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Inpatient Medication Orders for Outpatients and Inpatient Medication Reds for SFG IRA Phase II RELEASE NOTES OR×3×195 (with GUI V. 25) PSS 1×59 PS2×5×111 January 2005Department of Veterans Affairs

How to fill out inpatient medication orders

How to fill out inpatient medication orders:

1. Begin by gathering all necessary patient information, including their full name, date of birth, and hospital identification number.
2. Ensure you have a clear understanding of the patient's medical history, current diagnosis, and any allergies or sensitivities they may have to specific medications.
3. Consult the patient's physician to discuss the medication orders and clarify any questions or concerns.
4. Use the appropriate form or electronic system provided by the hospital to document the medication orders.
5. Write down the name of the medication, including the generic and brand name if applicable.
6. Include the dosage instructions, specifying the exact amount of medication to be administered and the frequency (e.g., once daily, every six hours).
7. Indicate the route of administration, such as oral, intravenous, intramuscular, or topical.
8. If applicable, include any specific instructions regarding the timing of the medication, such as before meals or at bedtime.
9. Clearly state the duration of the medication order, whether it is for a specific number of days, until further notice, or until a specified event (e.g., surgery).
10. Double-check the order for accuracy and legibility before finalizing it. If in doubt, seek clarification from the prescribing physician.
11. Sign and date the order to authenticate your role in filling it out.
12. Transmit the completed medication order to the pharmacy for processing and dispensing.

Who needs inpatient medication orders?

1. Inpatient medication orders are necessary for patients who are admitted to a hospital or healthcare facility for treatment and require medication during their stay.
2. These orders are typically written by physicians or advanced practice providers who are responsible for the patient's care.
3. Inpatient medication orders are needed to ensure that prescribed medications are properly administered, at the correct dose, and according to the specified schedule, improving patient safety and effective treatment.

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