How to Identify 8 Rights of Medication Administration with an eMAR
Administering medications comes with great responsibility, and a simple mistake could lead to devastating outcomes. That is why it is crucial to take the necessary precautions to ensure that medications are appropriately handled. There are standard details to verify when administering medications, but with the severity of the task, it is a good practice to add a few additional checks. An eMAR program can simplify this process and act as an additional safeguard to reduce human error.
5 Rights of Medication Administration
1. Right Resident
Identifying the appropriate resident is very critical in administering medications properly. Before handling any medications, verify that you are working with the right resident that the medications are prescribed to. Verbally asking their name and birthday is a great way to do so. If the person is non-verbal, an eMAR can come in handy as you can also confirm with a photo and apartment details.
2. Right Medication
When viewing med packaging, confirm that the name, prescription number, and description match what displays in your eMAR. Some applications may also display medication images which are a great visual indicator that you are handling the correct medication.
3. Right Dose
After confirming you have the proper medication, it’s crucial that you administer the accurate dosage. Thoroughly reading the medication directions will give a clear explanation of the right dose to administer. If the amount shown is variable, an eMAR can ensure that the correct amount is given at the appropriate time with required prompts or notifications.
4. Right Route
The medication directions should explain how the medication should be given, whether by mouth, topically, injection, etc. Good eMAR applications state the route again on the MAR or med pass screen for further safety measures. They also take it a step further and prompt questions about the route and even administration location related to a patch or injection, for example.
5. Right Time
It’s imperative to confirm then the medication is being given at the appropriate time, especially when the med is time-sensitive. The prescriber will typically include the administration time in the order; otherwise, the pharmacy should include a suggested time based on community med pass times. eMAR programs commonly group medications by the time of administration, making it easier to view all orders scheduled during a specific med pass time.
3 Checks of Medication Administration
1. Right Documentation
After confirming the 5 rights of medication administration and properly administering medication, you can begin your documentation. On the MAR of the med pass screen, you should have options to record your name, administration time, and any other details that may apply, such as vitals or additional notes. At the time of charting, an eMAR can automatically incorporate these details into your documentation, making the charting process easier than ever.
2. Right Reason
Another essential piece of information to confirm is the reason why someone is taking a medication, especially if it’s long-term. The prescribed drug should be an appropriate treatment for their condition, and a good eMAR will allow for a reason or diagnosis to be listed on each medication order, making it easy to verify and reference over time.
3. Right Response
After medication administration, you will want to monitor the resident’s response to the medication and ensure it’s leading to its desired effect. A comprehensive eMAR can automate processes by scheduling follow-ups based on when the original dose was given and prompting for additional vitals or documentation.
ECP’s robust eMAR program makes it easy to verify that medication administration is appropriately handled. With the user-friendly design, all standard medication administration rights and additional checks are shown directly on the med pass for easy identification. With the pharmacy integration, prescription details are sent directly from the pharmacy to increase accuracy and reduce medication errors. ECP eMAR offers additional automation with vital prompts, additional care questions, and scheduled follow-ups to ensure nothing gets missed. Charting has never been easier!
ECP's eMAR and EHR are used by over 6,500 assisted living communities, group homes, intellectually and developmentally disabled care settings, and other long-term care providers across the USA and around the world.