Click to enlarge the Discharge Medication List pane
Click to restore Discharge Medication List pane to the bottom 2/3 of the display (shows pre-admission medications that were not resumed from the PAML)
If you haven't already:
Select the patient and click Face Sheet Discharge (ALT+F) or Discharge (ALT+G).
Complete discharge forms as needed. See Selecting and Completing Discharge Forms.
Click Save.
Sign and save the orders:
Type your signing key in the field provided.
To finalize:
Click to select the status:
Yes to finalize the orders—orders transmitted to patient's eHR (electronic health record, Results); can be amended as needed; ready to print
No to save the orders as preliminary—orders can be edited as needed; not ready to print
If Yes, click one or both checkboxes to finalize the discharge forms:
Face Sheet/Discharge Order (Face sheet, Medications, Order info, and Services)
Discharge Instructions (Nursing note, Post-hospital patient care plan, Medications, Follow-up appointments, Case management, Nutrition, PT, OT, Respiratory care and teaching, Speech pathology, Social service, and provider information)
Click OK (ALT+O).
For all care units where the patient discharge medication list (PDML) is generated automatically from the discharge orders:
On signing as final, the Discharge Medication Review displays automatically. Review the orders.
To display more medications for discharge, scroll down. You can also make the list longer:
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Click to enlarge the Discharge Medication List pane |
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Click to restore Discharge Medication List pane to the bottom 2/3 of the display (shows pre-admission medications that were not resumed from the PAML) |
To edit the orders, click Change Meds.
To complete the signature, click Save Discharge.
Discharge orders must be signed when a new discharge medication is added, before printing forms or prescriptions for medications when there have been changes, and before switching to the PAML builder (pre-admission medication list) or PDML (patient discharge medication list) when changes have been made. In these cases, you are prompted for your clinical key signature only. The status of the orders, preliminary or final, is not affected.
You can save forms as preliminary, as many times as needed during the visit. See Overview of Discharge Orders and Instructions
Discharge orders cannot be signed as final when a patient is currently listed on the inpatient census (via PATCOM), indicating that he or she has not been discharged, and the discharge date on the orders is in the past. In addition, discharge orders cannot be saved as final more than three (3) days before the discharge date on the Face Sheet. See Completing the Face Sheet.
Discharge orders can be edited and finalized within 36 hours of the patient's discharge from the census via PATCOM. If the orders have been signed as final, edits are considered addenda to the final orders.
Discharge orders cannot be signed as final until the PAML is signed as ready for review, and the statement that the discharge meds and PAML have been reconciled is checked off. See Verifying the Reconciliation of PAML and Discharge Medications.