Clear and accurate documentation is a fundamental part of safe medication practice. The following forms can be downloaded and used by care providers. Click on the title to download the document.
Supplementary information about when required and variable dose medication 4.02 – It is essential that staff administering medication prescribed to be taken ‛when required’ know what the medication is for and under what circumstances it may be appropriate to administer a dose. The supplementary information document can also be used for variable dose medication to indicate when a higher or lower dose should be given. The supplementary information document should be reviewed on a regular basis and/or if the person’s circumstances change. This information may also be referred to as a care plan.
transdermal patch record Ver 4.02 - when administering patches it is important to remove the old patch before applying a new one and to rotate the sites where the patch is applied. This form will support safe recording.
Supplementary Medication Administration Record Ver 4.01
This form can be used when space on the traditional MAR chart does not allow all the required information to be recorded. It allows space to record time medication was given, the dose and the quantity remaining as well as the staff signature. It now also includes space for recording the reason an "as required" medication was given. Remember to give details when using this space, for example, write "pain in left knee" rather than just "pain". If using a supplementary record staff must annotate the main MAR chart with ‛see supplementary sheet’ so all staff record the administration in the same place.
Room and Fridge temperature record Ver 4.02 – In care homes the maximum and minimum temperature of the fridge should be recorded daily. Staff must ensure that they always reset the thermometer once the reading has been taken. If the fridge temperature is outside of the required range then action must be taken.
