Order Release

In the patient chart, click the arrow in the green workflow menu (at the upper right) and select Go to Order Release. (The options available in the green workflow menu depend on your user role.)

In the Medication Administration Record (MAR), click GO TO ORDER RELEASE at the bottom of the page.

You must be logged in to a department that uses athenaOne for Hospitals & Health Systems and you must have the Inpatient Clinicals: Order Release Workspace user permission to access this page.

Users with the Inpatient Clinicals: Order Release Workspace permission can release unverified orders and release medications from ADCs prior to pharmacy verification. This permission does not enable users to access the Pharmacy Verification page or edit orders.

If you have the Inpatient Pharmacist role, you won't have access to the Order Release page. Instead, you can review and release medication orders in the Pharmacy Verification page.

See also: User Roles and Permissions.

1. Display the Order Release page: In the patient chart, click the arrow in the green workflow menu (at the upper right) and select Go to Order Release. (The options available in the green workflow menu depend on your user role.)
   
2. Under Unverified Orders, click an order to expand its details.

3. Schedule — Review the medication administration schedule information (Frequency, First dose, Last administered)
   Notes:

   • Last administered only appears after the first dose has been administered.
   • Pharmacists can edit the administration schedule for a medication order if necessary. See To edit the administration schedule for unverified orders for more information.
     

4. Dispensed as — Select a dispensable list.
5. Administration Note — Enter a note concerning the administration of the medication.
6. Click Release Orders. This sends the order to the ADC, where you can retrieve the medication.

1. Display the Pharmacy Verification page: On the Main Menu, click Ancillaries. Under Pharmacy, click Pharmacy Verification.
2. Under Unverified Orders, click an order to show more details.
3. Schedule — Review the information shown about the medication administration schedule, including:
   • Frequency
     
   • First dose
   • Last administered
     Note:Last administered appears only after the first dose has been administered.
4. Click Edit.
5. Frequency — Enter the times to administer the medication. You can only edit this field for orders without a fixed interval schedule.
6. First dose — Select the time and date to administer the first dose of the medication. You can only edit this field if the Priority of the medication is Routine.

7. Next dose — Select the day and time to administer the next dose of the medication. You can only edit this field for orders without a fixed interval schedule.
   Note: If you change the Frequency or First dose, the Next dose options are updated.

8. Click Reschedule.
   athenaOne automatically updates the Medication Administration Schedule (MAR) to reflect any schedule changes.

Understanding edits to the medication administration schedule

 

Editing medication administration information

Pharmacists and nurses both have the ability to edit the time of the First dose administered. Pharmacists can edit this information in the Schedule field of an unverified order on the Pharmacy Verification. Nurses can edit the medication schedule in the Medication Administration Record (MAR) or on the Order Release page. When you update the time of the First dose administered on any of these pages, the change automatically appears in the appropriate field on the other pages.

 

Pharmacists can make changes to the times to administer the medication and the time to administer the first and next dose of the medication on the Pharmacy Verification page up until the order is verified, as long as the first or next dose has not already been administered.

 

Even if a pharmacist changes the times to administer a medication and the time to administer the first or next dose of a medication, a nurse can still mark an administration task as Not Given or Rescheduled. Pharmacists' ability to update the medication administration schedule on the Pharmacy Verification page does not affect nurses' ability to make changes in the MAR.

 

Editing Sig information

You cannot edit any the Sig or any information that changes the sig for the order. Examples of information that would change the sig are editing the times to administer the:

• Medication – For orders with a fixed interval schedule, such as "Every 5 hours"
• First dose – If the priority is STAT, now, or scheduled

If such changes are needed, contact the ordering provider and ask them to submit a new order.

 

The Order Release page has two sections:

• Unverified Orders — Contains all new and unverified medications, regardless of their availability in the ADC.
  Click an order to expand its details.
  To release the order, select a dispensable in the Dispensed as drop-down list and click Release Orders.
• Released Orders (Unverified) and Verified Orders — Lists all unverified medications that were released by a non-pharmacist user, as well as all verified medications.
  After you release an order, "Released by [user]" appears in the collapsed view of the order. This information also appears in the expanded order view in the Pharmacy Verification page, along with the record of who administered each dose.
  Released orders must be verified by the pharmacist using the Pharmacy Verification page.