House Staff Manual - Winthrop University Hospital

Intravenous fat emulsion or solutions of amino acid alone or in combination can also be ordered on thisform.The Pharmacy Parenteral Nutrition Order Form must be completed, signed and dated by the physician,and sent to the Pharmacy by 12:00 Noon on the day the solution is to be administered. Changes informulation require a new order form to be completed.4. Outpatient Prescriptions: The Pharmacy Department does not fill outpatient prescriptions fordischarged patients. All unused medication for patients going home are to be returned to thePharmacy, and new prescriptions must be written. All prescriptions for outpatients must contain thefollowing information-Full name of patient-Age of patient-Patient's address-Date prescription written-Name and strength of drug-Quantity of drug (specific as to volume, weight, or quantity of dosage units)-Directions for use-Signature and identification number. For all controlled drugs, use DEA number of institution andphysician's number assigned by institution-Signature, identification number and prescriber's name, mechanically printedTELEPHONE ORDERSTelephone orders should be used sparingly, and when used, must be done using the Read Back Policy andsigned by House Staff within 24 hours. If this is not done, the nurse will try to contact the individualresponsible for the order and if the individual cannot be contacted, the senior resident on duty for theservice will be asked to evaluate, sign, or discontinue the drug therapy. The senior resident will also beresponsible for reporting the event to the Director of Service on the next regular duty day.AUTOMATIC STOP ORDERSThe following medication stop orders are in effect:1. Controlled Drugs: Schedule II - requires renewal every 48 hours and Schedule III, IV, V - requiresrenewal every 72 hours.2. Anticoagulants: require renewal every 24 hours.3. Chemotherapeutic agents: require renewal every 24 hours.4. Antibiotics: require renewal every 5 days.5. Steroids and other hormones: require renewal every 7 days.6. Standing orders: automatically canceled when a patient undergoes surgery.BEDSIDE MEDICATIONSThe policy for the use of bedside medications at Winthrop-University Hospital is as follows:1. In general, patients should not take their own medications. If a physician requests that a specificpatient take his or her own medications, the following procedure must be carried out:The physician is to indicate on the chart the name of the medication, strength, and directions foruse along with the statement -- "Patient may take own meds at bedside."Rev. 1/08