CC-UC-00901 - Client Receives an Intramuscular or Subcutaneous Medication Administration

Actors

• Client/client caregiver
• Registered Nurse (RN)
• 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's health condition is being addressed with a prescheduled intramuscular or subcutaneous medication administration.

Step	Description	Data elements collected	Result
1	MD/NP reviews the health concern and current medication(s) 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 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 health concern current medications 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 with the assistance of the RN as needed.	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)	Intramuscular or subcutaneous medication is administered to client and recorded in the client's medical record.
4	Continue at step 4 of CC-UC-00900 Medication Administration basic flow.	Not applicable	Not applicable

Post-conditions

• The health concern and current medications are reviewed.
• Medication type and quantity are verified.
• Intramuscular or subcutaneous medication is administered to client.
• The client's medical record is updated.
• The use case continues in step 4 of CC-UC-00900 Primary Health Care: Basic Flow - Medication Request.

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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