Form LIC 622A. Medication Administration Record (MAR)
The LIC 622A form, also known as the Medication Administration Record (MAR), is a crucial document used in licensed community care facilities and foster/certified/resource family agencies to record medication self-administration by children. The primary purpose of the form is to ensure that the child takes the right medication, at the right time, by the right route, and administered by the right person.
The form consists of several parts, including child's name, date of birth, sex, facility name/number or agency name, prescription details, time, allergies, date and description of any observed side effects, monthly weight & date, anticipated refill date, pharmacy name & number, physician name & number, additional instructions from the physician, and placement worker name & number.
When filling out this form, the adult should enter the child's full name, date of birth, and biological sex. They should also have the medication label available to fill out the prescription details accurately. The adult must record the time the medication is supposed to be taken and initial each box corresponding to the appropriate date and time the child self-administers their medication. If the child missed taking their medication, follow the instructions provided in the MAR Legend, and notify the appropriate person(s) according to the facility or agency policies.
It is essential to document any allergies, observed side effects, and monthly weight. Additionally, information about the anticipated refill date, pharmacy name and number, prescribing physician's name and number, and placement worker name and number should be recorded on the form.
The form's practice and use cases include recording medication self-administration by children in licensed community care facilities and foster/certified/resource family agencies. It helps ensure that the child receives the proper medication dosage and adheres to the prescribed schedule.
Strengths of the form include accuracy in medication administration and monitoring side effects. Weaknesses could include human error when filling out the form, which could lead to errors in medication administration or documentation. Opportunities include the potential for digital forms, which would streamline the recording process and reduce the likelihood of human error. Threats can include privacy breaches of sensitive medical information on the form.
There are many alternative medicine administration record forms available, such as paper-based forms and digital forms. The primary difference between them is the recording method, with digital forms being more streamlined and easier to store and access.
Once filled out, the form should be stored securely according to the facility or agency policies. It may need to be submitted to regulatory authorities upon request.
In conclusion, the LIC 622A Medication Administration Record form is a crucial document used to record medication self-administration by children in licensed community care facilities and foster/certified/resource family agencies. It helps ensure that the child receives the correct medication dosage and adheres to the prescribed schedule while also monitoring for side effects and allergies.