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MAR Chart Guidance

The Medication Administration Record (MAR) chart is the primary document for recording all medication administered to residents. It must be completed accurately and contemporaneously — that is, at the time of administration, not later from memory.

What Is a MAR Chart?

A MAR chart is a record of all the medication prescribed for a resident and a log of when each dose is administered, refused, or omitted. It serves as:

  • •A legal record of medication administration
  • •A communication tool between staff, GPs, and pharmacists
  • •An audit tool for medication management
  • •Evidence of compliance with CQC Regulation 12 and Regulation 17

How to Complete a MAR Chart

Signing for Administrated Medication

  • • Sign in the correct date/time box immediately after giving the medication
  • • Use your full signature or initials as per the signature sheet — be consistent
  • • Never pre-sign (sign before administering) — this is a serious breach
  • • Never sign for medication administered by someone else
  • • Record the actual time if it differs from the prescribed time

Recording a Refused Dose

  • • Circle the time box or use the agreed coding (check your organisation's policy)
  • • Record the reason for refusal if known (e.g. “resident feels nauseous”)
  • • Try to administer again later if within the allowed time window
  • • If the resident consistently refuses, inform the GP and nurse in charge
  • • Never force medication — document the refusal clearly

Recording an Omitted Dose

  • • Mark the box as omitted using the agreed code
  • • State the reason: resident nil by mouth, medication not available, resident off unit
  • • Follow your organisation's policy on late administration windows
  • • If the medication was unavailable, record what action was taken to obtain it

Common MAR Chart Coding

Most care homes use a standard coding system. Always check your organisation's specific codes.

CodeMeaning
AAdministered (or sign/initial in box)
OOmitted — reason recorded
RRefused by resident — reason recorded
NNot available — pharmacy contacted
SSelf-administered (where applicable)
UResident unconscious / nil by mouth
HOn leave / hospital appointment
DDiscontinued — new chart issued

Common MAR Chart Errors

  • ✗Pre-signing — signing before administering (a serious medication error)
  • ✗Signing for another person — each person signs only what they administered
  • ✗Leaving boxes blank — every box must be accounted for
  • ✗No reason for omission — if a dose is not given, the reason must be recorded
  • ✗Illegible writing — signatures and codes must be clear and readable
  • ✗Outdated charts — MAR charts must be renewed monthly or when medication changes
  • ✗PRN not recorded— “as required” medication must be recorded with indication and response

Good Practice Tips

  • ✓Check the MAR chart for new or changed prescriptions at the start of every shift
  • ✓Keep MAR charts in a secure location — they are confidential records
  • ✓Ensure all staff are trained on the specific MAR chart system your home uses
  • ✓Audit MAR charts regularly as part of your medication management governance
  • ✓Replace the MAR chart immediately when medication is changed — do not handwrite changes without authorisation from the prescriber or pharmacist

⚠️ Important Disclaimer

For guidance only — always follow your organisation's policies and current CQC standards. Care Handbook provides general information and templates for UK care home staff. It does not replace formal training, professional judgement, or your employer's specific policies and procedures. Always consult your line manager or the relevant professional body if in doubt.

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