Putting Patients First

1
Putting Patients First

• Ashlyn Nelms RN, C
• Patient Flow Coordinator
• Skyline Medical Center

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Skyline Medical CenterPutting Patients First

• Using Technology to Improve the Safety of
  Medication Administration

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eMAR

• e lectronic
• M edication
• A dministration
• R - ecord

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eMAR Safety Features

• Validates Five Rights of Medication
  Administration
• Requires patient specific clinical data for
  certain medications (i.e, pulse rate prior to
  administration Lanoxin).
• Sends a warning to alert nurse when the dose is
  to much or to little, or if the dose is being
  given to early or to late.

5
eMAR Implementation

• An interdisciplinary eMAR Steering Committee was
  responsible for the planning implementation
  staff and physician education and management of
  any issues.

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eMAR Process
Electronic Safety Checking
Bar-coded Patient Armbands
Bedside Scanning
Bar-coded Medication Doses
Electronic Medication Administration Record
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Outcomes

• Fewer medication administration errors
• More complete documentation
• Staff perception of improved safety
• Patient perception of improved safety