PRN medications must be recorded immediately after administration. What information is required in that record?

The requirement to record PRN medications immediately after administration includes comprehensive documentation to ensure the safe and effective use of medications. Recording the date, time, dose, medication, and administration method provides a complete account of the patient's treatment. This thorough documentation is essential for several reasons.

First, the date and time provide crucial context for when the medication was given, helping to avoid potential overdosing or interactions with other medications administered later. The dose ensures that the patient receives the correct amount of medication, which is vital for effectiveness and safety. The name of the medication is necessary for identifying the specific treatment given, and knowing the administration method allows caregivers to understand how the medication was delivered, whether orally, via injection, or through another method.

This level of detail not only fulfills legal and regulatory requirements but also promotes patient safety by ensuring that all healthcare team members are informed of the medication’s administration. Clear documentation helps maintain continuity of care and assists in monitoring the patient's response to treatment over time.