eMAR (medication records)
Electronic medication administration — sheets, rounds, PRN, controlled drugs, safety overrides.
Sections
eMAR — getting started
New to eMAR? Start here. What the system is, how to navigate the dashboard, what the colours mean.
Recording medications
Day-to-day recording: single doses, rounds, PRN, refusals, missed and off-schedule administrations.
Safety features
Drug interactions, allergy alerts, dose limits, and how safety overrides are recorded.
Medications management
Adding medications, schedules, archiving, expiry tracking and the PRN library.
MAR sheets
Creating sheets, sheet history, PDF export and the validity window.
Controlled drugs
CD register, stock balance, transactions and witness requirements.
Covert medications
Covert administration, MCA documentation and scheduled reviews.
Other eMAR tools
Homely remedies, self-administration, incidents, stock, scheduled sheets, approvals, override logs and more.
eMAR troubleshooting
Common questions and how to fix things when something looks wrong.
All articles in eMAR (medication records)
What is e-MARS?
Electronic Medication Administration Records — Carerealm's built-in eMAR system for safe, traceable medication management.
Dashboard overview
The eMAR dashboard — timeline, primary tabs and the "More" menu.
Using Round Mode (Administer button)
Step through every due dose for an area in one guided session.
Understanding the medication timeline
How the dashboard timeline groups doses by time, what each cell means, and how to switch views.
Understanding status colours
What the colours on the timeline mean — at a glance.
Recording a single medication
How to record one dose against the timeline using the outcome picker.
Recording PRN (as-needed) medications
How to record a PRN dose — including the dose-limit and effectiveness-tracking flow.
Understanding outcome codes (1-8)
The eight standardised outcome codes used to record every medication administration.
What to do when a medication is refused
Record outcome 3 (Refused), capture the reason, and decide on the right follow-up.
What to do when a medication is missed
How "Missed" status is calculated, when to record outcome 5, and the retrospective recording path.
Recording off-schedule medications
When a dose is given outside its scheduled window — what gets captured, who approves.
Adding notes to a recording
How and when to add notes to a medication recording.
Recording a dose retrospectively (given but not logged)
For doses that were administered correctly but the recording didn't happen at the time.
Drug interaction warnings
How Carerealm checks for interactions between medications and what to do when one fires.
Allergy alerts
How allergies are checked at administration time, including drug-class matching.
PRN dose limits
Two hard limits on PRN medications: minimum interval and maximum doses in 24 hours.
Controlled drug witness requirements
Two-person witnessing at recording time, plus a post-administration confirmation step via email.
Maximum daily dose limits
A daily dose ceiling per medication — counted as administration events in a rolling 24 hours.
What safety overrides mean
When you bypass a safety warning, what gets recorded, and how to audit overrides later.
Adding a new medication
Add a medication to an area's eMAR with prescription detail, schedule, expiry and safety fields.
Setting up medication schedules
Days of week, times of day, plus A/B/C/D week-cycle rotations for fortnightly and three-weekly patterns.
Archiving medications
Retire a medication when the prescription stops, with a mandatory reason for the audit trail.
Medication expiry tracking
Track per-medication expiry dates, auto-archive on expiry, and email alerts before things expire.
PRN medication setup
Flag a medication as PRN, set the symptom indicators and the dose limits.
Creating a MAR sheet
Set up a new MAR sheet with patient identity, allergies and validity window.
Understanding sheet validity dates
The valid_from / valid_until window and what happens when you try to record outside it.
Downloading and printing PDF MAR sheets
Generate a paper MAR sheet from any Carerealm sheet — useful for inspections, handovers and offline.
Sheet history and audit trail
See every change to a sheet — created, updated, archived, restored — with timestamps and the user who acted.
The controlled drugs register
A separate-from-the-MAR ledger for Schedule 2-5 controlled drugs, with running stock balance.
Recording CD transactions
Five user-visible transaction types in the CD register, plus the automatic administered-from-MAR entries.
Stock balance tracking for controlled drugs
The running balance updates with every transaction, and stock-check entries surface discrepancies.
What covert administration means
Giving medication in a disguised form (e.g. crushed in food) under a Mental Capacity Act best-interest decision.
MCA documentation for covert medications
The fields Carerealm captures for each covert medication — MCA reference, best-interest date, review date and notes.
Monthly reviews for covert medications
How Carerealm flags covert medications coming up for review and how to record a completed review.
Homely remedies register
A separate OTC register for non-prescription medications (paracetamol, antacids, etc.) given on protocol.
Self-administration assessments
Three-level assessment of a supported person's ability to take their own medications.
Medication incidents
Record medication-incident events in eMAR (separate from the Forms-based incident system).
Approval requests
A queue of off-schedule, retrospective and CD-witness administrations awaiting manager approval.
Stock control (eMAR)
eMAR stock movements — received, disposed, returned, adjustment, stock check.
Scheduled sheet creation
Auto-create new MAR sheets on a schedule using an interval-based rule and a name template.
Roles and permissions (eMAR)
Four eMAR-specific roles — staff, senior carer, manager, administrator — each with its own permission bundle.
Settings: Administration buffers
How long before and after a scheduled time the recorder accepts on-time recordings.
Settings: Approval and notification settings
Realm-wide configuration for off-schedule + retrospective approval modes and notification recipients.
Settings: Patient safety profile
Per-area safety configuration — allergies, conditions, interaction thresholds, override policy.
Statistics and compliance reporting
Per-area compliance breakdowns by outcome, by time of day and by staff.
Override logs
A filterable list of every safety override that's been performed in this area.
PRN effectiveness tracking
Record whether a PRN dose actually worked.
Managing medication rounds
Setting up named rounds (Morning, Lunch, Tea, Bed) so Round Mode picks up only the right doses.
Notification errors
Surface for delivery failures (email bounces, push errors) on eMAR-related notifications.
Why can't I record this medication?
Common reasons the recorder refuses an administration, and how to resolve each.
Why does it say medication expired?
When a medication shows as expired, what to do with the existing stock, and how to re-enable.
Why is a medication showing as missed?
How "Missed" is calculated, and what to do if you actually gave the dose on time.
How do I fix a wrong recording?
When a recording was made incorrectly — wrong outcome, wrong medication, wrong time — what the corrective flows are.
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