Importance of Maintaining Medication Records

1. Significance of Medication Records

Maintaining medication records is crucial for compliance with legislation and organisational policies.

2. Record Keeping Process

a. Medication Arrival

Upon medication arrival, whether from the pharmacy, GP, or family, it must be logged on the Medication Administration Record (MAR) sheet.

b. Documentation Details

The MAR sheet should include:

• Date received
• Type of medication
• Patient's name
• Strength and dosage

c. Verification Process

Check the medication against the MAR chart, ensuring accuracy. This involves:

• Matching medications in blister packs or boxes to the MAR chart.
• Date and sign the MAR sheet once verified, with support from a colleague if available.

d. Resolving Discrepancies

If any discrepancy arises, especially between the medication and MAR chart, contact the pharmacist for clarification. Never assume correctness without verification.

e. Vigilance for Changes

Be attentive to any variations in medication appearance, such as different tablets or brand names. Always verify with the pharmacist to ensure accuracy.