Practise a health and medication workflow

Use a training system with invented people. The medicines are illustrations only, not clinical advice.

You need:

• Ruth Evans, admitted to Sunrise Elm Lodge (time zone Europe/London);
• Tom's user with the nurse permissions, linked to an active employee;
• Grace as a second employee, for the witness step.

Part 1: the health record

#	Do	Check
1	Summary: Allergy status Has allergies, reviewed today, diet "Soft diet" → Save summary	The summary shows them
2	Allergy: Penicillin, Medication, High, "Facial swelling"	Red alert "Severe allergy: Penicillin"
3	Condition: Type 2 diabetes, Diagnosis, Active, Confirmed, onset 2015	Listed under Conditions
4	Observation: Blood pressure 142 / 86, now	Listed with its time
5	Observation: Weight 61.5 → then In error, "Practice"	Hidden; visible with Show entries marked in error
6	Encounter: Hospital outpatient, next week, Planned appointment	In Reviews due → Health due
7	Directive: DNACPR, "Do not attempt CPR", capacity assessed, from today, review in a year	Red alert "DNACPR in place"

Part 2: orders

#	Do	Check
8	Scheduled: Amlodipine 5 mg tablet, 1 tablet, oral, time = the next whole hour (e.g. 11:00), start today	Active order
9	PRN: Paracetamol 500 mg, "2 tablets", oral, As needed, Give when "Pain", max 4, 240 minutes	Active, PRN
10	Try Co-amoxiclav	"Possible allergy: Penicillin (High)". Cancel; don't tick.
11	Controlled: Morphine sulfate 10 mg for Arthur, time in the next hour, Controlled drug ticked	Shows a Controlled tag

Part 3: the round

#	Do	Check
12	Care → Medication round → Sunrise Elm Lodge → Refresh	"Times shown in Europe/London"
13	Ruth's Amlodipine → Given	Outcome, your name, no "late"
14	Refresh	Slot shows Given; no buttons
15	Paracetamol → Give PRN dose, "Hip pain 6/10"	"1 of 4 in 24h", "next from …"
16	Give PRN dose again at once	Refused: "at least 240 minutes apart"
17	Arthur's morphine → Given without a witness	"Choose a witness before giving a controlled drug."
18	Choose Grace as witness → Given	Recorded

Part 4: a missed dose

#	Do	Check
19	Stop the Amlodipine order ("Practice: change time"), then create a replacement with a time in the past hour, Replaces the old one	Old order Stopped, new one Active
20	On the round, that slot → Missed, "Resident asleep, not re-offered"	Listed under "Decide on medication-error incidents"
21	Report incident	A Medication error incident in Care → Incidents

Part 5: check and tidy up

#	Do	Check
22	Ruth → Medicines → Last 7 days	Today shows G and M for Amlodipine, and G for Paracetamol
23	Stop the training orders, reason "End of training"	Stopped

Expected result: every entry kept (including the one in error), one Given and one Missed dose with an incident, one PRN dose and one refused attempt, a witnessed controlled dose, and a stopped order linked to its replacement. Nothing deleted.