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The Pharmacy Control Information table gives the facility the option to use acetaminophen max dose warnings. The max dose allowed by the facility is entered in this table along with what percentage of the max dose allowed must be reached before nursing is alerted.

 

If max dose is being used and acetaminophen is scanned, additional fields/options will be available on the Medication Administration screen.

 

Medication Administration

 

 

•24 Hour dose total: This field displays the total dose of acetaminophen administered via all acetaminophen orders for the past 24 hours based on the "Administered Time" of the currently selected administration. The Caution icon will display to the right of the total if this administration will place the acetaminophen total in the warning percentage range or over the max dose allowed.

 

•Acetaminophen Admins: Select this option from the action bar to display the Acetaminophen Administrations screen.

 

Acetaminophen Administrations

 

 

The following information displays:

 

•Each acetaminophen administration displays including the date and time of the administration, the initials of the user who documented the administration, the medication description for the administration, and the dose administered for the administration.

 

•24 hour maximum dose: This field displays the max dose allowed as determined by the Pharmacy Control Information table.

 

•24 hour total: This field displays the total dose of acetaminophen administered to the patient via all acetaminophen orders for the past 24 hours based on the "Administered Time" of the currently selected administration.

 

Select OK to return to medication administration.

 

Complete the medication administration options as outlined in Medication Administration. If a warning was generated when this administration was scanned and Update Pending or Save/View Pending is selected, the following alert will appear: "Patient will exceed the max dosage of Acetaminophen in a 24 hour period. Enter a reason to proceed:"

 

Maximum Dose Warning

 

 

Enter an override reason and then select OK to proceed with the administration process. If OK is selected and an override reason is not entered, the following alert will appear: "Please enter a reason or use the back arrow to exit."

 

Warning Prompt

 

 

Select OK to return to the Maximum Dose Warning screen. Enter an override reason or select the back arrow to exit back to the Medication Administration screen.

 

NOTE: The process from the Medication Administration screen for acetaminophen administrations is the same with and without utilizing Medication Verification.