April 24, 2015
Prescriptions for Services, Equipment, and Supplies for Discharge
Pickup Slips for Transfusion Products
Patient's Own Medications
Therapeutic Support Surfaces
Prescriptions for Services, Equipment, and Supplies for Discharge
Discharge orders for have been enhanced to allow providers to write orders for durable medical equipment and supplies as well as services, and to generate completed prescriptions to print and send home with the patient.
Key features:
The Services folder in Discharge orders has been relabeled as Services/Equipment/Supplies.
A list of commonly ordered equipment and supplies has been added as a new section to the Services/Equipment/Supplies folder.
MDs, NPs, PAs, and CNMs can open the non-med prescription form by clicking a checkbox for an order for an outpatient service (except nutrition), equipment, or supply.
For orders for outpatient services, such as physical therapy, the prescription form automatically includes the service; providers must provide the diagnosis or reason, and can also include comments. Providers still have the option to define the service if the one that's needed is not listed.
For orders for durable medical equipment, as well as supplies for diabetes, respiratory therapy, or wound care, the prescription form includes a list of common items to select from. Providers also have the option to define the equipment or supply type and item if the what's needed is not listed.
Nutrition service orders do not have prescriptions associated with Order Entry; clicking the Rx checkbox for nutrition opens the MGH Nutrition & Food Services prescription form. This can be printed and filled out when needed.
Prescriptions for services, equipment, and supplies can be updated as needed, and printed for the patient to take home.
Instructions:
Writing Orders and Prescriptions for Services, Equipment, and Supplies for Discharge
Printing Prescriptions for Services, Equipment, and Supplies for Discharge
Presentations:
Pickup Slips for Transfusion Products
Pickup slips for products from Blood Transfusion Services can be printed from Order Entry. RNs can print the form while reviewing orders; operations staff can print while transcribing orders. All authorized clinicians can print the slip when viewing active orders.
Instructions:
Patient's Own Medications
When ordering medications for patients who are permitted to use their own supply, the option formerly labeled "pt. to use home supply" has been changed to “Use Home Supply; May Self Administer; May Require Form."
If an unidentifiable medication is being ordered—for example, a liquid that cannot be definitively matched to the order—the ordering clinician must meet with the patient or caregiver to assess their capacity to self-administer the medication, and obtain their signature on an Acknowledgement Form stating that they will self-administer the unidentifiable medication.
For questions or additional information please contact your Unit-based Pharmacist or Theresa Mills, Sr. Consultant, MGH Center for Quality & Safety.
Instructions: Ordering Medications (Complete the order, step 1)
Therapeutic Support Surfaces
Therapeutic surface options and Indications have been revised. In addition, the order form includes a link to the Therapeutic, Bariatric, and Safety Support Surface Algorithm. The algorithm includes information on pressure ulcer prevention or treatment, renting a surface or bed, and descriptions of available therapeutic support surfaces.
Instructions: Ordering Therapeutic Support Surfaces
See also: