For those of you that still use this method (paper) of records that need changed out at the start of the new month- what is your med error rate? Who verifies the validity of the possibly 1000's of orders that accumulate, change, expire and ec. during the prior month? When the night nurse on the last day of the month changes out MARs/TARs, can she be assured the orders are accurate? If thye are not, is that nurse responsible (as far as the SNF is concerned, we will leave the BON out of this post) for med errors that may result that first night of changeover?
Prior post 'I didn't accpet the keys'... brought this issue to my mind.