About discharge and TTOs

In Nervecentre EPMA, TTO To Take Out. Often used to describe the medicines added to the discharge letter, and, informally, the letter itself. refers only to the medications element of the discharge process. You can add TTO medications, duration, supply, dispense quantity, GP action and additional information to the TTO. TTOs can be modified, stopped, and started. You can also create empty TTOs, for example, to allow for pharmacy review.

TTO medications are medications the patient is given when they are discharged. If the duration of the course of medication is less than 14 days, the patient receives the full course. If the duration is greater than 14 days, the patient receives enough medication for at least 14 days.

About discharge and TTOs on a mobile
What actions can be taken from TTO tab?

The TTO list must be started from Nervecentre for desktop.

The TTO tab on a mobile shows a summary of the TTO. You can add duration, supply, dispense quantity, GP action and additional information to the TTO prescriptions. TTO prescriptions can be modified, stopped, and started.

All discharge summary actions must be done on a desktop.

View TTO status

View TTO status from Patient list > (select a patient) > Medications.

There are six arrival statuses.

Not rec Not recorded. No TTOs have been added.
Started TTO list has been started.
Sent ph The TTO list has been completed by the ward and sent to pharmacy
Approved TTOs have been approved by pharmacy.

Dispensed

TTOs have been dispensed by pharmacy.

Complete

Ward staff have documented that the TTO medication has been received.
About discharge and TTOs on a desktop

During discharge, there are two distinct workflows:

  • TTO medications are added to the discharge form by a prescriber and usually checked and approved by pharmacy.

  • The discharge form is primarily completed by the discharging doctor from one or more areas of Nervecentre. The doctor checks this information is correct and complete, and signs to confirm.

These two workflows can be completed independently of each other, or at the same time. When all elements are complete, send the signed clinical discharge letter and TTO medications to the GP.