# One-Step Clinic Unit Dose Medication Administration

One Step Clinic Administration enables providers to access, order, and document that they administered Clinic Medications in a single process. One Step Clinic Admin bypasses the pharmacy for verification (comes over as ‘done’) and automatically records the clinician administered medication details in the BCMA patient medication log file.

To use One Step Clinic Admin for Unit Dose medications, please use the following steps:

Note: One-Step Clinic Medication Administration is only used when the doctor will PERSONALLY administer a medication in a clinic setting. If a nurse will administer the medication, use Clinic Medications or other ordering method.

1. Select One Step Clinic Admin. (This can be done from the Orders tab Write Orders pane, if an option is available, the Orders tab Action menu, the Meds tab Action menu, or from a progress note).

   The Order Manager dialog displays as shown below.

2. If necessary, select an appropriate clinic encounter location and time.
3. If necessary, select the Unit Dose radio button.
4. If necessary, designate the injection site using the Injection Site drop-down box to locate and select the site (i.e., ARM, LEFT UPPER or THIGH, LEFT).
5. Enter the Action Date/Time for the administration (you can use T for today, N for now, or enter a specific date and time, such as DEC 10, 2014@13:10).
6. Place your cursor in the Scan Medication Bar Code field (the colored rectangle in front of the field will turn from red to green indicating that it is ready to receive data) and scan the medication,

   -or-

   To manually enter the medication, place your cursor in the Scan Medication Bar Code field (the colored rectangle in front of the field will turn from red to green indicating that it is ready to receive data) and type part or the entire medication name and press Enter.

   In the Multiple Drugs for Selected Order dialog, select the appropriate drug by either clicking on the drug name or using the up and down arrow buttons to highlight the name and pressing Ok.

7. Select the Order button.
8. In the Clinic Medications dialog that displays, do the following:
   1. Enter a dosage, either picking from the list or typing a dosage in.
   2. Select a route.
   3. Select a schedule (Now or Stat).
   4. (Optional) Enter a comment.
   5. If the information is correct, select the Accept Order button. If the information is not correct, correct it or select the Quit button to cancel the order.

      Note: If you select Quit, the information is removed and a dialog displays the message that the order was canceled. Select OK. You are then returned to the Order Manager dialog as if you are just beginning the process.

9. If any order checks display, review and act on them appropriately.
10. If all is correct, select the Review/Sign button.
11. In the Review /Sign Changes dialog, enter your electronic signature and select OK.
12. If another order dialog displays, review and take appropriate action, either accepting the order or canceling the order.

The order displays under the Orders Tab in CPRS. You may need to change the view to see the order. If you do not see the order under the Clinic Medications or Clinic Infusions headings, please use the View | Custom View menu option in CPRS and selected Completed/Expired option for Pharmacy. The items should display there.

Related Topics

Clinic Infusions (Overview)

Placing Continuous Clinic Infusion Orders

Placing Intermittent Clinic Infusion Orders

One-Step Clinic Administration for IV Medications