need to take their noontime medications with them. VBM prints the medication name and strength on the lid that covers each blister cup. The lid also shows the administration time indicating when the patient needs to take their dose (morning, noon, evening, etc.). Note: Depending on your pharmacy’s customization, your card may look different from the samples below. These images are intended to give you a general understanding of each component of the card. Figure 10 Sample Patient Label and Lid (1) (2) (3) (1) Lid (2) Spine (3) Patient Label © 2018 Omnicell, Inc. Blister Check Out User Guide/60-5050 Rev B
20 Understanding the SureMed Card Lid Specifics Lid Specifics The lid shows the administration time information and prints the names of all the drugs in that blister cup. In the SureMed Plus card you can typically fit11 drugs into a single blister cup. Note: Larger drugs will impact the total number of pills able to fit in a single cup. Figure 11 Sample Lid and Dosage Time Information (4) (1) (2) (3) (1) Card start indicator (3) Administration time (2) Drugs in blister (4) Day of week Patient Label Specifics The Patient Label contains general patient, pharmacy, and card information. Figure 12 Sample Patient Label (5) (1) (2) (6) (7) (3) (4) (8) (1) Patient Information (5) Day of the week when pack begins (2) Pharmacy Information (6) Pack Date and Expiration (3) DEA Number (7) FDA warning (4) Who packed and checked the card (8) Pack bar code Blister Check Out User Guide/60-5050 Rev B © 2018 Omnicell, Inc.
Understanding the SureMed Card 21 Understanding the Drug Label Understanding the Drug Label The Drug Label lists all the drugs in the pack, and you can have 12 different drugs in a single card. Figure 13 Sample Drug Label and Blister Cups (1) (2) (1) Drug label (2) Blister cups with dugs © 2018 Omnicell, Inc. Blister Check Out User Guide/60-5050 Rev B
22 Understanding the SureMed Card Understanding the Drug Label Drug Label Specifics The drug label contains information on each drug in the card. Figure 14 Sample Drug Label Information (5) (6) (8) (4) (3) (7) (2) (9) (1) (10) (1) Drug Image (6) Drug Information (2) Drug Description (7) Warning/Sig (3) Drug Name (8) Dose Number (4) Patient Name (9) Dosage Time (5) NDC (10) Total number of drugs in the pack Blister Check Out User Guide/60-5050 Rev B © 2018 Omnicell, Inc.
Understanding the SureMed Card 23 Label Data Restriction Guidelines Label Data Restriction Guidelines There are character limits on many of the label fields on the SureMed card. See the tables below for the Standard Template character limits. Figure 15 Patient Label Data Field Name Character Limit Font Patient Name 25 11pt Arial Patient ID 30 11pt Arial Patient DOB 30 11pt Arial Facility Name/DayofWeek 40 10pt Arial Pack # of # 13 7.5pt Arial Date Packed 20 7.5pt Arial Expirations Date 20 7.5pt Arial Pharmacy Name 26 13pt Calibri Pharmacy Address 72 10pt Calibri Pharmacy Phone 27 9pt Arial Pharmacy DEA# 27 9pt Arial Figure 16 Card Spine Data Field Name Character Limit Font Current Date (Short) 10 11pt Arial Patient Name 15 11pt Arial Patient DOB 10 11pt Arial Patient Location 10 11pt Arial Figure 17 Drug Label Data Field Name Character Limit Font Drug Name 35 8pt Arial NDC 25 8pt Arial Prescription Number 45 7pt Arial Narrow Drug Description 100 7pt Arial Narrow Physician Name 40 7pt Arial Narrow Drug Manufacturer Name 40 7pt Arial Narrow Drug Brand Name 40 7pt Arial Narrow Directions 240-250 7pt Arial Narrow Figure 18 Lid (Blister Cups) Data Field Name Character Limit Font Patient Name 20 6pt Calibri Drug Quantity 3 6pt Calibri Drug Name 25 6pt Calibri Administration Time 18 6pt Calibri Day of Week 15 6pt Calibri © 2018 Omnicell, Inc. Blister Check Out User Guide/60-5050 Rev B
24 Understanding the SureMed Card Verifying Printer Settings Verifying Printer Settings The official printer for VBM is the HP PageWide Pro 750dw. You can verify that the HP PageWide is the default printer associated with BCO to print the SureMed card. When you are ready to print, set the SureMed card in the printer tray upside down, with the blister lid on the left and the card stock on the right. Figure 19 Card Orientation in Printer Note: If you are having alignment issues with the label, see Troubleshooting Label Issues on page 25. To verify printer settings: 1. On the Login popup, select the gears icon to open BCO Settings. 2. Navigate to Reports > View Name > SureMed+. 3. Select the magnifying glass icon. From this screen you can designate the HP PageWide as the default printer. Blister Check Out User Guide/60-5050 Rev B © 2018 Omnicell, Inc.
Understanding the SureMed Card 25 Troubleshooting Label Issues Troubleshooting Label Issues If the label information is not printing correctly, you may have the wrong driver installed on the printer. First, you need to verify that you have the correct driver. If you do not, you will need to uninstall and download the correct driver. Verifying the Printer Driver First you need to make sure you have the correct driver downloaded. Using the wrong driver can cause issues with printing the SureMed card because it is not a standard page size. To verify the driver: 1. Navigate to Start > Settings > Devices > Printers and Scanners. 2. Right click on the HP PageWide Pro 750dw and select Properties. 3. The popup lists the driver associated with the printer. The correct driver is the HP Universal Print Driver for PLC6 (64-bit). 4. If you do not have the correct driver installed, follow the procedures for Removing the Incorrect Driver on page 25. Then follow the instructions for Downloading the HP Printer Driver on page 26. 5. If you do have the correct driver, restart the BCO Workstation and turn the printer on and off. Wait 10 seconds after shutting down the printer and computer before turning them on again. If the print issue persists, call TAC (see Contacting Omnicell Technical Assistance Center (TAC) on page 6). Removing the Incorrect Driver If the incorrect driver is associated with the printer, you need to unplug your printer and remove the driver currently on your computer. To remove the driver: 1. Unplug the printer from the computer. 2. Navigate to Start > Settings > Devices > Printers and Scanners. 3. Right click on the HP PageWide Pro 750dw printer. 4. Select Remove Device. 5. Follow the instructions for Downloading the HP Printer Driver on page 26. © 2018 Omnicell, Inc. Blister Check Out User Guide/60-5050 Rev B
26 Understanding the SureMed Card Troubleshooting Label Issues Downloading the HP Printer Driver If you have the incorrect driver, you need to go to the HP website to download the correct driver. To download the driver: 1. Make sure the printer is still unplugged from the BCO Workstation. 2. Navigate to the following link to the HP site to find the HP PageWide Pro 750dw UPD PLC 6 driver: https://support.hp.com/us-en/drivers/selfservice/hp-pagewide-pro-750-printer-series/11590691. a. If the link does not work, navigate to https://support.hp.com/us-en/drivers. b. Select Printers. Enter the HP product name HP Pagewide Pro 750dw. c. Click Find to search. The printer page appears. 3. Verify your Operating System (OS) in the banner. Select Change to choose a different OS. The drivers available for that OS appears. 4. Expand the group for Driver-Universal Print Driver. Click Download for the PCL6 driver with the most recent date. 5. Select Unzip when the WinZip popup appears. Follow the prompts and when complete, click OK. 6. Open the installation application and follow the prompts. Blister Check Out User Guide/60-5050 Rev B © 2018 Omnicell, Inc.
Understanding the SureMed Card 27 Troubleshooting Label Issues 7. On the Installation Mode screen, select USB mode- Plug and Play. Make sure both boxes are checked. 8. Complete the driver installation by following the prompts. 9. Plug in your printer to the computer The label should not print correctly. Creating Print Presets for the SureMed Card These presets apply to the SureMed Standard and Plus cards (exceptions between the Standard and Plus cards are noted in the procedure). You only need to create the presets once. To create your settings: 1. Navigate to Start > Settings > Devices > Printers and Scanners. 2. Right click on the HP PageWide Pro 750dw UPD PLC 6 printer. Select Printer Preferences. 3. On the Paper/Quality tab, select Custom. Type the name of the preset and add the dimensions 9.49x16.22 inches (241x408mm). Click Save to set your preset name. Click OK when finished. 4. Set the Type is: as Plain. a. Expand the dropdown. Select More. b. Expand the Everyday group. Select Plain. © 2018 Omnicell, Inc. Blister Check Out User Guide/60-5050 Rev B
28 Understanding the SureMed Card Troubleshooting Label Issues 5. Go to the Finishing tab. Check Print On Both Sides, and make sure the orientation is set to Portrait. 6. Go to the Effects tab. Select Print document on and choose your preset from the dropdown. Uncheck Scale to fit. 7. Click OK to save your settings and close the window. Blister Check Out User Guide/60-5050 Rev B © 2018 Omnicell, Inc.
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