In the realm of healthcare administration, especially within settings providing care to individuals who require support with daily living or those with disabilities, the Medication Administration Record (MAR), known as the Medication Apd form, stands out as a crucial tool. This form, adopted on March 10, 2008, by Rule 65G-7.001(13), F.A.C., serves a key role in ensuring the safe and effective administration of medications. Essentially, it tracks all medicines given to an individual, detailing the medication's name, dosage, route of administration, and the prescribing healthcare provider. Not only does it cover daily medication schedules, capturing times across a month and listing any allergies that an individual may have, but it also provides a structured method to note why medication was not administered, with codes indicating specific reasons such as the individual being at home, work, in the hospital, or refusing the medication. The form further requires initialing and signing by healthcare professionals to maintain accuracy and accountability, reinforcing its value in promoting patient safety and adherence to prescribed treatment plans.
| Question | Answer |
|---|---|
| Form Name | Medication Form Apd |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | medication apd, 65g7, form apd given, apd 65g 7 medication administration |
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Medication Administration Record (MAR) |
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Name:_____________________________________ Month:______________, Year: 20___ |
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Allergies: _________________________________________________________________ |
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Medication |
Time 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 |
Drug Name, Dosage, Route |
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Prescribed By:
Drug Name, Dosage, Route
Prescribed By:
Drug Name, Dosage, Route
Prescribed By:
Drug Name, Dosage, Route
Prescribed By:
Drug Name, Dosage, Route
Prescribed By:
Drug Name, Dosage, Route
Prescribed By:
NOTES:
Signature
Initial
Signature
Initial
APD Form
REASON MEDICATION NOT ADMINISTERED
1 = Home
2 = Work/ADT
3 = ER/Hospital
4 = Refused
5 = Medication not available – explain 6 = Held by MD – explain
7 = Other – explain
Time, date, and initial each explanation.
Sign and initial at the bottom of the form.
Name: ____________________________________________________________________________
Record medication administration notes below. For medication not administered, use the codes in the box |
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COMMENTS – REASON MEDICATION NOT GIVEN |
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at the left, including appropriate dates, comments, and explanations. |
INITIAL |
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DATE/TIME |
MEDICATION |
REASON NOT GIVEN |
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SIGNATURE
INITIALS SIGNATURE
INITIALS SIGNATURE
INITIALS
APD Form