1.06 PRINCIPLES ASSOCIATED WITH CHARTING MEDICATIONS

a. Never chart a medication as having been given until it has been administered. Check the chart before giving the medication to avoid duplication.

b. Record all administrations of medications IAW local SOP.

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(1) As a minimum, record the name of the drug, dosage, time and route of administration, patient’s reaction or lack of reaction to the medication (if appropriate), and the name of the person who administered the medication.

2) Correct charting helps to prevent administering a medication twice.

Professional Medical Education