1. In the Patient Record, click on the Requests/ Care Plans menu item on the left then click the Add button to the top left
2. Enter search term in the  Search box e.g. Triomel …., non-standard or bespoke to find individual orders

• Standard bags – commercially sourced PN e.g. Triomel these will have contents automatically listed
• Non-standard – bags produced by PPU with or without standard vitamins and trace elements
• Bespoke – bags produced by PPU with non-standard vitamins and trace elements

For non-standard and bespoke bags all contents need to be stated

3. Click the required option(s) and click on Done at the bottom right
4. The orders for signature screen will open. This displays the order with two windows below it

• The Order Details window lists all of the orders previously selected. If you are ordering more than one PN prescription for the patient, details will have to be completed for each prescription.
• The Details window allows completion of each order details field. Required fields are highlighted in Yellow and on completion display in bold text. Other fields are optional. The required information will vary between PN types, with more information required for non-standard PN bags. Type the required values or select an option for each of the required Details. These will be a combination of list options, numeric values or freetext. If a particular component is not needed in the PN bag please state “0”

Please note that the details available for each field can be altered by the pharmacy informatics team. If options need to be altered or expanded please contact the pharmacy informatics team

5. Once all details are completed click on the Sign box (bottom right) and click on refresh to the top right of the screen. If there is more than one order click on Orders for signature and then Sign. The order(s) are placed with a status of “Proposal” 
6. The order is not active on the drug chart until it has been accepted by a prescriber
7. To withdraw the order, access the orders screen, highlight the proposed order, right click and select Withdraw. This removes the order.
8. Contact the prescriber and ask them to review the order and accept or reject the proposed order
9. Once an order is accepted if the details are to be changed the original order must be cancelled. Right click on the existing order and select Cancel/DC and a new order placed as per the above.
10. To cancel an order, highlight the line, right click and select either:

• CANCEL/DC to completely cancel the order
• CANCEL / REORDER to cancel original order and use the previous order as a template for a new order.

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Updated: 22 September 2021