Pharmacy (PHA) and Discharge Prescriptions

What does PHA stand for?

Pharmacy

When may a Unit Clerk need to print a Discharge MEDREC?

When a patient is discharged to or transferred to another facility

How do you access Med Rec Forms in PHA?

Open PHA, select the facility, then Nursing/Patient Care Menu and Med Rec Forms

Who completes the Discharge Prescription?

The doctor

What does the Unit Clerk do with the discharge prescription according to the notes?

Copies it and, if the patient is departing and it remains in the chart, gives it to the patient as described in the notes

What is EDM?

Emergency Department Management

What is the purpose of EDM?

To display real-time patient information and department occupancy on an electronic whiteboard

What patient information can EDM track?

Patient location, number of patients, and length of stay

What can be documented electronically in EDM?

Triage assessments and vital signs

Where can EDM information be viewed?

In EDM and EMR

What does REMOVE – Ready to Depart mean?

The ERP has used the departure routine and the patient's status event has changed to ready to depart

Who discharges an emergency patient when they are ready to depart?

Nursing, using the Depart button

What does a Unit Clerk do when a patient is admitted from the ER?

Sends an OE to Registration using ABU/Admit request from ER

What happens after Registration processes the ER admission request?

The ERP field is changed to the admitting physician, removing the patient from the ERP's My Tracker list

What must be done when an admitted patient transfers to an inpatient unit?

Assign a temporary location in OE and change the status event to COMPLETE – Pt Left Dept

What must be done when an inpatient is discharged home from the ED workflow?

Send an OE to Registration using ABU/Discharge Inpatient and change the status event to COMPLETE

When should the OFFBED room/tracker be used?

For patients going off-site who are expected to return to the same ED

What if an admitted patient goes off-site and will not return to that ED?

Assign a temporary location and change the status event to COMPLETE

How do you correct an accidental status change to COMPLETE?

Open Patient Routines, select Update Status Event, and change COMPLETE to In Room

What happens after an accidental COMPLETE status is corrected?

The patient reappears on the tracker and the bed should be reassigned

How is an accidental patient departure reversed?

Registration uses Enter/Edit Departures in ADM; the patient returns to REG ER status without re-registration

What should happen after an accidental departure is reversed?

Registration updates the status to In Room, the patient reappears, and Nursing reassigns the bed

What should be done if a registered patient leaves without being seen?

Depart the patient as usual and document on the paper chart that they left without being seen

What should be done if an unregistered patient leaves without being seen?

Register the patient, document the departure on the paper chart, and depart the patient