Clozapine Prescriptions - Prescribers Quick Reference Guide

For inpatients, discharge prescriptions are created as part of discharge reconciliation. Refer to the Discharge Reconciliation Quick Reference Guide.

Outpatient prescriptions are referred to as Ambulatory (Meds as Rx).

Ordering Clozapine Prescriptions

1. Navigate to the Order Profile screen from the Menu.

2. If the patient has had a clozapine prescriptionpreviously, the prescription should be renewed. Seethe Renewing Prescriptions section of this Guide.

3. Click +Add.

4. In the Search window make sure that the Typechosen is Ambulatory (Meds as Rx) forcommunity patients , or Discharge Prescriptions ifinpatient.

5. Search for the Clozapine order sentence byBRAND NAME (as patients need to be registeredwith the appropriate brand for monitoring).

6. Choose the required order sentences. Dose details can

be modified later.

7. Click Done.

8. Fill in the required details, as indicated by yellow

fields.

9. Go to the PBS tab and select the appropriate item

from the list. This will bring to Streamline Authority

code through to the script. Choose the HB code for

patients in the initiation phase (first 18 weeks) or CA

for patients on continuing treatment.

10. For outpatients on stable doses of clozapine who

regularly have repeats prescribed, the prescriber is

still required to telephone Medicare to obtain a Phone

Authority.

11. Ensure the fields are filled out as follows:

1 - Enter the Dose of the prescribed strength of tablets.

E.g. 2x 100mg tablets = 200mg

2 - Enter the Dispense Qty of tablets to match the

patient’s current blood monitoring schedule (weekly or

4 weekly).

E.g. 2 tablets/day x 28 days = 56 tablets for a patient on

4 weekly monitoring

3 - Enter the total daily dose of clozapine into the

Special Instructions.

E.g. 225mg at night

4 - Enter your prescriber qualifications.

E.g. Psychiatrist FRANZCP or Registrar MBBS

5 - Select Yes to the Approved Prescriber button

12. Select a prescription printer from the Send to

dropdown menu.

13. Review orders then click Sign.

14. The prescriptions will print in duplicate. Collect and

sign BOTH copies.

15. Regular clozapine prescribers may consider setting up

clozapine prescription orders as a Favourite. These will

remember certain details to save entering them

repeatedly. Refer to the Favourites Quick Reference

Guide.

Renewing Clozapine Prescriptions

Renewing prescriptions allows another prescription to be ordered from a previous prescription. This also completes the previous prescription from the Home Medications and makes any updates once prescription has been renewed.

1. Right click on the order and select Renew.

2. Select Other and follow prescription workflow.

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