Once you select a drug on the Medications order form, Order Entry checks MGH policy for recommendations on substitutes for medications with potential adverse affects. This potential may exist because of the patient's age, renal sufficiency, or other conditions. When it exists, the policy is presented along with substitute medications.
Having read the policy and decided what to do:
To switch your order to a substitute:
Select the substitute order from the drop-down list.
Click Order Substitution (ALT+S). The medication you chose is displayed in the Medication Order form.
Complete the order as usual.
To keep the medication you started with:
Click Continue Original Order (ALT+O).
Click Close (ALT+C) to acknowledge the dosing information message.
Complete the order as usual.
To return to the Medications Active Orders list without ordering, click Cancel Order (ALT+C).