Documents useful to the review include medication administration records
(MAR); physician's orders; progress, nursing, and consultants' notes; the MDS; laboratory and diagnostic test results; behavioral monitoring information; and the progress notes of the dietary, social service, and activities departments.
used random audits of the Medication Administration Records
to help identify situations and staff in need of follow-up.
Using bar-code verification systems not only allows clinicians to perform final verification of the "five rights" of medication administration, but also ensures that the medication administration record
(MAR) and billing records reflect what was actually administered, including the time and the clinician involved.
After the study period, a hospital-wide electronic medical record (EMR) was implemented and has allowed the hospital to standardize the correct timing of drag level sampling into an electronic medication administration record
Should a clinician check the electronic medication administration record
(eMAR) or the input and output flowsheet (I&O) for this patient?
This gives the vaccine a formal place on the medication administration record
and the pharmacy will routinely dispense it without nursing making a special call.
Document administration on the Medication Administration Record
as soon as possible after giving a drug so other providers have access to this information.
In turn, this process creates a legible, real-time medication administration record
that can notify clinicians of new and changed orders and provide an easy means for all providers to review the patient's medication history.
9679; Electronic Medication Administration Record
(eMAR) - The eMAR offers a complete electronic workflow to help ensure enhanced nursing efficiency, medication charting accuracy, and safe medication management.
The electronic medication administration record
and electronic treatment administration record have multiple functions aside from the obvious as a site to document drug and treatment administration.
Regardless that his rationale was that he'd taken the laxative dose the last 3 nights in a row and was now suffering from frequent, loose stools, I was taught to circle the dose time on the medication administration record
and write my initials next to the word refused.