VCH NLB Lillian McGehee, Systems Support

Provider will have ability to:  Hold an active med on a specific date/time  Resume a med currently on hold by ◦ Date/time ◦ Number of Day(s) ◦ Number of Dose(s)

 Home or Maintenance meds are not resumed  Adverse Events  Examples: ◦ Antibiotics not restarted after therapeutic levels reviewed ◦ Psychotropics not restarted ◦ Transplant meds Pt admitted to ICU had home antipsychotics discontinued for evaluation. After extubation transferred to general care unit. Pt had active delirium and required transfer back to ICU to manage withdrawal and redosing of home antipsychotic.

HOLD indefinitely Requires a current med order Link for hold when selecting med Provider selects when to start hold  Date or  NOW Provider selects when to resume by  Date/time  Number of days, hours or doses after placed on hold  Select ENTER for unlimited hold

WIZ/HEO, OPC, eMAR displays Held Care Organizer  Held appears Status column  Nurse to reconfirm med HED  No schedules will appear in Admin Rx

Examples of meds to be held in the future Examples of meds currently on hold

Med placed on hold in future Care Organizer will display Ordered not Held Will change to held on the day to be held

Provider orders: Lisinopril 15mg po q1h starting at 1300 Team decides to place med on hold by doses starting Nov 15 th 1800 through Nov 16 th 10:00am Provider selects hold to begin  11/ Provider selects resume  Nov  The 10:00am WILL BE A SCHEDULE TO GIVE

 IV fluids  Chemo agents  IV insulin  Excludes ED departments

 Complete testing – ensuring discoverable data  Medication policy review  LMS module  Communication to providers via

 Tentative GO LIVE March 19 th  Housewide ( excludes EDs)  Resources: ◦ LMS module ◦ Educators ◦ CAPS Support ◦ pocket aides  Implementation Support ◦ SSS/CAPS: Tuesday- Friday, days, Night Support - rounding ◦ Educator ◦ HelpDesk