Is possible for a CNA to change a MAR, medical chart, if the RN or Doctor is on the phone explaining to them what to do?
I manage a home care facility and the MAR's are always changing and instead of calling one of our nurses in I was wondering if it was possible to just have the CNA or myself fix the MAR. They are all originally printed out but when it comes to things being changed we just write them in and change them the next month on the computer. Please help.
In most states only a nurse, RN or LPN or a PA, can take a physicians order either in person or over the phone. Because of this law, no a CNA can not legally take a physicians order or make any changes to the MAR (medication administration record). I can only speak about states I am familiar with so I would suggest consulting the law in your state. In some states it is permissible for certain personnel like medical assistants to give medications of a certain class but in most states the only people that can give a medication are nurses, physicians, PA's (physician assistant), or NP's (nurse practitioner) and the same holds true for writing, changing, or altering in any form or fashion the medication administration record.