MEDICATION ADMINISTRATION RECORD

1. MEDICATION ADMINISTRATION RECORD MEDICATION ADMINISTRATION CHECK (MAK) UNITS Created 10/04

2. 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

3. 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.

4. At Print Time, order scheduled for future date/time PRN ORDERS section Expired or Discontinued Scheduled Meds section

5. Med Discontinue date within the time period of the MAR date range First occurrence for this order Expired or Discontinued one-time orders section

6. Discontinued or Expired PRN Section No Charted Occurrences during MAR date range

7. Discontinued or Expired Scheduled IV Orders Section Example of IV Order SITE = Charted data for Site of Administration

8. 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

9. WE HOPE THIS SLIDE PRESENTATION HAS BEEN HELPFUL. THANK YOU!