Nervecentre V9.0 Help for Users
You can administer medications from the MAR Medicines Administration Record. Also known as drug chart. A list of all medication prescribed and administered (given). on a desktop, or the chart on a mobile.
You can administer medications individually, or as part of a drug round. Nervecentre can work with your single-dose dispensing system. You can only administer a drug round on iOS or a desktop, and not on Android.
This article covers administering regular medications, stat doses, and PRNs Pro Re Nata. It refers to drugs prescribed to be taken as needed, as opposed to at pre-specified intervals.. If you are looking for information about administering fluids and infusions, you can read our other article.
Read more about administering fluids and infusions
Administering a medication on a mobile
Administering a medication
You can scan the patient’s wristband before or after scanning the medication.
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From your patient list, select a patient.
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From Chart, select a prescription.
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Select a due or overdue dose.
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To administer a dose of:
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A regular medication, select Give medicine.
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A stat medication, select Give stat dose.
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A PRN medication, select Give PRN.
The 'five rights' appears.
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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., select Policy.
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Complete all mandatory fields.
Mandatory fields are marked .
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Select Next.
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Optional: use your mobile's torch to help you scan barcodes.
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On iOS, select
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On Android, select
.
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If you did not scan the patient's wristband to enter the patient's record, scan the patient's wristband now.
If you are unable to scan the patient wristband, from Patient not scanned, select
, and select a reason. -
On iOS, to scan again, select Scan more.
You don't need to do this on Android.
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Scan the medication barcode.
If you are unable to scan the medication barcode, from Medicine not scanned, select
, and select a reason. -
When administering a medication, you might need to give more than one unit to complete the dose. For example, two 500 mg paracetamol tablets to make up a 1000 mg dose.
If more than one unit is needed, add extra units in one of the following ways:
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Enter the number of units to be administered and select OK.
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Scan the medication barcode once and select OK.
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If a witness is required:
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On iOS, select Scan more, and scan the witness’s QR code.
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On Android, scan the witness’s QR code.
The witness can access their QR code on their mobile.
Read more about accessing your QR code
If you can't scan the witness's QR code, select Sign and ask the witness to enter their username and password.
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If a countersignature is required:
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On iOS, select Scan more, and scan the QR code of the counter-signatory.
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On Android, scan the QR code of the counter-signatory.
The counter-signatory can access their QR code on their mobile.
Read more about accessing your QR code
If you can't scan the QR code of the counter-signatory, select Sign and ask the counter-signatory to enter their username and password.
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Enter any notes.
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Administer the medication.
Depending on your organisation, you might be able to prepare a medication so you can administer it with other medications later.
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To confirm that you administered the medication now:
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On iOS, select Confirm.
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On Android, select Confirm administered.
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To confirm you prepared the medication so you can administer it later, select Prepared.
This is only available on Android.
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Administering a drug round
This is only possible on iOS and not on Android.
You can administer several medications at the same time as part of a drug round. This reduces the number of actions needed to administer multiple medications individually.
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You can only administer stat and regular medications as part of a drug round.
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You can only administer medications as part of a drug round if you can scan the barcodes of both the medications and the patient's wristband.
To administer a drug round:
- From your patient list, select a patient.
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Select Chart > Give.
A list of all due stat and regular medications displays.
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If your organisation doesn't use single-dose dispensing, all medications show Not in trolley.
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If your organisation does use single-dose dispensing, medications in the drug trolley show the location of the medication in the drug trolley. Any medications that are not in the drug trolley show Not in trolley.
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Select Scan.
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If you didn't scan the patient's wristband to enter the patient's record, scan the patient's wristband now.
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Scan the first medication.
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Select Give.
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Check the 'five rights' and enter any notes.
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Select Next.
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Repeat for all medications.
Administering a medication on a desktop
Administering a medication
You can scan the patient’s wristband before or after scanning the medication.
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From Inpatients > Patient List:
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Scan the patient's wristband to positively identify the patient before administration.
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Search for the patient, and double-click on the patient's name.
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Select Meds.
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From the MAR, select a due or overdue dose.
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To administer a dose of:
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A regular medication, select Give medicine.
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A stat medication, select Give stat dose.
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A PRN medication, select Give PRN.
Fluids, intermittent infusions, and continuous infusions show different options.
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If a dialogue box appears, complete all mandatory fields.
Mandatory fields are marked .
The 'five rights' appears.
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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., select Policies.
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If you didn't scan the patient's wristband to enter the patient's record, scan the patient's wristband now.
If no scanner is available, or if there is another reason you are unable to scan the patient's wristband, positively identify the patient manually. In this scenario, the dialogue box is not updated with .
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Scan the barcode on the medication box to confirm the correct medication, form, and strength.
If an incorrect medication is scanned, a warning appears, and you can't continue with the administration.
If you can't scan the medication barcode, select Confirm without scanning and select a reason.
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When administering a medication, you might need to give more than one unit to complete the dose. For example, two 500 mg paracetamol tablets to make up a 1000 mg dose.
If more than one unit is needed, add extra units in one of the following ways:
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Enter the number of units to be administered
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Scan the barcode on the box of medication once for each unit
displays when you have entered or scanned the correct number of units.
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To remove scanned medication, select Discard scanned meds.
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If you scanned a medication, you can print a medication label. To print a patient medication label, select Print label.
For example, a label similar to the one below.
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If a witness is required, scan the witness’s QR code.
They can access their QR code on their mobile.
Read more about accessing your QR code
If you can't scan the witness's QR code, the witness must enter their username and password.
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If a countersignature is required, scan the QR code of the counter-signatory.
They can access their QR code on their mobile.
Read more about accessing your QR code
If you can't scan the QR code of the counter-signatory, the counter-signatory must enter their username and password.
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Enter any notes
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Administer the medication now, or later.
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To administer the medication now, select Click to confirm given.
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To prepare the medication so you can administer it later, select Click to confirm prepared.
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Administering a drug round
You can administer several medications at the same time as part of a drug round. This reduces the number of actions needed to administer multiple medications individually.
-
You can only administer stat and regular medications as part of a drug round.
-
You can only administer medications as part of a drug round if you can scan the barcodes of both the medications and the patient's wristband.
To administer a drug round:
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From Inpatients > Patient List:
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Scan the patient's wristband to positively identify the patient before administration.
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Search for the patient, and double-click on the patient's name.
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Select Meds > .
A list of all due stat and regular medications displays next to the 'five rights'.
Read more about the 'five rights'
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If your organisation doesn't use single-dose dispensing, all medications show Not in trolley.
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If your organisation does use single-dose dispensing, medications in the drug trolley show the location of the medication in the drug trolley. Any medications that are not in the drug trolley show Not in trolley.
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If you didn't scan the patient's wristband to enter the patient's record, scan the patient's wristband now.
If no scanner is available, or if there is another reason you are unable to scan the patient's wristband, positively identify the patient manually. In this scenario, the dialogue box is not updated with .
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Scan the first medication.
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Medications that are due are listed on the left.
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If your organisation doesn't use a unit dose medicine cabinet linked to Nervecentre, all medications show Not in trolly. You can ignore this message.
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If your organisation uses a unit dose medicine cabinet linked to Nervecentre, any medications not added automatically to the trolley are marked as Not in trolly.
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If a witness is required, scan the witness’s QR code.
They can access their QR code on their mobile.
Read more about accessing your QR code
If you can't scan the witness's QR code, the witness must enter their username and password.
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If a countersignature is required, scan the QR code of the counter-signatory.
They can access their QR code on their mobile.
Read more about accessing your QR code
If you can't scan the QR code of the counter-signatory, the counter-signatory must enter their username and password.
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Enter any notes.
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Select Confirm.
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Repeat for all medications.
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