Anesthesia

Get to Know the New Intra-procedure Med Admin Window

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Get to Know the New Intra-procedure Medication Administration Window

Anesthesia's Intra-procedure Medication Administration window has been redesigned to simplify the layout, add searching capabilities, and make it easier to remove a medication or cancel an administration. Get to know the new Medication Administration window and learn how to use the new features to make Intra-procedure medication administration faster and easier.

 

Search for Medications

  1.  In the Intra-procedure activity, tap Meds toolkit button. The patient's name appears at the top of the window, so you always know you're in the right patient's chart.
  2. Enter the first few letters of a medication in the Search field in the upper right corner to start searching. 
    • Results appear as you type based on partial matches.
    • Results are sorted into categories, like Intra, Fluids, Antibiotic, and Cardiac.
  3. If your search matches any medications that appear under the Active tab, they appear at the top of the list. Any related interactions and information about the last administration action appears, if available:

 Select a Medication

  1. Select a medication for your patient. The Admin form opens. In the list of medications on the left side of the window, your selected medication is highlighted to make it easier to see.
  2. The name of the selected medication appears in the header above the time strip and shows the total calculated dose, total volume, and information about the last time the medication was administered.
  3. Click the Last Action link to see more detailed administration documentation. If the medication hasn't been administered yet, Not yet administered appears instead of the link.

Explore the Active Medications Tab

More information is now available for medications on the Active tab of the Medication Administration window:

  1. If there are signed and held medication orders for your patient, you can tap Release Signed and Held Orders to release them.
  2. If your patient has any currently running infusions, they appear at the top of the list so you can find them easily.
  3. For all medications on the Active tab, details about the last administration appear next to the medication name.
  4. You can pick several medications at once using the checkboxes to the left of the medication name.
  5. You can also sort the medications by type – All, Periop or Continuous.

 

Remove a Medication from the Order Strip

The medications that appear on the Order Strip under the Add New column are sorted to match the sorting on the Timeline for consistency. If there are medications that you don't plan to administer during the procedure, tap 'X" to remove them. You cannot remove medications that have already been administered in Intra-procedure, so the 'X" does not appear next to those medications.

 

Make Changes to Administration Documentation

If you ever make a mistake or you need to start over with some administration documentation, tap the eraser icon to Discard Changes. If you make a change to existing administration documentation that will cause a problem with that administration or a previously documented administration, a warning message appears with information about the potential problem. The Discard Changes button also appears in these warnings.

Quickly Jump to the Next Required Field

If the medication you selected has required fields, like a weight for a weight-based dose, you can quickly and easily jump to the next required field by tapping  Next Required. After all the required fields are filled out, if there are any recommended fields left, the button changes to  Next Recommended.

 

Review Interaction Warnings

Interaction warnings are visible in more places to make sure that you can easily identify potential interactions before administering medications to your patient. The  icon appears on the Order Strip, the Admin form, and other places in the Intra-procedure activity. Tap the  icon to see more information about the interaction. On the Admin form, you can tap  on the interaction warning message to open it and see more information.

 

Link a New Medication to an Already Active Order

If you select a new medication that matches an existing order for your patient, those matching active medications appear right in the Medication Administration window for quick selection. You don't even need to start documenting the administration details to see matching active orders.

  1. Review the last administration action along with helpful information like the dose and the administration time.
  2. If you want to see more information about one of the active orders, tap   to launch an order report.
  3. If you want to go ahead with adding a new medication, tap Create a New One-Step Order Instead.
  4. You can tap on other icons to see additional information about the active order.

Switch Between Bolus and Continuous Administrations on the Same Medication

You can now select a medication for your patient and document it in different ways, such as switching between bolus and continuous administrations. Bolus and continuous administrations of the same medication appear on the same line on the grid, simplifying the layout and making it easier to find multiple administrations of the same medication. Note that you cannot change the route for an administration after creating an order, and the same medication with different routes appear on separate lines on the grid.

It's still important to select either a bolus unit or a continuous unit first. After documenting a unit, you can document the rest of the details of the medication administration.

 

Change a Volume Action to Automatically Clear Dose and Rate Fields

  1. If you start documenting a rate-based or dose-based administration for a medication and then want to switch to documenting a volume, select the Last Action hyperlink.
  2. The dose or rate you already documented is cleared automatically.
  3. Select the new unit and then enter appropriate dose.

Add a Dosing Reminder

Adding a dosing reminder is now on the same screen as all of your other administration documentation tools:

  1. Select a medication for which you want to add a dosing reminder.
  2. In the Reminders card, tap  Add Reminder.
  3. Select a time for your dosing reminder.

 

Select a Patient Weight for Weight-Based Medication Doses

You can now enter a patient's weight for weight-based medication doses using quick buttons right in the Medication Administration window.

 

Understand Administration Units on the Grid

Now that you can document different units on the same medication, like bolus and continuous units, the medication's row on the grid shows earliest continuous administration unit if one is available. If there are no continuous administrations for the medication yet, the row shows the earliest administration unit available.

 

Hide Medications on the Grid

Click the wrench on the left side of the grid to bring up a window to hide medications from the timeline just like you currently do for data on the Graph. Hover your mouse over the icon indicating hidden medications to review what meds are hidden.


UChart Tip Sheet Last Updated 12/1/2020

If you require additional assistance, please contact the UChart Help Desk at 305-243-5999, Option 2 or UChartHD@med.miami.edu.