Transcript Slide 1

MEDICATION
ADMINISTRATION
RECORD
MEDICATION ADMINISTRATION
CHECK (MAK) UNITS
Created 10/04
MAR Category
(i.e. MED, IV)
and MAR Date
Range
Order
Information
Order Start/Stop
Date/Time
Section
Headers
Electronic
Signature,
Allergies and
Patient Identifiers
Charting Legend
Time and User Initials
indicates ADMIN
Time Only indicates NOT
CHARTED
* And Time and User
Initials – indicates
NOT ADMIN
M = Vital Sign, Blood Sugar, Pain Scale charted
during MAK Chart Session. This value
transmitted to all meds charted during a single
chart session. In this MAR example T=101 is
found on all 2337 charted entries.
At Print
Time, order
scheduled
for future
date/time
PRN
ORDERS
section
Expired or
Discontinued
Scheduled
Meds section
Med
Discontinue
date within
the time
period of the
MAR date
range
First
occurrence
for this
order
Expired or
Discontinued
one-time orders
section
Discontinued
or Expired
PRN Section
No Charted
Occurrences
during MAR
date range
Discontinued
or Expired
Scheduled IV
Orders
Section
Example of IV
Order
SITE = Charted
data for Site of
Administration
Supplemental charting
information relating to
reason for ADMIN,
NOT ADMIN or PRN, as
well as, effectiveness
or response to med
Supplemental charting
information for revisions
to charted data.
Documents old and new
values for the charted
data
Example of Revision to
CHARTED Status – OLD
STATUS ADMIN, NEW
STATUS NOTADMIN
WE HOPE THIS SLIDE
PRESENTATION HAS
BEEN HELPFUL.
THANK YOU!