Enhanced PRN Medication Assessment Recording

It would be a valuable improvement if ATLAS eMAR could store and display completed PRN medication assessments that result in a decision not to administer the medication.

Currently, while the system records when PRN medication is administered and links to the associated assessment, it does not retain or visibly log assessments that conclude medication was not required. This creates a gap in evidencing clinical decision-making, as staff are unable to retrospectively demonstrate that appropriate assessments were carried out and that the decision to withhold medication was justified.

Proposed Enhancement:

• When a PRN assessment concludes that medication is not required, a record of that assessment should be saved within the resident’s “Assessments” tab.

• This entry should include the rationale for non-administration and time-stamped details, similar to when PRN is given.

• Ideally, this data should also be accessible via audit trails or medication review reports to provide full transparency and support compliance with CQC expectations around evidence-based decision-making.

This enhancement would strengthen accountability, improve audit readiness, and offer clearer oversight of residents' needs and clinical judgement in medication administration.