Search Results
Medications can be withheld for a specific number of doses.
From the Menu, click the MAR page
Right click on the dose of the medication that is to be withheld and select Chart Not Done
Select Withheld dose: See notes and enter a reason in the Comment box
Click the green tick to sign
Interactive View and I&O band options only need to be added as a once off. After completing the following steps, the new band will remain in your customised profile, visible for all your patients.
Open patient’s chart
Click Interactive View and I&O from the menu bar
Click View from…
Medication Reconciliation on Admission is used to 'continue' or 'do not continue' medications that the patient may already be taking. The Medication History should be completed prior to reconciling. To reconcile medications:
Click on the Orders page from the Menu
Click the drop down arrow…
Rates for continuous infusions can be changed in different ways.
Rate Change on the MAR
This rate change is used for longer and more permanent rate changes. This rate change affects the volume that will be pulled into the Fluid Balance Chart.
Right click on the administered fluid in the MAR…
This Quickstart will provide instructions on how to order medications for an inpatient in the Sydney Children's Hospitals Network.
Note: All inpatients require the completion of the Height/Weight/Allergies (Prescribing) Adhoc form before ordering medications.
Click the Add Orders button from…
Complex continuous infusions that require titration to clinical effect (e.g. heparin infusion, midazolam infusion) can be prescribed using ‘IV sets’ which are pre-defined with the diluent fluid, additive medication and infusion instructions.
Click the Add Orders button from the menu
The Add…
Reschedule All Doses of a Medication
Reschedule all consecutive doses of a Medication in the MAR for set administration times or hourly administration times.
Rescheduling Medications with set administration times e.g. TDS
Right click on the required Medication order information in the MAR …
Documenting Insulin pump on the MAR
There will be two insulin pump orders on the MAR. One (reservoir refill) is for signing when the insulin pump is refilled and the set is changed. The other (bolus) is for documenting the bolus doses administered by the pump according to the prescribed pump…
The Dosage Calculator is used for drug calculations for most medications during the ordering process when ordering a weight or BSA based dose.
It contains 5 sections:
Dose Values
Target dose
Based on the dose chosen in the order sentence. The numerical value or unit of measure can be…
Data entry
One cell at a time
Double click into a cell
To enter data, select options from the drop down menu or type free text/numeric values
Double click into subsequent cells to add another entry. Data appears in purple when still unsigned
Click the green tick icon to sign
Enter password…
Medical staff can order medications for future encounters (visits). They have to be activated by clinical staff before the medications can be administered. Ensure the medication is activated on an active inpatient/outpatient encounter.
1. Click on Orders in the Menu
2. Click on Medications to see…
Gate pass medications are treated like discharge medications. The patient is not under the care of a nurse during their absence, and the nurse does not administer the medications during that time. However, any MAR tasks scheduled during the gate pass period will need to be documented. This can…
Medication Reconciliation on Discharge is used to convert inpatient medications into prescriptions, and to continue or discontinue home medications. The process relies on information that is documented during this inpatient visit and in the Medication History. The final list will become the patient…
Interval frequencies
Interval frequencies will place the first dosing task to start within the next hour. Subsequent tasks will appear after it at the chosen interval
E.g “8 hourly” charted at 18:35
First task will appear at 19:00
Next tasks will appear at 03:00, 11:00 and so on
Interval…
Nurses can request medications from pharmacy in the event where there is nil stock or low stock of medications on the wards.
Ordering a single medication
Click into the MAR
Right click over the medication you wish to order and select Med Request
The Medication Request window appears…
A Clinical Intervention is used to document clinical activities undertaken either for individual medication orders or for the patient.
Interventions added for a specific medication order
Click Medication Manager
PharmNet Medication Manager opens
Select Patient
Select Acute Profile tab…
Sometimes it is necessary to swap between different encounters (visits) for a patient (eg. when medications are visible on the MAR summary but not the MAR).
With the patients' chart open;
Click on the Location from the blue banner.
Select the relevant encounter and click OK.
NOTE: An…
The MAR Summary provides an overview of the patient’s medication administration. This is a view only page showing medications across encounters (visits).
NOTE: If a medication is visible on the MAR summary but not the MAR it means that the medication has been ordered on a different visit than…
Nurse Initiated Medications will be used by some nurses. If you nurse initiate orders on the paper medication chart you will be able to continue to do this on the electronic system. Prior to this ensure the patient's Allergy Status has been reviewed.
Click on Orders in the Patient Chart Menu…