About TTOs

In Nervecentre EPMA, TTO To Take Out. Each medication added to the discharge letter can be called a TTO. Also, the list of medications on the discharge letter can be called the TTO. refers to the medications added to the discharge summary.

You can create a list of TTO prescriptions. To each TTO prescription, you can add the duration, supply, dispense quantity, GP action, and additional information. You can modify, start, and stop TTO prescriptions.

Read about creating a TTO list

Read about editing TTO prescriptions

You can also create an empty TTO list, for example, to allow for pharmacy review, or to complete later on a mobile.

Read about creating an empty TTO list

TTO medications are medications the patient is given when they are discharged. Your organisation's policy determines if a patient receives the full course for a TTO medication, or part of the course.

For example, your organisation might give the patient the full course if the duration of the course of medication is less than 14 days. If the duration is greater than 14 days, the patient receives enough medication for at least 14 days.

About TTOs on a mobile

The TTO list must be started on a desktop.

You can view the TTO status from Patients > select a patient > Medications.

Not rec

Not recorded. The TTO list hasn't been started.

You can only start the TTO list on a desktop.
Started

The TTO list has been started.
Sent ph

The TTO list has been completed and sent to the pharmacy.
Approved

The TTO list has been approved by a pharmacist.

Dispensed

The TTO medications have been dispensed.

Ward dispense

The TTO list has been approved. If there are medications on the TTO list, they are supplied from ward stock.

Complete

Ward staff have recorded that the TTO medications have been received.

You can view a summary of the TTO medications from Patients > select a patient > Medications > TTO.

+

Select to add a TTO prescription.

Read about adding a TTO prescription

This only appears if the TTO list has been started on a desktop.

Select to complete the prescribe form.

Read about the prescribe form

The TTO list.

Select a TTO prescription to view and edit it. You can:

  • Add the duration of the prescription

  • Add the supply source of the medication

  • Add the quantity to dispense

  • Add a GP action

  • Add any additional information

  • Modify the prescription

  • Delete the prescription

  • Stop the prescription

  • Restart the prescription

Read about editing a TTO prescription

Read about deleting or stopping a TTO prescription

About TTOs on a desktop

You view the TTO status from:

  • Meds >

    At the top of the MAR, the status of the TTO process is shown.

    TTO⚪⚪⚪

    The TTO process has not yet started.

    TTO⚪⚪⚪

    The TTO list has been started.

    TTO✔⚪⚪

    The TTO list has been sent to the pharmacy.

    TTO✔✔⚪

    The TTO list has been approved by the pharmacy.

    TTO✔✔✔

    The pharmacy has dispensed the TTO medications.

  • Meds > > TTO

    The status appears in a blue box, and provides information about what you need to do next.

From  Inpatients > Patient Detail > Meds > > TTO, you can view TTO prescriptions on the TTO list.

The buttons you see depend on your organisation's discharge workflow.

+

Add prescriptions to the TTO list.

Read about adding TTO prescriptions

TTO Status

Shows the status of the TTO list, and what you need to do next.

Read about TTO status

The TTO list. Shows medications the patient is taking home.

Arrived on

Show the medications the patient arrived with.

This is blank if the patient didn't arrive with the prescription.

If the medication the patient arrived with is different to their current medication, you can choose if the patient takes home the same medication they arrived with, or their current medication. Select Use next to the medication you want the patient to take home.

Current

Shows the patient's current medications.

TTO

Shows the TTO medications the patient is taking home.

Select + Re-Add to TTO to restart any arrival medications that were stopped. Paused arrival medications resume automatically.

To remove a medication from the TTO list, select .

Read about deleting a specific TTO prescription

Added by

Shows who added the prescription to the TTO list.

Duration

Double-click to enter the duration of the prescription.

Read about adding a duration

Supply

Double-click to select the supply source of the medication.

Read about adding a supply source

Dispense quantity

Double-click to enter a quantity to be dispensed.

Read about adding a dispense quantity

GP action

Double-click to select a GP action.

Read about adding GP actions

Additional info

Double-click to enter additional information.

Read about adding additional information

Create empty TTO

Select to create an empty TTO list.

Read about creating an empty TTO list

Modify TTO prescription

Select to modify a prescription on the TTO list.

Read about modifying a TTO prescription

Drop TTO

Select to delete the TTO list.

Read about deleting a TTO list

Restart TTO

Select to delete this TTO list and start again for the patient’s next home leave or standard discharge.

This is only available after the ward has received and verified the TTO medications.

Read more about restarting a TTO list

Show history

Select to view the history of the TTO list.

Read about viewing the history of TTOs

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