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Client-Reported Medications Overview

Streamline medication order management with this step-by-step guide. We’ll walk through entering medication details, managing orders, and handling special actions like storing, returning, or destroying medications. Follow along to ensure accuracy and compliance each time you work with a medication order.

Step 1: Click the main menu to begin.

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Step 2: Select the Medication Orders option.

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Step 3: Enter the medication name in the Medication field.

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Step 4: Fill in the client identifier in the appropriate field.

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Step 5: Click the Add New Order button.

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Step 6: Input the medication strength in the designated field.

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Step 7: Click Frequency to display schedule options.

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Step 8: Select the administration route.

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Step 9: Enter the frequency or times of administration.

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Step 10: Specify the purpose of the medication.

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Step 11: Type in the rationale for the prescription.

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Step 12: Enter the pharmacy or dispensing site, if required.

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Step 13: Click Prescriber to select the ordering professional.

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Step 14: Choose the appropriate staff member from the list.

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Step 15: Input the prescriber’s order number (Rx #).

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Step 16: Type in the quantity of medication available.

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Step 17: Enter the number of refills authorized.

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Step 18: Fill in the starting date for the order.

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Step 19: Specify the end date for this medication order.

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Step 20: Assign the route and frequency—these fields must be selected, even if unchanged from a prior order.

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Step 21: Click 'Save' to record your entries.

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Step 22: Navigate through additional actions using the order action bar.

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Step 23: Review or update reporting on this medication, such as strength, quantity, and order details.

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Step 24: To view the medication’s full detail, click the medication entry.

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Step 25: For more information, open the order details panel.

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Step 26: Refer to the specific medication panel listing name, strength, route, frequency, rationale, prescription number, quantity, and other relevant information. Select additional actions as needed.

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Step 27: Review who ordered the medication and see the professional’s listing.

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Step 28: Confirm the strength and route for administration.

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Step 29: Choose from available medication routes, like IM, lotion, oral, subcutaneous, or sublingual.

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Step 30: Check the frequency drop-down for administration options, ranging from as-needed to scheduled.

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Step 31: Review or update the medication’s purpose.

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Step 32: Confirm or change the listed prescriber from available personnel.

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Step 33: Enter administration instructions for staff or clients.

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Step 34: Set or update the medication’s start date.

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Step 35: Indicate an end date if the medication isn’t ongoing.

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Step 36: If an immediate dose is required, select 'First Dose Immediately' to create an additional order.

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Step 37: Record the amount to be taken, setting allowable ranges or specific dosing criteria as needed.

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Step 38: Enter or verify the pharmacy-provided Rx number.

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Step 39: Click 'Save' to finalize your order changes.

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Step 40: Select 'Cancel' if you wish to discard changes.

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Step 41: Review the updated documentation indicating your order’s saved status.

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Step 42: When saving, note that a server function is called to submit the order.

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Step 43: A POST request is sent to record the new order.

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Step 44: Orders already placed will be indicated in the order list.

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Step 45: If further changes are needed, you may save or cancel edits as before.

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Step 46: Your documentation remains ready for further action and review.

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Step 47: For successful prescriptions, the system updates the record and display accordingly.

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Step 48: System tasks like removing entries and updating fields are triggered upon saving.

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Step 49: Confirming the prescriber and drug name ensures accurate order attribution.

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Step 50: Review the medication summary panel for all active prescription details, including dates, strengths, and ordering information.

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Step 51: To discontinue a medication, click 'Discontinue Medication.'

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Step 52: Confirm the action to discontinue, then choose to save or cancel.

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Step 53: To store medication, use the store function and enter required details.

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Step 54: Returning medication requires entering the returned amount and signing as returned. Save changes as needed.

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Step 55: To destroy medication, enter the destroyed amount, sign as destroyed, and save or cancel the action.


Medication Destruction Process

Step 1: Open the destruction log to view previously destroyed medications.

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Step 2: Review prior destruction records for date, reason, and amount.

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Step 3: Note the staff member responsible for destruction.

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Step 4: Fill out the destruction details: date, reason, amount, and destroyer.

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Step 5: Collect the client’s signature to authorize destruction.

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Step 6: Once all information is complete, proceed to destroy the medication.

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Additional Medication Management Actions

Step 1: Click the Add button.

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Step 2: Enter required details in the field.

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Step 3: Click to confirm your entry.

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Step 4: To create an immediate order, select 'First Dose Immediately.'

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Step 5: Confirm the action.

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Step 6: Select an end date for the order.

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Step 7: Click 'Save' to finalize the medication record.

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Step 8: Click into the medication record for further actions.

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Step 9: Make desired changes and save.

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Step 10: Enter any additional required data.

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Step 11: Click 'Cancel' to exit if you wish to discard changes.

To see all medication records, select 'All Active Pending Completed.' This gives a full overview of current, pending, and completed medication management tasks for your review and continued compliance.