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How medication is recorded by a live-in carer

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What is a MAR chart?

A MAR chart stands for a Medication Administration Record and is a working document used to record administration of medicines. All medicines for a customer should be listed on an individual MAR chart, whether they are prescribed by a GP or if they are bought over the counter, and it is extremely important that all information is recorded clearly, accurately and is kept up to date.

If an individual requires medication, there must be a MAR chart that details:

  • Which medicines are prescribed for the individual
  • When they must be given
  • What the dose is
  • Any special information, such as giving the medicines with food

MAR charts can also be used to check and sign medication into the home, carry forward medication from the previous month and to record any circumstances under which medication has not been administered using the key provided on the MAR chart e.g. refused, nausea/vomiting. MAR charts last for one month and are then replaced by a new sheet.

When regular medication changes or is added to a customer’s medication profile, carers may make amendments to the existing MAR chart.

If there are any ever discrepancies between the MAR chart and any other directive e.g. medicine labels or prescriptions, the pharmacy or prescriber must be contacted by the carer before administration to confirm the correct instructions; the MAR chart must then be amended as necessary.

Care Quality Commission (CQC) requirements state that MAR charts must be filled out immediately after administration by the person who gave the medication. This ensures that all correct persons are accountable and that there are no omissions on the MAR chart.

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Can a live-in carer administer medication?

For customers receiving live-in care, carers are able to administer medication, but only if the support plan states that the customer requires this AND if the carer has received the correct training.

MedicationIf a customer is unable to administer medication themselves or takes their medication inconsistently, they may opt for a carer to do this for them or it may be deemed necessary by their GP. This will be decided during the initial assessment before care commences and will be agreed with both the customer, the Live-in Care Manager, Clinical Nurse (if they have a complex condition) and their Power of Attorney (if applicable).

Carers must always comply with the support plan and the instructions provided – in some cases, customers may be able to administer some of their medications independently or with gentle prompting, but not others. For example, a customer may not need support to take tablets orally but may be unable to apply creams themselves and require their carer to do this for them.

 


What type of medication can a live-in carer administer?

Our award-winning training covers all aspects of general medication, including how to administer medication, how to record and use the MAR chart correctly, assisting with the opening of blister packs and using dosette boxes. All of our live-in carers are able to administer non-complex medication, such as:

  • Tablets and liquids (orally)
  • Ear or eye drops
  • Creams
  • Inhalers

Complex medicationHowever, if a customer has more complex medical needs and requires clinical care or medication to be administered in a specific way, carers are only able to do so if they have been given the correct training.

Specialist clinical training is required for the following:

Our experienced team of clinical nurses deliver complex medical care training to our carers and oversee the care for customers who have complex conditions. They ensure that carers are fully equipped to support customers with a range of different conditions that require specialist medical care – from stroke aftercare to rehabilitation after an acquired brain injury.



Page reviewed by Wendy Sear, Live-in Care Manager on November 25, 2019

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