To view overdue orders, select the Overdue radio button on Care Organizer.
  1. In Care Organizer, click Active as the display option.
  2. Click an order that is highlighted in yellow.
  3. Click the Confirm button
  4. Select Confirm.
  5. To only send a message to the pharmacy, click Send Rx Message Only. Then enter your message.
  6. Click OK.

  1. Take patient medication to bedside.
  2. Scan your patientLaunch HED. Click Admin.
  3. Scan the medication bar code.
  • If the scanned medication is listed and is a unique order, then the medication is highlighted
  • If the scanned medication matches more than one order, the Matched Med Orders window displays:
  • Select the correct order and click OK, or
  • Click New Order and the medication is entered as a new order.
  1. Scan the patient bar code.
  2. Modify information as appropriate.
  3. Administer the med to the patient.
  4. Scanyour staff barcode

1.Take patient medication to bedside.
2.Scan your patient. Launch HED.
3.Click the Admin Button
4.Click the Med OrdersButton.
5.Review the order details to verify it matches the med you are administering.
6.Click on medication name.
7.Click Admin Med.
8.Click Save or Scan your patient
9.Click the Drug Barcode not Scanned drop-down arrow.
10.Select appropriate override reason.
11.Click OK
12.Administer the med to the patient.
13.Click Save and Confirm or Scanyour staff barcode

  1. In Care Organizer,Scan patient ID, select the To Do list
  2. Review to see if any other medications are overdue.
  3. Launch HED, Click the Admin button
  4. Scan the medication(s).
/
  1. Click Save or Scan your patient.
  2. Click the Admin Too Late drop-down arrow.
  3. Select override reason from the list; then click OK.
  4. Administer medication to patient.
  5. Scanyour staff barcode
  1. Scan your patient.
  2. Launch HED.
  3. Take patient medication to bedside.
  4. Scan the medication barcode.
  5. Address any warnings, as appropriate.
  6. Scan the patient bar code.
  7. Administer the medication to the patient.
  8. Scanyour staff ID badge

  1. Scan your patient.
  2. Launch HED.
  3. Click ReviewMed Orders button to view patient’s medication orders.
  4. Click OK to close this window.
  5. Scan the medication barcode.
  6. Address any warnings, as appropriate.
  7. Scan the patient bar code.
  8. Administer the medication to the patient.
  9. Scan staff barcode.

  1. Select or scan your patient.
  2. Launch HED.
  3. Click on the ALL MEDS class bar.
  4. Click the not given?Drop-down arrow.
  5. Select the reason.
  6. Click the Annotationicon if need to add note.
  7. Type comment; then press Enter.
  8. Verify accuracy of all charted results.
  9. Scan your staff barcode
/
  1. Take patient medication to bedside.
  2. Scan your patient.
  3. Scan the medication barcode.
  4. Address any warnings, as appropriate.
  5. Review the medication details against the doctor’s order.
  6. Click the No Med Order Found drop-down arrow.
  1. Select override reason.
  2. Click OK.
  3. Scan the patient bar code.
  4. Administer the medication to the patient.
  5. Scanyour staff ID badge

Displays when applicable/examples of override reasons:
Patient nauseated / Patient vomiting
NPO / Per MD Order
Held BP low or Held BP high / Held HR low
Family refused/ Patient refused / Unable to swallow
Medication not available / Patient sedated

  1. Medication modifications can only be made up to 12 hours after administration.
  2. Select or scan your patient.
  3. Launch HED and access the CRv in Review mode.
  4. Click the med administration you need to modify Result Detail window opens, click the field you want to modify.
  5. Chart the correct information in the charting field.
  6. Click Save.
  7. Scan your staff ID badge

  1. Select or scan your patient.
  2. Select the IV AdMin tab on the main chart menu.
  3. Start a new administration or click a currently hanging bottle.
  4. Click Rx Comm.
  5. Click the Note text box and type your comment or request.
  6. Click OK twice.


  1. Select or scan your patient.
  2. Select IV Admin from chartable reviews on the chart menu.
  3. Make sure documentation time is correct.
  4. Click New IV.
  5. Address any warning messages that display.
  6. Select the solution from the list.
  7. Click Show Ingred to see all ingredients.
  8. Click OK.
  9. Fill out charting fields, including rate/dose and site.
  10. Since the IV barcode was not scanned, select an override reason.
  11. Scan the patient’s barcode.
  12. Scanyour staff ID barcode
Click Save.
  1. Select or scan your patient.
  2. Select IV Admin from chartable reviews on chart menu.
  3. Make sure documentation time is correct.
  4. Scan the IV barcode. OR
  5. Click the New IV… button.
  6. Search for the IV Solution
  7. Select a stock solution(s) from the list.
  8. Optional: Click the Show Ingred button.
  9. Optional: Change the quantity and/or units for an ingredient(s), if needed. Click OK.
  10. Click OK on the Add New IV window.
  11. Enter the infusion rate/dose.
  12. Select appropriate drip calculation.
  13. Enter or change the infusion site as required.
  14. Scan the patient’s barcode.
  15. Scanyour staff ID barcode

1.In the vitals/meds/I&O CRv, go to IV MED DRIPS.
2.Click on rate or dose result to open new window.
3.Modify or clear the rate/dose or items you would like to change in the appropriate field.
4.Click Save(modified items will show in parentheses).
5.Cosign is done in HED for IV solutions.
6.Follow steps 1-3 above, click in the Cosign area
7.Cosigner can scan their staff ID barcodeor type in their User ID and password, Click Save. /
  1. Select or scan your patient
  2. Select IV Admin
  3. Set the Documentation time.
  4. Click a current IV
  5. Click and highlight the Infus Rate field.
  6. Enter new rate and press Tab
  7. Click Save.
  8. Scanstaff ID barcode
To Calculate the IV Intake:
  1. Go to IV Admin.
  2. Click to highlight a current IV
  3. Click on the Calc Intk button
  4. Repeat steps 2 & 3 for each IV infusing
  5. When all intake is calculated Click SAVE
  6. Scanyour staff ID barcode
The intake now displays in HED (Vitals/I&O) and
displays the amount infused.

To add a piggyback
  1. Place the Continuous IV on hold in IV Admin by clicking the dropdown menu and changing from ml/hr to hold
  2. In AdminRx, scan the piggyback
  3. After all your piggyback is infused, restart continuous IV infusion in IV Admin
  4. Enter piggyback volume in Vitals I & O

  1. Select IV Admin from chartable reviews on chart menu
  2. Make sure documentation time is correct.
  3. Click an existing IV.
  4. Click and highlight the Dose or Rate field.
  5. Type the new dose or rate.
  6. Click the down arrow and select dose units from list.
  7. Click Save.
/
Horizon IV Admin and Admin-Rx
Quick Reference Guide

  1. Sign on using your McKesson User Name and Password. Result: The Care Organizer window opens.
  2. Select your patient.
  3. To access HED from Care Organizer, click Chart on the Menu Bar; then clickNursing or click theLaunch HEDbutton.
  4. To logout, click File then Exit, then press ESC on the keyboard
Note: / To secure your login ID and Password, you must logoff completely.
Never use the Windows X button.

  1. In Care Organizer, select IV Adminbutton or
  2. ChartMedication Administration CrVs  IV Admin

  1. Select or scan your patient
  2. Select IV Admin from chartable reviews on the chart menu.
  3. Make sure thedocumentation time is correct.
  4. Scan the IV barcode(best way). OR
  5. Select New IV… button.
  6. Enter patient’s weight in kg, if needed.
  7. Verify the infusion rate/dose is correct.
  8. Enter or change the site (optional).
  9. Scan patient barcode on wristband.
  10. Scan yourstaff ID badge(documentation will turn blue).
  11. Click Exit when done.

Page 4 of 5 / Page 5 of 5 / Revised 6/17/2012