If the MAR and the medication label disagree, what action should you take?

• A. Do not administer; verify with nurse/prescriber; obtain corrected order or label before administration.
• B. Administer according to the MAR.
• C. Ignore and proceed.
• D. Administer according to the label.

Answer: (A)

When there’s a mismatch between the MAR and the medication label, you must pause and verify before giving anything. The MAR is the official order for what to administer; the label shows what’s in the vial or package. If they don’t agree, administering could result in the wrong drug, dose, or route. Therefore, do not administer the medication and check with the nurse or prescriber to obtain a corrected order or a corrected label before giving it. This safety check helps ensure the right medication is given as documented. If needed, involve pharmacy to resolve the discrepancy and document the steps you took.