Written MAR PLUS EMAR???

[lomagg2]

This is my first year as a school nurse, and I feel like I am finding a bunch of places where double work is present.

Here is the situation of how things were done in the past. We require any medication that is dropped off to be in its original container plus have the prescription label (if it is a prescription) with it's "instructions" on it (frequency, time to be given, dosage, etc). However, they also wanted parents to fill out a paper MAR (even though we chart it all on the computer) and wanted them to fill out all the same information that is already on the prescription label.

So my question is what do you guys do as far as paperwork/charting for medications from a doctor??

[OldDude]

Our medication administration permission slip is on paper with a reference of "per label" and requires a parent signature, otherwise all medication administration is charted electronically.

[BeckyESRN]

We require original up to date prescription bottle with clear instructions and a written form filled out by the physician and signed by both physician and parent. For charting that a routine med was given (PRN or daily) we document in the computer. I check in all meds and add them to my computer MAR in SNAP.

[lomagg2]

Thank you for the responses! I am looking at doing a permission form when the medications are dropped off instead of a separate MAR like used in the past!

[GetBackToClassRN]

We require the original prescription bottle including label of instructions and we require a completed permission form signed by the parent and a physician. We still have paper MARs and there is a place in our district computer system for documenting meds. That being said...I've never been trained on the computer system charting and it is NOT user friendly, so must of the nurses do not use it.

[JenTheSchoolRN, BSN, RN]

We require original up to date prescription bottle with clear instructions and a written form filled out by the physician and signed by both physician and parent. For charting that a routine med was given (PRN or daily) we document in the computer. I check in all meds and add them to my computer MAR in SNAP.

My school does the same.

[WineRN]

We require original up to date prescription bottle with clear instructions and a written form filled out by the physician and signed by both physician and parent. For charting that a routine med was given (PRN or daily) we document in the computer. I check in all meds and add them to my computer MAR in SNAP.

The only difference for me is have our district accepts the original prescription as the physician's signature for up to a year of the date on the label. For OTCs we have a physician permission form.

[ArryOtter]

Our district has LOADS of double work. We require original prescription bottle with instructions, Medication Authorization form filled out and signed by the parent and physician. We have Paper and EMAR that both must be filled out. I feel like a great deal of my time is charting things either electronically or on paper that have already been charted the other way.

[grammy1]

The only difference for me is have our district accepts the original prescription as the physician's signature for up to a year of the date on the label. For OTCs we have a physician permission form.

Same for us, rx label counts as physician's signature. We do need a paper MAR signed by physician for OTC's (or a faxed note from the doctor).

[OyWithThePoodles, RN]

We require the medicine be in original bottle with label. We have the MD fill out a medication authorization form that has the name, dose, and instructions for the medicine and the parent has to sign it.

We have a paper MAR but we (can) also chart on the computer as well. Charting on the computer is HIGHLY recommended but not required. The paper MAR is required. This is because only nurses have access to the "health office visits" portion of our computer system for privacy reasons. If a nurse is out or there is no nurse in that school, the trained staff must chart on the paper log, as they have no way to chart electronically.