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PRESCRIBING POLICIES: 4.3 AUTOMATIC STOP ORDERS POLICY 1. Medication orders not stating the number of doses or days will be subject to the following automatic stops:
* 7 day auto stop for Bone Marrow Transplant and Medical Day Care Unit 2. For Acute Care (including the Transitional Care Unit – TCU) a) other than those orders for medications listed in the above table, all medication orders for inpatients, outpatients, and pre-admission patients are valid for ONE YEAR. Standing outpatient orders must be re-ordered on an annual basis. b) a specific time limit on any medication order will override the automatic stop date if desired. A definite number of doses or time must be specified and may not exceed 90 days, except for straight narcotics which may not exceed 6 wks. 3. For Residential Care Units: a) other than those orders for medications listed in the above table, all medication orders are valid for ONE YEAR. b) a specific time limit on any medication order will override the automatic stop date if desired. A definite number of doses or time must be specified and may not exceed ONE YEAR. “Duration of hospital stay” is not acceptable. 4. PRN orders other than those on the Routine Medication Order Form in the Residential Care Units & TCU will be discontinued if no medication has been administered in a 28-day period. 5. All drug orders are automatically cancelled and must be re-written following surgery except for the following:
a) diagnostic
procedures which do not transgress the major body cavities; 6. "On hold" orders are not acceptable. The order must be discontinued and re-ordered when required. However, holding a specific number of doses is acceptable, eg. "hold next gentamicin dose" or for a specific condition, eg. "hold digoxin if HR <50".
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