About EPMA

What is EPMA?

EPMA stands for Electronic Prescribing and Medicines Administration.

You can use Nervecentre EPMA to prescribe and administer medications with a high degree of patient safety, efficiency, and transparency across mobile and desktop. It covers arrival and TTO To Take Out. Often used to describe the medicines added to the discharge letter, and, informally, the letter itself. medications, as well as those prescribed during the current episode.

EPMA on a mobile is designed to work with EPMA on a desktop. EPMA on a desktop allows you a more complete view and is better for making clinical decisions. EPMA on a mobile is better for rapid bedside care.

About EPMA on a mobile

Healthcare professionals can prescribe and administer medication, add arrival medications, and view TTO medications.

  1. Select a patient from the patient list.

  2. Select any option under Medications.

EPMA is split into three sections on a mobile, Chart, Arr on, and TTO.

You can use them as shown below:

Chart

Chart shows you the MAR Medicines Administration Record, also called drug chart: a list of all medications prescribed and administered.. You can view current and stopped prescriptions, prescribe, modify, add a note, pause, and stop prescriptions.

You can administer medications, filter the MAR by medication type, and view prescription administration history.

You can add a pharmacy supply, order medication, and pharmacists approve prescriptions.

Arr on

You can add, modify, and delete arrival medications.

Read more about arrival medications

TTO

You can view, modify, and delete TTO prescriptions.

Read more about discharge and TTOs

About EPMA on a desktop

  1. From > Clinical pages > Patient List, select a patient, and select Patient Detail.

  2. Select Meds.

  3. The default view shows the MAR Medicines Administration Record, also called drug chart: a list of all medications prescribed and administered..

  1. Patient Detail > Clinical includes a summary of medications labelled Current Medications.

  2. Current Medications includes arrival medications, TTO progress indicators, medications, and an overview of current medications. You can’t administer medications from here.

  3. Select a medication to open the Events Log.

When you first select Meds from Patient Detail, you see the MAR. Here is an overview of the Meds screen.

Default view, showing the MAR.

The top banner appears at the top of all pages within Meds. Select fields to enter information. Mandatory fields show . You must complete mandatory fields or override mandatory fields with a reason before you can prescribe any medications.

Overriding is fully audited. Only override mandatory fields in an emergency.

View the MAR, current medications only

View and manage prescriptions

Add new. This button appears in prescriptions and arrival medications.

View an overview of fluids

View the MAR, including stopped medications

View medication history

Select an option to filter the MAR.

ARR: view arrived on medications

TTO: view to take out medications

DUE: view due, overdue, and missed medications and fluids

To clear the filter view, select .

Compact and Detailed, toggle between the short view and the full view of the MAR.

: print the MAR.

The MAR. Use the transport controls to view previous or future days, or select T to centre the view on today.

Read more about the MAR

Prescriptions view:

Select which prescriptions to view. Choose from current prescriptions, stopped prescriptions, planned prescriptions, arrived on medications, and to take out prescriptions.

Select a prescription to access all the buttons below the list.

Stop prescription

Stop the selected prescription. You must give a reason.

Pause prescription

Pause the selected prescription. You can provide notes.

Modify prescription

Modify the selected prescription. You can modify any parameters allowed by the dose sentence, or choose a different dose sentence for the same medication.

Pharmacy reviewed drug chart

For pharmacists. Select this to record that you reviewed the MAR. You can add notes.

Create TTO from selected

Select one or more medications for the patient to take home and then select Create TTO from selected to add them to the TTO.

Change enteral route

Choose a route from the list of routes associated with the dose sentence.