One for regular meds, one for diabetic meds, one for abx, one for pain med, one for iv meds (ok maybe it is 5 lol). They are tailored to the type of med for example the diabetic mars have room to enter in blood sugars and insulin.
I've never seen one MAR for multiple patients.
Do you mind describing it? Sounds like it could be a good idea.
Well where I work, we have computerized EMARs, so we do med scanning. When we have computer downtime, we go to paper MARs but again, everything is on there.
But in other places I have been, they all had paper MARs. It was just tailored to the patient's list of medications. Everything, including insulins, pain meds and IV meds are on the MAR. Usually the pain meds are the PRN meds and the IV meds (such as continuous infusions) are under "unscheduled." For insulins, there is a spot where we can record the blood sugar. Otherwise, there is just the time listed on when it is schedule and then we initial next to it or if it was not given, it would be circled and at the bottom of each page is a little area where we can write a quick note.
we do electronic charting and an icon will flash red for stat orders and yellow for any other new order (or result of a previous order). When we did paper charting I checked every time I charted and that could be 2 hours or more. I depended on the unit clerk or charge nurse to tell me if new orders were received.
Everytime I sign onto the computer there is a Changes selection at the top with a number next to it that tells me how many changes have been made recently. When I click on it, it tells me what the changes are.
For in the chart orders, I always look after I see the doctor leave.
I'm not sure there is a specific policy of how often we are supposed to look, if so I've never heard it!