Modifying the Details of an Existing Medication Order
Once an order has been signed and submitted, and has moved to the Existing Orders section, you cannot make modifications to it. The only possible exception to this rule is medication orders. You can modify an existing medication order if:
•Your system administrator has enabled the Modify workflow for medication orders. The Modify function is not available for any other type of order (such as Labs or Radiology). If modifications are allowed for medication orders, then it also includes orders with additives/diluents.
•The medication order is still active (you cannot modify a medication order that is complete, or no longer active).
•The medication order is not currently in a “Held for Routing” status with the label “New Upon Transfer.” This is a new medication order placed in Transfer Order Reconciliation that is waiting to be executed once the patient has transferred to a new location.
NOTE: In contrast, if an existing medication order is discontinued in Transfer Order Reconciliation, and the discontinue is to be executed upon transfer to the new location, the order will continue to have an “Active” status, but also a “Stop upon Transfer” label, to indicate that it will not be discontinued until the patient actually transfers. In this case, a provider can modify the original existing order immediately (prior to the patient being transferred), if necessary.
You can modify an existing medication order from either the Orders module or the Medications module. Instructions for both are listed below.
NOTE: When modifying orders, you might see clinical decision support (CDS) alerts (see Reviewing Clinical Decision Support (CDS) Alerts). After submitting an order, you might see alerts about drug or allergy interactions or duplicate orders (see Reviewing Interaction and Duplicate Order Alerts). Alerts can provide clinical data or inform you of issues related to an order.
To modify an existing medication order from the Orders module:
1. On the Order Summary screen, identify the order you want modify under the Existing Orders section, and then take either of the actions below:
-Select the medication order to open the Order Details screen, and then tap Modify 
to get into edit mode.
to get into edit mode.-Swipe right-to-left on the medication order’s row. When the context buttons appear, select More 
and then select Modify from the menu.
and then select Modify from the menu.The Modify Order screen is displayed.
2. Change the value for any of the detail fields for the selected order.
-If any CDS alerts are applicable, they are listed at the top of the screen in yellow.
-Required fields are preceded with n exclamation mark in red 
.
. -If you change the Priority, Frequency, or Start First Dose fields such that the number of hours to the patient’s first or next scheduled dose is more than half the total number of hours between doses (based on the Frequency that you selected), you may see the following message displayed in the Priority field: “Next scheduled dose in nn hours nn mins (mm/dd hh:mm AM/PM).” If you want the first or next dose to be given now, tap the Priority field and select Now.
NOTE: If a patient receives a dose of the medication between the time you choose “Now” and actually submit the order, you are warned of this fact and given an opportunity to modify the order so that you can change the Priority.
-Medication orders that have an associated protocol have an Information button 
next to the Per Protocol field; you can tap Information to see the protocol information.
next to the Per Protocol field; you can tap Information to see the protocol information.3. Tap Save to save your changes (or Cancel to discard your changes).
Your changes are saved and the Orders Summary screen is displayed with two items listed under the New Orders section: a discontinue for the original order (shown with a line struck through the order description), and a new order containing your modifications.
4. Tap Sign & Submit 
.
. Both items are submitted to the server.
To modify an existing medication order from the Medications module:
1. On the Medication Summary screen, select the medication order that you want to modify.
The Medication Details screen is displayed.
2. Select the Details tab, if it is not already selected, so that you can review the details for the medication before making any changes.
3. Tap Modify .
.The Orders module is launched and the Modify Order screen for the medication order is displayed.
4. Review any CDS alerts and change the value for any of the detail fields for the selected order.
-Required fields are preceded with n exclamation mark in red .
. -If you change the Priority, Frequency, or Start First Dose fields such that the number of hours to the patient’s first or next scheduled dose is more than half the total number of hours between doses (based on the Frequency that you selected), you may see the following message displayed in the Priority field: “Next scheduled dose in nn hours nn mins (mm/dd hh:mm AM/PM).” If you want the first or next dose to be given now, tap the Priority field and select Now.
NOTE: If a patient receives a dose of the medication between the time you choose “Now” and actually submit the order, you are warned of this fact and given an opportunity to modify the order so that you can change the Priority.
-Medication orders that have an associated protocol have an Information button next to the Per Protocol field; you can tap Information to see the protocol information.
next to the Per Protocol field; you can tap Information to see the protocol information. 5. Tap Save to save your changes (or Cancel to discard your changes).
Your changes are saved and the Orders Summary screen is displayed with two items listed under the New Orders section: a discontinue for the original order (shown with a line struck through the order description), and a new order containing your modifications.
6. Tap Sign & Submit .
. Both items are submitted to the server.
Why Don't I See This Feature?