Identification information for a patient and a user responsible for administering a medication are received from a controller associated with an infusion device. When a medication is scanned and information from the scan is received the system determines whether the user is authorized to operate the infusion device to administer the medication to the patient. If more than one order is available for the patient, pending medication orders for the patient are determined and presented on the controller for selection by the user before the administration. When a selected order is confirmed to be for the patient, and the user is authorized, the controller programs the infusion device to administer the medication according to the selected order.