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Version: 3.1

View the medication administration record

Overview​

This flow describes how to read the medicine administration record of an encounter in Care.

Pre-requisites​

  • The patient is registered in Care, and you read the record for that patient.
  • The encounter has at least one prescribed medicine.
  • You have one of the permissions listed below.

Permissions​

PermissionAccess
Can view clinical data about patientsLets you view the medicine administrations of the patient.
Can Read encounter related clinical dataLets you view the medicine administrations of one encounter.

Steps​

1. Open the Medicine Administration sub-tab​

  1. Open the encounter.
  2. Select the Medicines tab.
  3. Select the Medicine Administration sub-tab.

Note: Press g then m to go to the Medicines tab.

2. Read the grid​

The Medicine column lists the medicines. Four columns to the right show six-hour time slots. A blue dot marks the current time slot.

Each medicine row shows the dosage, the frequency, and the route. The row also shows one of these badges.

BadgeWhat it means
ActiveThe patient takes the medicine now.
StoppedStaff discontinued the medicine.
PRNStaff give the medicine as needed.

Note: When a medicine has more than one prescription, Care shows a count next to the name. Select the arrow to expand the row and read each prescription on its own line.

3. Read the doses​

Care shows each recorded dose as a chip in its time slot. The chip shows the time of the dose. The colour of the chip shows the status. When a time slot has more than three doses, Care shows "+n More".

Note: Select a chip to open the record. See Update an administration record.

4. Move to other time slots​

Select the arrow at the left of the grid to move back four time slots. Select the arrow at the right to move forward.

Note: Care stops at the earliest prescription date. The left arrow then shows the message "Cannot view slots before the earliest prescription date".

5. Search for a medicine​

Enter the name in the Search Medication box. Care shows only the medicines that match.

6. Show discontinued medicines​

Care hides discontinued medicines. A message under the grid shows how many Care hides.

Select Show discontinued to add them to the grid. Care then shows the message "Showing all medications".

7. Open the drug chart​

Select View Drug Chart to open the printable chart for the encounter.

Expected Outcome​

  • You see which doses staff gave, at what time, and in what state.
  • You see the last administered time for each medicine.

Concepts:

Flows: