Nervecentre V8.1 Help for Users
Home leave and TTOs
Home leave describes when a patient is allowed to temporarily leave hospital for a period of time before returning. For example, a patient having procedures on Monday and Wednesday might be able to go home on Monday night and return Wednesday morning as part of planned care.
During this leave of absence, the patient might need to be supplied with regular medications, and any new medications.
The process for home leave varies between organisations. You must familiarise yourself with local policies.
Home leave and TTOs on a mobile
You can't manage home leave on a mobile device.
Home leave and TTOs on a desktop
Home leave within Nervecentre works in a very similar way to discharge. You create a home leave form and a list of TTOs for home leave. The two steps can be completed in either order, or at the same time.

In case notes, complete a home leave form. This is equivalent to the clinical discharge summary in a standard discharge.
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From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Case Notes.
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Select next to the appropriate episode, visit, case, or intervention.
The location of the home leave form depends on your organisation.
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Select Home Leave.
This form might have a different name in your organisation.
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Complete all mandatory fields. Mandatory fields are marked .

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Create a list of TTOs To Take Out. Often used to describe the medicines added to the discharge letter, and, informally, the letter itself. for the period the patient is at home.
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From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Case Notes.
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Find the home leave form.
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Scroll to the bottom of the form and select Approve / Send to Pharmacy.
Depending on your permissions, you can select Approve, ward supplied TTO. This bypasses pharmacy, and means there is no pharmacy check.
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Pharmacists check the TTOs.
Read more about the pharmacy review of TTO prescriptions
When the TTOs are approved, the ward receives the dispensed TTOs.
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Give the dispensed TTOs to the patient.
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From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Case Notes.
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Find the home leave form.
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Select Confirm ward received and verified.

You can print a 14-day administration chart for TTO medications.
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From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
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Select > TTO.
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Select .
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Select TTO MAR Chart.
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Download or print the PDF file.

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Complete the home leave form.
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Create a list of TTOs for home leave.
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From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Case Notes.
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Find the home leave form.
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Select Complete, send discharge letter.
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Select Click to preview letters to generate all letters associated with the home leave form.
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If you want to print a letter:
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From Letters/Texts, find the letter you want to print, and select view.
The letter appears in your browser's PDF reader.
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Print the letter.
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To send the letter digitally to the GP, select Continue.
Prescriptions remain active on the MAR Medicines Administration Record. Also known as drug chart. A list of all medication prescribed and administered (given).. You might must pause these medications, or mark as ‘omit’, depending on your organisation’s policy.

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From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
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Select > TTO.
The TTO list is shown.
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Select Restart TTO to delete this list and start again for the patient’s next home leave or standard discharge.
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