Documentation on Paper Medication Administration Records (MARs) during Admin Rx Downtime

1. Documentation on Paper Medication Administration Records(MARs) during Admin Rx Downtime • When Admin Rx Downtime is called, Pharmacy will automatically print Computer Generated MARs for the current patients. This make take as long as 20 -30 mins for the MARs to print. DO NOT call the satellite and ask them to print the MARs- this is done centrally • In VUH all MAR’s will print on the South Side. • The MAR’s for the Critical Care Tower will print on the appropriate floor • In VCH, all pod’s MARs will print to the orders printer on the B pods.. • Reference the EMAR in StarPanel for previous med administration information. Also refer to the Current Order sheet for med order information until the computer generated MARs are generated. • If a new patient is received after the computer generated MARs are printed by pharmacy, staff should print Dowtime MAR from EDOCs and hand write the meds on the appropriate MAR. Downtime Medication Administration Record can also be found in your downtime packets. • The process for documenting med administration on paper MARS is the same regardless if the MAR was computer generated by pharmacy or an interim MAR printed from EDOCS. For complete guidelines to documenting medication administration via paper see policy CL-30.05.07

2. Scheduled / PRNMedications Patient label goes here. 1. Med Given on Time: 30 minutes before and after the schedule. Just initial by the schedule 2. Med Given Late: When a medication is given late, circle original scheduled time, write actual time given, then annotate why med was late utilizing one of the reason codes, then your initials. 3. Med Not Given: Circle schedule time, annotate reason code, initial. • Orders must be written exactly as they are printed on the physician order sheet (POS). • Must include date of order and order number if available. • RN’s Initials to the lower left indicating the order was verified with the POS Reason Codes are used to help provide information such as why you didn’t give a drug or why a drug was late. Injection Site Codes are used to show the injection site where you administering the drug .