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Sign When You Give

Medication Support · Episode 6

Sign When You Give

Renee checks the medication records and finds tonight's doses already initialed at breakfast.

Key takeawaySign when you give, not beforeDocument each dose right after the person takes it, never ahead of time, and only for medicine you gave yourself. If a dose is refused, held or missed, use the right code and write the reason. The medication record is a legal document: the next person and the nurse rely on it to keep the person safe.

In this scene

Renee: Kevin, it's noon. Why are tonight's eight o'clock doses already initialed?

Kevin: I sign the whole day in the morning. Saves time later.

Renee: If something happens tonight, this record says Gloria got medicine she never had.

Watch the episode to see what happens next.

Questions to think about

  • When do you sign the medication record?
  • Can you sign for a coworker's med pass?
  • A dose was refused. You:

About this series

For direct support staff who help people with their medicine: the rights of medication, refusals, not pre-pouring, missed doses, medication errors, documenting, side effects, outings, locked storage and counts, and as-needed medicines. Follow your agency's medication policy, your nurse's instructions and your state's rules on who may give medication. See the whole series

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