What does an "!!" icon next to a medication on the MAR signify?

The "!!" icon next to a medication on the Medication Administration Record (MAR) signifies that the medication requires dual sign-off. This is an important safety feature in medical systems to ensure that certain medications, which could be potentially high risk or require additional verification, are confirmed by two qualified healthcare professionals before administration. This process helps to minimize the risk of errors in medication administration, enhancing patient safety.

In clinical practice, dual sign-off may be required for narcotics, certain high-alert medications, or when there are specific protocols in place to manage complex cases. It ensures that multiple professionals have reviewed the medication order and agree on the appropriateness of the medication, thereby fostering a collaborative approach to patient care and minimizing the chance of mistaken identity or incorrect dosing.