Order Detail - Diabetic Record

<< Click to Display Table of Contents >>

Navigation:  Medication Administration Record (MAR) > Order Detail >

Order Detail - Diabetic Record

Previous pageReturn to chapter overviewNext page

This section will discuss the display options that may be selected and actions that may be performed for Diabetic Record orders in Order Detail.

 

order.detaildr

Order Detail

 

 

The Order Information (left) side of the screen displays the following information, when available: medication name, dose, administer amount, route, frequency, times, duration (or max doses), priority, first dose date/time, start date/time, stop date/time, indication, instructions, additional information (patient's own meds, linked, etc.), order set/list/protocol info, pending information, ordered date, time, and provider name, entered date, time, and user info, nursing verified date, time, and user info, pharmacy verified date, time, and user info.

 

The Administrations (right) side of the screen displays the following information, when available: administration date/time, action taken (started, omitted, discontinued, infusion complete, infusion stopped, infusion started, infusion paused, and titration), level (blood glucose mg/dl), dose/units, bolus, route, user initials/credentials, medication verification status (Y=armband and med barcode were scanned during administration, N=armband and/or med barcode were NOT scanned during administration), and assessment icon (if performed), as well as the items described below. Amended or Removed administrations will display with a strike-through.

 

 

Administrations:

 

The following information displays for Blood Glucose Level and Carbohydrate Count orders:

Date and Time

Item Description

Level

Intervention

Comment

Employee

 

 

Action Bar:

 

Back Arrow: Select this option to exit Order Detail.

 

Protocol: Select this option to display the Diabetic Sliding Scale List. Select the sliding scale; then select Review. Select the back arrows to return to Order Detail.

 

clip0034

Diabetic Sliding Scale Protocol

 

 

Reassessment:

Select an administration from the Administrations; then select Reassessment. The medication name and administration information display.

Enter the Date and Time if different from the current date and time.

Select a Reassessment from the drop-down box, or select Other to key an assessment. If Other is selected, enter the assessment.

Select OK to save and exit or the back arrow to exit without saving.

Select Update to save and exit the Assessment screen, or select the back arrow to exit without saving. The Assessment icon now displays on the administration line.

To review, remove, or amend the assessment, select the administration from the Administrations; then select Assessment.

Select Remove Entry to remove the entry, Amend followed by Update to modify the entry, or the back arrow to exit without saving.

 

clip0024

Assessment

 

 

For an IV, the Start Infusion/Pause Infusion, Complete Infusion, and Titrate options will display on the Action Bar. See Order Detail - IV Infusion.