When a resident’s medication list changes, what is your role?

• A. Refill all medications immediately without verification.
• B. Delay changes until the next shift.
• C. Notify only the resident.
• D. Notify supervising nurse, update MAR, verify new orders with prescriber/pharmacy, and ensure timely medication changes.

Answer: (D)

When a resident’s medication list changes, the correct approach is to involve the supervising nurse, update the medication administration record (MAR), verify the new orders with the prescriber or pharmacy, and ensure the changes are implemented promptly. This process protects patient safety by keeping all staff aligned with the current, authorized medications and dosing. Updating the MAR reflects what should be administered, preventing confusion and missed or wrong doses. Verifying with the prescriber or pharmacy catches errors, resolves potential interactions, and confirms the correct route, timing, and quantity. Prompt communication and documentation also ensure that all members of the care team are aware of the changes. Refilling without verification, delaying changes, or notifying only the resident does not address the need for accurate orders and timely, coordinated implementation.