DOCUMENTATION OF SCHEDULED MEDS

When scheduled medications are due to be given in Focused Software a notification on the DirectCare home page. The notification lasts for 2 hours appearing 1 hr before and lasting 1 hour after the set time. For example if a medication is due to be given at 9 am the notification will appear at 8 am and disappear at 10 am. (This is in accordance with federal (CMS) and many state expectations.) Once the notification has disappeared the only way to document medications is to use the missed meds route (please see the ‘Documentation of Missed Meds’ user guide).

From the notification list on the DirectCare home page identify any medication administration alerts and click on the red text (blue circle below).

 

Click on the red text and a dropdown bar will appear. Click on it and a list of clients with medications due to be given NOW will appear. Click on any client’s name who has been given their medications. will appear (red circle). Click on one of the names.

 

Automatically, all of the medications that client is due to be given now will appear, that is, only meds for the current time. Please click on the appropriate button eg ‘Medication Taken’ or ‘Refuse’ (red circle) then put in a medication count (green arrow). Then submit. Please note: you cannot go back and add a med count it must be done at the time of administration.

 

 

YOU CANNOT GO BACK AND EDIT OR ADD MEDICATION CONTROL NUMBERS.

 

Old medication documentation can be viewed by direct care staff by going into the client’s chart and clicking on the ‘Medication Log’ tab.

Once you click on an option the initials of the person who logged in will now appear in the date/time shown. If you choose a wrong option then immediately click on your initials (red circle) and choose another option.

 

 

Simply click on the ‘Administer’ button and a window will pop open with options for you to choose from. If the medication was taken always choose the first green option ‘Medication Taken’. The Day Hab option is ONLY chosen if the consumer is at a day tab location not served by Focused Software so staff could not document in the electronic health record.

 

Once you click on an option the initials of the person who logged in will now appear in the date/time shown. If you choose a wrong option then immediately click on your initials (red circle) and choose another option.

 

If you return to the home page you will now notice that the medication notification has disappeared (or the number has reduced by one if multiple meds are due to be given). The green arrow shows where the notification originally was.