Flagging and reviewing medications

Depending on your permissions, you can flag medications for review. There are two types of review, hard and soft.

If a medication is flagged for:

  • A hard review,

    No dose can be administered in Nervecentre until it has been reviewed. You can confirm a missed dose was administered retrospectively, or self-administered, but not due or overdue doses with a hard review.

  • A soft review

    A dose can be administered, and the review moves on to the next dose. The review remains on the medication until it has been reviewed or cancelled.

If you prescribe a patient a medication, then someone records that the patient has an allergy to that medication, Nervecentre automatically flags the medication for a hard review.

If you prescribe a continuous infusion, someone records that the patient has an allergy to that infusion, Nervecentre doesn't flag the medication for a hard review.

Flagging and reviewing medications on a mobile

The processes for flagging, cancelling, and completing are the same for both hard and soft reviews.

You can see medication for review on the patient list.

Read about viewing medication information on your patient list

  1. From your patient list, select a patient.

  2. From Chart, select a prescription.

  3. Select a dose to be reviewed.

    This can be a current or future dose.

  4. Select Require hard review or Require soft review and enter a comment.

  1. From your patient list, select a patient.

  2. From Chart, select a prescription.

  3. Select Review > Cancel review-required and enter a comment.

  1. From your patient list, select a patient.

  2. From Chart, select a prescription.

  3. Select Review > Confirm reviewed and enter a comment.

Read more about pausing prescriptions

Read more about stopping prescriptions

Flagging and reviewing medications on a desktop

You can flag a medication for a hard review or a soft review on the MAR Medicines Administration Record. Also known as drug chart. A list of all medication prescribed and administered (given)..

Medications flagged for a hard review remain on the MAR but can't be administered until the medication has been reviewed.

Medications flagged for a soft review remain on the MAR but can still be administered.

  1. From  Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.

  2. From , find the medication.

  3. Select the dose for review. This can be a due, overdue, or upcoming dose cell, marked +.

  4. Select a review option: Require hard review or Require soft review.

  5. Enter a reason for the review and save.

    Medication flagged for hard review shows on the MAR as Review. This dose cannot be administered.

    Medication flagged for soft review shows on the MAR as Due/Review. This dose can be administered. The review flag moves to the next dose until the medication is reviewed.

Medications are reviewed on the MAR. Doctors and pharmacists can review medications. Nurses can cancel reviews but not confirm reviews.

  1. From  Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.

  2. From , find the dose flagged for review.

    appears next to the medication name.

  3. Select the dose cell and select an option.

    • Confirm reviewed

    • Cancel review-required

  4. Enter notes as free text and save.

Or

  1. From  Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.

  2. From , find the dose flagged for review.

    appears next to the medication name.

  3. Select the medication name to open the events log.

  4. Select A review of this prescription is now due

  5. Enter notes as free text and save.

From the events log, you can only confirm a review.

Related articles