At discharge a client may have medication that should be picked up at a pharmacy, this may include a pharmacy that is onsite. In order to do this the following steps should be followed.
- Navigate to Client Orders (Client), see How to see Orders for my Active Client section for directions on how to do this.
- Click on the New icon. The Orders Being Modified/Discontinued pop-up window opens.
- Select the check box of the order(s) you want to discontinue.
- This can include non-medication orders. However, steps below are specific to Medication orders. For details on discontinuing non-medication orders see Prescriber: How to Discontinue an Order.
- Selecting the checkbox next to the Order column header will select all orders.
- Click the OK button. The Client Order document opens.
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- Find the order in the Order List section of the page.
- Update fields in Order Entry Details as needed.
- Click Apply All if changes were made.
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- In Order List, click the radio button on the line of the order you want to discontinue.
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- Update needed fields to reflect what
would go on script to pharmacy, e.g. strength, frequency, day supply,
etc.
- Ensure the Start and End date are updated.
- Click the Modify button to save your changes.
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- Click the Save button in the tool bar.
- Repeat steps 7-9 if discontinuing multiple medication orders.
- If needed, new orders or order sets, i.e Discharge order can be added at this time.
- See How to Document a Discharge Order for details.
- Sign the Order using the steps found under How to Sign a Document.
- When documenting an order on behalf of a Prescriber, the Prescriber must be added as a co-signer and must complete their co-signature. For more information, see How to Co-sign a Document.
- Once signed, there will be an active order(s) with a start date of the date on the medication and a discontinued order of the same medication.
- The list page will show a Changed sub-status on the active order.
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- To send the order to the pharmacy the order needs to be completed in Rx.
- Click the Search icon.
- Type Medication Management (Rx) (Client) into the search.
- Only three characters are needed for options to display.
- Select Medication Management (Rx) (Client).
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- Rx > Patient Summary Page will open. This is actually another window.
- In the Medication List section you will see medications that have been ordered through Client Orders, the icon is an orange box with a white ‘T’.
- You may also see other medications listed here, these could have been prescribed through an outpatient provider or medication they are taking from a prescriber outside of the agency.
- Select the check box(es) next to the Client Order medications that need to go to the pharmacy.
- Click the Complete Order button; this will open the Complete Medication Order screen.
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- Ensure you are sending to the correct pharmacy; Pharmacy field.
- If any changes need to be made do so.
- Note: Prescriber field will have the Ordering Physician from the order.
- Click Prescribe or Queue Order based on your program’s workflow.
- Queued orders will only go to the pharmacy after the prescriber has approved them.
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- For more details on prescribing and other Rx features please see the Prescriber User Guide or Prescriber Video Guides in https://2023.calmhsa.org/psychiatry-documentation/.
- Once the medication order(s) has been sent to the pharmacy, the icon will be a yellow box with black ‘IP’.
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