Use these instructions when administering orders from the Continuous IV tab. The Continuous IV allows measurements to be added at different points of time thus keeping a track of when and how much has been infused to the patient.
All conflicts must be viewed prior to administration. Click the red exclamation button to the right of the medication to display any Allergy/Reaction (PAR), Dose Conflict, Duplicate Therapy (DT), Drug Interaction and/or Food/Alcohol (DFA) interactions for this medication. Click Close to close the Conflict window when you are finished with your review.
Check the boxes of the desired medications, and click Administer Selected to display the Administration window.
On the Administration tab in the Order Details section, the Physician, Dosage, Volume (beginning, infused, and remaining), Rate, Frequency, Route, IV Site, IV Method, IV Type, and Bag number, and Ordered Rate Range are displayed.
Confirm and, if necessary, modify the Rate Administered field. (When editing the IV rate for continuous solutions, the remaining volume is not calculated.)
In the IV Site field, use the drop-down list to select the appropriate IV site used.
In the Administration Details section, the New Bag Hung check box identifies a new IV bag and applies a charge to the account. This box is automatically checked for the first administration of the medication. For subsequent administrations, this box is unchecked until the full volume has been administered (i.e. Remaining Volume = 0). If you check this box during a subsequent administration, the message, Do you want to discontinue the current bag and start a new bag, is displayed. Click Yes if you are starting a new bag, or click No if you are administering the current bag.
The Administered By field displays the current user ID, and the Administered date and time fields display the current date and time. Edit these fields as necessary to document the appropriate administration information.
Enter the time the bag was started in the Bag Start Date/Time fields.
Enter the time the bag was stopped in the Bag Stop Date/Time fields. Based on the start and stop times, the total run time is automatically calculated and displayed in the Bag Total Run Time field.
If a witness is required, the Witness Username and Witness Password fields are displayed. Enter the witness username and password, and click Authenticate to verify the information.
Enter any notes in the Comment field.
(Optional) Select the Instructions tab to view special instructions or comments associated with the order. These are comments that apply to this dose and/or dose time only, e.g. "Draw labs 30 minutes after this dose." This tab displays only if instructions or comments have been entered.
(Optional) Select the Add Charges tab to add, view, or edit additional charges. To add a charge, click the Add button to display the Add Additional Charges window. Enter the charge, quantity, and up to 2 modifiers in the appropriate fields. Then, click Save and the added charge is displayed. Located to the right of each additional charge are function buttons that allow you to edit or remove the charge. Click the Edit button to edit, or click the Remove button to remove it.
(Optional) Select the Additives tab to view a list of additives to be given to the patient along with the main order. The additive name, strength, dose, volume, and quantity are displayed. This tab is displayed only if there are additives associated with the main order and is view-only. Use the Additives tab to ensure the additives are not missed and are charged.
(Optional) Select the Order Detail tab to view the current details of the order, including related diagnosis, history, and the ability to mark this as a home medication. (To indicate this, check the Home Medication box.)
Click Save, or if administering multiple orders, click Save and Next to display the next order. If the stop date of the order has passed the current date and time, the message, The stop date has passed. Would you like to discontinue this order? is displayed. Click Yes if you want discontinue the order, or click No to continue with this order.
Orders on the Continuous IV tab remain on the list until the order is discontinued.