One-Step Clinic Administration for IV Medications

One Step Clinic Administration enables providers to access, order, and document that they administered Clinic Medications in a single process. One Step Clinic Admin bypasses the pharmacy for verification (comes over as ‘done’) and automatically records the clinician administered medication details in the BCMA patient medication log file.

To use One Step Clinic Admin for Unit Dose medications, please use the following steps:

Note: One-Step Clinic Medication Administration is only used when the doctor will PERSONALLY administer a medication in a clinic setting. If a nurse will administer the medication, use Clinic Medications or other ordering method.

Select One Step Clinic Admin. (This can be done from the Orders tab Write Orders pane, if an option is available, the Orders tab Action menu, the Meds tab Action menu, or from a progress note).
If necessary, select an appropriate clinic appointment or clinic and time for the encounter.
Select the IV radio button

This screen capture shows
the Order Manager dialog where the One Step Clinic Medication Administration
process begins.

The Order Manager dialog with the IV radio button selected.

Select the IV type from the drop-down box: Admixture, Piggyback, or Syringe.

Depending on which IV type you choose, you will need to make selections under the IV’s section. Selecting Admixture does not affect the other fields, but selecting Piggyback will activate the Schedule field and selecting Syringe will active the Intermittent Syringe field.

If you selected Piggyback, you must select a schedule of either NOW or STAT.
If you selected Syringe, you must designate whether this is an Intermittent Syringe by choosing YES or NO from the Int. Syringe drop-down.
Select an injection site from the drop-down list.
Enter a date and time when the medication was administered.

You can use N for Now, T for today, or you can set a specific date and time, such as 12/11/2014@13:35 (for December 11, 2014 at 1:35 p.m.).

Enter the medication and the solution, if necessary. Place your cursor in the Scan Medication Bar Code field (the colored rectangle in front of the field will turn from red to green indicating that it is ready to receive data) and scan the medication,

-or-

To manually enter the medication, place your cursor in the Scan Medication Bar Code field (the colored rectangle in front of the field will turn from red to green indicating that it is ready to receive data) and type part or the entire medication name and press Enter.

In the Multiple Drugs for Selected Order dialog, select the appropriate drug by either clicking on the drug name or using the up and down arrow buttons to highlight the name and pressing OK.

Repeat this step for the solution or medication if necessary.

This screen
capture shows the Multiple Drugs for Selected Order dialog that displays if
a user is manually entering a medication instead of scanning it. In this case,
there are three possible drug the user can order based on what the user
entered.

This screen capture shows the Multiple Drugs for Selected Order dialog that displays if a user is manually entering a medication instead of scanning it.

Select the Order button.
Enter the additional information for the IV type you chose below:

Admixture: In the Clinic Infusion Orders dialog, enter the Volume/Strength, Route, Infusion Rate, and a comment (optional) and select Accept Order.
Piggyback: In the Clinic Infusion Orders dialog, enter the Volume/Strength, Route, Schedule (NOW or STAT). Optionally you can enter a comment (optional) and designate over what period of time the IV should be administered. Then, select Accept Order.
Syringe: In the Clinic Infusion Orders dialog, enter the Volume/Strength, Route, Infusion Rate, and a comment (optional) and select Accept Order.

If any order checks display, review and act on them appropriately If you have more IV medications to order, repeat steps 3-12 until all medications have been ordered.
When ready, select the Review/Sign button.
Review the orders to be signed.
If the orders are correct, enter your electronic signature and select the OK button.
If another order dialog displays, review and take appropriate action, either accepting the order or canceling the order.

The order displays under the Orders Tab in CPRS. You may need to change the view to see the order. If you do not see the order under the Clinic Medications or Clinic Infusions headings, please use the View | Custom View menu option in CPRS and selected Completed/Expired option for Pharmacy. The items should display there.