Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

Medication Administration Record (MAR) - Filling and Documenting, Lecture notes of Pharmacy

School of Professional Horticulture at the New York Botanical GardenPharmacy

Instructions on how to fill out and document the Medication Administration Record (MAR). The MAR is a required document used to document medications given to clients, including who they were given to, what medications were given, doses, routes, instructions, and reactions. It helps in staying organized and ensuring accurate medication administration.

What you will learn

  • What is the importance of documenting medication administration on the MAR?
  • What information is recorded in the MAR?
  • How is a new medication documented on the MAR?
  • How are PRN orders documented on the MAR?
  • What should be done when a medication is not given as ordered?

Typology: Lecture notes

2021/2022

Uploaded on 09/12/2022

skips
skips 🇺🇸

4.4

(11)

222 documents

1 / 25

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1
How to use the APD Medication Administration Record (MAR)
What is the MAR used for?
The MAR is where medications given to a client are documented. Used
correctly, the MAR records:
• who the medications were given to
• what medications were given
• what dose of medication was given
• when the medication was given
• what route the medication was given by
• any instructions for giving the medication
• why they were given if a PRN (as needed) medication
• the effectiveness of PRN medications
• any medication that was not given as ordered, including why it was not
given
• any reaction to new medications
• who gave each medication
• who ordered each medication
• client allergies
The MAR helps you to stay organized when giving clients their medications.
The MAR is a required document – it must be used for any APD client who is
receiving assistance with their medications! Sometimes you will use a MAR
provided by a pharmacy, or you will document medications electronically using
a computer. All of these different MARs must have the same elements as the
APD MAR.
The goal is to accurately document every medication you give.
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19

Partial preview of the text

Download Medication Administration Record (MAR) - Filling and Documenting and more Lecture notes Pharmacy in PDF only on Docsity!

How to use the APD Medication Administration Record (MAR) What is the MAR used for? The MAR is where medications given to a client are documented. Used correctly, the MAR records:

  • who the medications were given to
  • what medications were given
  • what dose of medication was given
  • when the medication was given
  • what route the medication was given by
  • any instructions for giving the medication
  • why they were given if a PRN (as needed) medication
  • the effectiveness of PRN medications
  • any medication that was not given as ordered, including why it was not given
  • any reaction to new medications
  • who gave each medication
  • who ordered each medication
  • client allergies The MAR helps you to stay organized when giving clients their medications. The MAR is a required document – it must be used for any APD client who is receiving assistance with their medications! Sometimes you will use a MAR provided by a pharmacy, or you will document medications electronically using a computer. All of these different MARs must have the same elements as the APD MAR.

The goal is to accurately document every medication you give.

How to fill out the MAR WHO the medications are given to – fill in the “Name” blank at the top of the MAR, along with the month and year. CLIENT ALLERGIES – Fill in the “Allergies” blank found under the name and month/year. If you are using an alternate MAR, make sure you know where allergies are recorded. The entry should be written as the prescriber wrote it except for most abbreviations. A list of these can be found at the end of this tutorial for reference. The information in the Medication box should be given in a standard format. Here are a few examples: Verapamil SR 180mg, 1tablet by mouth every morning Latanoprost 1% 1 drop in each eye at bedtime Amoxicillin suspension 250mg/5ml, give 10ml per PEG tube 3 times daily for 10 days. What medication What dose (how much?) What route (sometimes includes where) When (what time, how often, how long) All of these are written in these boxes, under “Medication”

Sometimes a medication is ordered “as needed” or “PRN.” This means that you give the medication only if specific conditions are met. Some examples of these conditions might be: Give for fever of 101°F or greater Give for complaint of headache or pain Give if client has not had a bowel movement for 3 days Give for anxiety, as evidenced by pacing or loud vocalizations Apply to any abrasions to arms after cleaning with soap and water ALL PRN orders must also state how often the medication can be given, the maximum number of doses that can be given in a specified time period, and conditions for which the prescriber must be called. A complete PRN order might read: Tylenol 325mg tablet, give 2 tablets by mouth every 4 hours as needed for fever of 101°F or greater. Give no more than 6 times in 24 hours, call MD if fever persists longer than 48 hours. When you give a PRN medication, you MUST turn the MAR over and record WHY you gave it on the back of the MAR. You also must come back to that entry later and document the client’s response to the medication.

Now we’ll take a look at some MAR examples for different situations.

NEW MEDICATION – INCREASING DOSE

We will begin with this prescription for Mark Frye, who is allergic to penicillin: You will often see the term “Rx” on prescriptions – it means “prescription” Start by writing Mark’s name and allergies at the top of the MAR, along with the month and the year.

  1. Next, you have to figure out the start date for each dose and the time it is given a. For the first week, the Depakote is to be given only once a day, in the morning – so you would start the next day, the 4 th of November. The order says ‘morning’ so we will use 7am. b. The twice a day dose schedule starts 7 days later, so the starting date for that would be the 11th^ of November. For this example, we will schedule the evening dose at 7 pm. c. You will need to mark out the days before the start date for each entry, and also mark out the days after the once-a-day dose stops. *Never completely black out spaces on the MAR – only line through them. d. You can put the start dates or date ranges in the medication box if you want to, to help you keep track.
  2. The next thing you MUST do, before you begin to give the medication, is to go to the bottom of the MAR, and in the spaces provided print your name, sign your name, and initial. It is a good idea to turn the MAR over and also enter this in the space provided on the back of the MAR.

Since Cedric probably doesn’t work every day, we have also added Anna and Mario to help him give medications:

  1. Let’s take a look at how Cedric, Anna, and Mario will document giving Mark his medication over the next week or two: You can see that Cedric, Mario, and Anna initialed each time they gave a dose of Depakote to Mark. IT IS VERY IMPORTANT TO DOCUMENT THE MEDICATIONS YOU ASSIST WITH RIGHT AFTER YOU GIVE THEM. DON’T WAIT UNTIL LATER.

DOCUMENTING NEW AND MISSED MEDICATIONS ON THE BACK OF THE MAR

  1. There are a few more things to pay attention to with Mark’s new order for Depakote: a. This is a new medication for Mark – he must be observed for at least 20 minutes after each of the first three doses – and this observation must be documented on the back of the MAR. b. Mark refused his evening dose of Depakote on the 14th^ – this must be documented – first by initialing and circling the entry on the front of the MAR, and then documenting the refusal on the back of the MAR. You will also need to fill out a medication error report for the missed medication. Here, you can see that Anna documented that Mark refused his 7PM Depakote at 8PM. Although the medication was scheduled for 7PM, she had a 1-hour window before and after that time for giving the medication, and did not document the refusal until the end of that period.

NEW MEDICATION – NOT GIVEN EVERY DAY

Now that we have seen how to fill out a MAR for a new medication that changes after one week and is given daily or twice daily, we will look at an order for a medication that is not given every day. On the 1 7 th^ of November, you tell the APRN at Mark’s primary care clinic that he is having problems with constipation. He writes a prescription for Milk of Magnesia.

  1. Next, you will want to add the time for the morning dose. Since Mark is already getting medication at 7AM, you can schedule it for then. You can also add the name of the APRN and the date the prescription was written:
  2. To fill out this MAR, you would need to know that 11/18/19 is on a Monday, so to give this medication twice a week you would give it on Monday and Thursday. When you have a medication that is given on particular days of the week, it is sometimes helpful to write the abbreviations for the days above the numbers (abbreviations are ok here, since it is only to show the day of the week):
  1. Now you have to fill out the MAR chart to show when to start the medication, and to block off the days it is not to be given: You can see here that the only squares open to write in for this medication are Mondays and Thursdays.
  2. Here are the entries made when Anna and Cedric give this medication the first two times: Front of the MAR Back of the MAR Remember, the 20-minute observation will also need to be done the 3 rd time the medication is given.
  1. Here is this order written on the MAR. Note that two ‘Medication’ spaces on the MAR were used. This is because you will need many more spaces to record the time if the client takes this medication often. As you get to know your clients, you will learn how many spaces to use. ALL ‘as needed’ orders must have certain extra elements included in order for a MAP to give them. These are (with elements from the above order for reference): The reason the medication is ordered (for complaints of pain or fever of 101° or greater) The maximum number of days that the medication should be given (if pain or fever persists longer than 48 hours – so 2 days) The maximum number of doses per day (Give no more than 6 times in 24 hours) Conditions under which the healthcare provider must be notified (if pain or fever persists longer than 48 hours)
  1. On March 3 at 10am, Felicia is complaining of a headache. Cooper looks at the MAR and notes he can give her some Tylenol. This is how he would document it on the front and the back of the MAR (note that this is not the 1 st , 2 nd , or 3 rd time Felicia has taken this medication) Front of the MAR Back of the MAR Cooper could have written that Felicia was complaining of a headache. Writing down exactly what the client said is short and to the point, and often a better way to do this. Also note that Cooper checked on Felicia within an hour and reported the results of the PRN medication. Reporting on the result of the PRN is required.
  1. Those that do not like putting the times on the front of the MAR for as needed medications may leave the time area blank on the front and fill it in only on the back of the MAR, like this: PLEASE NOTE that either way of recording the time given is acceptable. 5.The back of the MAR looks like this no matter which way you record the time given. Notice how Saralyn and Bennett both wrote down the temperature when they gave the medication and then when they checked it again a little while later.

LIMITED TIME ORDERS

Next, we will look at how to document medications that are only given for a limited time.

  1. After checking the prescription against the medication label to make sure you have received the right medication, you must enter this on Felicia’s MAR in a way that clearly shows the medication starts and stops. Since the medication was ordered late in the day on the 3 rd , you will start this medication on the 4 th .
  2. First, you will write the order on the MAR, including the name of the prescriber: