Nervecentre V8.1 Help for Users
About the discharge summary
The discharge summary form allows you to:
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Capture medications the patient needs to take home
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Create discharge letters for the GP and for the patient to take home
The discharge summary form includes a workflow that guides you through the discharge process. During the discharge process, you can prescribe medications for a patient to take home, called TTO To Take Out. Often used to describe the medicines added to the discharge letter, and, informally, the letter itself. medications.
The contents of the discharge summary form depends on your organisation.
About the discharge summary on a mobile
You can't do this on a mobile.
About the discharge summary on a desktop

You can start a new discharge summary from Inpatients > Patient Detail > Case Notes.
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At the top of the discharge summary form, flags outline the stages of the discharge summary workflow.
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The discharge summary form includes fields for you to complete. Mandatory fields are marked .
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At the bottom of the discharge summary form, there are buttons. The buttons allow you to progress the form to the next stage. You can only select buttons if:
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You have permission to do so. For example, you can only mark TTO prescriptions as approved if your role includes the right pharmacy permissions.
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All mandatory fields are complete.
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At the top of the discharge summary form, flags outline the stages of the discharge summary workflow. When a stage is complete, the flag shows a tick. The current stage is highlighted in blue.
Complete form |
Shows the discharge form has been opened but is incomplete. |
Pharmacy approval |
Shows when the discharge form has been sent to pharmacy, but the TTO prescriptions are not yet approved. |
Dispense TTO |
Shows the TTO has been approved and is waiting to be dispensed. |
Nurse check |
Shows the TTOs have been dispensed ready for the nurse to confirm are present and correct. |
Send letter |
Shows the TTOs have been checked by the nurse and the discharge letter is ready to be sent. |

At the bottom of the discharge summary form are buttons that you can select.
The text on the buttons depends on your organisation, but the function remains the same.
You can only select these buttons if your role includes permissions to do so, and any mandatory fields are complete.
Approve / Send to Pharmacy |
Select this if there are TTO prescriptions that must be approved by a pharmacist before they can be dispensed in a pharmacy location. |
Approved, dispense in pharmacy |
Select this to approve TTO prescriptions for dispensing in the pharmacy dispensary. |
Approve, dispense other |
Select this to approve TTO prescriptions for dispensing in a location that is not the pharmacy dispensary, for example, a satellite pharmacy. |
Pharmacy rejected |
Select this to reject TTO prescriptions. This does not inform any users that the TTO prescription is rejected. |
Dispense started |
Select this to record that you have started dispensing the TTOs. Depending on your organisation, this option appears. |
Undo dispense started |
Select this to record that you have not started dispensing TTOs. Depending on your organisation, this option appears. |
Confirm dispensed |
Select this to confirm the approved TTO prescriptions are dispensed. |
Confirm ward received and verified |
Select this to confirm that the TTO medications have arrived on the ward and are correct. |
Cancel discharge |
Select this to cancel the discharge form. This does not prevent any previous elements of the workflow from progressing. For example, dispensing medication. If the TTO has already been sent to pharmacy, refer to your organisation’s policies and procedures. |
Recall, TTO changed |
Select this to recall TTO prescriptions before they are approved by pharmacy. |
Approve, ward supplied TTO |
Select this if there are no TTO prescriptions included in the discharge form. Or, select this to approve TTO prescriptions that are supplied from ward stock and not from pharmacy. |
Recall, TTO changed after approval |
Select this to recall TTO prescriptions that are already approved by a pharmacist. |
Complete, send discharge letter |
Select this to generate, print, and digitally send the discharge form. |
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