Published cycles in use
42
View →Medicines management
MAR & Medicines
Read-only intelligence preview — MAR signatures, PRN, missed dose and refusal context, manager review, variance, protocol gaps, and future export governance.
Standalone value
Medicines rounds, MAR signatures, PRN governance, controlled drug witness steps, and weekly manager review — built for safe administration in regulated UK adult social care. The intelligence below is illustrative copy only.
Connected intelligence
When incidents, support plans, learning, workforce, and governance modules are connected with explicit RBAC and tenant scope, this surface will triangulate variance, refusals, protocol gaps, and audit evidence — without cross-tenant leakage.
MAR assurance snapshot (sample)
UK adult social care — live MAR data must be role-restricted, tenant-scoped, and backed by an audit trail when wired.
Illustrative only · not a clinical record
Missed MAR signatures
Read-only queue — illustrative UK medicines administration and witness language.
- SignatureCatch-up due tonight
Evening round · Unit B — scheduled dose
Witness step not completed within policy window · escalation to on-call nurse
- CDOverdue by 2 hours
Morning round · controlled medicine cupboard
Second signatory not recorded for CD administration
- PRNComplete within 24h
PRN administration — outcome note pending
Dose given · rationale recorded · outcome field empty
Weekly manager review queue
Registered manager weekly MAR / medicines review — illustrative only.
- WeeklyDue Friday 17:00
Weekly MAR sign-off — Oakview residential
All slots signed · two PRN outcomes pending closure
Registered Manager
- CDDue tomorrow
Weekly medicines review — supported living cluster
Variance log reviewed · one controlled drug entry needs second signature audit
Deputy Manager
- Link
Post-incident MAR cross-check (medication-related)
Linked safeguarding triage complete · MAR narrative update requested
Medication Lead
PRN governance spotlight (sample)
Highlights overdue PRN reviews and documentation gaps. When live, only authorised roles see person-level PRN summaries; all changes must be audit-logged.
- medium
Frequent PRN use — weekly medicines review due
Pattern above local threshold · pharmacist review suggested
- high
PRN outcome not recorded after administration
Pain score / effect field empty · governance risk
- medium
Missed dose documented as refusal — follow-up care plan
Link to person-centred plan review when modules are connected
PRN governance must follow prescriber instructions and local medicines policy — this panel is not clinical advice.
Medication variance alerts
Near misses, timing variance, refusal patterns — aggregated language only in this phase.
- low
Timing variance — dose given 45 minutes outside slot
Within same calendar day · reason code “mealtimes” selected · manager awareness
- high
Near miss — wrong strength spotted before administration
Independent check caught mismatch · MAR line suspended pending pharmacy
- medium
Repeated refusal pattern — three consecutive refusals
Capacity and best-interest review may be required · do not use this demo text for decisions
Medicine protocol gaps
- high
Allergy cross-check text missing on published MAR line
Local policy requires “NKDA” or explicit allergy block before publish — line flagged
- high
Controlled drug witness rule not satisfied in notes
Second signatory present on shift but witness initials not recorded against dose
- medium
Cover sheet for weekly medicines review unsigned
Electronic weekly review template incomplete · governance evidence gap
Body map & topical MAR links (placeholder)
When live, authorised staff could open topical administration sites linked to the MAR line, with objective site descriptions and dignity safeguards. Incident-related skin documentation should follow local safeguarding partnership guidance.
No body-map imagery or identifiable clinical notes are stored in this clean rebuild sample.
Prescription upload & extraction review (placeholder)
Future flow: secure upload, virus scan, human verification of extracted lines against the original prescription, pharmacy/clinical sign-off, and full audit trail. Automated parsing must never be the sole basis for administration.
No uploads are accepted in public_html_new during this phase.
Labels & MAR PDF export (placeholder)
Future exports should watermark drafts, log every download with user and tenant IDs, and distinguish training packs from live administration documents. Pharmacy and prescriber responsibilities remain unchanged.
No PDF or label bytes are generated here — audit-heavy implementation comes after governance sign-off.
MAR governance evidence pack (placeholder)
Future packs may stitch weekly manager reviews, missed signature closure, PRN governance, variance actions, and learning competency into one inspection narrative — each section tenant-scoped and export-audited.
CQC-style readiness requires verifiable audit trails, not this static copy.
Quick actions
Navigation only — no POST or administration writes.
Open MAR module shell
Read-only placeholder today
Today’s administration grid (future)
No live grid in rebuild yet
PRN audit trail (future)
Audit-heavy when live
Weekly medicines review (future)
Manager sign-off workflow
No live MAR intelligence yet
This tenant has no medicines read models connected in the clean rebuild. Do not use sample text for administration, prescribing, or statutory notifications.
Example fallback — use when live providers return zero rows after RBAC filter.