How to Document the Medication Administration Record (MAR)
The MAR stands for Medication Administration Record, but it does not only include Medications. Other items, such as safety checks and follow-ups, are also administered on the MAR. Items are […]
Prescriber: How to Sign and Acknowledge Verbal Order
All verbal orders entered by a nurse will include adding the prescriber as a co-signer. All documents to co-sign, orders or not, will display in the Dashboard. Click the Search […]
How to Create a New Client Order
The Client Orders page allows you to see all orders for an active client, including discontinued and completed orders. You can also create new orders for an active client from […]
How to Document Non-Interface Lab Results
Lab results received from a lab that does not have an interface are scanned into the client’s documentation using the Scan/Upload feature. Click the Search icon. Type “Scan” into the […]
PRN indications, exact time frequencies and dose ranges
For PRNs indications (eg. as needed for [symptom]) and exact timing (eg. before meals, at noon, 5pm), please put this information in the instruction textbox for patients. Of note, there […]
How to Discontinue Standing Lab Orders
With a client record open, click the Search icon. Search for Client Orders. Select Client Orders (Client). You must modify or discontinue using the parent order. It cannot be […]
Post-Date Controlled Substances’ Subsequent Orders
With controlled substances, once your medication is selected, a new column, “Additional Orders” will replace refill. Enter the number of subsequent orders you wish to prescribe. For class II medications, […]
How to Retrieve Surescripts Medication History
Surescripts Medication History Can be Processed in Two Ways: Automated process Manual Real Time Medication History Prerequisites for Processing Medication History Any scheduled service with an author that has a […]