Optimizing Efficiency + Funding

Optimizing Efficiency + Funding
Med e-care Optimizing Efficiency + Funding

Login As the application is a web based application a unique URL is provided for the user. Access the application with the URL. User needs to enter a valid user name, ID and password in the text fields provided .Click Sign-in button to log into the application. Note : If the Username and Password did not match then user cannot proceed for further operations 2

Following are the steps to login to the e-MAR application:
Registered users will get a unique user id and password from Med e-care application Users should connect to (for BC users) or (for ON clients) URL through the Internet Explorer To log into the Med e-care application enter username, and password in the login page

E-ADT - Overview Client Admission, Discharge, and Transfer information is stored in the e-ADT module. Resident demographic information such as contact information, diagnoses, and advance directives are collected and documented on MED e-care’s e-ADT system Search for a resident using the alpha-menu or resident listing Double-click on the resident name 4

E-ADT Edit resident demographic information and click Save button
Click Contacts tab to view resident contacts or to add new contacts 5

E-ADT To Add New Contact: Click
Enter the mandatory fields to Add new contact information and click Save button 6

E-ADT To Delete a Contact: Select contact to be deleted
Click Delete button to remove the contact from the resident’s Contact list 7

E-ADT – New Admission A new resident can be set-up through New Admission in e-ADT Select Program of Care Select a Client from the List and Click OR Click Admit New Client 8

E-ADT - Client Identification
Client Admission, Discharge, and Transfer information is stored in the e-ADT module. Resident demographic information such as contact information, diagnoses, and advance directives are collected and documented on MED e-care’s e-ADT system Note: Indicates that fields are mandatory 9

E-ADT Resident Contacts:
Select the Funeral Home from the drop-down list provided Click Show Details or add New Funeral Home to the list OR To add New Client Contact, click New Contact button 10

E-ADT Client Health Status: Enter pertinent resident
information by clicking on the appropriate checkbox and entering additional text in the field provided. Allergies Treatments Medications Enter Diagnoses by clicking Add In the corresponding window, select resident’s diagnosis and click Ok when finished 11

E-ADT Enter Client Advance Directives 12

E-ADT Enter Admission Information
Once all the information is entered, click Pre-Admit button (Do Not Complete Signature Fields) Completed Signature field is Mandatory to Admit the Client 13

E-ADT e-MAR alerts the user for any upcoming scheduled events for that resident. 14

E-ADT - Edit Admission Information
Resident information can be modified through Edit Admission. Select a resident from the resident list or else select from Search By Selection Filter or the alpha menu 15

Edit the information and click Update 16

Once the Information is saved, e-MAR will alert the user for any upcoming events 17

E-ADT - Re-Entry of Client to Facility
A resident returning to the facility (from the hospital) can be re-admitted with the original profile in the system. To re-admit a resident, select Re-Entry record to view ex-residents 18

Select resident by using the Search By filter or else click on the resident’s name from the resident list 19

Enter the necessary information and allocate a bed to the client from search icon provided 20

Select Institution Level of Care and include Notes in the text box provided Signature is Mandatory Click the Re-Entry button 21

e-MAR schedules Re-Entry Tasks and allocates Bed to the Client and Schedules Alerts 22

E-ADT - Resident Discharge Information
When a Client leaves a Facility, Discharge Paperwork is required and system needs to be documented. Client and Medication will be removed from Administration Screen. To discharge a resident, select Discharge record 23

Select a resident to discharge from the resident list or by using the Search By or Selection filter 24

Update the discharge information Signature is Mandatory 25

e-MAR generates discharge, releases the beds and closes the resident episodes 26

E-ADT - Transfer Information
Resident transfer information will update e-MAR to remove the resident and their medication from the administration screen. To Transfer a resident, select Transfer record 27

Select the resident to transfer 28

Enter the required fields with appropriate information Select the Institution Level of Care (if required) from the drop down menu provided and include Notes for transfer Signature is Mandatory Select the Transfer to Facility Number from the search icon provided 29

E-ADT - Internal Transfer of Client
The Internal Transfer of a resident option allows the client to transfer to a different unit in the same Facility. To Internal Transfer a resident, select Internal Transfer record 30

E-ADT - Internal Transfer of Client
Select the Resident and New Nursing Unit from the dropdown menu provided Select the New Bed from the search icon provided Click Transfer button Information update is complete 31

E-ADT – Bed Swap A resident Bed Swap can be easily updated through Bed
To swap the bed of a resident, select Bed Swap 32

E-ADT – Bed Swap Enter the First Client Information and Second Client Information e-MAR will update all client information with the change in Bed 33

E-ADT – Re-Entry History
Historical information regarding the Resident Re-Entry. Select the Resident Re-Entry record to view /edit 34

E-ADT – Re-Entry History
Edit the resident history and add Notes Signature is Mandatory Enter all the fields with appropriate information to update e-MAR 35

E-ADT – Resident Discharge History
Historical information regarding the Resident discharges Select the Resident record to view 36

E-ADT – Resident Discharge History
Edit the resident historical information Signature is Mandatory 37

E-ADT – Transfer History
View and edit the Transfer History of resident Select the Resident from the resident list or else by using Search By or Selection Filter 38

E-ADT – Transfer History
Edit and view the resident Transfer information Update the changes Signature is Mandatory 39

E-ADT – Internal Transfer History
View or edit resident Internal Transfer History Select the resident from the resident list or else by using Search By or Selection Filter 40

E-ADT – Internal Transfer History
View or edit Internal Transfer information Update or Discard Transfer Signature is Mandatory 41

E-MAR Role-based security defines what applications and
functions the user has to access. You can access e-MAR by clicking e-MAR tab on top of the screen 42

E-MAR Select a Nursing Unit 43

E-MAR - MED / TAR Pass Status
Medication Administration Screen Click on Scheduled for the MED Pass that you want to work with Or Scan a Med-Pouch to access a specific resident’s MAR 44

E-MAR - Client Search Options
Scheduled MED Pass Once you are in the MAR administration screen, you can filter residents by: Name Room Barcode You can also scan the barcode on the Resident Barcode List or on the med-pouch to search for a resident. 45

E-MAR - Client Sort Options
Residents on the MAR administration screen can be sorted by: Room and Bed Last Name First Name 46

E-MAR - Administration & Information Update
Once a med-pouch has been scanned, the resident’s MAR will be displayed, including all the information you need to confirm 5 Rights. 5 Rights: Right Drug Right Client Right Dose Right Route Right Time 47

E-MAR - Medication Delivered
Click or touch the screen to update medication Delivered The Time and Amount auto-populates If necessary update the Waste Dosage Click the Save button Scan the next med-pouch to continue the next resident’s MAR 48

E-MAR – Medication Not Delivered
Click or touch the screen to update medication Not Delivered Select a Reason Code or choose “Other” and enter the reason in the text-box If necessary update the Waste Dosage Click the Save button Scan the next med-pouch to continue the next resident’s MAR 49

E-MAR – PRN Administration
From the MAR administration screen, click the PRN button Select a resident by using the Alpha-menu or Search By Last Name or First Name Double click on the resident 50

E-MAR – Administration Notes
Medication Notes can be viewed and created in e-MAR. White Note: No note attached Blue Note: A non-follow-up note attached Red Note: A follow-up required

Click on the note icon to document information for a medication or treatment When you check the Require Follow-Up checkbox, a follow-up alert is generated for the specified Follow-Up Date and Time 52

Click Add Note to update the system 53

E-MAR – PRN Administration
Enter the Dosage (if required) and Reason for administrating the PRN in the following figure Click the Create MAR Record button e-MAR will record the PRN as delivered and will automatically generate a one-hour follow-up reminder 54

E-MAR – Bio Tests Enter BIO Test Results
Click on Client BIO Test/Management for MAR tab The thermometer icon indicates whether there are any BIO Tests associated with a medication or treatment A thermometer indicates that indicates that BIO Test results need to be viewed or recorded before the medication is administered 55

E-MAR – BIO Tests Click on Client BIO Test/Management for MAR tab 56

E-MAR – BIO Tests Click the New button to enter new BIO Tests results
57

E-MAR – BIO Tests Enter the new BIO Tests results and click the Save button to update the e-MAR 58

E-MAR – BIO Tests View BIO Test Results:
Click the thermometer icon to view the BIO Measurement Management screen Click on Client BIO Test/Measurement Results tab Double-click the BIO Test you want to view 59

E-MAR – BIO Tests The Vital Signs Form will be displayed
Review the BIO Test results Click the Close button to exit the window 60

E-MAR – Manage orders To access the Manage Orders feature, click on
Physician Order in the sidebar. The Manage Orders features includes: Hold Discontinue Reorder 61

E-MAR – Manage orders Select a resident in order to access his /her medication orders 62

E-MAR – Manage Orders Check the orders you want to manage
Click the Hold, Discontinue or Reorder button 63

E-MAR – Manage Orders-Put Orders ON HOLD
Select the resident and the medication to put on HOLD Click the button to display the Enter Medication screen 64

E-MAR – Manage Orders -Put Orders ON HOLD
Medications flagged ON HOLD will appear on the Order List Modify the Effective Date, Time, Release Date and Time if required Click the Hold All button to confirm whether all orders on the list are placed on Hold or not To remove medications from the list, highlight the orders & click the Remove from List button 65

E-MAR – Manage Orders-DISCONTINUE Orders
Select the resident and medication to DISCONTINE Click the button to display the Enter Medication Screen 66

E-MAR – Manage Orders -DISCONTINUE orders
Medications flagged DISCONTINUED will appear on the Order List Modify the Effective Date and Time if required Click the Discontinue All button to confirm whether all orders on the list must be discontinued or not To remove medications from the list, highlight the orders & click the Remove from list button 67

E-MAR – Manage Orders-REORDER Medications
Select the resident and medication to REORDER Click the button to display the Enter Medication Screen 68

E-MAR – Manage Orders-REORDER Medications
Orders flagged for REORDER will appear on the Order List Modify the Effective Date and Time if required Click the Send Order button to confirm that all orders on the list should be reordered To remove medications from the list, highlight the orders & click the Remove from list button 69

E-MAR – Manage Orders from MED Pass Screen
Click Manage Order button on the MAR administration screen 70

From the administration screen, the user has the ability to: Hold Discontinue Order Reorder 71

To place an order on Hold: Click the Hold Order button Enter the Effective Date and Time Enter the Release Date and Time Click the Place a Hold button 72

To Remove from Hold: Click on Release from Hold button Click on Release from Hold to confirm release 73

To Discontinue the Order: Click on Discontinue Order button Enter the Effective Date and Time Click on the second Discontinue Order button to confirm 74

To Discontinue the Order: Click on Discontinue Order button Enter the Effective Date and Time Click on the second Discontinue Order button to confirm 75

To Release from Discontinue: Click on Release from Discontinue button Click on the second Release from Discontinue button to confirm 76

To Reorder a medication: Click on the Reorder button Enter Effective Date and Time Click on the send Order button 77

E-MAR – MED Pass Screen for Medications on Hold or Discontinued
When medications are placed ON HOLD, administration screen will instantly alert the user indicating that the medication should be pulled from the med-pouch. 78

E-MAR – MED Pass Screen for Medications on Hold or Discontinued
The administration screen updates medications that are DISCONTINUED indicating that the medication should be pulled from the med-pouch. 79

E-MAR – Information Post--Hot List
The Hotlist displays overdue: Post Medication Follow-UP Medication Treatment Associated BIO-Test 80

To access Hotlist, click Information Post and then click Bulletin. To access Hotlist from the MED Pass status screen, click Hotlist Button. 81

The Selection Filter allows items to sort by: Post Medication Follow-Up Overdue Medication Overdue Treatment Overdue Associated BIO-Test Overdue 82

The Search By function allows data to sort by: Name Chart Number Room Bed 83

E-MAR – Quick Reports Current Pass Time Reports contains information about the current MED Pass which includes MAR List, TAR, Associated Medication BIO Test and Follow-up List. 84

E-MAR – Quick Reports Today Reports will show information for the full day which includes MAR List, TAR, Associated Medication BIO Test, Follow-up List, PRN List,and Drug Control. 85

E-MAR – Quick Reports Overdue Reports will show information about the overdue items which includes MAR List, TAR, and Follow-ups. 86

E-MAR – Tracking of New Orders and Reorders
MED e-care’s e-MAR software allows users to track medication that has been ordered using Manage Orders. All Medication Orders sent (New or Reorders) will appear on the MAR administration screen as a NEW ORDER. This reminds the nursing staff that an order for a particular medication has been sent to the pharmacy and is awaiting delivery. Information remains on the administration screen until the order is received into e-MAR. Once the order is received, the medication will longer be displayed as a NEW ORDER on the administration screen. 87

E-MAR – Physician Order – Add to MAR Now
Add to MAR Now option is used to add emergency-stock medication to a resident’s MAR To access Add to MAR, click Physician Order and then click Add to MAR Now 88

Choose the Resident Select the Order Type and the Pharmacy Source Enter the mandatory fields in Order Details Start Date and Time can be modified if required Special Instructions can be entered in the text box provided Click the Add to MAR Now button 89

If the pharmacy is sending the remaining balance for the medication order, check the ‘Pharmacy will supply balance’ check-box. 90

A reminder is created on the MAR Administration screen which informs the users that the original order should be discontinued once the new order has been received. To discontinue the order, click the Manage Order button. 91

Click the Discontinue Order button Enter the Effective Date and Time Click the Close button 92

If required, the new order may be discontinued at a future date (e.g. antibiotics). To determine the discontinue date; click the Manage Order button for the new medication order. 93

Click the Print Order Scheduled button. 94

A Medication Administration Record Sheet Report will be generated which displays the history of administration for that specific medication. 95

E-MAR – Physician Order-Add Standing Orders
To access Add Standing Order, click Physician Order and then click Add Standing Order 96

Select Physician, Client and Order Type as MAR Note 97

Check the Pharmacy Source Enter the mandatory fields in Order Details Click Add to MAR Now button 98

E-MAR – Physician Order-Enter New Order
To access Enter New Order, click Physician Order and then click Enter New Orders 99

Select Resident, Order Type and Drug Enter Strength Amount and Unit (e.g.500mg) Enter Drug, Strength Amount and Unit Information in the Order Instructions box provided 100

Click the Add Order button E-MAR will update the Order List Continue adding orders for all the residents until all the orders are completed When all orders have been entered, click to submit the orders to the pharmacy 101

Click OK on the order confirmation window 102

E-MAR – Physician Order-Sign, Print, or Fax Physician Orders to the Pharmacy
When submitting a new order to the pharmacy, e-MAR will generate a Physician Medication Order Form The Physician Medication Order Form displays: Facility Information Pharmacy Information (Phase II) Client Information Order Number Medication Dosage if entered Physician Instructions Administration Date 103

E-MAR – Physician Order-Sign, Print, or Fax Physician Orders to the Pharmacy
The physician can sign and date the order with a stylus, electronically transmit or print and fax the order to the pharmacy 104

E-MAR – Physician Order-Waste Dosage Management
Waste Dosage entered during administration is managed through Waste Dosage Orders option. Users are able to select orders which are submitted to the pharmacy or they are deleted from the waste dosage orders list. 105

Select the order Click Send Order Or Click Delete Order 106

Once a waste dosage order is selected for deletion, the system will request the user to confirm the deletion Click Ok to Confirm OR Click Cancel 107

E-MAR REPORTS – Individual-Group Reports
Click the e-Reports at the top of the screen 108

E-MAR REPORTS– Individual-Group Reports
Select one of the Individual or Group Reports from the Screen. In this example, the Medication Administration Record Sheet Report is selected 109

Fill in the necessary fields to customize the report 110

Click the Run Report button E-MAR will generate a report, which can be viewed online or in printed format 111

RECOMMENDED E-MAR PROCEDURES
Login to e-MAR If you haven’t done so, click My Account tab and change your password from the default Click the e-MAR tab to access the MED Pass Status Screen Select the relevant Nursing Unit(s) To access the MED Pass administration screen, scan the resident’s barcode from the ADT Barcode List

To record administration of medications, click either Delivered or Not Delivered (with accompanying reason code) To place an order on Hold, Discontinue or Reorder, use the Manage Order button on the administration screen: Scan the next barcode to access the next patient’s MAR When the administration of meds has been completed for the med-pass, click the Done button to return to the MED Pass Status screen

Review the status of the Scheduled, Delivered, Overdue, Not Due Yet, and Not Delivered medications listed for the completed MED Pass If necessary, click Scheduled, Delivered, Overdue, Not Due Yet and Not Delivered to access these medications Click the Hotlist button on the top of the screen to review Post Medication Follow-ups that may be overdue:

Click on the patient name to access the Follow-up Once the follow-up has been completed, click the Follow-up Completed checkbox and click the Done button When all the Post-Medication Follow-ups have been completed, click Logoff on the top right-hand corner of the screen

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