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:
Click Tools (ALT+L).
Click Decentralized Pharmacy Queue (ALT+D).
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).
For patients on care units with a direct order interface to the pharmacy, review and approval can be completed in the pharmacy system. In that case, the review and approve functions are not available.
Click (or press the down arrow) to select a line.
To view current active medications, click View Orders (ALT+V). See Viewing Orders for capabilities of this function.
To print an order on the local printer, select its line and click Print Order (ALT+P).
To indicate that the order is under review, click Review (ALT+R). An "R" appears in the Review column for the selected order.
To approve the order, click Approve (ALT+A). An "A" appears in the Approve column for the selected order.
If there are details to the selected order that are not displayed in the list, the zoom view opens automatically when you click Review or Approve. Click Close (ALT+C) to return to the pharmacy queue.
If no notes or reconciliation are needed, click Sign (ALT+S). Otherwise, continue with the following.
As needed, add notes to a selected order, or view existing notes. (review and approval only)
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:
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).
Type your signing key.
Click OK (ALT+O).
Repeat the process for all patients as needed.
To close the Decentralized Pharmacy Queue:
Click Close (ALT+C)
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.