Review chart |
Reviewing the medical chart, allergy, height, weight, health insurance, or other patient information. |
Prepare drug |
Reading medication order to select drug. |
Administer drug |
Recording that a drug has been administrated. |
Unchart drug |
Removing documentation of drug administration (eg, because it was recorded prior to actual administration and the drug did not end up being given to the patient). |
Witnessing drug |
Confirming that preparation of a restricted drug, or another special drug, has been checked. |
Ordering drug/test |
Writing up a new medication order or ordering a test. |
Changing/canceling drug |
Changing drug order details or canceling a drug order. |
Viewing results |
Looking at a patient’s test results. |
Generating discharge |
Writing a discharge summary. |
Reorder drug |
Extending the length of a drug order. |
Drug information |
Looking at drug information. |
Documenting allergies |
Documentation of a patient’s allergies. |
Documenting others |
Documentation of other information relevant to medication orders (eg, height, weight, blood glucose). |
Copying medication order |
Copying medication orders from paper to PowerChart. |