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Medication Administration Record Template

1) This is a medication administration record (MAR) for tracking a patient's medications including dosage, route, frequency, and whether each dose was taken or not taken. 2) It collects information like the patient's name, age, attending physician, sex, civil status, room number, and hospital number. 3) Nurses are to sign beside their printed name for each administration to keep record of who administered the medications.

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Lyons Mac
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2K views1 page

Medication Administration Record Template

1) This is a medication administration record (MAR) for tracking a patient's medications including dosage, route, frequency, and whether each dose was taken or not taken. 2) It collects information like the patient's name, age, attending physician, sex, civil status, room number, and hospital number. 3) Nurses are to sign beside their printed name for each administration to keep record of who administered the medications.

Uploaded by

Lyons Mac
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

URGELLO STREET, CEBU CITY, PHILIPPINES 6000

+63 32 4188410 to 14

MEDICATION ADMINISTRATION RECORD (MAR)


Name: _________________________________ Age: _______________________________________ Attending Physician:
________________________________________
Sex: ______________________Civil Status: ___________________________ Room No. /Bed No. ______________________ Hospital No.
______________________

MEDICATION: Dosage, Date: Date: Date: Date:


Route, Frequency Time NOD NOD Time NOD NOD Time NOD NOD Time NOD NOD
1 2 1 2 1 2 1 2

Signature Specimens:
(Provide signature beside full name in print)

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