Return a Breast Pump Page

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Module 5: Figure 4.4: Return a Breast Pump Page

Fields:

Serial Number – Serial number of the breast pump. This field is display only.
Client Pump Status – Drop-down list populated with status values. This field is mandatory.
Pump Type – The type of breast pump. This field is display only.
Issue Date – The date the pump was issued. This field is display only.
Actual Return Date – Calendar date field when the pump was returned. This date is gray out the field if Personal pump is issued. This field will be grayed out until the Pump Status field is changed to the status of “Returned‟. This field is mandatory.
LA/Clinic Issued From – Local agency/clinic the pump is issued from. This will default to the logged in clinic. This field is display only.
Due Date – Calendar date field when the pump is due. This field is display only.
Reissued Due Date – Calendar date field when the pump is due if it has been reissued.
LA/Clinic Returned To – Local agency/clinic the pump is returned to.
Referred Date – Calendar date field when the record was referred to the State.
Client ID – Client ID of the client the pump will be issued to. This field is display only.
Last Name – Client last name. This field populates when the Client ID is entered. This field is display only.
First Name – Client first name. This field populates when the client ID is entered. This field is display only.
MI – Client middle initial. This field populates when the client ID is entered. This field is display only.
Comment – Free text field for comments.

Checkboxes:

Referred to State – Selection indicates the record has been referred to the State.

Buttons:

• Print Release Form – Redirects user to the Breast Pump Release Form for printing.

• Signatures – Redirect the user to the Signature page to sign for the Breast Pump Release Form.

• Save – Initiates the save of data entered on the page.

Reset – Unsaved edits are cleared restoring the form to its previously unedited state.

Calculation(s):

Background Processes:

• Edit Page Load:

▪ Once a pump is marked as returned, the client record is “locked”. Users can view the page, but they can no longer edit the page.

▪ The values in the Client Pump Status drop-down list changed to the following: Issued, Letter Sent, Returned, Stolen/Lost.