Decentralized Pharmacy Queue—Annotate

• For patients on care units with a direct order interface to the pharmacy, review and approval can be completed in the pharmacy system.

• For all locations, complete medication reconciliation by signing off in the Pre-Admission Medication List builder (PAML). See Pharmacy Reconciliation at Admission or Transfer.

• If you haven't already:

1. Click Tools (ALT+L).

2. Click Decentralized Pharmacy Queue (ALT+D).

3. To list a particular patient, inpatient care unit, or ED Treatment area:

• The first inpatient care unit in the alphabetical list is selected by default. To change, select a different care unit from the Unit list.

• To display the patient who is selected in the CAS (if any), click Use CAS Patient.

• To list patients in the entire ED, click the ED Area option. Select a treatment area to limit the list.

• If you are reviewing from a unit list, double-click a patient name to open his or her medication review list in one step.

• If you are using the CAS patient or a single-click list selection, click the available button:

• f the selected patient is on a unit interfaced with pharmacy, click PAML/View (ALT+P).

• If the orders must be processed using the decentralized queue, click Approve/Review (ALT+A).

• Review and approve active medication orders.

• As needed, add notes to a selected order, or view existing notes. (review and approval only)

1. Select the order and click Annotate (ALT+A).

2. To create a note, click New (ALT+N). Type in the field provided, then click OK (ALT+O). Type your signing key, then click OK (ALT+O).

3. To read a note, select its line and click Detail (ALT+D). Click Close (ALT+C) to return to the Order Notes list.

4. Click Close (ALT+C) to return to the Review and Approve list.

5. Click Sign (ALT+S).

An order does not have to be reviewed or approved to save appended notes.

• Reconcile active medication orders with the pre-admission medications list (PAML).

• To open Knowledge Link:

• Click .

• Click Exit (ALT+E) to return to the orders list.

• Click Pop Out (ALT+P) to detach the KnowledgeLink window from the CAS.

• Toggle between Order Entry and KnowledgeLink by clicking the icons in the taskbar.

• Click to close the Knowledge Link window.

• Sign your changes:

1. For patients on care units with a direct order interface to the pharmacy, click Reconcile Admit (ALT+A). For all other locations, click Sign (ALT+S).

2. Type your signing key.

3. Click OK (ALT+O).

• Repeat the process for all patients as needed.

• To close the Decentralized Pharmacy Queue:

1. Click Close (ALT+C)

2. Click Exit to UCM (ALT+X).

Approved orders are removed from the queue and signed off in the order entry record. Orders marked as reviewed remain in the queue until approved.