medication administration record
DESCRIPTION
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. - PowerPoint PPT PresentationTRANSCRIPT
MEDICATION MEDICATION ADMINISTRATION ADMINISTRATION
RECORDRECORD
MEDICATION ADMINISTRATION MEDICATION ADMINISTRATION CHECK (MAK) UNITSCHECK (MAK) UNITS
Created 10/04Created 10/04
Order Information
MAR Category (i.e. MED, IV) and MAR Date
Range
Order Start/Stop Date/Time
Electronic Signature,
Allergies and Patient Identifiers
Section Headers
Charting Legend
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.
* And Time and User Initials – indicates NOT
ADMIN
Time and User Initials indicates ADMIN
Time Only - indicates NOT
CHARTED
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
Scheduled IV Orders Section
SITE = Charted data for Site of Administration
Example of IV Order
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