Skilled Nursing Facilities

Contents

Monitoring Pharmacy Orders for Integrated Medication Management Quick Reference Guide

This quick reference guide provides best practices for regular monitoring of your database when using Integrated Medication Management (IMM).

When

Action

Every Shift

Med Passes – Clinical Dashboard 

  • Monitor status of med passes in past 24 hours to help ensure medications are administered timely.

  • Path: Clinical Menu (Care Services) > Care Management > Dashboard > Med Passes in the Last 24 hours. 

Order Alerts Dashboard

  • Monitor for any system and/or pharmacy order related alerts.

  • Path: Clinical Menu (Care Services) > Care Management > Dashboard > Order Alerts.

To be Ordered Tab

  • Contains orders to be ordered from any non-integrated pharmacy. Ensure source is correct. Run pharmacy requisition report and communicate orders to the non-integrated pharmacy.

  • Path: Clinical Menu (Care Services) > Care Management > Orders > Pharmacy Orders > To Be Ordered tab.

Daily

Orders on Hold > 30 days or Requiring Reassessment Dashboard

  • Monitor for medications requiring reassessment from clinical staff.

  • Contact Practitioner for follow up of meds on hold > 30 days if needed.

  • Path: Clinical Menu (Care Services) > Care Management > Dashboard > Orders on Hold > 30 days. 

Orders in Queue

  • Review/Save/Delete queued orders have not been saved to chart.

  • Path: Clinical Menu (Care Services) > Care Management > Orders > Orders in Queue.

Orders Pending Confirmation:

Pending orders have not been sent to pharmacy, and cannot be administered on eMAR. Each must be reviewed and confirmed or struck out. 

  • Includes pharmacy imported orders, therapeutic interchanges (if supported) from pharmacy, orders missing required demographics or orders entered by another user that require review and confirmation.

  • Path: Clinical Menu (Care Services) > Care Management > Orders > Orders Pending Confirmation.

 On Order (Manual)

  • Contains supplies ordered from a non-integrated pharmacy. Manually receive when delivered.

  • Path: Clinical Menu (Care Services) > Care Management > Orders > Pharmacy Orders > On Order (Manual) tab. 

On Order (Electronic)

  • Contains orders that are On Order or Reorders with the integrated pharmacy.

  • Review for correct source (house stock, and so on) and update the order if source is incorrect, then delete/exhaust previous supply.

  • Path: Clinical Menu (Care Services) > Care Management > Orders > Pharmacy Orders > On Order (Electronic) 

Waiting To Be Received

  • Contains the supply messages received from the integrated pharmacy for supplies that are processed. 

  • Expand Display Filters and remove date filter, then refresh. Sort by unit, if you need to.

  • Review supply messages and receive supplies that are delivered.

  • ALL supply messages must be received and linked to the order to update the order to On Hand. This ensures the reorder link becomes available and the current supply directions appears on eMAR.

  • Follow up on demographic discrepancies for any residents with a map link.

  • Path: Clinical Menu (Care Services) > Care Management > Orders > Pharmacy Orders > Waiting to be Received tab.

Follow Up

  • Contains supply messages requiring follow up or further investigation. These supplies must be received and linked to the order or marked as return to pharmacy.

  • Path: Clinical Menu (Care Services) > Care Management > Orders > Pharmacy Orders > (Follow Up) tab. 

Compare On Order (Electronic) to Waiting to be Received 

  • a. After all supply messages are received, review orders on the On Order (Electronic) tab for orders requested that have not been received. This may indicate failed messages to or from pharmacy, supply filled from a non-integrated pharmacy or other discrepancy.

  • NOTE: the Order Date is the original date of the order, the Reorder Date appears in the Reorder Date column.

Discharged Residents with Active Orders 

  • Monitor to ensure all active orders for discharged residents are discontinued.

  • Use Order Search to search for orders and Batch Update to batch discontinue.

  • Path: Clinical Menu (Care Services) > Care Management >Orders > Order Search > Resident Status (select Discharged) > Refresh.

1-2 Times per Week

Medication Admin Audit Report

  • Review for medication pass compliance.

  • Path: Clinical Menu (Care Services) > Other > Reports > Orders > Medication Admin Audit Report.

Orders Review Dashboard

  • For orders requiring practitioner review.

  • Path: Clinical Menu (Care Services) > Care Management > Dashboard > Orders Review. 

Drug Record Book 

  • Review for supplies received since the last review. Look for supplies that were linked incorrectly and/or incorrect source.

  • Path: Clinical Menu (Care Services) > Other >Reports > Orders > Drug Record Book Report.