This week's update is focused on the eMAR Module. 

eMAR

High Alert Medication

The High Alert feature allows users to either:

a. Enforce a witness signature requirement during medication administration for medications outside of the home/facility's Controlled Drug witness signature settings.

b. Create a custom warning message that will be displayed when a medication is administered. 

1. Using the High Alert Functionality 
2. How this is configured for each Medication
3. Settings Available

Using the High Alert functionality

When a medication is designated as High Alert, "High Alert Medication" will be displayed next to the medication name along with a double signature icon if Second Signature is configured.

Once the medication is signed as administered, one of two messages will be displayed depending on the home/facility settings.

1. SINGLE USER VERIFICATION: A warning will pop up with either a default or custom message with an action to click “Confirm” required from the staff.

2. SECOND SIGNATURE: A second signature pop up will display which requires a second signature from a different staff member.

How this is configured for each medication

The High Alert can be associated from three different screens. This high alert association is unique to each medication for each resident.

1. ATM (Add to MAR Screen)
2. Manage Orders 
3. Receive Orders (UK Clients and those using Receive Orders ONLY)

The new feature for High Alert Medications can only be associated at the home/facility level (it will not be associated through any pharmacy interfaces – it is the responsibility of the home's staff to configure this according to their internal policies and procedures)

ATM (Add to MAR Screen)

1. Navigate to e-MAR > Orders > Add to MAR/TAR
2. Complete the Prescription/Rx information as normal
3. Tick the “High Alert Medication” check box below the directions field
4. If "Single User Verification" is setup as the High Alert, select the desired warning message from the "Warning Message" drop down menu

Manage Order Screen

• Navigate to e-MAR > Select the Medication Pass/Round > Select the resident > scroll to Medication/Rx > Click the “Manage Order” button > Click the “Edit Order” button

OR

• Navigate to e-MAR > Orders > Medication Profile > Select the resident > scroll to the Medication/Rx > Click the “Manage Order” button > Click the “Edit Order” button

1. Once the Edit Orders window is open, scroll to the bottom of window.
2. Tick the “High Alert” check box
3. If "Single User Verification" is setup as the High Alert, select the desired warning message from the "Warning Message" drop down menu
4. Click “Save Alert”

Receive Orders (UK Clients and those using Receive Orders ONLY)

1. Navigate to e-MAR > Orders > Receive Orders
2. Tick the check box next to the medication you'd like to receive as if you are about to receive it
3. Tick the checkbox next to "Alert Medication"
4. If "Single User Verification" is setup as the High Alert, select the desired warning message from the "Warning Message" drop down menu
5. Continue with booking-in this order

IMPORTANT NOTE: Every order is required to be designated as “High Alert” individually. 

*** This is managed from the Application – NOT through the pharmacy interface.

Settings Available

The new feature for High Alert Medications allows you to either have a warning pop up to confirm administration or require witness signature from a second member of staff.

SETUP:

1. Navigate to Settings > e-MAR > Options
2. Select
   1. Single User Verification for warning message requiring the staff members to click “Confirm” making sure they complete “second” check.
   2. Second Signature to set the requirement that a different staff member must sign as a witness to the medication administration.

3. Navigate to Settings > e-MAR > Warning Messages
   1. You can add multiple warning messages in your library (see screen shot example) this is for Single User Verification Only

NOTE: For each home/facility you can have either “SECOND SIGNATURE” on HIGH ALERT MEDICATION OR SINGLE USER VERIFICATION with a WARNING MESSAGE. You cannot use both