Hi all,

I'm looking to see how other institutions manage the MAR while patients are in the operating room. We use Epic, and currently our MAR goes into an auto-hold setting whenever a patient is transferred to the OR. Once the patient returns, the MAR is unheld and resumes its normal function.

Any medication due times that would have occurred (on the floor) during the OR time are suppressed, and there's no obvious indication that they would have been due. The intention of this was to prevent overdue medications from appearing in the MAR during surgery. Our problem is that we have intermittent events where some important medications (and I would consider this to be a fairly short list) are missed. If this is a setting you use, do you have a process for ensuring postoperative review of this?

The alternative is to not have the MAR auto-hold. If you use this setting, what is your process for determining what medications should be given (or not)?

Thanks,
Mike