Skilled Nursing Facilities

Contents

Documenting Scheduled Orders in eMAR

You can electronically document administration of scheduled medications and treatments in eMAR. This replaces the paper MAR, making your medication pass faster and more efficient. You can also document if a medication was only partially administered or was not given.

You can use eMAR to document and track the Administration Site of Location. You can document site of location for medications that are intramuscular, subcutaneous, intravenous, transdermal, intradermal, or topical/external.

You can also document other Supplementary Documentation that is required during administration, for example, weights, vital signs, pain level, or lab results. This information flows to and from the resident's chart as applicable. 

Note

Medications that need to be administered during shift change, appear on both shifts. For example, medications scheduled at 1500 show on both the day shift (0700 - 1500) and the evening shift (1500 - 2300). Color coding is consistent. For example, after the medication is administered, it is green on both shifts.

  1. eMAR > Resident list.

    Note

    Before documenting, check the day, shift, and location. If this information is incorrect, click Edit Assignment Date.

    emar_edit_assignment_date.jpg

  2. Select filters, if applicable.

  4. Do one of the following:

    • Click Y for the medication(s) you are administering. 

    • Scan the medication barcode(s).

    Click_Y_emar.png

    Note

    A window opens if a medication requires Supplementary Documentation before administration. 

    Note

    If Barcode Administration Scanning is enabled, medications received from pharmacy must be properly linked before you can scan in eMAR. 

  5. Click the gold padlock icon and administer medications.

    Note

    Hiding the screen does not provide as much protection as logging out. Anyone who knows that clicking the word hidden shows the screen can see the chart you are working on without entering login information. It is strongly recommended that you select the proper action (hiding or logging out) for your situation.

  6. Click the word Hidden to show the screen.

    Note

    If a medication was not administered or only partially administered:

    Click N > Select a Chart Code in Administration Details > Complete a progress note, if required > Click Record. 

    Click_N_emar.png
  7. Click_Save_emar.png

  • Administration Details - Select option. You can document administered medications, including partial administrations, or select a reason the medication was not administered.  

  • Supplementary Documentation - Select option. 

    • Weights/Vitals and Standard Prompts - You can click Use Last Recorded Value to use the most recently documented information or click Record New Entry to add a new value. This information flows to and from the resident's chart as applicable.

    • Administration Site of Location - Type to search for site location > Select option > click Add Location. Additional sites can be added. For example, an ointment applied to both hands and feet.

      predictive_text_emar.png

    • Body Diagrams - For Neupro or Exelon patch, select the site location from the body diagram. Only one site can be selected. 

      Neupro_Patch_Plain.png
      Exelon_Patch_Plain.png

      Sites used recently are yellow. If you select a recently used site, last administration information shows.

      Neupro_patch-yellow.png
      exelon_patch-previously_used.png

  • Progress Notes - Type information. eMAR progress notes flow to the Progress Notes tab in the resident's chart.