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We are now going to look at maintaining medication records. Throughout the course, we have stressed the importance of record keeping, and this is where it starts. We're going to look at when medication first comes into the home. When medication arrives at the home, it needs to be documented, and the paper trail continues until it leaves the home. When medication comes in, be it from pharmacy, from the GP, from family, it all needs to be logged in a book. This book would state the date it's received, the type of medication, who the medication is for, strength, dosage, and then it will be dated and signed when you've checked it in.

What are you going to do if the medication arrives and the books are in the manager's office and the door is shut? You have to go and get the book. You cannot have medication on the property that is not accounted for. You don't put it in your pocket, you don't put it on the side, you have to go and get the book. So, if there's a meeting going on, you have to interrupt. I cannot stress enough the importance of always accounting for medication. If something happens to that medication or the medication listed isn't the right amount, you are going to have to justify that. So, if you haven't recorded it, you have got no way of justifying where that medication is gone. You would need two of you to sign it in. So, when the medication arrives, you ensure you have a colleague, you get the book and you fill in all the relevant information.

If the medication is received from the pharmacy, it needs to be ticked against the MAR chart which is the medication administration record. This will come along with the medication from the pharmacist and the information needs to be checked against the medication in the boxes or the blister pack to the medication on the chart. You will need to check the names, the correct medication, the dose, the strength and the time it's to be given.

If there is any discrepancy between the medication and the MAR chart, you will need to go back to the pharmacist. You will not just assume that it's the right medication, you have to be satisfied that the medication on the MAR chart is the same as the medication in the blister pack. When the medication is received from the pharmacy, if any of the tablets look different, even though they're the usual tablets on a repeat prescription, it may just be that it's a different brand name. In these circumstances, always call the pharmacist to check. Never just assume it's the right medication. Pharmacists make mistakes as well. It probably will be just a different brand name, but always call to check.