How to correctly document changes on LTC MARS

Does your facility have a policy on how to do this? If they do, following it would be the easiest way.

No, that's part of the reason I'm trying to find a reliable source for this information. Both the DON and the administrator have less COMBINED experiance than I do, and I'm tired of with those two.

I haven't found a website yet. However, the way that we document changes is highlight the whole space through the end of the month, then write D/C, date and initial. For Coumadin changes we will write "Hold' in the spaces if only holding 1 or 2 days. If longer we get a D/C order, note it in the chart and then resume with a new order when labs indicate per MD. That prevents med errors. I hope this helps :)

:yeahthat:

This is also my experience.

we so the same. Yellow out the whole space. If you don't have a highlighter at that momemt...we put a line or make sure that the entire month is crossed off and DC is writtne in that space.

How not to do it.....scratch off or x off the change such as q day or bid and just keep it in the same spot writing over the change.

This came up recently where I work with the crossing off and writing in of new times 3/4/ of the way through the month.

Very irritating!

I agree with other posters, as to how it should be done.

If there is not a policy try calling the pharmacy consultant for your building, they could tell you the correct way and probably send you documentation for your facility.:wink2::wink2::wink2: