Nervecentre V9.0 Help for Users
You can administer and manage fluids and infusions 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.
Your organisation determines how fluid and infusion rate changes are prescribed and administered. For some fluids and infusions, you prescribe the rate change then administer the rate change. For other fluids and infusions, the rate change is already prescribed, so you only have to administer the rate change.
The steps for administering fluids and infusions are similar to those for administering other medications, for example, the five rights. Some actions might require a witness.
Read more about administering medications
Administering fluids and infusions on a mobile
On the Chart, you can find fluids from FLUIDS, continuous infusions from CONTINUOUS INFUSIONS, and intermittent infusions from REGULAR.
Preparing a fluid or infusion
-
From your patient list, select a patient.
-
Select Chart.
-
Select a due fluid or infusion.
-
From FLUIDS, select a due fluid.
-
From CONTINUOUS INFUSIONS, select a due continuous infusion.
-
From REGULAR, select a due intermittent infusion.
-
-
Select Due > Prepare infusion.
The 'five rights' appears.
-
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.
-
Complete all mandatory fields.
Mandatory fields are marked .
-
Select Next.
-
Optional: use your mobile's torch to help you scan barcodes.
-
On iOS, select
. -
On Android, select
.
-
-
If you didn't 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.
-
Scan the medication barcode.
If you are unable to scan the medication barcode, from Medicine not scanned, select
, and select a reason. -
If a witness is required:
-
On iOS, select Scan more, and scan the witness’s QR code.
-
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.
-
-
If a countersignature is required:
-
On iOS, select Scan more, and scan the QR code of the counter-signatory.
-
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.
-
-
Enter any notes.
-
To confirm:
-
On iOS, select Confirm.
-
On Android, select Confirm administered.
The fluid or infusion shows Prepared.
-
Starting a fluid or infusion
- From your patient list, select a patient.
-
Select Chart.
-
Select a prepared fluid or infusion.
-
From FLUIDS, select a prepared fluid.
-
From CONTINUOUS INFUSIONS, select a prepared continuous infusion.
-
From REGULAR, select a prepared intermittent infusion.
-
-
Select Prepared > Start infusion.
The 'five rights' appears.
-
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.
-
Complete all mandatory fields.
Mandatory fields are marked .
-
Select Next.
-
Optional: use your mobile's torch to help you scan barcodes.
-
On iOS, select
. -
On Android, select
.
-
-
If you didn't 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.
-
Scan the medication barcode.
If you are unable to scan the medication barcode, from Medicine not scanned, select
, and select a reason. -
If a witness is required:
-
On iOS, select Scan more, and scan the witness’s QR code.
-
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.
-
-
If a countersignature is required:
-
On iOS, select Scan more, and scan the QR code of the counter-signatory.
-
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.
-
-
Enter any notes.
-
To confirm:
-
On iOS, select Confirm.
-
On Android, select Confirm administered.
-
Preparing and starting a fluid or infusion
-
From your patient list, select a patient.
-
Select Chart.
-
Select a due fluid or infusion.
-
From FLUIDS, select a due fluid.
-
From CONTINUOUS INFUSIONS, select a due continuous infusion.
-
From REGULAR, select a due intermittent infusion.
-
-
Select Due > Prepare and start.
The 'five rights' appears.
-
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.
-
Complete all mandatory fields.
Mandatory fields are marked .
-
Select Next.
-
Optional: use your mobile's torch to help you scan barcodes.
-
On iOS, select
. -
On Android, select
.
-
-
If you didn't 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.
-
Scan the medication barcode.
If you are unable to scan the medication barcode, from Medicine not scanned, select
, and select a reason. -
If a witness is required:
-
On iOS, select Scan more, and scan the witness’s QR code.
-
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.
-
-
If a countersignature is required:
-
On iOS, select Scan more, and scan the QR code of the counter-signatory.
-
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.
-
-
Enter any notes.
-
To confirm:
-
On iOS, select Confirm.
-
On Android, select Confirm administered.
-
Preparing a continuous infusion over multiple bags
You can prepare a continuous infusion over multiple bags, then start the infusion.
-
From your patient list, select a patient.
-
Select Chart.
-
From CONTINUOUS INFUSIONS, select a due continuous infusion.
-
Select Due > Prepare infusion over multiple bags.
The 'five rights' appears.
-
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.
-
Complete all mandatory fields.
Mandatory fields are marked .
-
Select Next.
-
Optional: use your mobile's torch to help you scan barcodes.
-
On iOS, select
. -
On Android, select
.
-
-
If you didn't 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.
-
Scan the medication barcode.
If you are unable to scan the medication barcode, from Medicine not scanned, select
, and select a reason. -
If a witness is required:
-
On iOS, select Scan more, and scan the witness’s QR code.
-
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.
-
-
If a countersignature is required:
-
On iOS, select Scan more, and scan the QR code of the counter-signatory.
-
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.
-
-
Enter any notes.
-
To confirm:
-
On iOS, select Confirm.
-
On Android, select Confirm administered.
The fluid or infusion shows Prepared.
-
Prescribing a rate change
-
From your patient list, select a patient.
-
Select Chart.
-
Select a fluid or infusion.
-
From FLUIDS, select a fluid showing In progress.
-
From CONTINUOUS INFUSIONS, select an infusion showing In progress.
-
From REGULAR, select an infusion showing In progress.
-
-
Select under the cell showing the active fluid or infusion.
Active fluids and infusions show a blue background.
-
Select Prescribe rate change.
A form appears.
-
Complete all mandatory fields.
Mandatory fields are marked .
-
Enter any notes.
-
Select Submit.
Administering a rate change
-
From your patient list, select a patient.
-
Select Chart.
-
Select a fluid or infusion.
-
From FLUIDS, select a fluid showing Change rate.
-
From CONTINUOUS INFUSIONS, select an infusion showing Change rate.
-
From REGULAR, select an infusion showing Change rate.
-
-
Select the cell showing the new rate.
The cell has an orange background.
-
Select Administer rate change.
The 'five rights' appears.
-
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.
-
Complete all mandatory fields.
Mandatory fields are marked .
-
Select Next.
-
Optional: use your mobile's torch to help you scan barcodes.
-
On iOS, select
. -
On Android, select
.
-
-
If you didn't 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.
-
Scan the medication barcode.
If you are unable to scan the medication barcode, from Medicine not scanned, select
, and select a reason. -
If a witness is required:
-
On iOS, select Scan more, and scan the witness’s QR code.
-
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.
-
-
If a countersignature is required:
-
On iOS, select Scan more, and scan the QR code of the counter-signatory.
-
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.
-
-
Enter any notes.
-
To confirm:
-
On iOS, select Confirm.
-
On Android, select Confirm administered.
-
Changing a bag or syringe
You can change a bag or syringe if the total prescribed dose has not already been given. For example, if the prescription says to give 1000 mL and you administered a bag with 500 mL, you can change the bag to give the other 500 mL. If you administered a bag with 1000 mL, you can't change the bag.
-
From your patient list, select a patient.
-
Select Chart.
-
Select a fluid or infusion.
-
From FLUIDS, select a fluid showing In progress.
-
From CONTINUOUS INFUSIONS, select an infusion showing In progress.
-
From REGULAR, select an infusion showing In progress.
-
-
Select under the cell showing the active fluid or infusion.
Active fluids and infusions show a blue background.
-
Select Change syringe/bag.
A form appears.
-
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.
-
Complete all mandatory fields.
Mandatory fields are marked .
-
Select Next.
-
Optional: use your mobile's torch to help you scan barcodes.
-
On iOS, select
. -
On Android, select
.
-
-
If you didn't 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.
-
Scan the medication barcode.
If you are unable to scan the medication barcode, from Medicine not scanned, select
, and select a reason. -
If a witness is required:
-
On iOS, select Scan more, and scan the witness’s QR code.
-
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.
-
-
If a countersignature is required:
-
On iOS, select Scan more, and scan the QR code of the counter-signatory.
-
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.
-
-
Enter any notes.
-
To confirm:
-
On iOS, select Confirm.
-
On Android, select Confirm administered.
-
Confirming retrospectively a bag or syringe change
You can confirm retrospectively a bag or syringe was changed for fluids and continuous infusions, but not for intermittent infusions.
-
From your patient list, select a patient.
-
Select Chart.
-
Select a fluid or infusion.
-
From FLUIDS, select a fluid showing In progress.
-
From CONTINUOUS INFUSIONS, select an infusion showing In progress.
-
-
Select under the cell showing the active fluid or infusion.
Active fluids and infusions show a blue background.
-
Select Confirm changed syringe / bag retrospectively.
A form appears.
-
Complete all mandatory fields.
Mandatory fields are marked .
-
Select Submit.
Pausing a fluid or infusion
-
From your patient list, select a patient.
-
Select Chart.
-
Select a fluid or infusion.
-
From FLUIDS, select a fluid showing In progress.
-
From CONTINUOUS INFUSIONS, select an infusion showing In progress.
-
From REGULAR, select an infusion showing In progress.
-
-
Select under the cell showing the active fluid or infusion.
Active fluids and infusions show a blue background.
-
Select Pause infusion.
Resuming a fluid or infusion
-
From your patient list, select a patient.
-
Select Chart.
-
Select a fluid or infusion.
-
From FLUIDS, select a fluid showing Paused.
-
From CONTINUOUS INFUSIONS, select an infusion showing Paused.
-
From REGULAR, select an infusion showing Paused.
-
-
Select Paused.
-
For fluids and continuous infusions, select Resume infusion.
For intermittent infusions, select Resume.
Stopping a fluid
-
From your patient list, select a patient.
-
Select Chart.
-
From FLUIDS, select a fluid showing In progress or Paused
-
Select + for an in-progress fluid, or Paused for a paused fluid.
-
Stop fluid administration early, or record that fluid administration is complete.
-
To stop the fluid early, select Stopped early.
-
To complete fluid administration, select Completed.
-
-
Complete all mandatory fields.
Mandatory fields are marked .
-
Enter any notes.
-
Select Submit.
Stopping a continuous infusion
You can stop continuous infusions, and intermittent infusions, but the steps to stop these infusions are different.
Read about stopping intermittent infusions
To stop a continuous infusion:
-
From your patient list, select a patient.
-
Select Chart.
-
Select an infusion.
-
From CONTINUOUS INFUSIONS, select an infusion showing In progress or Paused.
-
From REGULAR, select an infusion showing Paused.
-
-
Select + for an in-progress infusion, or Paused for a paused infusion.
-
Select Stop infusion.
-
Enter the time you stopped the infusion.
-
Enter any notes.
-
Select Submit.
Administering fluids and infusions on a desktop
On the MAR, you can find fluids from Fluids, continuous infusions from Continuous Infusions, and intermittent infusions from Regular Medicines. If the prescription for a continuous infusion includes a volume, the concentration displays on the MAR.
Preparing a fluid or infusion
-
From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
-
For a fluid or infusion, select a cell showing Due.
-
Fluids appear under Fluids.
-
Continuous infusions appear under Continuous Infusions.
-
Intermittent infusions appear under Regular Medicines.
-
-
Select Prepare infusion.
-
Complete all mandatory fields.
Mandatory fields are marked .
-
For fluids, enter the volume of the bag.
-
For continuous infusions, the fields you see depend on your organisation. If needed, enter the total volume, and select a diluent.
-
For intermittent infusions, you might need to enter the dose duration.
-
-
Select Confirm.
The 'five rights' appears.
-
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.
-
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 .
-
Scan the barcode on the medication box or bag 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.
-
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.
-
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.
-
Enter any notes
-
Select Click to confirm given.
The cell shows Prepared.
Starting a fluid or infusion
-
From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
-
For a fluid or infusion, select a cell showing Prepared.
-
Fluids appear under Fluids.
-
Continuous infusions appear under Continuous Infusions.
-
Intermittent infusions appear under Regular Medicines.
-
-
Select Start infusion.
-
For continuous infusions or intermittent infusions, enter the dose rate, and select Confirm.
The 'five rights' appears.
-
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.
-
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 .
-
Scan the barcode on the medication box or bag 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.
-
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.
-
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.
-
Enter any notes
-
Select Click to confirm given.
When a fluid or continuous infusion has been started, displays in the administration cell with the time and rate.
When an intermittent infusion has been started, displays with the time.
Preparing and starting a fluid or infusion
-
From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
-
For a fluid or infusion, select a cell showing Due.
-
Fluids appear under Fluids.
-
Continuous infusions appear under Continuous Infusions.
-
Intermittent infusions appear under Regular Medicines.
-
-
Select Prepare and start.
-
Complete all mandatory fields.
Mandatory fields are marked .
-
For fluids, enter the volume of the bag.
-
For continuous infusions, the fields you see depend on your organisation. If needed, enter the dose rate, enter the total volume, and select a diluent.
-
For intermittent infusions, you might need to enter dose rate and duration.
-
-
Select Confirm.
The 'five rights' appears.
-
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.
-
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 .
-
Scan the barcode on the medication box or bag 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.
-
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.
-
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.
-
Enter any notes
-
Select Click to confirm given.
When a fluid or continuous infusion has been started, displays in the administration cell with the time and rate.
When an intermittent infusion has been started, displays with the time.
Preparing a continuous infusion over multiple bags
-
From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
-
From Continuous Infusions, select a cell showing Due.
-
Select Prepare infusion over multiple bags.
-
Enter the dose in the bag.
-
Enter the volume of the bag.
-
Select a diluent.
-
Select Confirm.
The 'five rights' appears.
-
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.
-
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 .
-
Scan the barcode on the medication box or bag 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.
-
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.
-
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.
-
Enter any notes
-
Select Click to confirm given.
The cell shows Prepared.
Prescribing a rate change
-
From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
-
Find the fluid or infusion you want to change.
-
Fluids appear under Fluids.
-
Continuous infusions appear under Continuous Infusions.
-
Intermittent infusions appear under Regular Medicines.
-
-
For fluids and continuous infusions, select under the cell showing the active fluid or infusion.
Active fluids and continuous infusions show a blue cell and display .
For intermittent infusions, select the most recent cell with for the infusion.
-
Select Prescribe rate change.
-
Enter the new rate in mL/hr.
-
Enter any notes.
-
Select Submit.
Volume and duration are not interconnected. The original duration displays if the rate is changed. If you want to change the duration, you need to stop the current infusion and prescribe another infusion with the new duration.
Administering a rate change
-
From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
-
Find the fluid or infusion with a prescribed rate change.
-
Fluids appear under Fluids.
-
Continuous infusions appear under Continuous Infusions.
-
Intermittent infusions appear under Regular Medicines.
-
-
Select the cell showing the rate change.
The cell has an orange background.
-
Select Adminster rate change.
The new rate displays.
-
Select Confirm.
The 'five rights' appears.
-
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 or bag 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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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 Click to confirm given.
Changing a bag or syringe
You can change a bag or syringe if the total prescribed dose has not already been given. For example, if the prescription says to give 1000 mL and you administered a bag with 500 mL, you can change the bag to give the other 500 mL. If you administered a bag with 1000 mL, you can't change the bag.
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From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
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Find the fluid or infusion you want to change.
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Fluids appear under Fluids.
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Continuous infusions appear under Continuous Infusions.
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Intermittent infusions appear under Regular Medicines.
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For fluids and continuous infusions, select under the cell showing the active fluid or infusion.
Active fluids and continuous infusions show a blue cell and display .
For intermittent infusions, select the most recent cell with for the infusion.
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Select Change syringe / bag.
A dialogue box appears.
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Complete all mandatory fields.
Mandatory fields are marked .
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Select Confirm.
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.
-
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 .
-
Scan the barcode on the medication box or bag 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.
-
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.
-
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 Click to confirm given.
Confirming retrospectively a bag or syringe change
You can confirm retrospectively a bag or syringe was changed for fluids and continuous infusions, but not for intermittent infusions.
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From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
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Find the fluid or infusion you want to change.
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Fluids appear under Fluids.
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Continuous infusions appear under Continuous Infusions.
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Select under the cell showing the active fluid or infusion.
Active fluids and continuous infusions show a blue cell and display .
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Select Confirm changed syringe / bag retrospectively.
A dialogue box appears.
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Complete all mandatory fields.
Mandatory fields are marked .
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Select Submit.
Pausing a fluid or infusion
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From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
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Find the fluid or infusion you want to pause.
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Fluids appear under Fluids.
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Continuous infusions appear under Continuous Infusions.
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Intermittent infusions appear under Regular Medicines.
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For fluids and continuous infusions, select under the cell showing the active fluid or infusion.
Active fluids and continuous infusions show a blue cell and display .
For intermittent infusions, select the most recent cell with for the infusion.
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Select Pause infusion.
If you select + for an intermittent infusion, select Pause prescription.
Resuming a fluid or infusion
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From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
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Find the fluid or infusion you want to resume.
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Fluids appear under Fluids.
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Continuous infusions appear under Continuous Infusions.
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Intermittent infusions appear under Regular Medicines.
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Select the cell showing Paused.
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For fluids and continuous infusions, select Resume infusion.
For intermittent infusions, select Resume.
Stopping a fluid
All fluids must be stopped manually.
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From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
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From Fluids, find the fluid you want to stop.
Active fluids show a blue cell and display .
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Select under the cell showing the active fluid, or select a cell showing Paused.
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Stop fluid administration early, or record that fluid administration is complete.
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To stop the fluid early, select Stopped early.
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To complete fluid administration, select Completed.
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Enter the volume given.
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Enter the time you stopped the fluids.
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Enter any notes.
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Select Submit.
Stopped fluids remain on the MAR, but can't be interacted with.
Stopping a continuous infusion
You can stop continuous infusions, and intermittent infusions, but the steps to stop these infusions are different.
Read about stopping intermittent infusions
To stop a continuous infusion:
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From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
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Find the infusion you want to stop.
Continuous infusions appear under Continuous Infusions.
Active continuous infusions show a blue cell and display .
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Select under the cell showing the active infusion, or select a cell showing Paused.
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Select Stop infusion.
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Enter the time you stopped the infusion.
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Enter any notes.
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Select Submit.
Stopped infusions remain on the MAR, but can't be interacted with.
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