Skilled Nursing Facilities

Confirming Orders Quick Reference Guide
Integrated Medication Management

This quick reference guide provides step-by-step instructions on how you can Confirm Orders. This action is available to users with appropriate security permissions to do so. Orders can be confirmed from the Orders Portal (Clinical > Care Management > Orders > Orders Pending Confirmation/Pending Orders) or from the Orders tab of the residents chart.

Step

Action

1.

Click the Confirm link next to the order.

scr_confirmingorders_1.PNG

Note

When needing to confirm an order that is not new, select the + to open the order and click the confirm link.

2.

Review the Order Details. Use the resident chart and the MAR/TAR to verify that all information is complete and accurate.

  1. The Order Date is the original order date in the pharmacy system.

  2. Some fields (Order Date, Order Category, Communication Method and Medication, DAW) cannot be edited in imported orders.

  3. Review/select the Ordered By, Order Type, and Route of Administration.

scr_confirmingorders_2.PNG
3.

Review Scheduling Details

  1. Review the Supply Directions on the right side of the screen. These are the directions from the pharmacy label.

  2. Review Schedule Type: Routine, PRN, and so on.

  3. Review/select:

    1. Dose or Admin Quantity should match the order in the chart and the supply directions

    2. Frequency, Schedule Type, and Facility Time Code as dictated by pharmacy means the pharmacy included the pass time. Make any changes necessary.

    3. Related Diagnoses and/or Indication for used.

    4. Additional Directions.

    5. Pass time(s), Admin Notes, Supplementary Documentation.

scr_confirmingorders_3.PNG
4.

Review Start Date and Time

START DATE and time must match CURRENT MAR/TAR.

Ensure orders not given daily have the appropriate start date (i.e. every three days, specific days of the week).

If start date is equivalent to the go-live date, ensure PRNs do NOT have a start time that is POST go-live ( Order start date is go live date, but start time is 1500 and go-live time is 0700).

scr_confirmingorders_4.PNG
5.

Review Source Details

a. Select the appropriate Permanent Medication Source. Change to house stock if needed.

b. Ensure the Pharmacy is correct. Change the pharmacy for residents not using the integrated pharmacy.

c. Inventory on Hand is selected. This should not be changed during the confirmation process.

scr_confirmingorders_5.PNG
6.

Click Save & Confirm if the order is correct. If not, Strike Out the order and re-enter correctly.

scr_confirmingorders_6.PNG