Administering Medications Flashcards
Give two advantages of using the Work List instead of the Due Meds report to review your patients’ medications. Then give two advantages of using the Due Meds report instead of the Work List.
Work list: Can see ALL medications for ALL patients; can see other tasks at the same time; can document without opening a patient’s chart.
Due Meds: Can see ALL of one patient’s medications due within the current shift; can see last administration time of all meds; can easily see administration instructions.
What does an “!!” Icon next to a medication on the MAR mean? How is the administration workflow different for that medication?
The medication requires dual sign-off. Another nurse will need to review and verify the administration and enter his user ID & password when documenting the administration.
You’re about to give pain medication to a patient. You know the patient hasn’t received any doses of this medication, but you’d like to see the last time he received any pain medications over the last 24 hours. How can you do that without having to scroll through multiple shifts of the MAR?
Use the MAR Report in the MAR activity.
How do medications that are discontinued appear on the MAR?
The medication row appears with all the cells highlighted in yellow.
What is the main difference between documenting a PRN medication compared to a scheduled medication?
PRN medications do not have scheduled times that appear on the MAR. To document giving the medication, the nurse clicks anywhere in the cell and documents administering the medication.
Scheduled medications appear with a due time in the cell at the time the medication is scheduled to be given. To document administering medication, click the due time on the MAR.
Can a nurse document giving a medication that has NOT been verified by a pharmacy?
Yes. He sees warnings that the medication has not been verified but can continue with the administration.
What are two reasons why a nurse might need to pull a medication from the ADS cabinet on override?
- No one has entered an order for the medication into Epic
- An order has been entered into Epic, but pharmacy hasn’t verified it yet, so it does not appear on The patient’s ADS profile.
Reviewing Rx message
Click Rx message at the top of the MAR
12 hr report
Click Rx message at the top of the MAR
Reschedule meds
Look for the next dose due Click on the due time Bypass warning action will be cancel entry Change action to due Update time Click accept You will be asked if you want to move due time or add a new due time Refresh Subsequent doses will not be adjusted Ask pharmacy to adjust
Select refresh Reschedule meds
Asking pharmacy to reschedule
Right side of MAR click Rx
Send message to pharmacy window opens pt name and relevant medication defaults
Indicate reason
SmartPhrase .adjustimes replace xxx with appropriate information
