A Sample MAR
|
PATIENT
NAME
|
ROOM/BED | AGE | WEIGHT |
BSA
|
SEX |
Regional
Memorial Hospital
|
|
Doe,
John
|
242-2
|
58
|
111kg
|
-
|
M
|
Somewhere,
FL
|
|
MEDICAL
RECORD #
|
PATIENT
ACCT #
|
DOCTOR
NAME
|
DOSE
PERIOD
|
|
1348764
|
2254897
|
N.
Example, MD
|
9/3/2000
|
|
DIAGNOSIS
|
ALLERGIES
|
MEDICATION
ADMINISTRATION TIMES
|
|
Chest
Pain / Angina
|
NKA
|
TIME / SITE / INITIAL | TIME / SITE / INITIAL | TIME / SITE / INITIAL |
|
Lanoxin
0.25mg PO qD
|
0900
|
-
|
CP
|
-
|
-
|
-
|
-
|
-
|
-
|
|
Nitropaste
2% 1/2" chest wall q8°
|
0600
|
-
|
CP
|
1400
|
-
|
DS
|
2200
|
-
|
LM
|
|
EC ASA
81mg PO qD
|
0900
|
-
|
CP
|
-
|
-
|
-
|
-
|
-
|
-
|
|
Captopril
25mg PO TID
|
0600
|
-
|
CP
|
1400
|
-
|
DS
|
2200
|
-
|
LM
|
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
MOM 30ml
qD prn
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
|
APAP
500mg 2 PO q6° prn HA
|
-
|
-
|
-
|
1830
|
-
|
DS
|
-
|
-
|
-
|
|
PATIENT
NAME
|
ROOM
/ BED
|
NOTES
|
|
Doe,
John
|
242-2
|
-
|