Document Medication Administration Using Careflow in Profile
10 min
article overview & feature requirements this article is part of the medication management workflow in profile you are currently viewing part 6 of the workflow start admission medication reconciliation in profile docid\ efzr4polc23wywhlc6woqsubmit or sign the admission reconciliation record in profile docid\ ap4azbx8csbjwhvuqxozyreview the medchart for a patient in profile docid\ abzjd iwqxzfneby0k5vpcreate and manage medication orders from a new encounter in profile docid\ d0sjnlmfrfa8bq7eeefn0create and view new medication orders or new ad hoc medication orders from the medchart view in profile docid\ l7lxss8mxmf9dpioxx 5jdocument medication administration using careflow in profile ← you are here docid\ w6jiu64bfxdfo5rvunhmz this article is written for clinical users, and provides a step by step walkthrough for documenting medication administration using profile's careflow feature topics covered in this article scenario 1 documenting regular (routine) medication administration with careflow docid\ w6jiu64bfxdfo5rvunhmzscenario 2 documenting irregular (prn) medication administration with careflow docid\ w6jiu64bfxdfo5rvunhmz feature requirements rx dispense and administer license completion of the careflow configuration process docid\ vag9yfz3zy7ednoycsfdz documenting medication administration using careflow once a provider has created and viewed a new medication order or a new ad hoc order in medchart docid\ l7lxss8mxmf9dpioxx 5j , the next step is to document the medication administration using profile's careflow feature this can be done by following the steps outlined in the workflows below scenario 1 documenting regular (routine) medication administration with careflow note in this example, the user will be logged onto a group view called 'all patients' if required, they could change the group by selecting the edit filter and selecting a group from the patient group drop down list log on profile and navigate to careflow go to work centre / work / careflow in this example, you can see that a medication is scheduled for administration at 7 51am the patient is test kristine the medication is metformin 500mg tablet, and the administration time is 7 51am from the careflow view you can either select the circle and double click or select the medication name and click the administer icon from the toolbar the administration modal will launch you will see that 1 tablet is to be administered record the status of administration by selecting the status action button, clicking on the three dots the select medchart administration status modal will open select the relevant status option from the drop down list and click ok in this example, the nurse selected given as the status enter the following details as part of the administration documentation location select where the medication was taken from batch # enter the batch value on prescription package notes enter in any pertinent information about the administration task if anything noteworthy took place the following fields are auto populated by the system, but can be edited by the nurse documenting administration date of administration defaults to the current date time defaults to the current time provider defaults to the prescriber of medication dose defaults to the prescribed dose this value can be adjusted, if needed note the location and batch fields can be configured to be optional instead of mandatory, based on your organisation's workflow settings click ok the administration documentation will now be recorded in the careflow view, the circle should now be checked indicating that the medication has been administered and documented against if you were to double click on a documented schedule item, the modal will now open as read only and include the information entered in at the time of documentation scenario 2 documenting irregular (prn) medication administration with careflow step 1 identify prn medications identify the irregular or prn medication you wish to administer in careflow a prn medication is indicated by the blue \[prn] label before the medication name step 2 open the administer window you can open the administer window using one of the following methods listed in the table below action outcome double clicking on the prn timeline opens the administer window, with the administered date and time automatically set to the value corresponding to the selected point on the timeline right clicking on a point in the prn timeline opens the administer window, with the administered date and time set to the value corresponding to the clicked point selecting a prn line will enable the administer button on the toolbar clicking the button opens the administer window, with the date and time set to the current time step 3 system check before administering before the administer window opens, the system evaluates whether the administration falls within the acceptable interval determine administration interval check if timeliness is specified in the medication instruction use that value if available if not, check the organisation's frequency based timeliness settings navigate to organisation / preferences / scripts & instructions / administration tab if still not found, use the system default timeliness value warning for early administration if the proposed administration time is too close to that last completed dose (i e , less than the determined interval), the system shows a warning example frequency "5 times per day" means that the interval = 4h 48m (24h ÷5) last administration 5 47 am next expected 10 35 am (5 47am + 4h 48m) if timeliness for the instruction is 15 minutes, then profile will show a warning like the one above if a new administration is attempted with a date/time that's before 10 20am what's next? this is the final part of the medication management workflow you have now completed the full process if you would like to learn more about careflow and the medication management workflow in profile, please refer to the related articles below learn more the following articles relate to careflow and the medication management workflow in profile careflow reference article docid\ o5edmjvj xzymowjt5bgdconfigure careflow in profile docid\ vag9yfz3zy7ednoycsfdzcareflow in profile docid 4msze8pc9ycdm28z t2p5start admission medication reconciliation in profile docid\ efzr4polc23wywhlc6woqsubmit or sign the admission reconciliation record in profile docid\ ap4azbx8csbjwhvuqxozyreview the medchart for a patient in profile docid\ abzjd iwqxzfneby0k5vpcreate and manage medication orders from a new encounter in profile docid\ d0sjnlmfrfa8bq7eeefn0create and view new medication orders or new ad hoc medication orders from the medchart view in profile docid\ l7lxss8mxmf9dpioxx 5j