Partial Doses

All medication doses need to be documented in the MAR, including when circumstances only allow for partial administration. Partial dose documentation will require you to edit the field ‘Admin Info.’

1.       From the MAR select the medication for editing, and click OK.

2.       Enter in the date/time that the drug was administered and click OK.

3.       Choose Continue Editing and click OK.

4.       Select the medication you want to document a partial dose on, and then click OK.

5.       When prompted to "Select field to edit or Choose option", click on the Admin Info field.
Note: The RN should never adjust the field ‘Dose/Route’ unless the order is specifically written by the Prescriber as a prn dose range. Only in that case, the Dose/Route field would be empty and require completion.

6.  Select the medication product to edit when prompted and then click the OK button.

7.       In the transaction line, enter the appropriate quantity (i.e. 0.5 for a half tab), or the dose .  In the example below, the patient only received half the dose so 1 was entered to equal 325mg.

8.       It is important to verify that the dose recalculated correctly, if so, then click on OK to continue (if not, then click Back, and start from step 5 above again).  

9.       A dosage warning appears to identify that the administered dose or route doesn’t  match the ordered dose or route. You are over-riding the Prescriber’s order for 650 mg. Use this feature only when unavoidable. Click Yes to continue with documenting the partial dose.

10.    Enter Alert override comment and click OK.

11.  Verify that all information is correct, then click on the OK button.

12.  Verify one last time, then click on OK.

13.  Click Administer All.

14.  Click Accept.

15.  If the system does not refresh choose Refresh.

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