MAR Audit

Name of Service User: 	Date of Audit:	Dates of MAR: (From and to)
	Checked by: (print name and signature)

Does the MAR each include the following? 	Yes	No	N/A	Comments 	
Does the MAR include the full service users’ name, address, date of birth, start of medication date (including the year) allergies, pharmacist, GP and district nursing team (if involved) contact details? 

	
Is the name of each medication, strength, dosage, frequency, and time of day recorded?
					
Does the MAR indicate any additional information/warnings or special instructions e.g. take with or after food/4 hourly intervals/apply sparingly as necessary/dissolve in water? 
					
If a medication is to be dissolved in water, is it clear how much water to use?
					
Are there any gaps in signature/initials?
					
Are correct/appropriate codes recorded when medication has not been required or refused and cross-referenced to give a reason/further explanation? 

Has PRN or ‘As required’ medication been administered as prescribed? For each PRN medication:

•	Does it clearly state what the medication is for e.g. Pain?
•	Has it been offered at every call and any refusals documented with the appropriate code?
•	Are the required gaps between doses clearly stated?
•	Is the maximum number of doses permitted in 24hrs clearly stated

For topical medications/ creams, are body maps in place to show the area to be applied and instructions of amount to apply e.g. sparingly or pea-sized amount.
					
For eye/ear/nose drops is it clear which eye/ear to apply drops to and how many drops to administer at each dose.
					
For transdermal patches, is a body map in place to show which part of the body they should be applied to and how often they should be changed?
					
For PEG medication, are there clear instructions for administration of the medication and corresponding PEG flushing and feeding regime.
					
Where Warfarin has been prescribed, is the dose to be administered clear from the MAR Chart? 

Are instructions accessible for staff to follow dosage information from the anticoagulant clinic or health practice (yellow book) to cross reference the correct dose required. 
					
Is there any evidence of low or no stock of any medication and what action has been taken?
					
State any other issues

	

Actions required following the audit	Who is responsible?
	Timescale	Date completed	

	
			
Manager Audit Check 	Name and position	Signature 	Date