Reconciling, pausing, and stopping arrival medications

You can create a hospital prescription from an arrival medication, reconcile an arrival medication with a hospital prescription, pause an arrival medication during the patient's stay, or stop an arrival medication.

When you:

  • Reconcile an arrival medication with a hospital prescription

    The patient's original prescription remains valid, and on discharge, the patient's GP receives a letter with details of hospital care.

  • Pause an arrival medication

    The patient's original prescription remains valid, but the hospital might advise the patient and the patient's GP to stop the prescription

  • Stop an arrival medication

    On discharge, the patient's GP receives a letter saying the medication was stopped. Depending on the advice from the hospital, the patient's GP might start a new prescription

    You can't stop a paused arrival medication.

Read more about discharge and GP letters

A hospital prescription is a current prescription issued while the patient is in hospital.

Reconciling, pausing, and stopping arrival medications on a mobile

To reconcile an arrival medication with a hospital prescription, you can either create a prescription from the arrival medication, or you can create the prescription first and then reconcile the arrival medication.

  1. From your patient list, select a patient.

  2. Select Chart.

  3. Select .

  4. Select Add from arrival meds.

  5. Find and select the medication.

    Read about adding a new prescription

  6. Prescribe the medication.

    The arrival medication automatically reconciles with the new prescription.

  1. From your patient list, select a patient.

  2. Select Arr on.

  3. Select an arrival medication.

  4. Select Reconcile.

  5. Select one of the options: 

To reconcile an arrival medication with a hospital prescription, you can either create a prescription from the arrival medication, or you can create the prescription first and then reconcile the arrival medication.

  1. From your patient list, select a patient.

  2. Select Arr on.

  3. Select an arrival medication.

  4. Select Reconcile.

  5. Select a prescription from the patient's current prescriptions.

  6. Select Reconcile.

  1. From your patient list, select a patient.

  2. Select Arr on.

  3. Select an arrival medication.

  4. Select Reconcile.

  5. Select Pause for this visit.

    Paused arrival medications automatically resume on discharge.

  1. From your patient list, select a patient.

  2. Select Arr on.

  3. Select an arrival medication.

  4. Select Reconcile.

  5. Select Stop.

    You can restart stopped arrival medications when you are editing the TTO list.

    Read about restarting arrival medications

Reconciling, pausing, and stopping arrival medications on a desktop

To reconcile an arrival medication with a hospital prescription, you can either create a prescription from the arrival medication, or you can create the prescription first and then reconcile the arrival medication.

  1. From  Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.

  2. Select .

  3. Select .

  4. Select Add from arrival meds.

  5. Find and select the medication.

    Read about adding a new prescription

  6. Prescribe the medication.

    The arrival medication automatically reconciles with the new prescription.

  1. From  Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.

  2. Select > Arrived on.

    This shows a menu of all current prescriptions.

    You can choose which prescription corresponds with the highlighted arrival medicine.

  3. For each medication:

    1. Select Reconcile.

    2. Select one of the options: 

To reconcile an arrival medication with a hospital prescription, you can either create a prescription from the arrival medication, or you can create the prescription first and then reconcile the arrival medication.

  1. From  Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.

  2. Select > Arrived on.

  3. Select Reconcile > Reconcile with current med.

    This shows a menu of all current prescriptions.

  4. Select the prescription that corresponds with the highlighted arrival medication.

  5. Enter a reason.

    In Arrived on, comments appear under Notes.

  1. From  Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.

  2. Select > Arrived on.

  3. Select Reconcile > Pause drug for visit.

  4. Enter a reason.

    This reason is included in the discharge letter.

    Arrived on now shows the current state of the medication and any details.

    Paused arrival medications automatically resume on discharge.

  1. From  Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.

  2. Select > Arrived on.

  3. Select Reconcile > Stop drug.

  4. Enter a reason.

    This reason is included in the discharge letter.

    Arrived on now shows the current state of the medication and any details.

    You can restart stopped arrival medications when you create the TTO list.

    Read about restarting arrival medications

Depending on your permissions, you can complete medicine reconciliation.

  1. From  Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.

  2. Select > Arrived on.

  3. To confirm all arrival medications have been added, select Med History Complete and confirm.

Depending on your permissions, you can complete medicine reconciliation.

  1. From  Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.

  2. Select > Arrived on.

  3. To complete the medicine reconciliation, select Reconciliation Complete and confirm.

  1. From  Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.

  2. Select > Arrived on.

  3. If further medications need to be added, or if the history is incomplete or incorrect, select Reopen arrival meds to edit and confirm.

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