Re: ?Regulation re Shift Change MAR Review

Mon, 05 Apr 2004 16:42:13 -0700

<Holly bows down in homage>
 
We're not worthy!!!
 
Thanks Nathan.  You tha man!

HS

Holly F. Sox, RN, RAC-C 
Clinical Editor, Careplans.com
www.careplans.com
[EMAIL PROTECTED]
----- Original Message -----
Sent: Monday, April 05, 2004 6:30 PM
Subject: Re: ?Regulation re Shift Change MAR Review

For those of you that don't believe I am omnipotent....here is my proof  :)
 
The reg quoted by this administrator is from South Carolina and applies to residential care facilities in that State. It is regulation R61-84 Standards of Licensing, section 1203, para F, and is found on page 31 of that document.
 
 
 
Have a wonderful day.
 
Nathan
 
 
----- Original Message -----
Sent: Monday, April 05, 2004 1:49 PM
Subject: Re: ?Regulation re Shift Change MAR Review

Well, ya see, Nathan, that is the problem.
 
He thinks it's a reg, but he can't remember where he saw it.
 
And, of course, it is incumbent on me to find it, because I have nothing else to do with my time, being interim DON and MDS coordinator.  ;-)
 
I am not spending a whole lot of time on it, but thought if it rang any bells on the list, I could short cut it that way.
 
H
 
Holly F. Sox, RN, RAC-C
Clinical Editor
 
----- Original Message -----
Sent: Monday, April 05, 2004 3:08 PM
Subject: Re: ?Regulation re Shift Change MAR Review

If your administrator claims to be quoting a reg, it would be reasonable to cite the reference in the policy. Ask the Admin for the exact reference.
 
Nathan
----- Original Message -----
Sent: Monday, April 05, 2004 11:27 AM
Subject: RE: ?Regulation re Shift Change MAR Review

I don't think that there is a federal reg like that. Look at F333, under "Determining Medication Error" (pp-135.4 in the 2003 Pink Book). If he is concerned with the number of "blanks" on the MAR, it specifically addresses blank spaces.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Holly Sox, RN, RAC-C
Sent: Monday, April 05, 2004 1:55 PM
To: [EMAIL PROTECTED]
Subject: ?Regulation re Shift Change MAR Review

Okay, Gang,
 
Help me out again, please. My administrator has brought me a draft policy regarding requirements for shift change MAR review and accountability.  He quoted a regulation as follows, but is uncertain as to where this is located.
"At each shift change, there shall be a documented review of the MARs by outgoing staff members that they have properly administered medications in accordance with orders by physician or other authorized health care providers and have documented the administrations. Errors/omissions indicated on the MARs shall be addressed and corrective action taken at the time. The director of nursing shall be notified and other persons as set forth in the policies."
 
 
Is this from Certification Regs? Licensing?  His imagination?? 
 
Thank you in advance.
 
HS
 
Holly F. Sox, RN, RAC-C
Clinical Editor
 

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