Record every medication administered or refused. Initial the time slot once the medication has been taken. Use the code legend below for refusals, missed doses, or other situations. One MAR sheet per participant per week (Mon-Sun). Refer to Medication Management Policy (POL-MED-001).
| Medication, dose, route | Time | Day of week | ||||||
|---|---|---|---|---|---|---|---|---|
| Mon | Tue | Wed | Thu | Fri | Sat | Sun | ||
| PRN medication, dose, route | Date / time given | Reason given | Outcome / effect observed | Worker initials |
|---|---|---|---|---|
Record any refusals, missed doses, side effects, errors, or issues. Notify Manager same day. Complete Incident Report (FORM-INC-001) for medication errors.
| Initials | Full name (print) | Signature |
|---|---|---|
Form ID: FORM-MAR-001 | Filed in participant medication file weekly - retained 7 years | © 2026 Safe Hands Disability | ABN 31 315 518 918