Administering Compounds Prepared at the Organizational Unit

You can use the Administer Drug function to document the administration or dispensing of precisely dosable compounds prepared by the organizational unit (OU).

The documentation of the preparation and administration/dispensing takes place for one event only, i.e. only if the compound was ordered per individual dose.

See Prepare Drug

Note Note

If the compound was ordered for the entire order or can only be dosed indiscretely, documentation is executed in the same ways as for premade compounds.

See Administering Standard Drugs and Premade Compounds

End of the note.

Note the following rules for compounds to be prepared (either in the OU or at the pharmacy):

You can administer events of this order as soon as at least one event of the order has been prepared.
The system does not check the amount to be prepared when this event is administered.
As the preparation quantity of an event, the system will preset the overall quantity of the order.

Procedure

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).
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.
The system displays the events in the event table.
Choose (Detail) in the row of the event in the event table to open this event in the documentation screen area for the administration/dispensing.
Enter the required data on the eMAR tab page.
On the eMAR tab page you document the administration/dispensing.

The system displays the ingredients of the compound. Depending on whether the compound is changeable (according to the Drug Category) you can change the ingredients of the compounds.

The system presets the time of administration with the value in the system parameter N1ADTM. You should note that in the case of events with a planned administration time in the future, the system always presets the system time regardless of the parameter value.

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 Administered indicator 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.
  
  Note that in case of drugs which cannot be dosed precisely (e.g. compounds) the administration quantity is generally zero and the Not Administered indicator is not ready for input for these drugs.
- 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.
- Scrap
  You can also document the scrap for standard drugs, or premade or prepared compounds. The scrap is the quantity or dose which could not be administered or dispensed to the patient, for example because the patient refused or vomited the drug.
  
  Note
  If the scrap is not a result of the patient but, for example the drug was dropped on the floor and could not therefore be administered (for example, because it smashed) you must enter the scrap using the Scrap Booking Care Unit Stockroom function. From the SAP Easy Access menu choose Clinical System Medication Drug Issue Scrap Booking Care Unit Stockroom (transaction N1MEFLS).
  
  Additionally you can create a document for the event. Choose (Create Document).
  
  End of the note.
The following new 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
For mixed drugs, the system displays the ingredients of drug of this event on the Ingredients tab page.

End of the note.
Enter the employee responsible and, if necessary, a witness to the administration/dispensing.
Choose (Check All) to check the documentation of the administration/dispensing of the event.
Choose (Save) to save events in their current status.
The system does not change the status of the events to "Administered".
Choose (Set Status for All Events) to set the status for all events in the event table.
See Change Event Status
Choose (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

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.