What Does A Medical Records Administrator Do

- 20.28

While waiting for a state health-records exchange, medical society ...
photo src: ctmirror.org

A Medication Administration Record or MAR (eMAR for electronic versions) is the report that serves as a legal record of the drugs administered to a patient at a facility by a health care professional. The MAR is a part of a patient's permanent record on their medical chart. The health care professional signs off on the record at the time that the drug or device is administered. MARs are commonly referred to as drug charts.


How to Become a Medical Records Administrator: 7 Steps
photo src: www.wikihow.com


Maps, Directions, and Place Reviews



Format

The actual chart varies from hospital to hospital and country to country. However they are typically of the format:

  • Administrative/Demographics
    • Patient Name (often Surname, First name or similar)
    • Treating team details
    • Allergies
    • Other, variable - weight, special diet, oxygen therapy, application time of topical local anaesthetic e.g. EMLA
  • Prescription Details
    • Drug name
    • Dosage strength
    • Route
    • Frequency
    • Medication indication / Diagnosis
    • Prescribing doctor details, signature
    • Day by day chart where carers/nurses administering medications can sign when medication has been given

What Does A Medical Records Administrator Do Video



Kardex

A kardex (plural kardexes) is a genericised trademark for a medication administration record. The term is common in Ireland and the United Kingdom. In the Philippines, the term is used to refer the old census charts of the charge nurse usually used during endorsement, in which index cards are used, but has been gradually been replaced by modern health data systems and pre-printed charts and forms.

Source of the article : Wikipedia



EmoticonEmoticon

 

Start typing and press Enter to search