Nervecentre V9.0 Help for Users

About administering medications

You can administer medications on a desktop and a mobile. For some medications, you might need a witness or counter-signatory.

Depending on your organisation, you can administer medications as part of a drug round.

Administering medications on a mobile

Overview of the 'five rights'

When you administer a medication on a mobile, the 'five rights' screen displays. This is split into two parts.

Part 1:

Chart	Select to return to the list of the patient's medications. Read more about Chart
Policy	Select to view any policies attached to the medication or BNF British National Formulary. The BNF aims to provide prescribers, pharmacists, and other healthcare professionals with sound up-to-date information about the use of medicines. It includes key information on the selection, prescribing, dispensing, and administration of medicines. Medicines generally prescribed in the UK are covered and those considered less suitable for prescribing are clearly identified..
	Shows information about the prescription, including the original dose.
ALLERGIES	Shows the patient's allergies.
ROUTE	Shows the route for the medication.
THIS DOSE	If you adjusted the dose, the adjusted dose appears here.
RIGHT TIME?	If it's the first dose, this shows when the medication was prescribed. If it's not the first dose, this shows the most recent time it was given.
RIGHT REASON?	Shows a patient's indication, or any associated parameters. For example, blood test results, blood pressure, a change in weight-adjusted dosage, or heart rate.
INSTRUCTIONS	Shows any administration instructions added by the prescriber.
	Select a field to enter information, or select an option. You must complete all mandatory fields. Mandatory fields are marked .
Next	Appears when all mandatory fields are complete. Select to continue.

Part 2:

	Select to use your mobile's torch. This can help you when scanning barcodes.
Scan more	Select to use your mobile's scanner. This only appears on iOS, not on Android.
Patient not scanned	Scan the patient's wristband. If you can't scan the patient's wristband, select .
Patient scanned	Shows  if the patient's wristband has been scanned.
Medicine not scanned	Scan the medication barcode. If you can't scan the medication barcode, select .
Medicine scanned	Shows  if the medication barcode has been scanned. If you need to scan multiple medication barcodes to make a full dose, this shows the number of barcodes you have scanned.
Witness Required	If a witness is required, this appears. Scan the witness's QR code. If you can't scan their QR code, select Sign and ask them to enter their username and password. Read more about witnessing
Countersign Required	If a counter-signatory is required, this appears. Scan the QR code of the counter-signatory. If you can't scan their QR code, select Sign and ask them to enter their username and password. Read more about countersigning
Notes	Enter any notes
iOS: Confirm Android: Confirm administered	This appears after you scan the patient's wristband, the medication barcode, and if required, the QR codes of the witness and counter-signatory. If you are administering a medication, fluid, or infusion, select to confirm it was administered. Read more about administering a medication Read more about administering a fluid or infusion If you are preparing a fluid or infusion, select to confirm it has been prepared but not started. Read more about preparing a fluid or infusion
Prepared	Only available on Android. This only appears for regular medications, stat doses, and PRNs. This appears after you scan the patient's wristband, the medication barcode, and if required, the QR codes of the witness and counter-signatory. Select to confirm that you prepared the medication, but it has not yet been given to the patient. Read more about preparing a medication

Administering medications on a desktop

Icons used on the MAR

Detailed view	Compact view	Description
		The medication is due in this time period.
		The drug ‘due’ period has expired. It is still possible to give the medication late, or mark as given retrospectively.
		The drug 'due' period has expired, and the next dose is now due. It is still possible to sign the medication retrospectively.
		The medication was administered at the time shown. The blue corner indicates further information has been recorded. Mouseover the cell to view further details.
		The mediation has been prepared, but not yet given.
		The infusion has been prepared, but not yet administered.
		The infusion started at the time shown.
		A dose has not been set for this medication. Depending on your permissions, you can manually set a dose. A dose must be set manually before it can be administered. For example, you might need to set a dose for warfarin.
		When a prescription contains different set doses, the required dose for a specific day or time is shown.
		The variable dose has been adjusted or set. Mouseover the cell to view who adjusted the dose.
		The dose has been omitted. Mouseover the cell to view details.
		The prescription was paused for this period. Mouseover the cell to view details.
		The set dose has been administered.
		You have recorded a rate change. The cell displays the change time and the current infusion rate in mL/hr. Mouseover to view the infusion rate in other units. For example, mg/hr or units/hr.
		The syringe has been changed. The cell displays the change time and the current infusion rate in mL/hr. Mouseover to view the infusion rate in other units. For example, mg/hr or units/hr.
		The infusion is on hold. No further actions can be taken until the infusion has been resumed.
		The infusion resumed at the time shown.
		The medication can be administered as needed.
		A PRN Pro Re Nata. It refers to drugs prescribed to be taken as needed, as opposed to at pre-specified intervals. medication has been administered. The number of administrations is shown in the cell.
		Select the cell to place an action on the dose.
		The prescription is or was not active for this period. For example, the start date of the medication might not be shown on your current view.
		The prescription was not given. Mouseover the cell to view details.
		The dose has been delayed. Administer the dose when the reason for the delay no longer exists. For example, if the delay was because the dose was not available, it should be given when it arrives from the pharmacy.
		A soft review has been requested (permission based). The medication can be administered as if due, but the review remains until it has been resolved.
		A hard review is needed before the medication can be administered.
	N/A	A dose was given retrospectively and needs a witness check.

Overview of the 'five rights'

When you administer a medication on a desktop, the 'five rights' screen displays.

	Shows information about the medication, route, and dose.
Policies	Select to view any policies attached to the medication or BNF British National Formulary. The BNF aims to provide prescribers, pharmacists, and other healthcare professionals with sound up-to-date information about the use of medicines. It includes key information on the selection, prescribing, dispensing, and administration of medicines. Medicines generally prescribed in the UK are covered and those considered less suitable for prescribing are clearly identified..
	Shows any administration instructions added by the prescriber.
Scan to confirm right patient	Shows information about the patient, including any allergies recorded. If a patient's allergy matches the medication,  Some Allergies Match displays. Scan the patient's wristband to administer the medication. If no scanner is available, or if there is another reason you are unable to scan the patient's wristband, you must positively identify the patient manually.
Scan to confirm right route, dose and drug	Scan the medication barcode. Information about the scanned medication displays. After scanning the medication barcode, you can: Select Discard scanned meds to remove the scanned medication. Select Print label to print a patient medication label.
Right reason	Shows a patient's indication, or any associated parameters. For example, blood test results, blood pressure, a change in weight-adjusted dosage, or heart rate.
Right time	If it's the first dose, this shows when the medication was prescribed. If it's not the first dose, this shows the most recent time the medication was given. If this is over 24 hours ago, this doesn't appear.
Countersign, scan, or sign	If a counter-signatory is required, this appears. Scan the QR code of the counter-signatory. If you can't scan their QR code, ask them to enter their username and password. Read more about countersigning
Witness, scan, or sign	If a witness is required, this appears. Scan the witness's QR code. If you can't scan their QR code, ask them to enter their username and password. Read more about witnessing
Add notes	Enter any notes.
Confirm without scanning	Select this if you can't scan the medication barcode.
Click to confirm given	This appears after you scan the patient's wristband, the medication barcode, and if required, the QR codes of the witness and counter-signatory. Select to confirm that the medication was administered. Read more about administering a medication Read more about administering a fluid or infusion
Click to confirm prepared	This only appears for regular medications, stat doses, and PRNs. This appears after you scan the patient's wristband, the medication barcode, and if required, the QR codes of the witness and counter-signatory. Select to confirm that you prepared the medication, but it has not yet been given to the patient. Read more about preparing a medication

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