What should be included in the medication administration record (MAR) after giving medication?

The medication administration record (MAR) serves as a vital document for tracking the administration of medications to residents. One of the essential components that should be included after administering medication is the initials or signature of the personnel who administered the medication. This ensures accountability and provides a clear record of who performed the task, which is important for both legal and safety reasons.

Having the initials or signature documented allows for accurate tracking in case there are questions or issues regarding medication administration later on, such as discrepancies in medication timing, potential reactions, or any other follow-up required. It contributes to the overall accountability within the healthcare team.

While other components such as the resident’s response to the medication, the next scheduled medication time, and any side effects experienced are also important aspects of patient care, the immediate requirement after administration focuses on documenting the action by the personnel, thereby establishing responsibility for that medication being given.