Medication administration records show when you actually received medications - not just what was prescribed, but what was actually given to you. This includes pills you took, injections you received, IV medications, inhalers, or any other way medications were delivered.

These records create an accurate timeline of your actual medication therapy, helping your healthcare team track what you've received, when, and how it was given.

Note: Only your healthcare providers can add or update these records to ensure medical accuracy.

 

What's in Your Administration Records

Basic information:

  • Medication name - What you received
  • Dose amount - How much you got
  • When given - Date and time of administration
  • How given - Route (by mouth, injection, IV, etc.)
  • Where given - Body site for injections or topical medications
  • Who gave it - Healthcare provider who administered it

Administration details:

  • Administration method - Specific technique used
  • Rate of delivery - How quickly it was given (for IV medications)
  • Special instructions - Any specific directions followed

Clinical context:

  • Why given - Reason for the medication
  • Related prescription - Original medication order
  • Healthcare visit - When and where it was given

 

Understanding Administration Status


Status types:

  • Completed - You successfully received the medication
  • In-progress - Currently being given (like a long IV infusion)
  • Not-done - Medication was not given
  • Stopped - Administration was stopped before completion

Common reasons medications might not be given:

  • You refused the medication
  • Medical reason made it unsafe
  • You weren't available when scheduled
  • Medication wasn't available
  • Equipment problems

Common administration routes:

  • Oral - By mouth (pills, liquids)
  • IV - Into a vein
  • IM - Injection into muscle
  • SC - Injection under the skin
  • Topical - Applied to skin
  • Inhalation - Breathed in (inhalers, nebulizers)

 

How to Use Your Administration Records


Track your actual medication therapy:

  • See what medications you've actually received vs. what was prescribed
  • Review timing and frequency of administrations
  • Understand how medications were given to you
  • Note any medications that weren't given and why

Prepare for healthcare visits:

  • Bring records of recent medication administrations
  • Discuss how well administered medications worked
  • Report any problems or side effects
  • Ask questions about administration methods

Questions to ask your healthcare team:

  • "What medication did I receive and why?"
  • "Why was this administration method chosen?"
  • "How quickly should this medication work?"
  • "What side effects should I watch for?"
  • "Will I need this medication again?"
  • "What should I do if I experience problems?"

Remember: These records show your actual medication therapy, helping you and your healthcare team ensure safe and effective treatment.