Medication Administration –
Inpatient, Nurse: Login IPRN
Primary Application: EpicCare Inpatient Clinical Documentation
Secondary Application: ASAP, Beacon, Cupid, OpTime, Stork, Willow Inpatient
Follows the Medication
Administration workflow
Selects the infusion
Yes
medication from the list
Inpatient, Nurse
Does the infusion need to
Yes
be titrated?
No
Chooses the Rate/Dose
Verify action, documents the
infusing rate, and clicks
Accept
Loading Dose Followed by Infusion
Scans the bolus or push or
clicks the current due time
on the MAR. In the Link
Lines window, she selects
the line through which the
bolus is infusing.
Is the nurse asked to
choose a medication to
document against?
No
Chooses the Rate/Dose
Change action and
documents the infusing rate,
then clicks Accept
Repeats rate and volume
documentation as necessary
At the appropriate time,
Verifies the appropriate dose
scans the infusion or clicks
is documented, documents Documents the starting rate
on the current due time on
the appropriate time frame and appropriate dose and
MAR. On the Link Lines
for the infusion, verifies the validates that the New Bag
window, she selects the line
New Bag action is chosen, action is selected
through which the
and accepts
medication is infusing.
At intervals determined by
Inserts a column for the
Clicks the name of the policy or when the rate
current time and documents
medication in the table of changes, opens the Intake &
the infusing rate in the rate
contents Output flowsheet to
row
document the infusing rate
Clicks the volume calculator
Do you need to view I&O
in the volume row, verifies Files the flowsheet data
totals?
the calculations, and accepts
Yes
Opens the Intake/Output
activity to view totals and
expands the I.V. intake type
to see the total volume
infused for the bolus and
infusion No
Documents 0 (zero) in the Is the infusion finished
Yes
medication rate row or stopped?
No
© 2008-17 Epic Systems Corporation. Confidential.
 Medication Administration – Bolus Dose While
Primary Application: EpicCare Inpatient Clinical Documentation
Secondary Application: ASAP, Beacon, OpTime
Inpatient, Physician
Decides to place an order for a
bolus dose of a medication that is
already infusing
Receives a
new medication panel order
for a bolus of an already infusing
medication and decides whether to
give the bolus from a syringe
or from the bag
Inpatient, Nurse
Bolus from Bag
Clicks the current time,
Verifies that the Bolus from
Bag action and appropriate
dose appear, then accepts
the documentation
Inpatient, Physician: Login IPMD
Inpatient, Nurse/Ancillary: Login IPRN
Already Infusing
Opens Order Entry and
chooses a Bolus medication
panel with an Or option for a
syringe of the medication or
bolus from bag option
Scans the syringe or vial or
clicks the current time on the The documentation does not
MAR for the Syringe order, file to the existing infusion
Bolus from Syringe verifies that the Given action group of medication because
and appropriate dose the dose does not come from
appear, then accepts the the existing infusion.
documentation
Clicks the volume calculator in the
volume row of the infusion group
(The bolus dose does not
The bolus dose populates a
automatically calculate because Repeats bolus dose administration
new row within the infusion
there is no volume in the bolus as necessary
group of the I&O flowsheet.
from bag order. The bolus dose
volume needs to be documented
from the pump.)
© 2008-17 Epic Systems Corporation. Confidential.

Primary Application: EpicCare Inpatient Clinical Documentation
Secondary Application: ASAP, Beacon, OpTime
Follows the Medication
Administration workflow
Scans the medication or
clicks the current due time
on the MAR
Inpatient, Nurse
Opens the Intake/Output
activity to view totals and
expands the I.V. intake type
to see the total volume
infused for the medication
Medication Administration – IVPB and
Inpatient, Nurse: Login IPRN
Boluses of Maintenance Medications
Verifies the appropriate dose is
In the Link Line window, documented, documents the
Opens the Intake & Output
chooses the line through appropriate time frame for the Clicks the IVPB group in the
flowsheet to document the
which the medication is infusion, verifies the New Bag table of contents
medication volume infused
infusing action is chosen, and clicks
Accept
The MAR dose documentation
appears along with the linked line.
Do you need to view I&O
Yes Files the flowsheet data The nurse clicks the calculator
totals?
button to calculate the volume
infused.
No
Enters 0 (zero) in the
Is the IVPB finished or medication rate flowsheet Repeats rate and volume
Yes
stopped? row to complete the documentation as necessary
medication
No
© 2008-17 Epic Systems Corporation. Confidential.
 Medication Administration – Flushes
Primary Application: EpicCare Inpatient Clinical Documentation
Secondary Application: ASAP, Beacon, OpTime
Scans the barcode or
Follows the Medication clicks the current time
Administration workflow on the MAR to
document the flush
Inpatient, Nurse
Opens the Intake/Output
activity to view totals and
expands the IV intake Yes
type to see the total
intake volume for flushes
flushes as they are given
Inpatient, Nurse: Login IPRN
Do you need to
document volume infused
Validates the route,
(such as for NICU babies, if Yes
dose, and time
all volumes must be
documented)?
No
The nurse documents the amount
Leaves the volume row administered in the Flush Volume row in
blank in the Medication the Medication Administration window.
Administration window This volume also populates the flush rows
in the I&O flowsheet template.
Do you need to view Clicks Accept finish the
I&O totals? documentation
No
Continues to document
© 2008-17 Epic Systems Corporation. Confidential.
 Oncology, Nurse: Login ONCRN
Medication Administration – Scheduled IVs Oncology, Inpatient Nurse: Login ONCIPRN
Primary Application: EpicCare Inpatient Clinical Documentation
Secondary Application: ASAP, Beacon, OpTime

Scans the infusion or clicks Verifies the appropriate dose

Oncology, Inpatient Nurse/Oncology, Nurse

the current due time on the is documented, documents

Do you need to
Follows the Medication MAR and selects the line the appropriate time frame
document the I&O
Administration workflow through which the for the infusion, verifies the
totals?
medication is infusing in the New Bag action is chosen,
Link Lines window and accepts

No
Yes

Documents the volume Documents Rate Verify

infused on the I&O on the MAR as
flowsheet necessary

After the infusion has finished running,

uses the Stopped action on the MAR to
complete the medication

© 2008-17 Epic Systems Corporation. Confidential.