Which of these is the correct way for a nurse to document medication administration?
a. Record the drugs given during the shift before the shift ends.
b. Record the drugs immediately after administration to clients.
c. Record the drugs given by any member of the client-care team.
d. Record the drugs given by the client's pharmacy technician.
B
Documentation of medication administration completes the safe drug administration process; medications should be charted on the medication administration record (MAR) only after they have been administered. Nurses should recognize that clients have the right to refuse any medication; while clients should be encouraged to take prescribed medications, they should never be coerced into doing so. As noted previously, reasons for omitting any medication must be documented.
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