Template

Medication List and Dosage Tracker

10+

This template helps patients and caregivers keep an accurate medication list with doses, frequencies, and schedules. Capture each drug name, strength, directions, and timing alongside notes and prescriber details. Use it to track common medications such as antihypertensives, diabetes treatments, antidepressants, eye drops, vitamin D, insulin pens, and weekly injectables. Sections include conducted on and conducted by for auditability, plus free text notes to log changes, side effects, or adherence issues. Ideal for clinics, care homes, and home care.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions .

Template

Medication Count Log Template

Keep an accurate record of patient medications with this medication count template. Capture drug names, strengths, dosing instructions, schedules, and PRN items to support medication reconciliation, audits, shift handovers, and safe administration. Use it to list regular and as needed medicines, note dosage changes, and verify counts at the start or end of a shift. Ideal for care homes, clinics, and community care teams managing daily medication checks.

by Claire Wright, from the Community

10+

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Medication Count - Eden - MM

This medication count checklist helps care teams record and verify medications for residents or patients. Capture drug names, strengths, prescribed doses, schedules, and quantities on hand. Log discrepancies, PRN usage, and notes to support safe administration and inventory control. Use during shift handover or audits to reduce errors and improve compliance in clinics, hospitals, and care homes.

by Claire Wright, from the Community

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Template

Medication List Template for Patient Care

This medication list template helps clinicians and caregivers record current prescriptions, strengths, dosing schedules, administration routes, indications, and special instructions. Capture start and stop dates, PRN medicines, allergies and contraindications, prescriber details, and review dates. Use the checklist fields to verify adherence, note side effects, and maintain signatures for each administration to ensure safe, compliant patient care.

by Claire Wright, from the Community

10+

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Template

Medication Count Checklist

This medication count checklist helps care teams and clinical staff accurately record medication names, strengths, doses, and quantities on hand. Use it to document administration notes, PRN usage, and required signatures while maintaining stock balances and identifying discrepancies. Ideal for hospitals, clinics, and care homes, it supports safe medication management and compliance. Customize the checklist to align with local policies and workflows, and use it to standardize counts during shift changes or audits.

by Claire Wright, from the Community

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Template

Eden Medication List and Dosage Record

The Eden template centralizes medication information for multiple patients, listing prescriptions with drug names, strengths, dosing instructions, frequencies, and as required guidance. It covers respiratory medications, mental health prescriptions, pain relief, and vitamin supplements, with space to note timing such as morning, lunchtime, or night. Use this record to improve accuracy in medication administration, reduce errors during handovers, and maintain clear documentation for audits and care reviews.

by Claire Wright, from the Community

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Template

Medication Administration Record MAR Template

Manage medication safely with this Medication Administration Record MAR template. Record patient name, prescriber directions, drug names, strengths, dosages, frequency, PRN medications, and notes. Use it to track morning and evening schedules, ensure compliance, and support continuity of care across shifts.

by Claire Wright, from the Community

30+

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Medication List and Dosage Tracker

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