RPT - Transfer Report

Transfer Report

Covered in this topic:

Launching the Report

Navigation and Features of the Report

Dose Event Status Indicators

Printed Report

Sample Online Transfer Report

Sample Printed Transfer Report

The Transfer Report displays medication order and administration information for the selected Inpatient (IP) visit for a three day period. This report may be viewed online or printed. The report is printed for use in the following situations:

· Transferring the patient from a MOEMAR area to a non-MOEMAR area, where medications may need to be administered to the patient; or

· Non-UHN nursing staff (Agency nurses) without system access need to administer medications to the patient

Launching the Report

1. From Patient Desktop, Patient Shortcuts menu, click Transfer Report.

Note: Where the Transfer Report option is not available, click first 7 Day Med History Report, launch the report and then click Transfer report.

Patient Shortcuts - Transfer Report Patient Shortcuts - 7 Day Med History Report

2. Choose Yes to launch the report.

3. Click the top right hand X button to close the report.

Navigation and Features of the Report

· Displays Patient Demographics (DOB, Age, Gender, MRN, Visit Number) and Attending Physician.

· Alphabetical listing of medications with order details as well as administration information for a three day period.

· Medication procedure names that include unique, non-alphanumeric characters will display at the end of the list, such as {for Tylenol#3} acetaminophen 300 mg - caffeine 30 mg - codeine phosphate 30 mg.

· Order flags such as APS for Acute Pain Service that proceed a medication name are ignored when the medication list is sorted, therefore hydromorphone and APS hydromorphone appear consecutively on the list.

· Click Drug Info beside medications to link to the online Micromedex database.

· Click Trend beside medications to links to Medication Trends and Lab Trends.

· Click acetaminophen (where available) to see a trend of those orders.

Various buttons

· Click << or >> at the top of the screen, to view past or future dates.

Does not contain administration information for any medications still being documented on paper (e.g. Continuous IV medications, out of scope medication orders). However, order details will be displayed on the report.
PRN medications will appear interspersed within the medication list. They are identified with the text PRN and a thick black line displayed vertically beside the medication name and order details.
The report will automatically refresh every 5 minutes. The Refresh button at the top of the report should not be used.
Order profile and order status information is displayed next to the medication name. This information should always be reviewed carefully.
This report should not be used for preparing, documenting or administering medications.
Only approved abbreviations for medications should be used in medication orders. Please see Clinical Use for Abbreviations policy for more information.
A warning will appear at the top of the screen when viewing past or future dates.

Viewing dates in th epast warning

· Hover over the text Order Placed within the Medication Procedure information to see the name of the order author. If the order was placed by someone without medication authorization privileges, the name of the co-signing physician will also display once the order is activated. Unauthorized orders have a status of unsigned verified.

· Co-signed (active status or co-signed by) appear as follows when hovering over Order Placed.

Hover over feature, active order example

· Click on a completed dose event on the report to view administration documentation. Click the Back button to return to the report.

Completed dose event example

dimenhyDRINATE report example

· Click the Lab Trends button to view the patient’s most recent lab results. The Print button is also available from this screen. Click the Back button to return to the report.

Print Laboratory Trend Results example

· Click the View discontinued orders that had no events button at the very bottom of the report to view medications that were ordered and discontinued without any doses administered. Click the Back button to return to the report.

Medications ordered but discontinued before administration example report

Dose Event Status Indicators

Complete Status

Completed doses appear in light green with a checkmark.
Dose has been administered as per the order information.
Where the order indicates a dose range and / or multiple route options, the dose and route administered will be included in the display.
Where and extra dose event is documented in the MAR outside of the parameters of the order, unscheduled procedure complete will be indicated.
STAT doses will also be indicated
Time indicates the time of administration for the corresponding date.

Completed dose event example

Scheduled Status

Scheduled doses appear in dark green without a checkmark.
Conditional orders will be indicated
STAT doses that have not been document will be noted
Time indicates the time dose should be administered for the corresponding date. Where the dose is scheduled for a general time period, it will be noted as bedtime or afternoon.

Scheduled dose event example

Cancelled Status

· Cancelled doses appear in red with an X and indicate a cancellation.

· This means a dose was not administered.

· Time indicates the when the dose was scheduled for the corresponding date.

Hold Status

· Hold doses appear in red with a do not symbol and indicates hold.

· The dose should not be administered.

· Time indicates the when the dose was scheduled for the corresponding date.

Resolved Status

Resolved doses appear in yellow with a question mark.
This means that the dose was left undocumented in the system more than 23 hours and was automatically been resolved / documented by the system. The process occurs each night at midnight.
The dose may or may not have been administered.
Time indicates the when the dose was scheduled for the corresponding date.

PRN Orders

· PRN orders are noted by a thick black bar and PRN lettering.

· This clearly identifies PRN, non-scheduled doses.

Printed Report

It is recommended to read through the entire medication list to be aware of all the ordered medications. The printed report is similar to the online version, but also includes:

the patient lead sheet with patient cautions, as well as a communication section to be used when transferring the patient;
patient identifier and patient caution information at the top of each page;
a signature area for staff administering medications; and
other scheduled events, such as diet or lab, that occur during the three day period.