How to document when a medication dose cannot be given in the Patient Record.

1. To record when the scheduled dose of a medication has not been given, click on the dose box to open the drug administration pop-up window. 

2. Tick the Not Given tick box at the bottom of the window .
3. In the Reason mandatory field, select the appropriate reason from the drop down .
4. If the reason you have been unable to give the scheduled dose is not listed, select Other (Record Comments) then click the Comments button to add the details .
5. Sign the documentation using the green tick in the top left hand corner of the window .

 

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Updated: 24 February 2026