Procedure documentationAdministering Infusions/Nutritional Solutions

 

You use the Administer Drug function to document the administration of infusions, or nutritional solutions.

Procedure

  1. Select one or more events of one or more patients in a view of the Medication Events/Inpatient Nursing Services view type in the clinical work station and then choose Administer Drug (Administer Drug).

    The system displays the Drug Administration dialog box.

    If you call several events of different patients, the system will display the name of the patient to whom the open event belongs in the title of the dialog box. When you open a different patient's event, the system will change the title of the dialog box accordingly.

    Note Note

    In the case of an event which was generated for the PRN medication of an intermittent infusion or nutritional solution (PRN Medication indicator in the order) the system checks whether the daily dose of the PRN medication main event has already been administered. If the daily dose has been reached or exceeded, the system displays a dialog box stating this information. You can decide whether you still wish to administer a further dose.

    If you wish to administer a further dose, you must enter a reason for this dose difference on the Differences tab page in the administration dialog.

    End of the note.

  2. The system displays the events in the event table.

    Choose Detail (Detail) in the row of the event in the event table to open this event in the documentation screen area for the administration.

  3. Enter the required data on the eMAR, Ingredients and Flow Rate Changestab pages.

    • On the eMAR tab page you document the administration.

      The system presets the time of administration with the value in the system parameter N1ADTM.

      The following fields are now available on this tab page:

      • Not Administered indicator

        If you cannot administer the drug, for example because the patient is absent, you can set the Not Administeredindicator on this tab page. The system will set the administration quantity to zero. In this case you no longer need to document a possible witness or confirm the check conditions.

      • Reason for Dose Difference

        You can determine differences to the planned administration/dispensing, e.g. quantity difference, during administration.

      • Reason for Time Difference

        You can determine differences to the planned administration/dispensing, e.g. time difference (for time-critical drugs), during administration.

      The following fields are available:

      • Localization

        You can determine which part of the body the drug is administered to.

      • Planned Duration

      • Actual Duration

        Note that the Planned Duration and Actual Duration fields are only available if a duration can be entered in the order, because of the drug category (infusions and nutritional solutions) or the dosage form (Duration indicator set).

      Note that it is possible to change the drug using the administration dialog if you have the relevant authorization.

      Note Note

      For mixed drugs, the system displays the ingredients of drug of this event on the Ingredients tab page.

      End of the note.

    • You can document the scrap on the Ingredients tab page. Scrap defines the quantity or dose which was supplied to the care unit (ward), but which was not administered or dispensed to the patient.

      Note Note

      If you wish to document scrap without a reference to a patient (e.g. in case of expired or damaged drugs) you must enter the scrap in the Scrap Booking Care Unit function. From the SAP Easy Access menu, choose Start of the navigation path Clinical System Next navigation step Medication Next navigation step Drug Issue Next navigation step Scrap Booking Care Unit Stockroom End of the navigation path(transaction N1MEFLS).

      End of the note.

      Additionally you can create a document for the event. Choose Create Document (Create Document).

    • On the Flow Rate Changes tab page you can change a flow rate transferred from the order and use it for the documentation of the administration or create a new flow rate

  4. Enter the employee responsible and, if necessary, a witness to the administration/dispensing.

  5. Choose Check All (Check All) to check the documentation of the administration/dispensing of the event.

  6. Choose Save (Save) to save events in their current status.

    The system does not change the status of the events to "Administered".

  7. Choose Set Status for All Events (Set Status for All Events) to set the status for all events in the event table.

    See Change Event Status

  8. Choose Set Status to Administered (Set Status to Administered) to administer all events in the event table.

    The system sets the internal status of the events to Administered and runs specific checks such as, for example, checking the Pending Witness indicator in the event table.

    Note Note

    You can set this field during the administration/dispensing if, for example, the witness is missing for a special drug administration or dispensing, but this drug should nevertheless be administered together with all other drugs. For this special event, the system sets the customer-specific status Pending Witness which was defined in the system parameter N1MESTPW.

    See System Parameters for Medication.

    End of the note.

    Note Note

    Note that in the chart the system displays administered medication events of infusions or nutritional solutions, which have not explicitly been documented as "removed" and with a calculated end time which is no more than 12 hours in the past, as administration "started".

    End of the note.