The eMAR screen details

Item

Field

Description

1

My Nursing Caseload

Select this check box to view only those clients assigned to the user in the Nursing Caseload Assignment form in myAvatar CWS.

2

Unit

The Unit selected filters the clients available in the Client drop down box. Only clients associated with the selected unit are displayed. If a Unit is not selected, clients are displayed regardless of the Unit.

3

Administration Date

The current date is displayed by default and can be changed. The Administration Date determines:

• Clients available in the Client drop down list. Clients must have at least one order for the selected date or within the four previous dates.
• Five-day display order view. The date in this field is viewed in the last column with the four previous dates displayed towards the left.

If a time period is specified in these fields, only orders scheduled for administering during the specified time period are displayed. Orders without designated hours of administration are not filtered through this field and are displayed if they meet other qualifications for inclusion.

PRN orders are always displayed, regardless of any Administration Time selected.

4

Order Type

Select the check box for each order type to be displayed in the grid. The Order Type filter also determines the clients available from the Client drop down list. For example, if Dietary Orders is checked before choosing a client, only clients having active dietary orders are listed in the Client drop down list.

While the eMAR is typically used for medication orders, it is possible to use the eMAR for charting other types of orders, such as dietary and nursing treatment.

A user can only view order types they have rights to access, as assigned within myAvatar Order Entry.

If the Send Diet Supplements From Dietary-Oral Orders to eMAR Separately registry setting (Avatar Order Entry) is set to Y, the Dietary-Oral-Supplements check box displays. 

Note: The Order Type filter only applies to orders originating in myAvatar Order Entry.

5

Group Orders By Order Type

Select this check box to sort orders first by type, such as Dietary, Lab, Therapy, or Pharmacy, then alphabetized by order description/medication name. Uncheck this option to have all displayed orders sorted by order description/medication name.

Note: This option only applies to myAvatar Order Entry orders.

When checked, orders are sorted as follows:

1. Order status (active or inactive).
2. Order type
3. Alphabetized by order code description/medication name

When unchecked, orders are sorted as follows:

1. Order status (active or inactive)
2. Alphabetized by order code description/medication name, regardless of order type.

6

Show Hidden Orders

Click to display hidden orders. Hidden orders are displayed with a grey background.

8

Medications/Treatments

Select one of the following options to limit the orders displayed to any of the following:

• Show All - displays all orders regardless of type.
• Show Medications - displays only medication orders.
• Show Treatments - displays only treatment orders.

This feature only applies to orders that originate in myAvatar Order Entry, which allows medications to be classified as treatments.

The selections made for Unit, Order Type Filter, and Medications/Treatments are remembered on a user-specific basis, and are automatically selected in the user’s next eMAR session.

Order Filter

Select the filter for limiting the orders displayed.

• The Due Now filter utilizes the number of minutes entered in the Allow Administration Events For # of Minutes From Scheduled Time registry setting or the number of minutes specified in the eMAR Administration Window (Minutes) field on the Order Code Setup form to look for items that are scheduled to occur within the amount of time prior to and after the current time and have not yet been administered.
• The Missed Administrations filter utilizes the number of minutes entered in the Allow Administration Events For # of Minutes From Scheduled Time registry setting or the number of minutes specified in the eMAR Administration Window (Minutes) field on the Order Code Setup form to look for items that were scheduled to occur more than that amount of time in the past and have not yet been administered. 

12

Client

Clients listed in the Client drop-down list are those who:

• are associated with the unit selected (if unit was specified).
• have an order scheduled for the date entered in the Administration Date filter.
• have an order scheduled for the time entered (if time was specified).
• have orders with no specified administration times associated.
• have orders that were active at any point within the four days preceding the Administration Date.

13

Episode

Select the patient episode for which orders are to be viewed. This field defaults as follows:

• If the client is active in an inpatient episode on the selected date, orders associated with that episode only are displayed.
• If the client is active in a partial hospitalization episode for the selected date, orders associated with that episode only are displayed.
• Orders associated with any specific outpatient episode, can be displayed.
• All Outpatient is available in the Episode field if there are active outpatient orders.
• Selecting All Outpatient causes orders from any and all outpatient episodes to be displayed.

Note: These rules apply only to orders originating in myAvatar Order Entry.

If the Enforce Sub-System Code Restrictions registry setting is set to Y, myAvatar eMAR will display only the appropriate episodes for the client if the current program belongs to the sub-system code the user is logged into. If there are no episodes to display, the client will not be included in the Client drop down list.

14

Med ID

The Med ID field displays the NDC, UPC, HRI, or other code found on medication packages.

This value can be scanned in automatically, or manually entered from the keyboard. myAvatar eMAR will attempt to find an order for the selected client that matches the Medication ID. The Medication ID from the eMAR screen will automatically be used in the Administration Event Details section.

This field, along with the N/A field, is enabled when the registry setting Enable Medication And Quantity Checking is set to Yes. Use the N/A field to indicate the Medication ID is not available.

15

Location

This is a read-only field and displays the current location of the selected client for inpatient episodes. For example: 1E-100-B represents the unit-room-bed assignments.

16

Latest Client Information and Allergies

The Latest Client Information and Allergies section contains read-only fields that display client information such as chart #, gender, date of birth, allergies, and diagnoses.

Which attending practitioner name will be displayed in this section is determined by the following criteria:

• If there is an attending practitioner for the episode, that practitioner will be displayed.
• If there is no attending practitioner for the selected episode, the attending practitioner from an open inpatient episode will be displayed.
• If there are no open inpatient episodes with an attending practitioner, the attending practitioner from the most recent open non-inpatient episode will be displayed.
• If there is no attending practitioner in an open non-inpatient episode, the attending practitioner from the most recently discharged episode (for any treatment setting) will be displayed. In this case the message "Previous Att. Practitioner" displays.

Note: If the practitioner from an episode other than the selected episode is displayed, the label will read "Other Att. Prac." if the displayed episode is open, and "Previous Att. Prac." if the displayed episode is discharged.

If the Enable ICD-10 registry setting (Avatar PM) is set, the diagnosis information entered on the Diagnosis form (Avatar CWS) displays. This includes the principal, multiaxial, mental health, medical, environmental, substance abuse, and other diagnoses.

A message displays if the client is on leave. 

When available, the client’s photo is displayed, providing an additional client identifier, which helps ensure that the medication is being dispensed to the correct client.

If the order is an oral dietary order and the Display Oral Diet Description registry setting is set to Y , the label Oral Diet Description displays with a description of the type of diet (e.g. Diabetic Diet).

Client Allergies - The display of allergies in this section is organized so that any drug/medication allergies will be listed first, alphabetized and in red/bold font. All remaining allergies will be listed after, also alphabetized, but in regular black font.

Drug/medication allergies are those where the Allergen Code is defined with an Allergy Type of "Class", "Drug", or "Brand Name".

17

Medications

This section displays all medication orders for the selected client and episode or orders for all clients at the selected unit. 

Orders display in the following sequence:

• STAT/Now
• Give Initial Dose Now (regardless of Routine/PRN/STAT/Discontinued)
• Routine
  Note: Orders originating in InfoScriber are all routine orders.
• PRN
• Discontinued

Selecting an order from this tab will launch the Administration Event window.

18

Lab Orders

This section displays all laboratory orders for the selected client and episode or for all clients at the selected unit.

Orders display in the following sequence:

• STAT/Now
• Routine
• Pending Result
• Collected
• Discontinued/Cancelled

Selecting an order from this tab will launch the Specimen Collection window.

19

All Other Order Types

This section displays all remaining order types.

Orders display in the following sequence:

• STAT/Now
• Routine
• PRN
• Discontinued

Selecting an order from this tab will launch the Administration Event window.

20

Notes

This section contains practitioner notes relating to the client. Notes are client-specific and display regardless of the episode or orders selected. Notes allow all practitioners involved with a client to share information.

21

Order Description

The Order Description section includes the following order details:

• Give Initial Dose Now - This notation displays on the first line of the description and these orders display at the top of the list of orders with the NOW watermark.The notation and watermark will display until the order is administered.
  The give indication of 'now' is specified in myAvatar Order Entry when creating an order. The NOW watermark will only be shown on orders that are not discontinued, expired, or on hold.
  If a Give Initial Dose NOW order is discontinued, expired, or placed on hold, the Give initial Dose Now notation will still be shown, but the appropriate watermark will supersede the NOW watermark.  
• Self-Administered Order - This notation displays on the first line of the description for pharmacy orders that are flagged as self-administered when creating the order in myAvatar Order Entry. The Self-Administered notation also displays above the order description on the Order Acknowledgement and Administration Event dialogs.
• Acknowledgement Required (The Acknowledgement Required registry setting determines if an order acknowledgement is required. If this registry setting is set to Yes, the order cannot be administered until it is acknowledged by the administering practitioner.)
• Order Requires Validation by Practitioner - The registry settings Prevent Administration Events for Unvalidated New Physician Orders and Prevent Administration Events for Unvalidated New STAT Physician Orders control whether this notation displays or whether unvalidated orders display. 
• Pharmacy Verification Status - The value in the Prevent Administration Events for Unverified Pharmacy Orders registry setting determines whether an unverified order can be administered.
• Order Status
• Medication name
• Medication dosage, method of administration, and administering frequency
• Administration method, rate unit, and rate amount specified for IV orders for orders created in myAvatar Order Entry. If Intravenous or Irrigation is the route of administration, the Administration Method field is enabled and required. 
• Strength and Strength unit for orders sent from RxConnect (e.g. 400 MG Tablet Oral, 200 mg = 0.5 Tablet Once a day) display on the line below the medication name. This information is in addition to the total dosage to be administered.
• Diagnosis (Dx) - This is the diagnosis for the  diagnosis code entered in myAvatar Order Entry. 
• Order start and end dates
• Client Education status
• Order number
• Ordering Practitioner (name and ID)
• Last Renewing Practitioner - This displays if an order has been renewed and was last renewed by a different practitioner than the Order Practitioner.
• OE Order Guidelines - These are order guidelines that were designated for the order code in myAvatar Order Entry. These guidelines will always display regardless of the value selected for the Use Pharmacy Fill Details For Order Description registry setting.
• RxC Pharmacy Comments - If Avatar eMAR is connected to a pharmacy system (for example, RxConnect) and the 'Use Pharmacy Fill Details for Order Description' registry setting is set to Y, any pharmacy fill details associated with the order display.
• Dietary orders and diet restrictions - Dietary order types include oral, tube feeding, and oral-supplements. If the Send Diet Supplements From Dietary-Oral Orders to eMAR Separately registry setting (Avatar Order Entry) is set to Y, order supplements will display in the grid, with a separate row for each supplement.

When multiple clients are displayed at once, the clients are listed alphabetically, and orders are grouped by client. Each Order Description box includes the client name, ID, and location.

Routine, PRN, STAT, and Other orders can be designated to display with a background color to make it easier to identify the type of order.

Watermarks indicate order status: On Hold, Follow-Up, Expired, Discontinued and identify orders where the initial dose must be given now.

22

Order Administration

This section shows scheduled administrations and administrations that have not yet been recorded.

The Administer button displays with the number of orders selected for administration. Click this button to display the Administration Event dialog for recording specifics about the medication administration.​​

Color indicators show whether the administration time is within the allowable time window. 

A follow-up reminder notation displays in a cell when an eMAR follow-up reminder is indicated for the order code and order type.

If the user is allowed to edit and/or delete administration events (Order Entry User Role settings in myAvatar Order Entry) right-click the administration cell and the selections Edit Administration Event and Delete Administration Event display. Selecting either choice launches the Administration Event dialog.