Pharmacy coordination and portal visibility after Brookhaven care

Best first step: Use the discharge medication list as the main reference after a Brookhaven stay. If the portal, pharmacy, or medication bottle does not match the discharge instructions, contact the care team or pharmacy before making changes on your own.

• Brookhaven may coordinate discharge prescriptions, medication changes, refill needs, and pharmacy follow-up.
• The discharge medication list should be treated as the main reference after a Brookhaven stay.
• The portal may show active medications, discontinued medications, pending prescriptions, medication instructions, or refill options depending on the record.
• Portal information may not update at the same time as the pharmacy, discharge paperwork, or provider notes.
• Do not stop, restart, double, or skip medication because of a portal mismatch without checking with the care team or pharmacy.
• Urgent side effects, allergic reactions, severe symptoms, or safety concerns should be handled directly, not through a routine portal message.

Coordination area	What it may include
Discharge prescriptions	Sending prescriptions, confirming pharmacy information, or explaining where medications should be picked up.
Medication changes	Reviewing new, changed, stopped, or continued medications after the stay.
Pharmacy questions	Clarifying dose, quantity, prior authorization, insurance, refill timing, or pharmacy receipt issues.
Medication access	Helping identify problems that may prevent the patient from getting medication after discharge.
Follow-up planning	Confirming who manages medication after Brookhaven care ends.

Portal item	What it may mean
Active medication	A medication currently listed in the patient’s record, but instructions should still be checked against discharge paperwork.
Discontinued medication	A medication that may have been stopped or replaced during care. Confirm before restarting it.
Pending or processing prescription	A prescription may still be routing, waiting for pharmacy processing, or awaiting review.
Refill option	A refill request may be available, but approval may depend on provider review and follow-up needs.
Medication note or instruction	May include dose timing, special instructions, taper instructions, or follow-up reminders.

• A medication was changed close to discharge.
• A prescription was sent but the pharmacy has not processed it yet.
• A medication was documented for review but not prescribed for pickup.
• A discontinued medication still appears in older portal history.
• A refill request is waiting for provider review.
• The medication is managed by an outside provider after discharge.
• The portal is showing a medication list, not a final discharge instruction.
• Privacy settings limit what a support person can see.

1. Review the discharge medication list before leaving.
2. Ask which medications are new, changed, continued, or stopped.
3. Confirm the pharmacy name, address, and pickup instructions.
4. Ask whether any medication needs prior authorization or special handling.
5. Ask when the next dose should be taken.
6. Ask what side effects should be reported immediately.
7. Ask who will manage refills after discharge.
8. Ask what to do if the pharmacy does not have the prescription.

Refill situation	What to do
Prescription not at pharmacy	Confirm the pharmacy and ask whether the prescription is still processing or needs to be resent.
Refill needed before follow-up	Contact the care team or follow-up prescriber before running out.
Refill denied or delayed	Ask whether provider review, appointment completion, insurance, or pharmacy processing is needed.
Medication changed after discharge	Ask which medication list is current and whether the pharmacy has the updated prescription.
Portal refill button missing	Contact the pharmacy or care team to confirm whether the medication is eligible for refill through the portal.

Do not wait for a routine portal reply if symptoms feel severe, sudden, unsafe, allergic, or medically urgent.

• New rash, swelling, trouble breathing, or possible allergic reaction.
• Severe sedation, confusion, fainting, chest pain, or severe dizziness.
• Worsening thoughts of self-harm, harm to others, or unsafe urges.
• Severe agitation, restlessness, panic, hallucinations, or unusual behavior changes.
• Medication instructions that conflict with discharge paperwork.
• Running out of medication before the follow-up appointment.
• Pharmacy says the prescription was not received, cannot be filled, or needs clarification.

Important: Being listed as a visitor, emergency contact, or support person does not automatically allow someone to see all medication information in the portal or receive medication details from Brookhaven.

• Ask whether the patient has authorized medication-related updates.
• Ask what the support person can see in the portal.
• Ask who can pick up medication after discharge.
• Ask whether the pharmacy needs the patient’s permission to speak with the support person.
• Ask what side effects or warning signs the support person should watch for, when allowed.

• Patient full name and date of birth.
• Medication name, dose, and instructions, if known.
• Whether the medication was new, changed, stopped, or continued after Brookhaven care.
• Pharmacy name, address, and phone number.
• What the portal shows and what the discharge instructions say.
• What the pharmacy told you, if you contacted them.
• Whether the patient has already missed a dose or will run out soon.
• Any side effects, symptoms, or safety concerns.
• Best callback number.

Do not wait for a portal reply if the medication concern affects immediate safety, severe symptoms, allergic reaction, overdose concern, withdrawal concern, missed critical medication, same-day discharge, or whether the patient can safely remain at home or on the unit.

• If the patient is still at Brookhaven, tell the assigned nurse or nearest staff member immediately.
• If symptoms are severe or sudden, seek urgent medical help.
• If there is trouble breathing, swelling, chest pain, fainting, severe confusion, or suspected overdose, use emergency services.
• If the medication is missing from the pharmacy and the patient will miss an important dose, call the pharmacy and care team directly.
• If the patient has thoughts of self-harm, harm to others, or feels unsafe, seek immediate help.