If a teammate asks you to document medication they administered, what should you do?

In a clinical setting, maintaining accurate and individual accountability for medication administration is crucial for patient safety and compliance with regulations. When a teammate asks you to document medication that they have administered, the proper response is not to document what someone else did. Each healthcare professional is responsible for documenting their own actions to ensure clear and traceable records.

This practice helps to maintain the integrity of the medical record and allows for accurate accountability. If someone else performs a task or administers medication, they should be the one to record that action, ensuring that the documentation accurately reflects who provided care and what was done. This minimizes the risk of errors, miscommunication, and potential legal issues.

By adhering to the principle that each individual documents their own administration, care teams promote transparency and ownership in patient care.