Nervecentre V8.1 Help for Users
About the MAR, or drug chart
What is the MAR?
MAR stands for Medicines Administration Record, which is also known as the drug chart.
You can use the MAR to view all medication prescribed and administered in both the current and previous episode.
Viewing the MAR on a mobile
What you see on a mobile is a medications list. For a view more like the MAR of a desktop, select a medication.

To view a list of medications, from your patient list, select a patient. Select Chart.
|
View any attached policies. |
|
Patient’s name, date of birth, and hospital number. |
|
Allergies, VTE assessment, enteral routes, height, and weight. |
|
Alerts and medication filters. For example, if a patient is not prescribed anti-coagulation medication, you see a red alert tag showing NO COAG. The alert tag does not depend on the VTE risk assessment. Select a medication filter to view medications associated with the filter. The alerts and filters you see depend on your organisation. |
|
The list is split into sections: Stat and Once Only, Regular, PRN, Continuous Infusions, Fluids, and Stopped. Fluids, continuous infusions, and stat and once only prescriptions remain on the chart for 48 hours after administration. Then they are then moved to Stopped. |
|
The administration status of a medication appears next to the prescription. |

-
From your patient list, select a patient.
-
Select Chart.
-
Select a filter to filter by type.
Filters are at the top of the medication list.
The full name of the medication filter appears below the filters. You can only see one filter at a time.
-
To remove the filter, select the filter title.

To view the prescription timeline, from your patient list, select a patient. Select Chart then select a prescription.
A chart opens. This is more like the MAR of a desktop.
-
Swipe left and right to see future and past doses.
You can see today, the previous five days, and the next five days. Medications with start dates more than five days in the future do not show any due dose information.
-
Select any cell that is not crossed out to see a list of actions.
-
Select cells marked * to view comments.
Viewing the MAR on a desktop

-
From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
-
To view the MAR, select .

From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
The default view shows the MAR.
-
The MAR shows a view of nine days. The past five days, the current day, and the upcoming three days are all on one screen. The current day is highlighted.
-
The MAR is grouped into five sections: Stat and Once Only, Regular Medicines, PRN, Continuous Infusions, and Fluids.
-
Fluids, Continuous Infusions, and Stat and Once Only prescriptions remain on the MAR for 48 hours after administration. Then they are then moved to Stopped.
-
Prescriptions with only parenteral routes are highlighted with a teal bar on the left.
-
If a prescription contains an enteral route, no bar is shown. If a prescription includes both enteral and parenteral routes, no teal bar is shown.
-
All administration events are visible on the MAR. If a medication has been given, the time it was administered is displayed.

You can change the display in three ways.
|
Abbreviations about arrival medications and TTOs are shown. Alerts and medication summaries are shown. Medication summaries can be selected to filter the MAR. |
|
Compact creates a more concise view of the MAR. To return to the standard view, select Detailed. |
|
Use the timeline buttons to scroll backwards or forwards to view past and future doses. Select or to move by one day. Select or to move by one week. Select T to return to today. |

ARR refers to the arrival status. This is a four-stage process:
ARR⚪⚪⚪ |
Recording arrival meds has not started. |
ARR✔⚪⚪ |
Some arrival medications have been entered. |
ARR✔✔⚪ |
The medication history has been marked as complete. |
ARR✔✔✔ |
Reconciliation is complete, approved by pharmacist. |
TTO refers to the TTO status. This is a five-stage process:
TTO⚪⚪⚪ |
The TTO process has not yet started. |
TTO⚪⚪⚪ |
The TTO has been started. |
TTO✔⚪⚪ |
The TTO has been sent to pharmacy. |
TTO✔✔⚪ |
The TTO has been approved by pharmacy. |
TTO✔✔✔ |
Pharmacy have dispensed the TTO. |

Depending on your organisation, if a patient is not prescribed a certain medication, a red alert tag appears.
-
If a patient is not prescribed an anti-coagulation medication, you see a red alert tag showing NO COAG. The alert tag does not depend on the VTE risk assessment.
-
If a patient is not prescribed oxygen, you see a red alert tag showing NO O2.
Medication summaries can filter the MAR for prescribed medications and paused medications. To filter medications, select one or more medication abbreviations. Selected filters are underlined. To return to the standard view, select all underlined filters.

Symbols on the MAR
Detailed view | Compact view | Description |
---|---|---|
|
|
The medication is due in this time period. |
|
|
The drug ‘due’ period has expired. It is still possible give the medication late, or mark as given retrospectively. |
|
|
The drug 'due' period has expired, and the next dose is now due. It is still possible to sign the medication retrospectively. |
|
|
A soft review has been requested (permission based). The medication can be administered as if due but the review remains until it has been resolved. |
|
|
The medication was administered at the time shown. The blue corner indicates further information has been recorded. Mouseover the cell to view further details. |
|
|
The medication has been checked during preparation but has not yet been administered. |
|
|
The infusion started at the time shown. |
|
|
A dose has not been set for this medicine. A dose must be set manually before it can be administered, for example, warfarin is permission-based. |
|
|
When a prescription contains different set doses, the required dose for a specific day or time is shown. |
|
|
The variable dose has been adjusted or set. Mouseover the cell to view who adjusted the dose. |
|
|
The dose has been omitted. Mouseover the cell to view details. |
|
|
The prescription was paused for this period. |
|
|
The set dose has been administered. |
|
|
You have recorded a rate change. The cell displays the change time and the current infusion rate in mL/hr. Mouseover to view the infusion rate in other units. For example, mg/hr or units/hr. |
|
|
The syringe has been changed. The cell displays the change time and the current infusion rate in mL/hr. Mouseover to view the infusion rate in other units. For example, mg/hr or units/hr. |
|
|
The infusion is on hold. No further actions can be taken until the infusion has been resumed. |
|
|
The infusion resumed at the time shown. |
|
|
The medication can be administered as needed. |
|
|
‘As required’ medication has been administered. The number of administrations is shown in the cell. |
|
|
Select the cell to place an action on the dose. |
|
|
The prescription is or was not active for this period. For example, the start date of the medication might not be shown on your current view. |
|
|
The prescription was not given. Mouseover the cell to view details. |
|
|
The dose has been delayed. Administer the dose when the reason for delay no longer exists. For example, if the delay was because the dose was not available, it should be given when it arrives from pharmacy. |
|
|
The prescription is paused for this period. Mouseover the cell to view details. |
|
|
A review is needed before the medication can be administered. |
|
N/A |
A dose was given retrospectively and needs a witness check. |
Prescription symbols on the MAR
Some information is shown by a symbol next to the prescription on the MAR.
|
For controlled drugs (CD). The number refers to the schedule number. For example, schedule 2 controlled drugs are represented by CD2, and schedule 3 controlled drugs are represented by CD3. |
|
The next dose of this prescription needs to be reviewed. |
|
The next dose of this prescription needs to be set. This can be used for daily dosed drugs, such as warfarin. |
☣ |
Cytotoxic medications. Your organisation can specify which medications are marked with the cytotoxic symbol. |

To view details of a medication or fluid, including details and history of the prescription, the order history, administration events, and pharmacy actions, select a medication on the MAR.
-
From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
-
Select .
-
Select a medication.

-
From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
-
Select > Show drug chart from previous visit.
-
Select a MAR from Previous visits listed.
-
The MAR from a previous visit appears under Stopped Medications. The date of discharge is displayed on the top row.
-
To return to the current MAR, select > Show current episode.
Did you find this article helpful? Yes No
Sorry about that. Our help is a work in progress and we welcome any feedback.
Why wasn't this helpful? Please select one reason:
Thanks for your feedback.
Great!
Thanks for taking the time to give us some feedback.