CC-UC-00900 - Primary Health Care: Basic Flow - Medication Administration

Actors

• Client/client caregiver
• Medical administrator
• Medical doctor (MD)/nurse practitioner (NP)

Pre-conditions

• Client is covered under provincial/territorial health care insurance.
• Client is an existing customer at clinic.
• Intake and registration has been completed.
• The client has arrived at the clinic for a pre-scheduled appointment for a first-time oral medication administration.

Step	Description	Data elements collected	Result
1	MD/NP reviews the health concern and prepares the client for the medication administration.	Health Concern Health Concern(s) Health Concern Body Site Health Concern Severity Health Concern Evidence Health Concern Date of Onset Health Concern Date of Resolution Health Concern Date of Diagnosis Health Concern Clinical Status Health Concern Category Health Concern Verification Status Health Concern Reporting Source	The health concern is reviewed, and the client is prepared for the medication administration. The details are recorded in the client's medical record.
2	MD/NP verifies the correct medication and quantity to administer.	Medication Dose Value Medication Dose Unit of Measure Prescribed Medication Dose Type	Medication type and quantity are verified and recorded in the client's medical record.
3	MD/NP administers medication.	Medication Medication Lot Number Medication Route of Administration Medication Usage Start Date and Time Medication End Date and Time Medication Reason Medication Notes Medication Administration Body Site Medication Administration Status Medication Administration Status Reason Medication Administration Date and Time Medication Incident Description (if applicable)	The oral medication is administered to client and recorded in the client's medical record. CC-UC-00901 Client Receives intramuscular or subcutaneous Medication Administration.
4	MD/NP instructs the client to remain at clinic for post-injection monitoring period.	Not applicable	The client remains at the clinic.
5	The medical administrator schedules the next medication administration appointment	Services by Appointment Only Flag Appointment Service Category Appointment Service Type Appointment Creation Date and Time Appointment Requested Range Appointment Priority Appointment Expected Duration Appointment Reason Appointment Instructions Appointment Confirmation Status Appointment Attendance Requirement Appointment Participation Period Appointment Period Appointment Specialty Appointment Type Appointment Cancellation Date and Time Appointment Rescheduled Date and Time Appointment Cancellation Reason Appointment Rescheduled Flag	The next appoint is scheduled and recorded in the client's medical record.
6	Client leaves clinic after appropriate monitoring period as per local policy.	Not applicable	The client leaves the clinic. CC-UC-00902 Client Experiences a Medication Administration - Incident.
7	Use case ends.	Not applicable	Not applicable

Post-conditions

• Health concern is addressed.
• Medication is administered to client.
• The next appointment is scheduled.
• Client leaves the clinic after the appropriate monitoring period.
• Client's medical record is updated.

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Contact us

If you have questions about this initiative, would like to be added to our stakeholder notification list or would like to participate in our consultations, please email us.

connectedcare@cihi.ca