Clinicians can write instructions for any med on the Discharge Medications list. MDs, NPs, and PAs can write provider instructions; RNs and NPs can write separate nursing instructions. Both print on the Face Sheet, Patient Care Referral, and Patient Discharge Medications List (PDML). The nursing instructions print on the Nursing Note as well.
Changes made to discharge medication instructions trigger an alert for clinicians if the Patient Discharge Medications List (PDML) has already been saved and printed. See Handling the Notifications When Medications Have Changed After PDML Print. The Order Status for patients whose PDML may require reprinting is Discharge (in red).
If you haven't already, select the patient and click Face Sheet Discharge (ALT+F) or Discharge (ALT+G).
Open the Medications folder:
For provider instructions, click the Medications folder under the Face Sheet/Discharge orders folder.
For nursing instructions, click the Medications folder under the Instructions folder.
Open the instructions editor:
For provider instructions, click the checkbox in the Inst column for the med in the Discharge Medications list (bottom, pink header). Discharge meds with nursing instructions are flagged with <I> in the Inst column. Click the <I> flag to edit existing instructions. Hold the mouse pointer over the <I> flag to display the instructions temporarily (includes RN/NP instructions if available).
For nursing instructions, click to select the med in the Discharge Medications list (top left, pink header), then click Nursing Discharge Med Instructions. Discharge meds with nursing instructions are flagged with <NI> in the Inst column. Click the <NI> flag to edit existing instructions. Hold the mouse pointer over the <NI> flag to display the instructions temporarily (includes MD/NP/PA instructions if available).
If needed, to clear the instructions, click Remove Instructions (ALT+R).
Type instructions as needed.
Click OK (ALT+O).