What you will accomplish: You will ensure two signatures are recorded for high risk medication administration.

1. Record the administering user's signature (Given By).
2. Obtain a designated cosigner's signature (Co-Sign By).

Cosign High-Risk Medication

1. Identify high-risk medications by the red "High Risk" label in the medication popup.

   

2. Check for a required Co-Sign By user beneath the Scribe.
3. Select a cosigner from the dropdown list.
4. Click OK.

The cosigner list is based on jobs approved by the Clinical Leader.

Given By and Co-Sign By must be different users.

5. Both users enter username and password in the Authenticate For High Risk Medication popup.
6. Click OK to complete authentication.
7. Confirm medication is documented.
8. Click OK to close the medication window.

Document Staff Change for High-Risk Medication

Changing the Given By user is a transfer event and requires cosigning for high-risk medications.

1. Update Given By to the new primary nurse.
2. Update Co-Sign By to the nurse handing off the role.
3. Click Staff Change below the Comment box.
   1. Staff change is logged in the procedure log and study chronicle.
4. Click Change.
5. Follow steps 5-8 in the Cosign High-Risk Medication section.

Additional Information