After administering a prescribed oral medication, which documentation is most appropriate?
Correct answer: A. Record the medication as given, including the time and any required response
- A. Record the medication as given, including the time and any required response
- B. Document it before administration so the record is already complete
- C. Record only the medication name because the dose is on the prescription
- D. Document that it was given even if the patient refused the dose
Explanation
The medication record should show what was administered and when, with relevant observations or response according to policy. A refused dose must be recorded as refused and reported when clinically necessary, not documented as given.
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About Routes and Safe Medication Administration
Safe medication administration covers oral, sublingual, buccal, topical, inhaled, enteral, intradermal, subcutaneous and intramuscular routes, including their absorption patterns and technique. It also includes medication rights, patient identification, documentation, allergy checks, injection site selection and prevention of errors, with route selection distinguished from dosage calculation.
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