What is the first step to change an order from IV to PO?

To change an order from intravenous (IV) to oral (PO), the first step is to enter a new order for the oral medication. This is essential because the oral and intravenous routes may require different formulations or dosing instructions, which necessitates creating a distinct order in the electronic health record.

Entering a new PO order ensures that the pharmacy receives the correct information to prepare and dispense the medication appropriately. It also provides updated documentation in the patient's medication list, reflecting the change in treatment route.

While it is important to communicate with the physician regarding any modifications to a patient's medication regimen, especially if it's a substantial change, the primary action that initiates the process is to document that change by entering a new order. This ensures that all relevant parties, including pharmacy and nursing, have the most up-to-date information on the patient's care. Other actions, like notifying nursing staff or changing the medication profile, typically follow the entry of the new order and depend on the system's protocols in place.