Statement by GPC -Community Nurse Drug Charts

There is no need for a practice to complete a community drug chart/medicine administration record (MAR Chart) as a prescription is all that is legally required for a nurse, care home worker or community worker to administer medication.  It is sometimes misunderstood that a MAR chart is an instruction for the medication to be administered, whereas it ought to be regarded as a record that a medication has been given, with the instruction being provided by the information provided by the prescriber on the prescription and recorded by the dispenser on the original packet. We are concerned that some organisations that use MAR charts still use them inappropriately as an authority to administer, rather than as a record of that administration. If the employer of the community or care home nurse or worker requires any additional documentation then the responsibility for completing that resides with the organisation whose staff are using it, compiled from the information provided by the prescriber, and completed by staff trained in the process. The drugs themselves should be given according to the prescription as recorded on the original packet, with only the fact that it was given (or not) entered on the MAR chart.  Access the GPC prescribing guidance here.