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How to Order Discharge Medications

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.

  1. Navigate to Client Orders (Client), see How to see Orders for my Active Client section for directions on how to do this.
  2. Click on the New icon. The Orders Being Modified/Discontinued pop-up window opens.
  3. Select the check box of the order(s) you want to discontinue.
    1. 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.
    2. Selecting the checkbox next to the Order column header will select all orders.
  4. Click the OK button. The Client Order document opens.
  1. Find the order in the Order List section of the page.
  2. Update fields in Order Entry Details as needed.
    1. Click Apply All if changes were made.
  1. In Order List, click the radio button on the line of the order you want to discontinue.
  1. Update needed fields to reflect what would go on script to pharmacy, e.g. strength, frequency, day supply, etc.
    1. Ensure the Start and End date are updated.
  2. Click the Modify button to save your changes.
  1. Click the Save button in the tool bar.
  2. Repeat steps 7-9 if discontinuing multiple medication orders.
  3. If needed, new orders or order sets, i.e Discharge order can be added at this time.
    1. See How to Document a Discharge Order for details.
  4. Sign the Order using the steps found under How to Sign a Document.
    1. 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.
  5. 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.
    1. The list page will show a Changed sub-status on the active order.
  1. To send the order to the pharmacy the order needs to be completed in Rx.
  2. Click the Search icon.
  3. Type Medication Management (Rx) (Client) into the search.
    1. Only three characters are needed for options to display.
  4. Select Medication Management (Rx) (Client).
    1. Rx > Patient Summary Page will open. This is actually another window.
  1. 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’.
    1. 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.
  2. Select the check box(es) next to the Client Order medications that need to go to the pharmacy.
  3. Click the Complete Order button; this will open the Complete Medication Order screen.
Note: Complete Order button only becomes active when a Client Order medication is selected
  1. Ensure you are sending to the correct pharmacy; Pharmacy field.
  2. If any changes need to be made do so.
  3. Note: Prescriber field will have the Ordering Physician from the order.
  4. Click Prescribe or Queue Order based on your program’s workflow.
    1. Queued orders will only go to the pharmacy after the prescriber has approved them.
  1. 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/.
  2. Once the medication order(s) has been sent to the pharmacy, the icon will be a yellow box with black ‘IP’.