The nurse needs to document a medication that has just been administered. Which technique should the nurse use to document medication administration?
a. Document the medication immediately before administration.
b. Record the time administered and the nurse's name immediately after adminis-tration.
c. Record medication administration time, route, and dose at the end of the shift.
d. Delegate recording administration time and the nurse's name in the medication administration record (MAR).
B
The nurse records his or her name and administration time immediately after medication admin-istration to maintain an up-to-date, accurate patient medical record. Documentation is not done before administration because the activity has not yet happened. It is risky to document at the end of the shift because the chance of a documentation omission or error increases with the amount of time that passes. Correct documentation is one of the six rights of medication admin-istration. Documentation of medication administration may never be delegated.
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