April 29, 2014—Order Status Flag and Clinician Alert to Reprint Patient Discharge Meds List (PDML)
The Patient Discharge Medications List is generated from the medications ordered at discharge, printed by the patient's nurse, and reviewed with the patient, family, and/or caregivers when the patient is ready to go. Medications ordered at discharge include those that are resumed or continued from before admission, as documented on the Pre-Admission Medications List (PAML). The PDML also includes instructions to stop taking pre-admission medications when appropriate.
With this enhancement, clinicians are alerted if the pre-admission PAML was edited or discharge medications were changed after the take-home PDML was printed. In addition, the Order Status in the UCM flags that a reprint may be required.
Key features:
Any MD, NP, PA, or CNM who changes the PAML or discharge medications after the PDML has been printed is notified to contact the discharging nurse to have the PDML reprinted.
Nurses are notified when entering or editing Nursing Instructions on the discharge medications or the last dose date/time on a medication when changes were made to the PDML since it was last printed. The alert asks the nurse to review the discharge medication list, and save and print the updated PDML.
The Order Status for patients whose PDML may require reprinting is Discharge (in red).
Instructions: