February 14, 2011: Continuing Medications With Taper or Duration Dosing For Discharge
Several alerts are in place to facilitate ordering medications with taper dosing or limited doses that must be continued from the inpatient visit to the discharge setting. The ability to start discharge orders before the patient is ready to go does create the likelihood that the discharge order will go "out-of-synch" with the actual administration of the medication while the patient remains in-house. Providers (MD, NP, PA, CNM) reconciling medication orders at discharge are notified for the following circumstances:
On selecting Yes to continue a taper or duration order through discharge, an alert that the selected order has limited dose duration(s), with the option to continue or edit the order for discharge
On opening discharge orders, when the eMAR (electronic medication administration record) determines that doses have been given since the discharge order was continued from the inpatient order, the option to edit the discharge medication order, or to update the discharge order to account for the doses given in-house since the order was written for discharge
On opening discharge orders, when the eMAR determines that ALL doses have been given since the discharge order was continued from the inpatient order, the option to edit the discharge medication order, or to remove it from the discharge order
On opening discharge orders, when the eMAR determines that it is not possible to calculate what (if any) doses have been given since the discharge order was continued from the inpatient order, the option to edit the discharge medication order
When writing prescriptions for discharge orders where
the dosing duration is limited, click 
to the right of the Dose field to display doses that remain
to be administered.
Presentation: Continuing Medications With Taper or Duration Dosing For Discharge
See also:
See also: