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Participants & care · Admins & coordinators

Medication and the eMAR

Setting up medication charts and how workers record administration, refusals and PRN.

Set up the chart first

Each participant who needs medication support gets a medication chart (regular and PRN medications, doses, times, prescriber). Workers can only record against a configured chart.

If a chart is not set up, the worker app shows a hard stop screen instead of the eMAR. It will not show sample data and it will not pretend to save. The worker is told to phone the office and document on paper until the chart exists.

Fix a dose from the office

Admins, coordinators and nurses can correct the chart after the fact. Nothing is overwritten: your name, the time and what you wrote stay on the record.

  1. 1A dose already on the chart: open it on the Medication Chart or the Medication Log and amend it, or remove it from the chart with a reason.
  2. 2A dose nobody recorded: open the Medication Chart and choose Add a dose. Pick the medication, the outcome, when it happened and who gave it, then say what happened. It goes on the chart marked as a late entry and takes it out of the medication count, unless a physical count taken after the dose already covers it.
  3. 3A medication that is not on the chart: choose Not on the chart? in Add a dose, then finish its schedule in the participant's Medications tab.
  4. 4A count that is wrong: choose Correct count beside the medication on the Medications tab, enter what is in the box and say why.
  5. 5Doses the system closed as missed: open Doses to check in Parkway Core and answer Was given or Actually missed.

What workers record on shift

  1. 1Administration: each due medication with the administration code, co-signed where required.
  2. 2Refusals and missed doses: reason code, details, action taken and who was notified. Repeated refusals trigger escalation to the prescriber.
  3. 3PRN: reason, pre and post observations with pain scales, effectiveness and timing.
  4. 4Carer-administered doses: witnessed and logged with the carer's details.

Remember

A missed or wrong medication is recorded internally and managed clinically. On its own it is not an NDIS reportable incident; it only becomes one if the outcome itself reaches a reportable category such as serious injury. See Reporting an incident.