E-Prescribe Controlled Substance Orders

Click here for a PDF version of the tip sheet

In all operative and procedural areas: ORs, GI Station, Cath Lab, IR, and Heart Station:

Fellows/Residents/APRNs/PAs without DEA can now sign the order; however, the order will require a Second Signature to be active.

From the Pre-Op Consult, Post-Op Discharge, or Post-to Floor tab after the patient is check in, you can sign controlled substances to be Second Signed by the Attending using Discharge Planning.

For outpatient surgeries/procedures: The optimal workflow is to sign the order(s) prior to going to the OR through preop consult for the Attending to second sign after the case and before the medication reconciliation is completed.

1. Click Discharge Planning

2. Search for the order within the Additional Outpatient Orders, and Order Sets search field

3. Complete all Hardstops in the order

4. Click the Sign Orders button



5. Complete all Hardstops in the Providers window:

  • Ordering provider
  • Authorizing Providers 
    • The Second Signer field will appear once the authorizing provider has been entered.


Note: Once the orders have been signed, contact the authorizing/supervisor provider to sign the orders from their In Basket or to Manager Orders to avoid any delays.

Attending workflow to sign Second Signature controlled substance orders:

The orders will go to the In Basket of the designated second-signer for the Attending to approve and sign. Also, the Attending may go to Manage Orders to view and complete the Second Sign for the controlled substance signed by their Fellows/Residents/APRNs/PAs.

From Manage Orders:

1. Click Cosign

2. Click on the header Second Sign (Click here to Second Sign)

3. From Second Sign, the Attendings can Accept, Reject, or Modify & Accept the orders

4. Click Sign to finalize and route the Rx to the pharmacy

UChart Tip Sheet Last Updated 12/1/2020

If you require additional assistance, please contact the UChart Help Desk at 305-243-5999, Option 2 or UChartHD@med.miami.edu.