Psychiatric Hospitals
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b. If the physician aggress to an alternate medication, the pharmacist will receive the order, write it on a physicians order sheet, and notify the unity. The physicians orders and medications will then be taken to the unit.
c. If there will be a delay in prescribing the medication, the pharmacist is to notify the physician and a physicians order to change the start day if indicated. The pharmacist is then to notify the unit of such communication and order.
After Pharmacy Hours
The RN is to notify the home supervisor of non formulary medication orders
The supervisor is to call the pharmacist on call and a decision made collaboratively as follows
Pharmacist will call SW hospital for medication and arrange for pickup
Pharmacist will deliver where the first dose has to be given
RNs CVMs are expected to resolve the issue of non formulary medications on their shift. When faced with situations when there communications are delayed or unclear they are to call their PCC/Supervisor in the building. The CNO is to be notified in cases where the supervisor cannot be reached.
Ultimately it is the responsibility of the RN to notify the physician if a prescribed treatment is not given for any reason.
If the prescribed treatment is delayed, the physician is to be notified of reason for delay and plan to meet treatment needs. All such communications are to be documented in the medical —
Effective 5/2 both- there forms are obsolete.
Miceing Medication Sheet
Pharmacy to physician communication
RNs and CVNs are admitted not to borrow medications. During pharmacy hours they are to call the pharmacy and outside of pharmacy hours the supervisor is to be contacted.
As a general rule of thumb, I would like RNs to determine how a physicians treatment order can be implemented within 2 hours, at a minimum, of the order being written.
A medication – request is to be generated for the