Creating New Orders
If you admit a resident from hospital or receive a supply of medication from an alternate source to your primary pharmacy, you may need to enter each medication (order) into the system manually.
- From the Home Screen, click Resident/Orders
- Select a resident from the list on the left
- Click the Orders tab to display all current orders
- Click Add
- Click Medication from the drop-down list
- The Everything tab is automatically displayed
- Complete the required data fields - see table below
- Click Save
- The new item will appear in the Residents Active Orders with a Green Flag awaiting approval
Order Fields
New Order Required Fields |
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Data Field |
Content Type |
Description |
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Medication |
Free Text |
Enter the full name of the medication as written on the pharmacy label |
|
Strength |
Free Text |
Enter the strength and unit if the medication (if applicable) |
|
Form |
Drop-down |
Enter the form of the medication has been supplied e.g. tablets, liquid etc. Free text entry can be utilised if required form is not available |
|
Diagnosis |
Free Text |
Enter what the resident is taking the medication for |
|
Equivalent To |
Free Text |
Enter any alternative names for the medication e.g. brand names (if applicable) |
|
Start Date |
Calendar or Overtype |
Set to date that the medication is physically available to administer i.e. delivered from pharmacy |
|
Start Time |
Drop-down |
Set to time that the medication is physically available to administer i.e. delivered from pharmacy |
|
End Date |
Calendar or Overtype |
Enter the date the medication should end on the system. For cycle medication, the end date should be the end of the current cycle. For courses of medication, the end date should be the end of the course. |
|
End Time |
Drop-down |
Enter the time the medication should end on the system. For cycle medication, the end time should be the end of the day i.e. 23:59. For courses of medication, the end date should be just after the last dose of the course. |
|
Prescriber |
Search or Add |
Enter the prescriber. You can create a searchable prescriber database |
|
Source |
Drop-down |
Enter the source or supplier of the medication e.g. pharmacy, hospital etc. |
|
Route |
Drop-down |
Enter the administration route of the medication e.g. oral, topical etc. |
|
Instructions |
Free Text |
Enter the full instructions of how to administer the medication as written on the pharmacy label. For any vague or ambiguous instructions, an Info Order should be created to clarify the Resident and/or prescriber’s preference for use. E.g. “Use as directed” “When required” |
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Schedule Routine/PRN |
Pick from list |
Enter either a routine schedule where a quantity and frequency for use is defined. E.g. Once Daily, Twice Daily, Once Weekly etc. Enter PRN for all “When required” medication. |
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Activate Required Functions |
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Function |
Description |
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Note Body Site |
Tick to capture administration site, possible to add selected sites in rotation |
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Sliding Scale |
Tick for variable doses i.e. “Take ONE or TWO tablets TWICE a day” Note: More complex sliding scales can be added when define by a vital sign – “Record” function must be active to create a complex sliding scale |
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Given by SELF, Nurse or HH |
Tick to mark orders as not administered as part of the med round e.g. self-medicating or given by external professionals |
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Controlled Drug |
Tick to activate CD flag and witness requirements |
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Record |
Tick to capture a selected vital sign at point of administration e.g. pulse reading |
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Track Inventory |
Tick to activate stock management of medication |
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Wait between admins |
Tick to activate warnings if medication is selected for administration before defined time period e.g. 4 hour wait between doses of paracetmol |
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Require follow up result |
Tick to activate follow up for non-PRN medication |
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Change Alert to |
Tick to change standard alert to a user defined time. |
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