Overview 

In this article we will review the process of how to document Did Not Administer (DNA) medications.

Instead of using the paper MAR and TAR, ACCUflo will be used to administer and record the results of medications and treatments.  Once users are logged into ACCUflo, they can begin the medication pass.  The residents assigned to the Selected Group will display onscreen.

Show/Hide Icon

Users should remember to use the Show/Hide Icon when the med cart must be left unattended.

Note: Select the Show/Hide Icon to hide the screen before leaving the med cart computer unattended. 

Note: Select the Show/Hide Icon to unhide the screen when returning to the med cart computer.

Resident Status

If a resident has a status of LOA, Hospital, or Bed Hold selected, the resident’s screen will display “Couldn’t find any orders.” 

Note: Orders cannot be administered when a resident's status is anything other than 'Active' or 'Discharged'.

Charting Options

Depending on how each facility is configured, you may see more then the default options of Administer and did bot administer medications when charting.

Note: Home Health and Self-Administered charting options are optional and set up in configurations.

• Administered
• Did Not Administer
• Home Health (optional)
• Self-Administered (optional)

Procedure for Documenting Routine Orders as Did Not Administer (DNA)

Step 1: Select the order that was not administered.

Step 2: Select Did Not Administer.

Step 3: Select the Did Not Administer Reason Box and select the reason for not administering the order.

Remember to choose Other if free type is needed.

Step 4: Select Did Not Administer once all fields have been completed.

Note: If multiple orders were not administered for the same reason, Select "Apply to All" and the DNA reason selected for the first order will apply for all orders.

Additionally, If the order not administered requires an order action, users can chart the order action (for example, if a BP medication was not administered because the BP was too low) or users can Select Did Not Chart.