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Clinical

Nursing Station & Barcode eMAR

The ward’s working day: doses due on the medication administration record, given after scanning the wristband and the medicine, notes and care plans per shift, tasks with due times, intake and output, the shift handover, and the early-warning ward board that shows every patient’s latest NEWS2 and whether the next observations are overdue.

For:NursesCharge nursesWard managers

Where:Nursing › Bed Board · Medication Administration · Ward Board — Early Warning · Shift Handover

Medication administration: what is due on the ward, by patient and time.
Medication administration: what is due on the ward, by patient and time.
The nursing dashboard: doses due and overdue, tasks, handovers and the fortnight’s charts.
The nursing dashboard: doses due and overdue, tasks, handovers and the fortnight’s charts.

Before you start

Barcodes
Every medicine needs its barcode on the medicine master (Pharmacy › Medicines); the wristband carries the patient code. A USB or Bluetooth scanner works as a keyboard.
High-alert medicines
Tick High-alert on the medicine master; those doses require a witness.

How to

Give a dose with the scanner

  1. Nursing › Medication Administration: doses due on your ward, overdue ones first.
  2. Click Give on the dose; the Give a Dose window opens.
  3. Scan the wristband: ✓ Patient confirmed, or ✗ if it is another patient’s band.
  4. Scan the medicine pack: ✓ Medicine confirmed, or ✗ if the barcode is another product.
  5. For a high-alert medicine, choose the witness (a second nurse).
  6. Give. The dose is recorded as scanned, with your name and the time.

Give a dose without the scanner

  1. In the Give a Dose window tick Confirm by hand and say why: no scanner on the round, unreadable band, no barcode on the pack.
  2. Give. The dose is recorded as confirmed by hand with the reason; nothing is blocked, everything is recorded.

Hold or refuse a dose

  1. On the dose, Hold (with the reason: nil by mouth, vitals, procedure) or Refused by patient.
  2. The prescriber sees held and refused doses on the visit.

Run the early-warning ward board

  1. Nursing › Ward Board — Early Warning: every admitted patient, their latest NEWS2 and band, the time of the last observations and whether the next set is overdue for the interval the score calls for.
  2. Record observations from the board: the row’s Vital Signs button.
  3. A medium or high score has already raised an activity for the ward nurse; acknowledge it after the review.

Write notes, care plans and tasks

  1. Nursing › Nursing Notes › New per shift: assessment, interventions, response.
  2. Care Plans: goals and interventions per problem, reviewed on a date.
  3. Tasks: turn, dressing, blood sugar — with a due time; the ward’s call-for-help requests from the app land here too.
  4. Intake / Output: fluids in and out per shift; the balance is on the admission.

Hand over the shift

  1. Nursing › Shift Handover › New for the ward: the open items per patient are pulled in; add what the next shift must know.
  2. Sign; the incoming nurse reads and acknowledges it.

See also: Prescriptions & Orders Admissions & Bed Board Intensive Care Charting Pharmacy & Dispensing

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