Charting PRN Medications - Bear Cottage Training Guide

View PRN Medications

• Navigate to PRN Medications on the MAR by clicking PRN in the Time View menu
• Notice how PRN medications float along with the current time (i.e. yellow column)

Oxycodone and PRN Response Tile

Administer the PRN Oxycodone and acknowledge the pain score of 9 that has pulled in from the entry on Gabapentin.

• Select the PRN Oxycodone

• Acknowledge the pain score and pain scale that has pulled in from the entry on Gabapentin 
• If there is no pain score to acknowledge, add a Pain Score of 9

• One hour after administering certain PRN pain medications, the system prompts you to chart the patient’s response to the medication by populating a PRN Response tile.
• Acknowledge the pain scale used.
• Refresh the screen and the PRN Response Tile appears on the MAR in one hour

• Pretend an hour has passed and chart the PRN Response
  • Click the PRN response tile to open the Medication Effectiveness Evaluation AdHoc form
  • Chart that the time is correct
  • The PRN Medication is effective
  • Pain score is 2 and Scale is 0-10
  • Sign

• Refresh the MAR and review

PCAs/NCAs (Fentanyl)

• PCAs and NCAs are ordered on paper
  • See how the medication details say “See paper Pain Management chart for details”
  • See the task tile says “Paper Chart”
• Orders are only entered into PowerChart as placeholder orders to remind nursing staff to view the paper order and allow for drug-to-drug interaction and drug to allergy interaction checking by the system
• As a PRN, it will float along with the yellow column
• Do not sign

See

Ordering PCA/NCA/CADD