Update Medical Records > Medication

Use the Medication option in a medical record to add details of medication that has been administered to the patient:

Your security profile's record sensitivity for the option is displayed. In this example, the record sensitivity restriction is 'High' so you can view all entries.

Choose to:

• Add a medication entry.
• Edit a medication entry. Amend an entry that has been incorrectly entered.
• Archive a medication entry. This is a useful housekeeping tool for outdated entries. Choose to reverse this procedure if you need to.
• Delete a medication entry. Remove an entry that has been added in error.
• View an audit log. View a log of changes made to medication entries.
• Contact iSAMS if you want to create a report using medication entries.

Add a Medication Entry

1. Open the Medical Centre module and select the Records tab:
   
2. Search for the record that you want to work with.
3. Select Medication from the right hand menu:
   
   
4. Click Add Medication. The Medication window is displayed:
   
   
5. Select a Supplier for the item or click  to add a new one.
6. Either:
   
   • Select the Medication from the Stock Item list or click  to add a new one. If the stock levels are too low the medication cannot be issued.
     or
   • Select 'Other' in Medication and enter a Non Stock Medication in the field displayed.
7. Enter a Dose for the medication. Stock levels are updated automatically based on the dose entered here.
8. Select the Location where the medication is dispensed or click  to add a new location.
9. Select an Expiry Date for the medication.
10. Select a Date and Time of Issue. This defaults to the current date and time.
11. Check the Medication Consent box if this is necessary for the selected medication.
12. Enter any additional Notes about the medication in the field available if required.

13. Set the Record Sensitivity for the entry. This defaults to 'Low'.

14. Click Save & Close.
    The entry is listed in the Manage Medication screen.

Edit a Medication Entry

1. Open the Medical Centre module and select the Records tab:
   
2. Search for the record that you want to work with.
3. Select Medication from the right hand menu:
   
   The Manage Medication screen is displayed:
   
4. Use the filters to display the entries that you want to work with:
   
5. Click  in your selected entry. The Medication window is displayed:
   
6. Change the Supplier for the item or click  to add a new one.
7. Either:
   
   • Select the Medication from the Stock Item list or click  to add a new one. If the stock levels are too low the medication cannot be issued.
     or
   • Select 'Other' in Medication and enter a Non Stock Medication in the field displayed.
8. Amend the Dose for the medication. Stock levels are updated automatically based on the dose entered here.
9. Select the Location where the medication is dispensed or click  to add a new location.
10. Select an Expiry Date for the medication.
11. Select a Date and Time of Issue. This defaults to the current date and time.
12. Check the Medication Consent box if this is necessary for the selected medication.
13. Enter any additional Notes about the medication in the field available if required.

14. Amend the Record Sensitivity for the entry. This defaults to 'Low'.

15. Click Save & Close.
    The amended entry is listed in the Manage Medication screen.
    

Archive a Medication Entry

1. Open the Medical Centre module and select the Records tab:
   
2. Search for the record that you want to work with.
3. Select Medication from the right hand menu:
   
   The Manage Medication screen is displayed:
   
4. Use the filters to display the entries that you want to work with:
   
5. Click  in your selected entry.
   You are prompted Are you sure you want to archive this record?
6. Select Yes.
   The entry is still displayed but the Archive count in the filters increases. The edit and archive icons are greyed out:
   
   
7. Reinstate an archived entry by clicking  in your selected entry.

Delete a Medication Entry

1. Open the Medical Centre module and select the Records tab:
   
2. Search for the record that you want to work with.
3. Select Medication from the right hand menu:
   
   The Manage Medication screen is displayed:
   
4. Use the filters to display the entries that you want to work with:
   
5. Click  in your selected entry. The Medication window is displayed:
   
6. Check that this is the entry that you want to delete.
7. Click Delete & Close. The entry is removed from the Manage Medication screen. A log is kept in the Audit Log.

View an Audit Log

1. Open the Medical Centre module and select the Records tab:
   
2. Search for the record that you want to work with.
3. Select Medication from the right hand menu:
   
4. Select the Audit Log tab:
   
5. Click on an entry to view more detail:
   
6. Click Close Window to close the popup.