To write a simple Clinic Medication order, use these steps:
Note: Depending on how menus are set up at your particular site, you may need to select a different option from the Write Orders pane. Many sites have customized the items in the Write Orders pane. Check with your Clinical Application Coordinator (CAC) (or the person who manages information resources at your site) if you have trouble locating the Clinic Medications item.
Note: The following prompts will be slightly different based on the patient’s location. You will be asked to verify that you want to write Clinic Medications and to ensure that the encounter location is a clinic location.
You can use an existing appointment if one exists or create a new one. To use Clinic Medications, you must enter a location that was previously defined clinic. If you chose a clinic location, you will see this dialog.
This dialog is to ensure that the user knows they are about to enter Clinic Medications.
Note: CPRS now only auto-selects (highlights in blue and places that entry in the field) a medication, dosage, route, or schedule if the user types enough characters to uniquely identify an item in the list. If the user does not enter enough characters to uniquely identify an item, CPRS waits until the user manually selects an item using the mouse or the keyboard.
Note: If the selected medication is a controlled substance that requires the signature of a provider with a DEA number, the Order not completed dialog appears. CPRS allows orders for controlled substances only when selected providers are able to sign the orders. You may need to exit the Medication Order dialog, change the provider selection, and then reenter the dialog.
You must have a DEA# to order certain medications
Note: CPRS requires a patient have a valid address if the selected outpatient medication is a controlled substance that requires the signature of a provider with a DEA number. For outpatient controlled substances, CPRS displays a message – “Controlled substance prescriptions require a patient address. Please contact administrative support to update patient address information.” if the patient does not have a valid address. The contact information in the display may be customized using the Enter/Edit Missing ZIP Code Message option in the GUI Parameters menu.
Controlled substance prescriptions require a patient address
Note: After you begin a complex dose medication order, you must remain on the Complex tab until you finish the order. If you switch to the Dosage tab, CPRS clears all complex dosages and you will be forced to start again.
The dosage may not begin with a decimal, for example .5; it must begin with a numerical value, 0.5 for example. Also, the character “^” may not be entered in the Dosage field. (The associated cost is displayed to the right of the dosage.)
Note: CPRS now only auto-selects (highlights in blue and places that entry in the field) a medication, dosage, route, or schedule if the user types enough characters to uniquely identify an item in the list. If the user does not enter enough characters to uniquely identify an item, CPRS waits until the user manually selects an item using the mouse or the keyboard.
Enter a Route by either selecting one from the list or typing in a valid route.
When the user selects a regular schedule that does not have PRN, the administration times may display in the Schedule column. The administration times will display if they have been defined for the ward or if there is a default.
Note: Users can assign either a schedule from the list or specific administration times, but not both. If launched from the Complex tab, the Day-of-Week Schedule builder does not display one-time schedules in the schedule list. Also, because the user is specifying days of the week and a schedule, the list will contain only schedules less than 24 hours (for example, Q36H will not be in the list).
To use a specific administration time, select the hour and minutes (if the user only selects the hour, the minutes will default to zero) and select Add.
Repeat step c until you have entered all required administration times
Warning: The administration times in the Schedule field apply to each day of the week that is listed, such as TU-TH-SA@0800-2000, for example. To create a schedule such as TU@0800 TH@2000, users would have to enter two separate orders using the complex medication order dialog. Also, users may not enter a schedule that only has administration times and PRN but no days.
If you make a mistake while selecting an administration time or schedule, do one of the following to remove it:
Review the Schedule field.
When you have the correct schedule, select OK.
The Order with Schedule ‘OTHER’ dialog allows you to enter a customized day-of-week and/or administration-time schedule. The user can enter specific administration times or select a schedule from the available list.
Select PRN if necessary.
PRN will display in the schedule field if the PRN checkbox is checked or if the schedule is defined in the Pharmacy files as a PRN schedule.
Note: When selecting the PRN checkbox, the quantity and say supply are zeroed out and will need to be adjusted manually. If the checkbox was accidentally selected, de-selecting it corrects the quantity and day supply.
Enter an Indication. If indications are defined, you can choose one from the drop-down list. If none are defined or the correct indication is not in the list, type in the appropriate indication.
(Optional) Enter a Comment if desire by moving the cursor to the field and typing the comment.
The dosing schedule and priority are set automatically for each order. The first order is scheduled for immediate administration (NOW) and is assigned the priority ASAP. The second order is given the priority ROUTINE and will be administered following the dosing schedule that you defined. A warning displays that is similar to the following example.
Note: If your site does not use the priority ASAP, then an alternative priority (for example, STAT) will display in place of ASAP.
Warning displayed when “Give additional dose now” is selected
When Give additional dose now is selected, the Priority field is automatically set to ASAP
(or a site-specific alternative). If you select a value for the Priority field before you select the Give additional dose now checkbox, a message notifies you that the selected priority will be changed to the “Give additional dose now” priority settings.
CPRS displays a notification that “Give additional dose now” overrides any previously selected priority
The default value of ASAP can be changed by selecting a different value from the Priority field before submitting the order. If the Priority field is empty when the order is submitted, it will revert to the default values for “Give additional dose now.” Select Accept Order.
Note: If you do not complete the mandatory items or if the information is incorrect, CPRS sends a message telling you that the information is incorrect and showing you the correct type of response.
select Quit
When you select Quit, if the patient is in inpatient, CPRS changes the patient’s location back to where the patient was before changing to the clinic.
Note: You must sign the order before CPRS sends it to Pharmacy. You can either sign the order now or wait until later. When using Give additional dose now, it is recommended that you sign the order immediately to send the order to the inpatient pharmacy. You only need to sign once for both orders created when Give additional dose now is selected.
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