1. MAR - MEDICATION ADMINISTRATION RECORD
MAK UNITS ONLY
Created 10/04

2. KEY COMPONENTS HEADERS/SECTIONS: MAR ORDER DETAILS: PAGE HEADER
Type of MAR (i.e. Medication or IV)
MAR Date Range
Displays up to 5 Days of Med Summary
ORDER SECTIONS
ROUTINE ORDERS
Scheduled Orders (i.e. QAM)
PRN ORDERS
STOPPED/DC’D
STOPPED/DC’D ROUTINE
Expired/Discontinued Scheduled Orders
STOPPED/DC’D PREOP/STAT/URGENT
One Time Order
STOPPED/DC’D PRN
Expired/Discontinued PRN Orders
MAR ORDER DETAILS:
BRAND/GENERIC NAME
IV DESCRIPTION
DOSAGE
STRENGTH
ROUTE
FREQUENCY (i.e. BID)
ORDER START / STOP DATE
****FUTURE ORDER***
START DATE IN FUTURE AT PRINT TIME
****DISCONTINUED ORDER***
STOP DATE OCCURRED IN MAR DATE RANGE
****NO ADMINISTRATIONS***
PRN MEDS NOT CHARTED IN MAR DATE RANGE

3. LEGEND AND SYMBOLS NOT ADMIN - * followed by Time, Initials
Example *2100BUSER
ADMIN – Time followed by Initials
Example BUSER
NOT CHARTED - Time only
Example
HIST – Charted Occurrence has been revised
M= Charted Vitals or Pain Scale values
T = Temp
R = Respiration
HR = Heart Rate
PS = Pain Scale
BS = Blood Sugar
Blood Pressure noted by value/value

4. LEGEND AND SYMBOLS – cont’d
D= Free Text Charted Dose
Site – Site of Administration
T = Temp
R = Respiration
HR = Heart Rate
PS = Pain Scale
BS = Blood Sugar
Blood Pressure noted by value/value

5. CHARTING REASON AND EFFECT SECTION
Supplemental Section of MAR
Provides additional charting data
Reason
Documented reason med administered or not administered
Effect
Documented effectiveness for administered med

6. CHARTING HISTORY SECTION
Supplemental Section of MAR
Provides charted data revision information
Details old and new charted data information
Occurrence Status
Administered to Not Administered
Not Administered to Administered
Date and Time
Reason and Effectiveness
Administered Dose
Administration Site
Vital Sign, Pain Scale or Blood Sugar collected data
Revisions cannot be made to the original chart or cosign user identification

7. OTHER INFORMATION PATIENT INFORMATION NURSING ELECTRONIC SIGNATURES
Patient Identifiers
Allergies
NURSING ELECTRONIC SIGNATURES

8. MAR IMPORTANT FACTS PATIENTS ON MAK UNITS
Permanent Chart Copy MAR for MAK Unit discharged patients will be printed directly to Medical Records at dayend
Unit MAR printed directly to unit each day
Normal print time - 10 PM
Used as a reference MAR

9. EXAMPLES
MAR HEADERS, SECTIONS
AND
ORDER DETAILS

10. Section Header Based on Order Status
LAYOUT OVERVIEW
MAR Date Range
MED or IV MAR Header
Charting Date
Section Divider
Order Details
Section Header Based on Order Status

11. ORDER DETAILS OVERVIEW
Brand/Generic Name
Dosage, Strength, Route and Frequency
Charting Information
Start/Stop Date and Time
Order Divider

12. Routine (Scheduled) Orders
ROUTINE ORDERS
Chart Date
Order Information
Routine (Scheduled) Orders
Charting Information

13. STOPPED/DISCONTINUED ORDERS
Section Header Based on Order Status
Stop Date/Time
Stop date occurred in MAR date range

14. STOPPED DISCONTINUED ONE TIME ORDERS
Stopped or Expired One Time Orders
Start Stop Date are Equal

15. No Charted Occurrences
PRN ORDERS
Order Section Header
Active Order
No Charted Occurrences

16. PRN STOPPED/DISCONTINUED
Order Section Header
Order Start/Stop Date
Not Charted During MAR Date Range

17. Start Date in Future at Print Time
FUTURE ORDER NOTATION
Start Date in Future at Print Time

18. REVIEW – MEDICATION MAR

19. REVIEW - IV MAR

20. EXAMPLES
LEGENDS AND SYMBOLS

21. CHARTING STATUS REVIEW
Order Section Header
ADMIN – Time and User ID
NOT ADMIN – asterisk (*) f/b Time and User ID
NOT CHARTED – Time w/o any other information
HIST – Revision Details for Charted Occurrence

22. M = CHARTING DATA COLLECTION
Vital Sign, Blood Sugar or Pain Scale Information

23. FREE TEXT DOSAGE AND SITE
Free Text Dose Entered (D=)
Administration Site
Vital or Blood Sugar (BS) and or Pain Scale (PS)

24. CHARTING REASON/EFFECT AND HISTORY
EXAMPLES
CHARTING REASON/EFFECT AND HISTORY

25. CHARTING REASON AND EFFECT
Section Header
Med, Occurrence Date/Time, Chart Time, User ID
NOT ADMIN Reason
PRN Reason

26. Post – Revise, New Charted Date/Time and Revised Entry Value
CHARTING HISTORY
Order, Occurrence Date/Time, Charted Date/Time and Revised Data Element _ OLD
Section Header
Post – Revise, New Charted Date/Time and Revised Entry Value

27. MAR REVIEW IMAGE file contains MAR document images
MAR REVIEW IMAGE file contains MAR document images. Please review this file.
THANK YOU!