INP 100 Chapter 6

Can a nurse document giving a medication that has NOT been verified by pharmacy? - Yes. He sees warnings that the medication has not been verified but can continue with the administration. Give two advantages of using the Work List instead of the Due Meds report to review your patients' medications. Then give two advantages of using the Due Meds report instead of the Work List. - Work List: Can see ALL medications for ALL patients; can see other tasks at the same time; can document without opening a patient's chart. Due Meds: Can see ALL of one patient's medications due within the current shift; can see last administration time of all meds; can easily see administration instructions. How do medications that are discontinued appear on the MAR? - The medication row appears with all the cells highlighted in yellow. How do you document an administration that occurred in the past? - In the MAR click in the appropriate cell for the hour in which you actually gave the medication. Change the Time field to reflect when you actually gave the medication. Confirm that the Action and Dose are accurate. How do you document giving a makeup dose of a medication? - If a medication is given more than 60 minutes late, policy requires you to document the due time as "not given." You should document a makeup dose—if any—as an unscheduled administration. How do you document giving a medication pulled on override from an ADS cabinet? - Log in to the ADS cabinet, call up the patient's profile, and pull the medication on override. This triggers an interface message to Epic that creates the override pull as a "dummy order" in Epic. Log in to Epic and go to the patient's MAR. The override pull appears on the MAR with a magenta background. Find the override pull and click its scheduled due time. The Dose and Route fields are blank by default. Confirm that you have the right patient and medication in hand. Manually enter the Route and Dose you are about to administer. How do you document giving a medication pulled on override when an unverified order exists in the system? - Log in to the ADS cabinet, access the patient's profile, and pull the medication on override. This triggers an interface message to Epic, which creates the override pull as a "dummy order" in Epic. Log in to Epic and open the patient's MAR and the override pull appears on the Override Pulls tab with a magenta background to the left of the medication name. The unverified Epic entered order appears with a stop sign. Expand the medication details, and click the Link to related order link for either the Epic-entered order or the override pull. Select the due time for the override pull on the left side of the window. For the Epic-entered order on the right, select the due time that the override pull represents. If there is no due time, select "New Administration". The