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Printed Med-Sheets for MAR
59 posts back to top |
Posted about 1 month ago Instead of our unit clerk copying out the med sheets used in the MAR, now our pharmacy prints them out the night before. Does anyone else have this? I don'tlike it as much as the old way. The meds are timed for you and the times are all wrong, plus when new orders come in they have to be written out anyway. Some of the meds are even written out wrong. New sheets are printed daily so the old ones pile up, such a waste of paper. Just want to see if anyone else has experience with this. |
320 posts back to top |
| Posted about 1 month ago yes been using it for 2 years. it really was hard at first all the same problems you are experiencing now. but gradually over time like everything else in nursing you get used to it. not better just different. if you finally go to an all automated system not just the mar it will get better . the system we use now is pyxis machines for our meds and cerner is our charting system . so everybody is on the computer charting.... the rn the pharmacist the doctor etc etc that way new orders for meds go to the computer and then onto the mar automatically so if there is a dosing error it will get caught by the pharmacist who is double checking all the med orders put in by the md. the system when its fully automated is what you will appreciate but if your hospital is just using the computer generated MAR then your problems as they are now will remain just that problems. good luck hopefully there is a long term plan that includes fabulous computer charting. which of course seems to be the panacea for many many many people who feel that universal healthcare is necessary but that's a whole new discussion. |
1890 posts back to top |
| Posted about 1 month ago I don't care much more for either way, but I do like things to be copied right. To me what is important is that it should be standardized in the various state directives as I believe that the potential exsists for more mistakes especially if you work for different systems (i.e. agentcy nurses). So let us all get on the same page (I know it is just a dream but what is wrong with an across the board standard).
Cheers and better MARS to you - Tim, R.N. |
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320 posts back to top |
| Posted about 1 month ago money is what is wong !our hospital is private non profit so our money came from rich people and bigpharma !! no money no system the computer generated MAR was only meant to be used if the hospital was going to go to an entirely automated system but when CEO's and such have a look at that price tag they usually have a heart attack!!either way you are correct the most important thing is that its transcribed correctly! |
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59 posts back to top |
| Posted about 1 month ago we use computer charting and have for awhile. its just these new printed MARs. when i get an admit i have been waiting a couple hours to get the mars and when i get them it doesnt take into account the 10 new meds that the doc added when the pt got to the floor-so the clerk has to write them in. im sure it will get better when they work out the kinks...thanks for letting me vent. |
543 posts back to top |
| Posted about 1 month ago Yes - but they can lead to errors - too easy to overlook something that should be d/c'd and leave it in. |
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320 posts back to top |
| Posted about 1 month ago errors are the main reason "they" told us we were going to computerized charting. after implementation the total amount of errors DOUBLED !!"they" told us that was due to a learning curve ! haha well tell that to the pt that got 2 units of blood without an order but ended up on the computer orders anyways by some mystery. OMG that has never happend in our hospital in the FIFTY + YEARS it has been here!! so maybe there will be less errors over time but somehow i doubt it. the system is only as good as the person pushing the buttons. i could go on and list the many many many errors i have seen but it would take me all day. the computerized charting is for the bean counters who run studies on this or that. it has nothing to do with making the care better its just to make the bean counters job easier so they can sit at their desk eating cheetos and collect data. great! |
886 posts back to top |
| Posted 29 days ago Where I'm at now we use only computer charting. I did work at a nursing home a few years back, that used monthly computer MAR's. We were required to verify and sign every single page before the start of the month. We had to check each and every entry that everything was 100% current and up to date. My extensive military knowledge is not limited to just being in line at the commissary, I also have extensive military knowledge of the 'Class Six'. |
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6 posts back to top |
| Posted 25 days ago We had daily MARS also and since I worked nights, I had to check them before the next shift began. They were preprinted from the pharmacy and often they forgot new orders, hours before they printed them. we also were on computer charting and found that to be ok, at least the notes were ledgible ( unlike most MD orders). |
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1 post back to top |
| Posted 25 days ago I currently work at a nursing home and the MARs are all printed out on a 'monthly' schedule. If the order changes, the old order is highlighted and marked as DC'd, and the new order is hand written in on the next available line. Same with any new orders that occur. Unfortunately, there are residents with several pages of DC'd orders, but because the month isn't over, the pages can't be removed. It also doesn't help that because different nurses handwrite the new orders, there is no consistancy with wording, abbreviations, or legibility. On one hand, it makes the job easier always having the MAR at hand, printed out (for the most part) On the other hand, it can get frustrating trying to clarify the orders that were written and the info not passed during rounds/report.
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