Documenting a medication given by a physician

Agree with marking the med as administered and noting in the comment section that the med was reported as given by Dr So-and-so at X time. 
 

No doubt someone somewhere with too much time on their hands could make some argument about this but it isn't something I would lose sleep over. 
 

IMO it's a way bigger problem to not document it at all, since the primary function of the EMR is to serve as a record of events related to the patient's healthcare. 
 

$.02

JKL33 said:

Agree with marking the med as administered and noting in the comment section that the med was reported as given by Dr So-and-so at X time. 
 

No doubt someone somewhere with too much time on their hands could make some argument about this but it isn't something I would lose sleep over. 
 

IMO it's a way bigger problem to not document it at all, since the primary function of the EMR is to serve as a record of events related to the patient's healthcare. 
 

$.02

That's what I think, but manager said greater liability in documenting it in the MAR under administration even with the comment. I guess I can just put it in a note....surely some other *** will have a problem with that. ?

In EPIC, we have an option to select "given by other" and then can put in a note who gave it. 

KalipsoRed21 said:

That's what I think, but manager said greater liability in documenting it in the MAR under administration even with the comment. I guess I can just put it in a note....surely some other *** will have a problem with that. ?

This person does not know what s/he/they are talking about. Seriously. There is very little if any "liability."

Sometimes when I've run into thinking like this I ask what kind of liability. But when I didn't have the energy to engage in such a painful conversation I just say okay then do what I think is best anyway.

JKL33 said:

This person does not know what s/he/they are talking about. Seriously. There is very little if any "liability."

Sometimes when I've run into thinking like this I ask what kind of liability. But when I didn't have the energy to engage in such a painful conversation I just say okay then do what I think is best anyway.

Yes, I do that too. I' m just tired of the Poole who are suppose to be able to provide problem solving skills and guidance being less experienced than me. But I sure as *** don't want to be a manager. They are abused more than staff, and for what? A modest pay increase? Please.

In the ED, many medications are administered by the physician or PA/NP. For example, propofol for conscious sedation or lidocaine for local blocks. I scan them under my name but make a note of "administered by -insert name and title-"

JKL33 said:

Sometimes when I've run into thinking like this I ask what kind of liability. But when I didn't have the energy to engage in such a painful conversation I just say okay then do what I think is best anyway.

I just love this so much .   This is exactly what I do !  And I completely love the fact that you described it as a " painful conversation".  It make me laugh , thank you !  ?  

From my experience epic has the most user friendly interface. In the intraprocedure tab particularly it's very easy to mark a medication as given and then change the ordering and administering parties.