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Good Practice Guidance D: Medicine administration records ...

Oxfordshire Clinical Commissioning Group Date produced: May 2011; Reviewed April 2013; Date for Review: May 2015 Good Practice Guidance documents are believed to accurately reflect the literature at the time of writing. However, users should always consult the literature and take account of new developments because these may affect this Guidance 1 Good Practice Guidance D: Medicine administration records (MAR) in Care Homes Adapted from the CQC Professional Advice: Medicine administration records (MAR) in care homes and domiciliary care QMP Document No 124-08 which has now been withdrawn.

The change of insulin dose for a resident was communicated verbally to staff and then hand written onto the MAR. The instruction was to give 4 units of insulin at night. The nurse who took the message wrote ‘4 i.u.’ on the chart (i.u. is an abbreviation for international units), but another nurse misread the dose and gave 41 units of insulin.

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