Nervecentre V9.0 Help for Users

About the MAR, or drug chart

You can view a patient's prescriptions on a mobile, or a desktop. On a mobile, you can view a list of prescriptions, and a prescription timeline. On a desktop, you can view prescriptions on the MAR Medicines Administration Record. Also known as drug chart. A list of all medication prescribed and administered (given)..

What is the MAR?

MAR stands for Medicines Administration Record, which is also known as the drug chart.

From the MAR, you can view all medications prescribed and administered in the patient's current visit, or a previous visit.

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.

Overview of the medication list on iOS

To view a list of medications:

From your patient list, select a patient.
Select Chart.

	Select to view your QR code, change the QR code scanner from internal to external, or log out. Read more about using an external scanner Read more about logging out of Nervecentre
Current	Select to view a patient's current medications.
Stopped	Select to view a patient's current and stopped medications. 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. Read more about viewing stopped medications
Give	Depending on your organisation, you administer stat and regular medications as part of a drug round. Read more about administering a drug round
+	Select to add a prescription. Read more about adding a prescription
	Select to view and complete the prescribe form. You must complete the prescribe form before you can prescribe or administer medications. Read more about the prescribe form
	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 doesn't depend on the VTE risk assessment. Select a medication filter to view medications associated with the filter. Read more about filtering the medication list The alerts and filters you see depend on your organisation.
STAT AND ONCE ONLY	Shows stat and once only prescriptions.
REGULAR	Shows regular prescriptions, and intermittent infusions. Select a prescription to: View the prescription timeline Read more about viewing the prescription timeline Administer the medication Read more about administering medications Order the medication Read more about ordering medications Complete pharmacy checks Read more about completing pharmacy checks
PRN	Shows PRN Pro Re Nata. It refers to drugs prescribed to be taken as needed, as opposed to at pre-specified intervals. prescriptions.
CONTINUOUS INFUSIONS	Shows continuous infusions.
FLUIDS	Shows fluids.
	The administration status of a medication appears next to the prescription.

Overview of the medication list on Android

To view a list of medications:

From your patient list, select a patient.
Select Chart.

	Select this to navigate Nervecentre, log out, report a fault, or access Nervecentre online help. Read more about logging out of Nervecentre Read more about reporting a fault Read more about our online help
Current	Select to view a patient's current medications.
Stopped	Select to view a patient's current and stopped medications. 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. Read more about viewing stopped medications
+	Select to add a prescription. Read more about adding a prescription
	Select to view and complete the prescribe form. You must complete the prescribe form before you can prescribe or administer medications. Read more about the prescribe form
	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 doesn't depend on the VTE risk assessment. Select a medication filter to view medications associated with the filter. Read more about filtering the medication list The alerts and filters you see depend on your organisation.
Give	Displays if one or more medications have been prepared but not yet given. Select to administer prepared medications. Read about administering prepared medications
Discard all	Displays if one or more medications have been prepared but not yet given. Select to discard prepared medications. Read about discarding prepared medications
PRN	Shows PRN Pro Re Nata. It refers to drugs prescribed to be taken as needed, as opposed to at pre-specified intervals. prescriptions.
STAT AND ONCE ONLY	Shows stat and once only prescriptions.
CONTINUOUS INFUSIONS	Shows continuous infusions.
FLUIDS	Shows fluids.
REGULAR	Shows regular prescriptions, and intermittent infusions. Select a prescription to: View the prescription timeline Read more about viewing the prescription timeline Administer the medication Read more about administering medications Order the medication Read more about ordering medications Complete pharmacy checks Read more about completing pharmacy checks
	The administration status of a medication appears next to the prescription.

Filtering the medication list

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:
- On Android, select Clear.
- On iOS, select the filter title.

Overview of the prescription timeline on iOS

To view the prescription timeline:

From your patient list, select a patient.
Select Chart.
Select a prescription.

A chart opens. This is more like the MAR Medicines Administration Record. Also known as drug chart. A list of all medication prescribed and administered (given). on a desktop.

	Select to: Add a note to a prescription Read more about adding a note Modify a prescription Read more about modifying a prescription Pause a prescription Read more about pausing a prescription Stop a prescription Read more about stopping a prescription
Policy	Select to view policies associated with this medication.
	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 don't show any due dose information. Select any cell that is not crossed out to see a list of actions.
*	Select * > Show Comments to view comments for this cell. Notes you add to a prescription only appear on a desktop.
Approval	Depending on your permissions, this option is available. Select to approve the prescription. Read more about approving prescriptions
Supply	Depending on your permissions, this option is available. Select to choose a supply for the prescription. Read more about choosing a supply
Order	Depending on your permissions, this option is available. Select to order the medication. Read more about ordering medications
HISTORY	Shows the history of the medication. Read more about viewing medication history

Overview of the prescription timeline on Android

To view the prescription timeline:

From your patient list, select a patient.
Select Chart.
Select a prescription.

A chart opens. This is more like the MAR Medicines Administration Record. Also known as drug chart. A list of all medication prescribed and administered (given). on a desktop.

	Select to: Add a note to a prescription Read more about adding a note Modify a prescription Read more about modifying a prescription Pause a prescription Read more about pausing a prescription Stop a prescription Read more about stopping a prescription
Policy	Select to view policies associated with this medication.
	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 don't show any due dose information. Select any cell that is not crossed out to see a list of actions.
Notes	Select to view notes.
{	Select to view comments for this cell.
Approval	Depending on your permissions, this option is available. Select to approve the prescription. Read more about approving prescriptions
Supply	Depending on your permissions, this option is available. Select to choose a supply for the prescription. Read more about choosing a supply
Order	Depending on your permissions, this option is available. Select to order the medication. Read more about ordering medications
HISTORY	Shows the history of the medication. Read more about viewing medication history

Viewing the MAR on a desktop

Overview of the MAR

From  Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.

The default view shows the MAR.

	Shows abbreviations about arrival medications and TTOs. Read more about abbreviations Shows alerts and medication summaries. Select medication summaries to filter the MAR. Read more about alerts and medication summaries
	Select Compact to view a more concise version of the MAR. To return to the standard view, select Detailed. Depending on your permissions, Exemptions displays. Select Exemptions to prescribe PGDs Patient Group Directions. These provide a legal framework that allows some registered health professionals to supply and administer specified medicines to a pre-defined group of patients, without having to see a prescriber, such as a doctor or nurse prescriber. PGDs vary depending on your organisation.. Read more about prescribing PGDs Select  to print the MAR. Read more about printing EPMA documents
Confirm Given	Select to confirm you have administered all prepared doses. Read more about preparing and administering medications
Discard Prepared Doses	Select to discard all prepared doses. Read more about discarding prepared doses
	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.
Stat and Once Only	Shows stat and once only prescriptions.
	Shows information about the prescription. Symbols might appear next to the name of the prescription. Read more about prescription symbols on the MAR Select the name of a prescription to view the events log. Read more about viewing the events log
	Shows information about arrival medications. Read more about viewing arrival medication on the MAR Depending on your permissions, you can do the following actions: Select  to mark a prescription as clinically checked. Read more about marking a prescription as clinically checked Select  to order a medication, or approve a medication order. Read more about ordering a medication Read more about approving a medication order Select - to choose a supply for the prescription Read more about choosing a supply
Regular Medicines	Shows regular prescriptions, and intermittent infusions.
	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. All administration events are visible on the MAR. If a medication has been given, the time it was administered is displayed. Read more about icons used on the MAR Select any cell that is not crossed out to see a list of actions. Mouseover a cell with { to view notes.
PRN	Shows PRN Pro Re Nata. It refers to drugs prescribed to be taken as needed, as opposed to at pre-specified intervals. prescriptions.
	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.
Continuous Infusions	Shows continuous infusions.
	Prescriptions with only parenteral routes are highlighted with a teal bar on the left.
Fluids	Shows fluids. You can also view a separate list of fluids from . Read more about viewing fluids
Stopped Medications	Shows stopped prescriptions. 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. To view stopped prescriptions on the MAR, select . Stopped prescriptions appear below current prescriptions, and they have a grey background. If there are no stopped prescriptions, you only see the current prescriptions. Read more about viewing stopped medications on the MAR You can also view a separate list of stopped medications from  > Stopped. Read more about viewing a list of stopped medications

Abbreviations used on the MAR

ARR refers to the status of arrival medications. This is a four-stage process:

ARR⚪⚪⚪	Recording arrival medications has not started.
ARR✔⚪⚪	Some arrival medications have been entered.
ARR✔✔⚪	The medication history has been marked as complete.
ARR✔✔✔	Reconciliation is complete, and approved by a pharmacist.

Read more about TTOs

Icons used 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 to 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.
		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 mediation has been prepared, but not yet given.
		The infusion has been prepared, but not yet administered.
		The infusion started at the time shown.
		A dose has not been set for this medication. Depending on your permissions, you can manually set a dose. A dose must be set manually before it can be administered. For example, you might need to set a dose for warfarin.
		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. Mouseover the cell to view details.
		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.
		A PRN Pro Re Nata. It refers to drugs prescribed to be taken as needed, as opposed to at pre-specified intervals. 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 the delay no longer exists. For example, if the delay was because the dose was not available, it should be given when it arrives from the pharmacy.
		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.
		A hard 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.

Overview of the events log

You can view details about a prescription from the events log.

	The prescription.
Policies 	Select to view any linked policies.
A review of this prescription is now due	Select to review the prescription. Read more about reviewing a prescription
	Details about the prescription.
Stop prescription	Select to stop the prescription. Read more about stopping a prescription
Pause prescription	Select to pause a prescription. Read more about pausing a prescription You can resume a prescription from the MAR, but not from the events log.
Modify prescription	Select to modify a prescription. You can update the current prescription within the existing dose sentence, or replace the existing dose sentence with another for the same medication. Read more about modifying a prescription
Instructions	Select to add instructions that are displayed at the point of administration. Read more about adding instructions
Set supply	Select to record a supply source. Read more about recording a supply source
Add note	Select to add a note that users can view from the events log, or from  > Current. Read more about adding a note
Order medicine	Select to order the medication from the hospital pharmacy. Read more about ordering a medication
Cancel order	Select to cancel a medication order. Read more about cancelling a medication order
Order history	Shows if the medication has been ordered, or dispensed by the hospital pharmacy.
Prescription history	Shows the history of changes to the prescription. Includes details about routes, adjusted doses, weight-based dose calculations, and witness name.
Administration events	Shows doses given and not given. Includes routes used, adjusted doses, and witness name.
Pharmacy actions	Shows if the medication has been approved by a pharmacist.
	Depending on your organisation, you might also see charts associated with the prescription.

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TTO⚪⚪⚪	The TTO process has not yet started.
TTO⚪⚪⚪	The TTO list has been started.
TTO✔⚪⚪	The TTO list has been sent to the pharmacy.
TTO✔✔⚪	The TTO list has been approved by the pharmacy.
TTO✔✔✔	The pharmacy has dispensed the TTO medications.