Procedure documentationChanging Drugs

 

To change the drug for one or more orders, you can use the Change Drug function.

In the Select Alternatives dialog box you can select a drug and create a subsequent order for it dependent on the order status.

Note Note

Note that the start of validity of the subsequent order is preset with the system time and the end of validity is preset with the end of validity of the original order. The system then sets the end of validity of the original order to the start of validity of the subsequent order.

End of the note.

Prerequisites

The orders to be changed have the internal status saved, active or inactive.

Note Note

You can only choose the Change Drug function in the order detail dialog if the displayed order no longer has the internal status saved.

End of the note.

Procedure

  1. Select one or more orders in the order dialog or in a view of the view type Medication Orders.

    Note Note

    In the order detail dialog, you can change only the order that is displayed.

    End of the note.

  2. Choose Change Drug Drug (Change Drug) in the order dialog or in a view, or Change Drug (Change Drug) in the order detail dialog.

  3. If you have set a default change reason in the user-specific presettings, the system transfers it from the presettings without user input. Otherwise, you can enter a change reason for each order to be chanded that no longer has the internal status saved.

    For information about this, see:

  4. The Select Alternatives dialog box appears. Select one of the offered alternative drugs or search for and transfer one or more drugs from the drug search.

    See Propose Alternatives

Result

For orders with the internal status active or inactive, the system creates subsequent orders with the selected drugs, in each case.

For drugs with the internal status saved, the system changes the saved order.

Note Note

To remove subsequent orders from the order sequence, you can call the Remove from Order Sequence function to remove the new order from the order sequence.

For more information about this, see Removing Orders from Order Sequence.

End of the note.

If the selected drug satisfies the rules of substitution, all dosage information regarding the concentration of the agent is retained. If this is not the case, the system proposes the standard dose of the new drug.

Note Note

If events have already been generated for the original orders, the system automatically calls event generation for the subsequent orders.

End of the note.

Example

The pharmacist wishes to replace drug A (500 mg per tablet) with drug B (250 mg per tablet), because delivery problems mean that drug A can no longer be supplied.

Select the order to be changed (drug A, 1-0-1 tablets daily) and call Change Drug Drug (Change Drug). In the Select Alternatives dialog box the system also displays drug B as this contains the same agent and, in the internal drug catalog (formulary), is flagged for administration use.

Select drug B and confirm. The system creates a subsequent order with drug B and an adjusted dose of 2-0-2 tablets daily.