If the medication card shows mcg and the MAR shows mg, what should you do?

When faced with a discrepancy between the medication card indicating micrograms (mcg) and the medication administration record (MAR) indicating milligrams (mg), the safest course of action is to refrain from administering the medication and report the issue to the charge nurse. This response is critical for several reasons.

Firstly, micrograms and milligrams represent vastly different quantities, with 1 milligram equating to 1000 micrograms. Administering the wrong dosage could lead to serious medication errors that might harm the patient. Resolving the discrepancy ensures patient safety.

Secondly, reporting the issue allows for proper verification and clarification. The charge nurse or another experienced healthcare professional can confirm the correct dosage and provide guidance on how to proceed, ensuring that any administration follows the appropriate protocols and patient care standards.

By taking this approach, you are not only prioritizing patient safety but also engaging in professional practices that promote effective communication and teamwork within the healthcare setting.