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How do I use a Transdermal Patch Application record?

Orianne Collins avatar
Written by Orianne Collins
Updated over 3 weeks ago

Transdermal medications are a critical part of some care plans, and recording them accurately helps ensure safe and effective treatment. Here's everything you need to know about what Transdermal patches are, why they're important, and how to complete the MAR chart correctly.


🌡️ What Are Transdermal Medications?

Transdermal medications are drugs delivered through the skin using adhesive patches. These patches release medication slowly and steadily into the bloodstream over a set period—often used for:

  • Pain relief (e.g., Fentanyl patches)

  • Hormonal treatments (e.g., HRT)

  • Neurological conditions (e.g., Rivastigmine for dementia)

Because the medication is absorbed through the skin, correct application and rotation of the patch site are crucial to prevent overdose, underdosing, or skin irritation.


🧾 Why Recording Them on the MAR Chart Matters

Transdermal medications are prescription-only medicines that require precise handling. Recording their administration on a dedicated Transdermal Patch MAR chart ensures:

  • Full traceability of each application

  • Clear documentation of rotation sites to avoid skin damage

  • Visibility of missed or refused doses

  • Compliance with NICE's 6 rights of medication administration:

    • Right person

    • Right medication

    • Right route

    • Right dose

    • Right time

    • Right to refuse

It also ensures we can clearly communicate with health professionals and family members about the care provided and any medication-related concerns.


✍️ How to Complete the Transdermal Patch MAR Chart

Site Rotation

It’s vital to rotate sites with every new application to prevent irritation or damage. Do not place a patch on the same area within the rotation cycle unless medically advised.


🔍 Pro Tips

  • Always check for allergies listed in the care plan before application.

  • Confirm the old patch has been removed before applying a new one.

  • Double-check the prescribed schedule and patch strength.

  • Maintain confidentiality and privacy when exposing skin.

  • Contact the GP or on-call nurse if there’s any uncertainty or reaction.


📌 Need Help?

If you're unsure about any part of the process, contact the office.

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