Form LIC 622B. Psychotropic Medication Administration Record (MAR) - California

Form LIC 622B is used in California by healthcare professionals and facilities responsible for administering psychotropic medications to residents or patients. The main purpose of this form is to accurately record and track the administration of psychotropic medications, which are medications that affect the mental state or behavior of individuals.

The form consists of sections where medication-related information specific to psychotropic medications is recorded, including the resident or patient's name, identification number, date and time of administration, psychotropic medication name, dosage, route of administration, and the signature or initials of the administering healthcare professional. The form may also include additional fields for documenting any changes to the medication regimen or special instructions.

Important fields on this form include accurately recording psychotropic medication details, ensuring compliance with medication schedules, maintaining legible and complete records, and obtaining the appropriate signatures or initials to verify medication administration. It is crucial for healthcare professionals and facilities to use this form diligently to monitor the usage and effects of psychotropic medications and promote the well-being of individuals receiving such treatments.

Application Example: A psychiatrist in a mental health facility prescribes and oversees the administration of psychotropic medications to patients. Form LIC 622B would be used to record each instance of psychotropic medication administration. By completing the form accurately and thoroughly, the psychiatrist and other healthcare professionals involved ensure proper monitoring and management of psychotropic medication regimens.