Modifying, missing, or delaying a dose

Adjusting a dose

Only prescribers can adjust doses.

If you want to change one dose in the prescription, you can adjust that dose. All other doses remain prescribed.

If you want to change more than one dose, consider modifying the prescription.

To adjust a dose:

From your patient list, select a patient.
From Chart, select a prescription.
Select the dose cell to be adjusted.

This can be a current or future dose.
Select Adjust dose.
Select DOSE QUANTITY and enter or select a dose quantity.
Add any notes.
Complete all mandatory fields. Mandatory fields are marked .
Select Submit to continue.

The adjusted dose is shown in pale grey on the medication chart.

Omitting a dose

Only prescribers can mark a dose as omitted.

Recording that a dose can't be given

You can record that you can't give a dose. If you later need to give a dose that is marked as not given, you can strike out the mark.

You can delay a dose if you can't give a dose now, but you intend to give the dose later.

From your patient list, select a patient.
From Chart, select a prescription.
Select a Due or Overdue cell > Unable to give - Omit, and select a reason.

The dose cell is shown as Not given.
If you later need to administer a dose marked as not given:
1. Select Not given.
2. Select Strikeout "Not Given".
3. Enter a reason.
4. Select OK.
You can now administer the dose.

Delaying a dose

You can delay a dose if you can't give a dose now, but you intend to give the dose later.

From your patient list, select a patient.
From Chart, select a prescription.
Select a Due or Overdue cell > Unable to give - Delay, and select a reason.

The dose cell shows Delayed.
To administer a delayed dose:
1. Select a Delayed cell.
2. Select Give medicine.
If the delayed dose is not given before the next dose is due, the cell shows Missed?, and the next dose shows Due.

Details of delayed doses are shown in the events log The events log has details of prescribing, administration and ordering are included. You can access it by selecting a medication name from the MAR or outpatient prescription list. on EPMA desktop.

Read more about the events log

Recording that a dose can't be given

If a dose cannot be given now, and you do not intend to give the dose later:

From  Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
From the MAR Medicines Administration Record. Also known as drug chart. A list of all medication prescribed and administered (given)., select a dose marked Due, or Overdue.
Select Unable to give - Omit.
Select a reason.

The dose is marked on the MAR as Not given.
If you later need to administer a dose marked as not given:
1. Select the not given cell.
2. Select Undo “Not Given”.
You can now administer and record the dose.

Delaying a dose

If a dose can't be given now, but you intend to give the dose later:

From  Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
From the MAR, select a dose marked Due, or Overdue.
Select Unable to give - Delay. Select a reason.
The dose cell shows Delayed. Mouseover to see details.
To administer a delayed dose:
1. Select a cell showing Delayed.
2. Select Give medicine.
If the delayed dose is not given before the next dose is due, the cell shows Missed?, and the next dose shows due.

Details of delayed doses are shown in the events log The events log has details of prescribing, administration and ordering are included. You can access it by selecting a medication name from the MAR or outpatient prescription list..

Read more about the events log

About missed doses

If the next dose of a medication becomes due before the previous dose is given it is shown as Missed? on the MAR.