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Providers that use medications in procedural areas (anesthesia, OR, conscious sedation) need a MAR that does not require orders, because they are licensed independent practitioners administering the medication, but allows for the selection of a medication they are using to provide details of administration, including charge at admin and dose given/wasted.
We need CRNAs to have the ability to document medications given in OR with needing an order to do it. This will then help with the next administration dose on the Floor or in PACU. We have multiple work arounds for Toradol, Benadryl, IV Tylenol, Antibiotics dosing.
At HRRMC we have decided that the CRNAs will use the charge app to accomplish this "near charge at administration" functionality by allowing them to scan medication during a case and document the actual dose given for waste capture and real time charge generation. Unfortunately we are going to have to scan in the GTIN for all medications found in their Pyxis so that they can scan and pull up the correct item number, furthermore there is not the same level of detail that could be captured in the MAR regarding medication administration. For this to be a widespread useful tool, the charge app would need to be able to scan items based on page 2 in pharmacy information and capture the same level of detail as the MAR. Perhaps it would be a new app specific for providers. Providers do not need orders and therefore they do not need orders verified, but they do need to be able to accurately document in real time medication administration and subsequently participate in charge at administration, which the gold standard for patient charging/documentation. Please feel free to schedule a call to discuss.