MAR Tab Overview. Search Criteria bar

Transcription

1 MAR Tab Overview The MAR (Medication Administration Record) displays a patient s medication orders and administration tasks. Medications will display following order entry by physicians, nurses, or pharmacy staff. The MAR includes scheduled, unscheduled and PRN medications, and continuous infusions. Time Frame Selection The MAR time frame default is the current 24 hrs and the previous 24 hrs. To change your time frame, right- click on the Search Criteria bar, select Change Search Criteria and enter the desired time frame. Search Criteria bar Right-click Click Select time frame Order Status Filters To select the medication orders you want displayed on your MAR tab, click Options from the Menu bar, click Filters. Select or deselect the order status to include by clicking in the box. A checkmark indicates that that status will display. Click Options Click Filters Click box to select or deselect - 1 -

2 Navigator and Medication Sections of the MAR The Navigator on the MAR tab allows you to move within the Medication Section by clicking the various medication categories. The Medication Section displays the patient s medications and associated order details. The time frame and filters selected determine which medications will be listed. Administration dates and times are displayed to the right on the same row. The current date and time column is highlighted in yellow. Navigator Medication Section Administration Columns Medication Section Icons Nurse Review order has not been nurse reviewed. Admin Note click to view previously entered notes for this medication. Pharmacy Comment Click or hover to view comments entered by Pharmacy for this medication. Linked medication Hover to view details; info is also listed with the Request Pharmacy Verification order has not been verified by Pharmacist. The med is approaching its stop date/time. Right-click to view order details. Hard Stop Renewal med will automatically be dc d after it reaches it stop date/time. The med is approaching its stop date/time. Right-click to view order details

3 Right-click Options in the Medication Section The following options are available by right-clicking the medication task cell (uncharted med): Click to view general details of the order Click to view/print Drug Reference material Click to send Med Request to Pharmacy Click to chart a communication note to another nurse or view previously entered notes for this medication. Once a note has been charted, the right-click option is View Admin Note Administration Column Indicators Medication is due (blue background). Displays in the d/t column that the med is due. Administered medication (gray background with blue ). After clicking Refresh, the medication name + dose is listed in the appropriate d/t column. Administered medication (blue background). Displays in the current d/t of the PRN administration column (green background). Not previously given will display if appropriate. Pain response task displays in PRN category 5 min after a PRN medication is charted (blue background). Click to chart response. Overdue medication (red background). MAR note reminder to chart data (blue background). Only displays when Pharmacy enters a PCA note order. Comment indicator (blue background). Right-click to view comment. Medication was not given (blue background). Hover to view reason. Medication was not given (blue background). Hover to view reason. Medication was uncharted (blue background). Right-click to view comment. Triangle indicates an order modified by pharmacy - 3 -

4 Right-click Options in the Administration Section The following options are available by right-clicking the medication task cell: Click Chart Details Click to view general details of the order +/or task Use for meds given prior to their scheduled time Use if Not Given is not an option (Pain Reassessment) Charting Medications Click the medication in the Administration column: Click medication The medication charting window displays. Sign button Review the data in the fields. Make corrections and/or additions as needed. Click the Sign button. NOTE: When charting retrospectively, verify that the Performed date/time and the Performed by fields are accurate

5 Right-click options for a Charted Medication View Details Click to view medication and administration details. View Comments Click to view comments. View Order Info - Click to view general details of the order. Add Comment Click to add comments. Modify Click to modify charted details. NOTE: If you modify the date +/or time of a medication that generates a pain response task, the Proposed Modifications window displays: Click OK if the proposed date/time are appropriate. The task for charting the response will then display in the new date/time column. If you click Cancel, the response task remains at the original date and time. Unchart Click to unchart a medication. Uncharting will return the medication to its previous status of administered, due, overdue, etc. and mark it as In Error. NOTE: If you unchart a medication that has a documented pain response, a warning displays indicating that the pain assessment may also need to be uncharted. Downtime During periods of scheduled or unscheduled downtime, medication charting will be done on the paper MAR. Following downtime, revert to electronic charting and back chart all medciations given during the Downtime - 5 -