How to Document Medication Administration/Observation (v3)
Note: You have the ability to use the eMOR or eMAR (depending on your role) within ZenCharts if orders for medications are being entered in ZenCharts. Orders entered in the client's chart is what powers the generation of the e-mar.
If you are a non-licensed staff member and are observing medications, you should be accessing an eMOR which will allow you to 'Observe' and then have the client sign for their medications. If you are a licensed staff member, you should be accessing an eMAR which will allow you to 'Administer' medications and does not require the client to sign afterwards.
You have the option to go into each client's chart and work in the individual eMAR, or you can access the eMAR dashboard which displays all clients and all medications
Accessing and using an Individual Client's E-Mar/E-Mor
1. Login to ZenCharts, and click into the desired client's chart
2. Go to the main menu navigation and click into the medical section, then from the medical sub-menu location, click on the eMAR menu option
3. Select the applicable time tab. (You may also view all the medications due for the day by clicking the hourly view drop down to the Day View)
4. You can view the clients picture (if uploaded in chart), their name, their DOB, any allergies that have been documented, as well as any special diets
a. If they have been recorded, you can view the most recently documented vitals, blood glucose, vital signs, breathalyzer value, and CIWA or COWS scores by clicking on their abbreviations
5. If there are any tasks that need to be completed prior to signing off a medication, you will see it listed in the 'Requirements' column. Click on the requirement to complete it.
a. If you need to enter any notes at the time of signing of the med, document it in the notes text box
6. Select an option from the drop down (taken, held, refused, etc) for each medication you are documenting on
7. Click 'Administer' (Or 'Observe' if you are accessing an eMOR and allow client to sign in the signature modal that displays)
8. To document PRN's, click on 'Add PRN Orders'
9. Click on the check boxes next to the name of the medications you want to sign and then click 'Select PRN Orders'
10. Double check you have selected the correct medications, you can adjust the time it was given, and add any additional justification/notes here, then click 'Administer' (Or Observe and allow client to sign in the signature modal) to sign them off.
Accessing the EMAR/EMOR Dashboard
1. Login to ZenCharts
2. Click on the Main Navigation, click on 'Medical' then click on 'eMAR Dashboard'
3. Select the desired time tab and scroll to the applicable client
Follow steps 4-10 on how to use the eMAR/eMOR to document medications
Tip: If you are utilizing the eMOR Dashboard, and clients pull their own medications by looking at the screen, you may utilize the new privacy feature by clicking on the image of the eye which will blur out any other clients information from the screen. To return to normal view, simply click the image of the eye again
Note: To view the E-MAR/E-MOR from a past date, click "Filters" to search for a past date on the calendar field or use the arrows on each side of the shown date at the top of the E-MAR/E-MOR to navigate to the desired date.