After giving a medication, what should you do to document the administration?

• A. Sign for what you have given
• B. Do nothing
• C. Notify the family
• D. Save the chart

Answer: (A)

After giving a medication, you record it by signing the Medication Administration Record (or electronic chart) for what you have given. This creates an immediate, traceable note of the exact medication, dose, time, and route, ensuring the care team knows it was administered and when. It helps prevent missed or double doses and supports patient safety and legal accountability. If there’s a refusal or adverse reaction, you still document what happened with a brief note and follow policy for reporting. Notifying the family is not the standard documentation step, and simply “saving the chart” isn’t the action you take—documentation involves entering the details in the chart/ MAR.