Edit Medications for Discharge

• This form can be completed by an MD, PA, NP, RN, or medical student. If completed by an RN or medical student, it must be cosigned. For additional information, see the Overview of Discharge Orders, Instructions, and the Patient Care Referral Form.

• Changes made to discharge medication orders 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).

• Face Sheet Discharge Orders and Instructions are not available in the newborn nurseries. You cannot access the forms, even if you select a patient from the associated maternity unit lists or from patient lookup.

• If you haven't already:

1. Select the patient and click Face Sheet Discharge (ALT+F) or Discharge (ALT+G).

2. If needed, click the Medications folder to access the form.

• When available for the selected patient's care unit, the Patient Discharge Medication List (PDML) is generated automatically. If prompted, click one of the buttons at the bottom of the message to continue:

• Remind Me Later (ALT+R)—The message will be closed, and presented whenever you open the Medications folder in Discharge.

• Close and Don't Remind Me (ALT+C)—The message will be closed and never presented again.

• Edit Discharge Med Orders—Side-by-side or Vertical Comparison views

• To remove an order from the Discharge Medications list, click to uncheck its Sel checkbox.

• To make changes to the dose or frequency, click and select an option from the drop-down list.

• To change the PRN status (checked = yes), click the checkbox, select or deselect reasons when prompted, and click OK (ALT+O).

• To add or edit instructions that will print on the Face Sheet, Patient Care Referral, and Patient Discharge Medications List (PDML), click the Instructions field (checkbox or <I>) for the order. Type instructions when prompted, then click OK (ALT+O). See Writing Instructions for a Discharge Medication.

• To make other changes, including dosing/frequency that is not offered routinely, click the line for the order in the Discharge Medication Orders list. Click Edit Disch Med (ALT+E), complete the order, and click OK (ALT+O). See Writing Medication Orders.

• If you edit an order that is selected for prescription, you are prompted to edit the script if needed. Click Yes to make changes to the prescription, or No if no changes are needed. See Completing the Medication Prescription form.

• See also:

• Reconciling pre-admission (PAML), inpatient, and discharge medication orders—Side-by-side Comparison

• Reconciling pre-admission (PAML), inpatient, and discharge medication orders—Vertical Comparison View

• Writing orders for additional medications

• Providing anticoagulation therapy data (warfarin, fondaparinux, or enoxaparin)

• Viewing, saving, and printing the patient discharge medication list (PDML)

• Writing prescriptions for medications

• To write and print prescriptions for services, equipment, and supplies, see Writing Prescriptions for Services, Equipment, and Supplies for Discharge.

• Editing prescriptions for medications