Know your MAR?
What does an "E" stand for in the MAR?
Error
What Pharmacy does the medications get delivered from?
Westmount Pharmacy
What times are JM's Medication times?
0800 and 2000
What does PRN stand for?
"prescribed as needed"
When should you sign the Monthly Medication Signature Record form in the Medication binder?
ONCE a month with your regular shifts the only other time you would sign is if you are working a different shift.
If the pharmacy tells us to hold a medication what code would you write in the MAR and where would you document it?
"H"
You received medications, who is responsible for counting/checking them?
The person who took the medications from the delivery person.
What are JL's Medication times?
0800, 1600, and 2000
Where do you find the information on residents PRNs?
In the binder on top of the medication cabinet
When should you sign the fourth check?
At the end of the shift to make sure all medications have been administered and signed for.
What are the colored stickers in the MAR for?
Warning for medications (ex. take with food, do not crush or chew, etc.)
Bonus question (10 points): Where do you put the blister packs once checked?
Verify the client’s name, confirm the medication and dose, flip the pack to count the pills, and then document by writing “checked by,” adding your initials, and dating the pack.
Bonus answer: In the bottom medication cabinet that is labeled "future blisters"
What are JF's Medication times?
0800, 1200, 1700, and 2000
Name 3 of JMs PRNs.
1. Tylenol
2. Seroquel
3. Tums
When should you sign the medication alert form and what information should you include?
When you give a PRN to a resident and you must include the date, initial of the resident, name of PRN, and reason why PRN was given and time, and staff who administered the PRN initials.
If you notice a previous staff missed signing for a medication what would you do on the MAR and what other steps are taken?
Bonus question for 10 points. Who's responsibility is it to document an error if found?
Document it with an E for error and complete a medication error form.
Bonus answer: Who ever found it.
Where do you store the future MAR sheets that come with delivery?
The MAR with the stickers go into the Medication binder in the folder behind the current MAR.
The MAR without the stickers goes into Sara's cubby incase of emergency.
What should you do when a medication is missed and outside of the allowed time window?
Call the pharmacy for guidance, follow their instructions—usually not administer the dose—dispose of it if required, document in the MAR, and record a medication error.
How many PRNs does JL have?
One: Ketoderm cream
If a resident has an injury where do you document it?
Injury Site Documentation form located in the medication binder
If you receive a PRN for a resident that they need to take starting that day what do you need to fill out on the MAR sheet about the medication?
Bonus question (10 points): How do you inform the team that there is a new PRN medication?
Name of the medication, directions for the medication, and description of the medication.
Bonus answer: Send out a detailed email that is urgent and send out a teams message for the team to check their email.
When the Pharmacy delivery is here what else should you make sure to hand off to them and have them sign?
Disposal medications and sign the disposal form located in the binder on the bottom shelf.
What time is JM's medication window extended till?
10:30 AM
When administering PRN medications to residents other then the MAR where else do you need to sign?
Medication alerts with time and reason
When administering a PRN and signing the MAR other then your signature what else should be written on the MAR?
The time of administration in military time