What must be documented on the Medication Administration Record (MAR)?

The Medication Administration Record (MAR) is a crucial document in healthcare settings that tracks medication administration for residents or patients. It must provide a comprehensive record of all medication-related events to ensure safe and effective care. Documenting when a medication is administered or refused is essential because it provides a legal record of what care was provided, ensures that the medication therapy is followed as prescribed, and helps healthcare providers monitor patient adherence to treatment plans.

Recording administration confirms that the medication was given and allows for ongoing assessment of its effects on the resident's health. Conversely, when a resident refuses medication, it is equally important to document this occurrence. This ensures that healthcare providers are aware of the refusal and can take appropriate steps, whether that means following up to understand the reason for refusal or making necessary adjustments to the treatment plan.

Other options, such as documenting only when a resident requests medication or only when medications are received, do not align with the comprehensive tracking required for patient safety and care management. Similarly, while documenting when medications are disposed of can be important, it does not replace the necessity of recording actual administration or refusal of medications within the MAR, which is the primary focus of safe medication practices.