Treatment documentation

Step by step

1. Confirm investigation Licensed Clinician

   The Licensed Clinician opens the correct case episode before entering treatment details.

   • Identifies the correct episode
   • Updates Infection investigations, Cases

2. Record dispensation Licensed Clinician

   The clinician enters medication, lot number, quantity and unit on the linked dispensation.

   • Captures medication, lot, quantity and unit
   • Updates Treatment dispensations

3. Name authorizer Clinical Governance Administrator

   The clinician records the person who authorized the dispensation; the Clinical Governance Administrator keeps that person's privilege evidence current.

   • Attributes authorization and supporting privilege
   • Updates Treatment dispensations, Clinical privileges, People

4. Review investigation Clinical Reviewer

   The Clinical Reviewer reads the dispensation with notes, observations and the authorizer's privilege record before advising the Clinical Coordinator whether the episode can be completed.

   • Includes treatment record in clinical decision
   • Updates Infection investigations, Treatment dispensations
   ApprovalA person approves before the work moves on.

Licensed Clinician

Records treatment, Clinical Governance Administrator maintains privilege evidence, and Clinical Reviewer examines the episode.