Camila Restrepo

Verified & Approved Discharge Rx
#RX-30443 Ketorolac 10 mg (Oral Tablet) Dr. Marissa Bloom, MD MRN: #PAT-44091 Issued Today, 10:15 AM
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Clinical Pharmacist Safety & Conflict Audit Audit Status: Cleared for Dispensing
Allergy Screen

NKDA (No Known Allergies)

Drug Interactions

PASS (No Severe Conflicts)

Renal Function

GFR 95 mL/min (Normal)

Dose Safety

Standard 5-Day Acute Limit

Setting

Discharge Rx

Outpatient Dispensing

Queue Time

18 min

Order to Verification

Schedule

Non-Controlled

Legend Prescription

Status
Verified & Ready

Dispensing Queue

Prescribed Items & Directions (Sig)

Order line items and dosing instructions

Formulary In Stock
Medication Name Directions (Sig) Qty Refills Amount Status
Ketorolac Tromethamine Take 1 tablet QDS (Every 6 hours) with food for 5 days max 20 Tabs 0 Refills $9.00 VERIFIED

Pharmacist Verification & Patient Counseling Notes

Reviewed by Clinical Pharmacist

Verified Stamp #PHARM-994

Pharmacist Notes: Prescription reviewed for indication (post-op pain management). Ketorolac duration capped strictly at 5 days to minimize GI bleeding and renal risks. Patient advised to take with food or milk.

Patient Counseling Checklist: Advised regarding potential GI side effects. Instructed not to combine with OTC NSAIDs (Ibuprofen, Naproxen) or aspirin. Drink adequate fluids.

MV

Dr. Marcus Vance, PharmD

Lead Clinical Pharmacist

Digitally Signed & Approved

E-Prescription Dispensing & Hand-off Journey

Real-time status tracking through pharmacy workstation

E-Rx Order Received

10:15 AM

Electronic prescription transmitted from Discharge EHR by Dr. Marissa Bloom

Pharmacist Verified & Cleared

10:33 AM

Dose, allergy history, and drug interaction audit completed by Dr. Marcus Vance, PharmD

Dispensed & Labeled

Pending

Awaiting pill count, bottle labeling, and discharge nurse hand-off at Counter 03

Prescribing Physician

Dr. Marissa Bloom, MD

Discharge Prescriber • Internal Medicine

Patient: Camila Restrepo
Physician Ext: 3302

Insurance & Co-pay Status

Insurance PlanBlue Cross PPO
Patient Co-pay$0.00 (100% Covered)
Prior AuthNot Required
Dispensing HubMain Pharmacy (Counter 03)

Prescription Actions

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