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Clinical

One record, including the medications you administer.

Diagnoses, medications, allergies, vitals, labs, and administration records on the same chart as the clinical note — so residential and detox programs stop keeping a second paper MAR.

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Built for 24-hour care. Administration is recorded where the chart already lives.

The chart

Everything a nurse, a tech, and a clinician each need — on one record.

Diagnoses, medications, allergies, vitals, labs, and administration records in one place, visible to the whole treatment team according to their role.

Alvarez, R. · MRN HP-0041982Unit B · Room 214 · Day 12
SummaryMedicationseMARVitalsLabsAllergiesDocuments
Problem list
Opioid use disorder, severeF11.20
Major depressive disorder, recurrentF33.1
Generalized anxiety disorderF41.1
Allergies
Sulfa drugsrash
No known food allergies
Active medications
Buprenorphine/naloxone 8-2mgSL daily
Sertraline 100mgPO daily
Hydroxyzine 25mgPRN anxiety
Latest vitals
BP · HR118/74 · 72
COWS score3 · 06:40

The medication pass

Administration recorded where the chart already is.

In a 24-hour setting the eMAR is the record that gets scrutinised — by surveyors, by pharmacy consultants, and by anyone reviewing an incident. It should not live on a clipboard.

Pass opens

Scheduled doses for the unit appear for the shift.

07:00
Administered

Time, dose, route, and administering staff recorded at the point of care.

07:04–07:48
Exceptions documented

Refusals and holds recorded with a reason, not left blank.

07:31
Pass closes

Outstanding doses escalate to the charge nurse before shift change.

07:52

How most programs run it

Three records that disagree

  • Clinical notes in the EHR
  • Medication administration on paper
  • Vitals in a unit binder
  • Reconciled by hand, usually after an incident

On ProbityCare

One record, one timeline

  • Notes, medications, and vitals on one chart
  • Administration timestamped as it happens
  • Visible to the whole team by role
  • Included in the audit packet automatically

Residential reality

A paper MAR is the document a surveyor asks for and nobody can produce completely.

Outpatient-built systems skip administration entirely, which is why residential and detox programs end up maintaining a second record by hand. Putting it on the chart removes the second record instead of automating it.

1record, not three

Works with

It runs on the same record as the rest of the platform.

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