Abstract: A method of tracking dispensed medical items for use by patients associated with a health care institution. The method includes storing in a data store in connection with a computer, data representative of patients and medical items prescribed for the patients. A record is included in the data store of prescribed medical items for patients that have been dispensed. The dispensed medical items are tracked to the point of giving the item to the patients using portable terminals that are carried to the bedside of the patients. The activity of giving the appropriate medical item to each respective patient is recorded in the portable terminal as the medical items are given to the patients. The data stored in the portable terminal is communicated to the data store to provide a record that the medical items dispensed for a patient were actually administered.