Guest Dosing

• On occasion one of this clinic’s clients may need to be dosed at another location. At other times, we may need to dose a client from another clinic. These situations are referred to as Guest Dosing.

• Orders for Guest Dosing are entered in Rx Orders tab of the client file.

*If available, a Nurse Supervisor or Program Director is advised when the clinic expects to guest dose a client from another location. An order from the client’s parent clinic is required. Nursing staff will verify an order from another clinic.

• Click on Add Rx Order.
• The Add Order screen will display.

• From the drop down calendar, enter the Order Date, the date the order is being entered.
• From the drop down calendar, enter the Effective Date the date the new order starts.
• From the drop down calendar, enter the Expiration Date, the date the order will no longer be in effect.
• From the Order Type drop down menu, select Guest at Clinic if we are providing medication to a patient from another clinic.
• From the Order Type drop down menu, select Guest at Another Clinic, if our patient will be receiving his medication in a different location.
• Orders for patient’s medication can be found in the client file in the RxOrders tab.

If a client is receiving medication at another location, missed doses at the parent clinic can be excused

• Click on Dosing Log in the Client File and the Dosing Log screen will display.
  

*Missed Doses will be highlighted in yellow in the grid. Excused doses will be highlighted in green.

• A nurse may “excuse” one or more missed doses by clicking on Excuse Dose.
• The Excuse Dose box will open.
• From the drop down calendar, choose the Start Date and End Date for the doses to be excused.
• Enter the Excuse/Reason the dose was missed.
• Click Save.

!Although the client will be dosed somewhere else, it is important NOT to void his or her order in SAMMS. If that happens, the clients will need to be dosed by “Exception” when they return to their customary home clinic, and staff will need to obtain another doctor’s order.