Discontinuing medications is only available if the medication has been GIVEN on that day's flow sheet.
Deleting medications is only available if the medication has NOT BEEN given on that day's flow sheet.
Parameters/monitoring/medications can be deleted at any point off the flow sheet, as long as there are no notes/initals/entries etc entered in for that item. Once there is an entry for that item, it becomes part of the medical records and can't be deleted, but rather discontinued. For example, if you prescribe Hydromorphone but then decide against it, it may be deleted as long as a dose hasn't been administered yet. Once there is an indicator on the flow sheet that even a single dose has been given, Hydromorphone can be discontinued but not deleted. See pictures below.
To DELETE a parameter/medication/monitoring item:
On the iPad: In Editing Mode, tap on the item you want to delete. A window will pop up. Tap on the trash bin in the left upper corner.
A new window will pop up. Tap Delete and the item will be deleted from the flowsheet.
If there has been an entry for the item, you will need to DISCONTINUE it:
On the iPad: In Editing Mode, tap on the item you want to discontinue. A window will pop up. Tap on the D/C in the left upper corner.
A new window will pop up. Tap Discontinue and the item will be greyed out from the flowsheet.
After an item has been discontinued, you can delete it from future days if there no entries on the chart (medication was not given). To do so you will need to re-enable the item on that day, and then delete this item. This will delete the item from the current sheet and further ahead, but not in the previous days. For more information on how to re-instate the item, click here for instructions.