Pharmacy has now taken over our MARS. Effective 6/1... After one week it is unbelievable the ERRORs that have been made. Medications not listed. They have completly changed the times. My huge 5p pass is now an even more huge 9p pass because it now includes the HS meds. BIDs are now given at 9&9 So yea, BID lasix is given to these poor old residence at 9pm, and we are now waking residence up to give them the ativan that they needed at 5pm. Also the way the order is written on the MAR is not at all clear at all unless you read a whole "chapter" (Each discription is no less then 12-15 lines) For example it will say Tegretol 100mg, then 3 or 4 lines lines down it will say take 3 tablets to equal 300mg. Its a nightmare to say the least. Say if a Resident got Tegretol TID but diff. dosages like 300mg @ 9a and 5p and 400mg @ 9p they have the 5p dosage to be given at 9p also, so there is 2 diff orders one stating Tegretol 200mg then later say give 2 tablets to equal 400mg the other stating Tegretol 100mg give 3 tablets both sched at 9p. Thats 700mg. to be given at 9pm on 2 diff. orders. These are just a few examples
Thankfully I know my cart and my Res. and know what they get for the most part and have been able to prevent errors on my shift, but OMG the time that it has consumed is unbelievable!
Anyways, just venting, if anyone wants to share their nightmares or perhaps tell me that it will get better I will be glad to listen