Procedure documentationCreating an Emergency Event for Administration

 

If you wish to administer a drug to a patient during an emergency, you can create an emergency event. Emergency events are events which were not previously ordered, but are administered to the patient unplanned (not ordered) and immediately.

When you create an emergency event the system creates an order for this event in the background, which is immediately ended.

You can use the Create Emergency Event function to add an extra administration for an ongoing order. To do this, select an order or event in the Medication Orders or Medication Events view type of the clinical work station, and call the Emergency Event function. Provided the order type supports this action, a message box appears with the question Do you want to document an additional administration for this order? The following options are available:

  • If you confirm the message box by choosing Yes you directly access the administration dialog where you can document a new event for the selected order as "administered". The system displays this event in the chart as an extra event in the selected order.

  • Otherwise, the drug search appears. After you have selected a drug, an emergency administration is documented.

Note Note

Emergency events are only available for the administration purpose and not for the dispensing or print prescription purposes.

End of the note.

Prerequisites

System administration must have defined the assignment of the drug to the fill sources of the organizational unit (OU) for which the emergency event is created.

Fill sources are assigned to OUs in the Implementation Guide under Start of the navigation path Industry-Specific Component Clinical System Next navigation step Medication Next navigation step Inventory Management Next navigation step Fill Source – Organizational Unit Assignment End of the navigation path.

System administration defines the assignment of the fill sources on the Storage tab page in the drug master data or on the SAP Easy Access screen by choosing Start of the navigation path Clinical System Next navigation step Basic Clinical Data Next navigation step Medication Next navigation step Drug Master Next navigation step Drug – Fill Source Assignment End of the navigation path.

Procedure

  1. Select a patient in a view of the Medication Events/Inpatient Nursing Services view type in the clinical work station and choose Create Emergency Event (Create Emergency Event). If you do not select a patient, the Emergency Event screen appears for you to enter or search for the patient and the case.

    Alternatively, choose the Medication: Create Emergency Event hotspot in the Applications UIBB in Smart UI to create an emergency event for the patient.

    You access the drug search.

    Caution Caution

    You can only select drugs which are directly assigned to the fill sources which belong to the OU.

    End of the caution.

  2. In the drug search, select the drug(s) to be administered.

    You access the Drug Administration dialog box for administering the drug.

  3. The system displays the events in the upper screen area.

    Choose Detail (Detail) in the row of the event to open this event in the lower screen area.

  4. Enter data as required.

    As standard, the system opens the eMAR tab page where you can document, for example, the administered quantity.

    Note Note

    For infusions or nutritional solutions the system will open the additional Flow Rate Changes tab page as standard. You must first define a flow rate before you can toggle to the eMAR tab page. The system uses the entered flow rate to hang the first infusion bag.

    End of the note.

  5. Choose Check All (Check All) to check the documentation of the emergency events.

  6. Choose Continue Drug Administration (Continue Drug Administration) to continue to prescribe the drug. The system copies the order of the emergency event depending on user parameter N1ME_SKIP_ORDER, as follows:

    • If you set the user parameter to "Space" (standard value) you will access the new order, which is preset with the data of the event. You can supplement the missing order data in the order.

    • If you set the user parameter to X, the system creates the order using the existing order data according to the emergency event in the background with "Saved" status.

  7. Choose Set Status to Administered (Set Status to Administered) to save the documentation and set the events to Administered status.