Renewing and Discontinuing Medications

1.   If you haven't already, go to the Medications module.

Note. If you need to make changes to the current medication information while renewing or discontinuing (such as changing the pharmacy from Retail to Mail Order), click the medication name to display details before clicking Renew or Discontinue.

2.   Click Renew or Discontinue.

• If you are renewing

  a.   Click the check box to the left of the medication you want to renew.

  b.   If necessary, click into the Pharm field and update the type of pharmacy to be used for this prescription (either Retail or Mail).

  c.   If necessary, click the Dispense field and update the dispense number.

  d.   If necessary, click the Refill field and update the refill number.

  d.   To renew another medication, repeat steps 1-3.

  f.   Click Renew or Renew & Sign, as appropriate.

  The LMR updates the Start date of the med and checks all required fields for generating a prescription. If you are missing required fields the LMR prompts you to complete these entries before continuing.

  Note:

  • A message displays on the Rx prescription pad if the dosage/frequency was suggested for age-based dosing (Gerios) or renal dosing (Nephros) when the medication was originally ordered. Additionally, alert messages display if you renew medications that conflict with other patient information (such as allergies, labs, and other medications). See Responding to Prescribing Alerts for details.

  • A chemotherapy consent form is required when renewing chemotherapy medications. For details, click here.

• If you are discontinuing a single med

  a.   Click the check box to the left of the medication you want to discontinue.

  b.   Click Discontinue.   

  c.   The LMR prompts you for the reason that best describes your reason for discontinuing. Click to select a reason (or click Other and type your own).

  d.   Enter a date in the End Date field to indicate when the patient stopped the medication.

  e.   Click Ok.

  f.   If you select Adverse reaction, the LMR checks for duplicate allergy entries. If a duplicate active allergy entry is found, LMR displays a message. Click Ok to continue to the Allergy entry screen, or click Cancel to discontinue the medication with the reason of Adverse reaction and return to the medications list.

  g.  If this was the only medication on the patient's list, the LMR prompts you to indicate if you would like to add "None" to the patient's list. Click Yes or No, as applicable.

• If you are discontinuing multiple meds

  a.   Click the check box to the left of the medications you want to discontinue.

  b.   Click Discontinue.   

  c.   The LMR prompts you for the reason that best describes your reason for discontinuing one of the selected medications. Click to select a reason (or click Other and type your own).

  d.   Enter a date in the End Date field to indicate when the patient stopped the medication.

  e.   Then, click either Ok-All to apply this reason and End Date to all selected medications or Ok to select a different reason and End Date for each of the next medications.

  Note: If you are discontinuing meds due to an adverse reaction, the Ok-All option is not active. Instead, you must individually identify both the reason for discontinuing for each medication, as well as the reaction. Then, click Ok.

  f.    If you are discontinuing all medications, the LMR prompts you to indicate if you would like to add "None" to the patient's list. Click Yes or No, as applicable.

3.   If you want to save your work now, click Sign (F10). The LMR indicates the changes that will be saved. Type your key and click Sign.

4.   Depending on your set up, you may be prompted to select a cosigner or sign for a provider. See Selecting a Cosigner and Signing and Saving for a Provider.

Note:

• When you discontinue a med, the LMR moves it to the Inactive Medications list. Additionally, when you discontinue a med due to an adverse reaction, the LMR prompts you to manually enter the allergen in the Allergy module, if applicable. The LMR does not automatically complete this update.

• When discontinuing medications, if no other medications will remain on the Medications list after signing, the LMR displays a prompt "Would you like to add 'None' to the list?"