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Discharge Medication in EPIC Tip Sheet

To reconcile the discharge medication, go to discharge navigator discharge orders

to continue on to prescribe the click the new button to


patient’s home meds medication AS IS, the add a NEW medication that the
without generating a patient will receive the patient is not on it at home or
prescription THE PATIENT medication from the in the hospital
WILL NOT RECEIVE THE hospital
MEDICATION FROM THE Make sure you
HOSPITAL (patient has to prescribe the choose form the facility list not
enough quantity at home) or medication and MAKE the preference list
(the medication is not part of CHANGES the patient will
the meds that you have the receive the medication Choose the medication from
authority to prescribe, e.g. from the hospital
the tab and not
sildenafil) do not prescribe from from
to generate a (The order should have not )
prescription FOR THE
PATIENT TO RECEIVE
MEDICATIONS FROM THE
HOSPITAL

to stop

Use free text: for specific instructions that is


Then prescribing a discharge medication please make sure to go out of the usual dosing
through the follow: Taper/Ramp: for medication such as
prednisolone tapering

You can see the available strength here Combination Dosage: when you want to
combine 2 meds together (carbamazepine 200
+400) or different dosing of aspart (5 units in
the morning and 7 units before lunch) or
morning dose of tacrolimus is different than
the night dose)
Don’t forget to change it to NGT if applicable

Put the full duration (1 month=30 days, 3 months=90 days, 6 month=180 days, I year=365 days

The maximum dispense quantity per KFMC policy is


3 months, the remaining will be provided in future
refill

Please add any extra information for things that is not provided in this window (e.x. please
separate this medication from all HTN meds)

Make sure you choose the right pharmacy before signing the order (patients located in the Main
Hospital AND Pediatric Hospital will receive the medication from Main Hospital Discharge Pharmacy –
patient located in Rehab Hospital and Woman Specialty Hospital will be dispensed from Woman Special
Hospital Pharmacy). During the weekend ALL discharge medication should be entered in the Main
Hospital Discharge Pharmacy ONLY

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