Daily postings on this channel address needs raised in prescriber huddles, with links to support information. Content is published around 17:30; any additional hot topics after this time will be posted the following day. Consider looking back at the previous day's posting. Note the next Hot Topics post will be November 14.
If a medication cannot be found on inpatient facility order lists (be sure to try different spellings and the generic drug name), it is likely non-standard. The ordering prescriber should request the medication by placing a "Non Standard Medication" order. A pharmacist will then review and modify the order to something they can provide, or contact you to suggest an alternative.
There will be situations when prescribers cannot be expected to place time-sensitive orders directly and require the assistance of a qualified healthcare professional to transcribe important clinical instructions. Allowed exceptions to prescriber order-entry fall into three categories, each explained and exemplified in FAQ and Order Norms documents: protocolized orders, urgent verbal orders, and urgent telephone orders.
In ordering – as in all other clinical activities – patient care and safety come first. If there is an urgent or emergent circumstance affecting a patient’s care, verbal or telephone orders may be appropriate and can be allowed. See this memo for further details. For additional information on team collaboration for verbal and telephone orders, see the work package for prescribers and nurses, and, for nurses and allied health professionals, the decision-making guide and paging etiquette guide.