eMAR (electronic Medication Administration Record)
Summary:
eMAR is a medication administration software solution shown to improve patient safety and drastically reduce the amount of time spent on documentation. Clinicians can easily document medication administrations, vital signs, and other observations, and are alerted if clinical actions need to be taken. Clinical alerts can be displayed visually within the medication administration software.
Hospitals using eMAR have documented a 33% reduction in medication administration errors, as well as a reduction of 45% in documentation time. eMar speeds up the prescribing process for patients and physicians and complies with federal regulations.
There are a few ways to access eMAR lists, either client specific or global list:
- Client Chart – see eMAR in the chart main menu
Client’s chart > Medical > Medical Details/Assessment History > eMAR - eMAR Dashboard tile accesses the global list showing all clients
- Client main menu (global list)
Columns: (global list)
Client – name of the desired client
Medication – name of the prescribed medication
RXCode – medication code
Status – status of the prescription issuance
Start Date – date when the prescription history begins
End Date – date when the prescription history ends.
Taken Date – date medicine was given to client
Dosage & Notes – medicine dosage and notes about the medication history if needed
Route – method of medicine delivery
Site – where the medicine will be delivered on the client’s body
Remarks – any remarks about this client and the selected medicine
Precaution Remarks – remarks about any precautions for prescribing the selected medicine
Container # - container for the medicine
Current Cont. Vol. – current amount of medicine in container
PRN – medicines checked for “as needed”
Time Window - assigned time for dispensing medicine
Columns: (client list)
Columns are the same as the global list but client specific.
Buttons & Fields (New Record)
eMar Report - run medication reports on all or filtered clients. In the report window, there are print icons for printing reports. The left icon with the question mark allow you to select a printer and properties. The icon without the question mark automatically prints to your default printer.
Medication Administration Record (new record) Top Menu:
Sign Details - Q/A with signature.
Note – create a new Note for this eMAR record
Client – select the desired client
Schedule Next – schedule the next dosage day/time
New Record Fields/Buttons
Prescribed Med – medicine prescribed to the client (when presc med is selected, the medication and dosage are auto populated for that medicine)
Medication – specific medication for this patient
Dosage & Notes – medication dosage and any associated notes
Route of Administration – method in which the medication is administered (oral, injection, etc.)
Site – location on the body where the medication is administered (mouth, left arm, right thigh, etc.)
Status – status the medication administered
RXCode – prescription identifier
Quantity – how much medication is administered
Scan Barcode Here - the barcode on a drug container can be recorded here with a barcode scanner. The eMAR can also be associated with an existing Container during the container setup.
Prescribed Med – medicine prescribed to the client (when presc med is selected, the medication and dosage are auto populated for that medicine)
Medication – specific medication for this patient
Dosage & Notes – medication dosage and any associated notes
Route of Administration – method in which the medication is administered (oral, injection, etc.)
Site – location on the body where the medication is administered (mouth, left arm, right thigh, etc.)
Status – status the medication administered
RXCode – prescription identifier
Quantity – how much medication is administered
Sign Details – for use with a Digital Signature Pad
Administered By - only pulls staff with the eMAR Can Administer profile rule.
Start Date – date medication is first administered
End Date - cannot be populated by the user on the initial save. The end date will be automatically calculated based on the status the eMAR is set to and can be changed on subsequent saves of the record.
Instructions:
Enabling eMAR:
Go to System Settings to enable eMAR in Profile Management.
Go to Profile Management [link] to enable eMAR for users who will be accessing this feature.
Using eMAR:
Go to the client’s chart and select the Medical tab. Click on the Medical Details / Assessment History button.
Select the eMAR tab.
Alternatively, go to the Clients menu and select eMAR from the menu.
In either list, a New Record can be created or the existing medication can be edited.
Note:
When you check PRN on an eMAR record in the client’s chart, the line will not be in the list upon Save. You can filter for PRN-Yes to see them in the client list or they are available in the global list. This is so you only have eMAR’s in the client’s list that need to be given at a specific day/time.
Use Case:
Dr. Smith at ABC Therapeutic Group needs to prescribe a medication for his client. First, he reviews the eMAR to be sure the medication is safe and appropriate for the client. When he is satisfied, he goes to Digital Rx to prescribe the medication. The PIMSY staff manages the dosage for that client within the eMAR system.
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