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To document PRN medications, a DSP or DCS must initial the date on the MAR in addition to providing information on the back of the PRN MAR: - Date PRN was taken. - Hour of the day PRN was taken. - The name of the medication and the as needed information.
How do you record if you have given a PRN medication?
If the PRN medication is given, record: the dose (if variable), the exact time of administration and the reason for administration. Sign MAR chart immediately to avoid accidental overdose. NOTE: If PRN medication is needed administered regularly, contact GP for clinical review.
Which of the following medication records is used for daily medication administration documentation?
The Medication Administration Record (MAR) is used to document medications taken by each individual.
Where do you record PRN administration and any anomalies?
Where you record the administration will depend on your local policies and procedures. This may include recording the administration on the MARR chart, with any additional information detailed on the back, or you may choose to use a specific PRN administration record.
What additional information must be included with a PRN medication order?
Orders given for prescription medications as needed or PRN must have specific parameters. Parameters must state what the medication is for and specifically when, how much and how often the medication may be administered. Multiple PRN medications for the same must state the in which order they are to be given.
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How are PRN orders documented?
Every medication given to a patient, including STAT and PRN orders, are charted on the Medication Administration Record (MAR). Charting is done as soon as possible after administration. Sign your initials, full name and title on each page of the MAR.
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