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Appendix 2 - What must be recorded on the MAR

In this section

  1. 1
    Introduction
  2. 2
    About this policy
  3. 3
    Who this policy applies to
  4. 4
    Royal Pharmaceutical Society principles
  5. 5
    Person Centred Care and Mental Capacity
  6. 6
    Duty of care in GSL arrangements
  7. 7
    Carer training, competency and general conditions which apply to medication administration in GSL arrangements
  8. 8
    Medications that trained and competent carers may administer
  9. 9
    Ensuring that people have an adequate supply of medication
  10. 10
    Storing medication
  11. 11
    Administering medication
  12. 12
    Medication records
  13. 13
    Disposing of medication
  14. 14
    Continuity of care when someone is on a short visit away from home or moves between carers
  1. 15
    Side effects / adverse reactions
  2. 16
    Medication errors
  3. 17
    Monitoring medication support arrangements / quality assurance
  4. 18
    Concerns and complaints
  5. 19
    Emergency preparedness
  6. 20
    Implementation
  7. 21
    Review
  8. 22
    Policy Details
  9. 23
    Appendix 1 - Definitions
  10. 24
    Appendix 2 - What must be recorded on the MAR
  11. 25
    Appendix 3 - Staff guidance and procedures for over the counter products for general use
  12. 26
    Appendix 4 -As Required “PRN” Medication Guidance
  13. 27
    Appendix 5 - PRN Medication Administration Record (MAR) - In conjunction with PRN protocol Gloucestershire Shared Lives

What must be recorded on the MAR

 

The person’s medication requirements

 The Medication Administration Record (MAR) is a record which details an individual’s medication requirements, the correct dose(s), when medication(s) must be given and any special instructions for administration, such as with water or food.  The MAR includes instructions for covert administration where this has been authorised.

Staff must immediately update the MAR whenever medication requirements change, for example when a medication is started, stopped or the dose changed.

 Medication administration and stocks

 The MAR also details what medication stocks have been received for the person and how the medication has been used or otherwise disposed of. It is a running record of stock use and remaining stock so that stocks can be monitored and audited. 

Staff must immediately update the MAR whenever they receive medications stocks for the person; remind or help the person to take their medication; medication is transferred out of the service (for example returned to the person or their family, transferred with the person to a hospital or another service); stocks are disposed of or a dose is wasted. Staff must record: 

  • the date and time that they prompted or assisted the person to take their medication or administered the medication to the person. The record must confirm that the person has taken their medication.  Staff responsible for monitoring that a child who is self-administering their medication has taken their medication will confirm this either by observation or by asking the child.
  • the dose administered where this is variable
  • the medication and the dose administered for any ‘as and when required’ or other infrequent prescribed medication and the reason why (for example for pain relief)
  • the medication and dose of any over the counter product administered
  • any medication administered by visiting health professionals
  • any prescribed dose that the person refused to take - and the reason why if the person gives a reason. This must also be recorded in the case notes
  • an explanation of any wasted dose 
  • any medication error 

Every MAR entry must be signed and include the date and time of entry.

 

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