Writing Medications Orders From the PAML

• Demonstration: Ordering Inpatient Medications Using the PAML

• If you haven't already, select the patient and open the medications order form

1. Select the patient.

2. Click Write (ALT+W).

3. Click Medications (ALT+M).

• For inpatients and ED boarders, initiate medication orders from the Pre-Admission Medication List (PAML).

• PAML medications must have a planned action on admission to be used to initiate an inpatient order. In addition, medications that are flagged to discontinue or as uncertain (may require specialty/consultant review) cannot be used to initiate an inpatient order.

• Medications on the PAML with a planned action on admission to continue or substitute should be included in the active medication orders. Orders set to hold should be ordered when appropriate.

• Active meds are listed on the left.

1. If the PAML is not displayed, click the vertical + PAML Meds + button to the right of the list.

2. To display details of a PAML medication record:

• Click the line for the order to see details in the summary area beneath the lists.

• To view details in a larger area, click Zoom (ALT+Z). Click Close (ALT+C) to return to the list.

3. For more information, hold the mouse pointer over the object for a moment:

• To display the entire text of a line

• To display the full text of an abbreviated Planned Action on Admission (PAA)

• To display a key to all of the PAA abbreviations (PAA column heading)

4. Click for the medication in the PAML to start the order.

Parameters for the new medication are carried forward to the medication order form as available from the PAML source and applicable to the planned action on admission. Depending on the situation, you may have to search for the medication, and include all of the parameters for the order. If possible, the medication name, route, dosing, and frequency of administration may be pre-filled. You can edit as needed.

5. Complete the order—see Ordering Medications .

• Medications that have been added to the active medications list from the PAML on the right are displayed with a checkmark.

• "Order Initiated From PAML Medication" is included in the detail information of the order.

• For medication information—access KnowledgeLink via the medication order form and search results

• Write additional orders as needed, then sign the session.