Harbor:Prescribing - Revision history

Bchap23: /* Prescribing controlled medications */

2019-07-05T06:51:54Z

Prescribing controlled medications

← Revisión anterior		Revisión del 06:51 5 jul 2019
Línea 10:		Línea 10:

	==Prescribing controlled medications==		==Prescribing controlled medications==
	*~~Order the medication in Cerner so that there is a record of the medication being prescribed~~		*e-prescribe
	*Under "Send to" drop-~~down, choose "Do not send: other reason (Rx)"~~
	*Hand-write the prescription on your triplicate prescription pad and give to patient

	==Sending prescription directly to pharmacy==		==Sending prescription directly to pharmacy==

Rossdonaldson1: Text replacement - "Harbor:Operations manual" to "Harbor:Main"

2019-01-31T06:10:21Z

Text replacement - "Harbor:Operations manual" to "Harbor:Main"

← Revisión anterior		Revisión del 06:10 31 ene 2019
Línea 56:		Línea 56:

	==See Also==		==See Also==
	*[[Harbor:~~Operations manual~~]]		*[[Harbor:Main]]

	==References==		==References==

Rossdonaldson1 at 22:55, 7 January 2019

2019-01-07T22:55:54Z

← Revisión anterior		Revisión del 22:55 7 ene 2019
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	**1. If a pharmacy calls asking for the script to be sent elsewhere, tell them to cancel the rx they received. If you receive the call from the patient, you will need to call the pharmacy. Cancelling in ORCHID does not retract the prescription once it has been transmitted.		**1. If a pharmacy calls asking for the script to be sent elsewhere, tell them to cancel the rx they received. If you receive the call from the patient, you will need to call the pharmacy. Cancelling in ORCHID does not retract the prescription once it has been transmitted.
	**2. Use the “Cancel and Reorder” function in ORCHID to rewrite the prescription to the new pharmacy.		**2. Use the “Cancel and Reorder” function in ORCHID to rewrite the prescription to the new pharmacy.


			==Lost Triplicate Prescriptions==

			If you find that your providers are missing prescriptions or are contacted from a pharmacy regarding suspected fraudulent prescriptions please do the following as required by the Department of Justice,.If you are unsure if you are missing any individual prescriptions, please assume that they have been stolen and report.

			#The loss or theft must be reported by the physician to local law enforcement. The physician should take note of the law enforcement agency report number.
			#The loss or theft must be reported by the physician to the Department of Justice Controlled Substance Utilization Review and Evaluation System (CURES) program. A law enforcement agency report number is required when submitting a report of lost or stolen prescription forms to CURES.
			#The physician should notify the California State Board of Pharmacy.
			#The physician should notify the Medical Board of California.
			#In addition, to the above 4 steps please email Dr. Harrington at dharrington@dhs.lacounty.gov.

			D. Harrington, 11/3/16

			==Safe Pain Medication Prescribing Guidelines==
			We will be shortly launching the implementation of the Safe Pain Medication Prescribing Guidelines, a Los Angeles county-wide project to decrease inappropriate opioid prescriptions from the ED and other settings. Patients will receive upon discharge a color pamphlet (English or Spanish) explaining the project, including messages about how stolen prescriptions need to be reported to the police, that the ED does not refill pain pills and that pain pills for chronic pain should really come from a single, continuity provider. Residents, NPs, and nursing staff got some in-depth lectures about this.
			(Dir Adult ED 10/14/14)

Rossdonaldson1 at 22:42, 7 January 2019

2019-01-07T22:42:17Z

← Revisión anterior		Revisión del 22:42 7 ene 2019
Línea 37:		Línea 37:
	**2. Use the “Cancel and Reorder” function in ORCHID to rewrite the prescription to the new pharmacy.		**2. Use the “Cancel and Reorder” function in ORCHID to rewrite the prescription to the new pharmacy.


			==See Also==
			*[[Harbor:Operations manual]]

			==References==
			<references/>

	[[Category:Admin]]		[[Category:Admin]]

Rossdonaldson1 at 22:41, 7 January 2019

2019-01-07T22:41:55Z

@@ Línea 25: / Línea 25: @@
 **For DHS patients it is highly preferred that we e-prescribe medications to a Harbor pharmacy
 *To send to another retail pharmacy, complete the appropriate search for name and city
 [[Category:Admin]]

Rossdonaldson1 at 22:40, 7 January 2019

2019-01-07T22:40:57Z

← Revisión anterior		Revisión del 22:40 7 ene 2019
Línea 1:		Línea 1:
	=Prescribing medications for discharge=		==Prescribing medications for discharge==
	*Either go to Place Orders and above search box click "Prescriptions" or		*Either go to Place Orders and above search box click "Prescriptions" or
	**In the Admit/Discharge dialogue click the pencil next to "Orders/Rx" or		**In the Admit/Discharge dialogue click the pencil next to "Orders/Rx" or
Línea 8:		Línea 8:
	*In the "Send to" drop-down all the way to the right, make sure an Rx printer is selected		*In the "Send to" drop-down all the way to the right, make sure an Rx printer is selected
	**If not, select one; if you don't see one, choose "Other" and select one from your Favorites or Other output devices		**If not, select one; if you don't see one, choose "Other" and select one from your Favorites or Other output devices
	=Prescribing controlled medications=
			==Prescribing controlled medications==
	*Order the medication in Cerner so that there is a record of the medication being prescribed		*Order the medication in Cerner so that there is a record of the medication being prescribed
	*Under "Send to" drop-down, choose "Do not send: other reason (Rx)"		*Under "Send to" drop-down, choose "Do not send: other reason (Rx)"
	*Hand-write the prescription on your triplicate prescription pad and give to patient		*Hand-write the prescription on your triplicate prescription pad and give to patient
	=Sending prescription directly to pharmacy=
			==Sending prescription directly to pharmacy==
	*Some patients will already have a favorite pharmacy		*Some patients will already have a favorite pharmacy
	**Choose "Find Pharmacy" in the drop-down menu under "Send to"		**Choose "Find Pharmacy" in the drop-down menu under "Send to"
Línea 23:		Línea 25:
	**For DHS patients it is highly preferred that we e-prescribe medications to a Harbor pharmacy		**For DHS patients it is highly preferred that we e-prescribe medications to a Harbor pharmacy
	*To send to another retail pharmacy, complete the appropriate search for name and city		*To send to another retail pharmacy, complete the appropriate search for name and city


	[[Category:Admin]]		[[Category:Admin]]

Mholtz at 02:14, 17 October 2017

2017-10-17T02:14:32Z

← Revisión anterior		Revisión del 02:14 17 oct 2017
Línea 23:		Línea 23:
	**For DHS patients it is highly preferred that we e-prescribe medications to a Harbor pharmacy		**For DHS patients it is highly preferred that we e-prescribe medications to a Harbor pharmacy
	*To send to another retail pharmacy, complete the appropriate search for name and city		*To send to another retail pharmacy, complete the appropriate search for name and city


			[[Category:Admin]]

Kyoung: Writing discharge prescriptions

2017-10-07T21:48:15Z

Writing discharge prescriptions

Página nueva

=Prescribing medications for discharge=
*Either go to Place Orders and above search box click "Prescriptions" or
**In the Admit/Discharge dialogue click the pencil next to "Orders/Rx" or
**As part of your Provider Note, click "Launch Prescriptions" in the Discharge Plan section
*Search for the medication you wish to prescribe
**If you go through Admit/Discharge dialogue, there are frequently prescribed meds in the Peds ED folder
**Carefully check the auto-calculated dose - there are no maximums set in Cerner
*In the "Send to" drop-down all the way to the right, make sure an Rx printer is selected
**If not, select one; if you don't see one, choose "Other" and select one from your Favorites or Other output devices
=Prescribing controlled medications=
*Order the medication in Cerner so that there is a record of the medication being prescribed
*Under "Send to" drop-down, choose "Do not send: other reason (Rx)"
*Hand-write the prescription on your triplicate prescription pad and give to patient
=Sending prescription directly to pharmacy=
*Some patients will already have a favorite pharmacy
**Choose "Find Pharmacy" in the drop-down menu under "Send to"
***Click the tab "Patient Preferred"
*To send to a Harbor pharmacy, choose "Find Pharmacy" in the drop-down menu
**Put "HUMC" under Pharmacy Name and erase the city (the patient's city of residence automatically comes up)
***OPD is the outpatient pharmacy in the Main hospital
***N22 is the outpatient pharmacy in building N-22
***FMC is the outpatient pharmacy in the Family medicine clinic on Lomita Blvd
**For DHS patients it is highly preferred that we e-prescribe medications to a Harbor pharmacy
*To send to another retail pharmacy, complete the appropriate search for name and city