How many people must be present for a medication count?

• A. One
• B. Two
• C. Three
• D. Four

Answer: (B)

Two people must be present for a medication count. This double-check helps ensure accuracy and prevents errors or theft, especially when counting controlled substances. The person counting compares the actual meds to the MAR, while the second person verifies the count and documents any differences, with both signing the count. If there’s a discrepancy, stop, recount, secure the meds, and follow facility policy to report and document it. Relying on a single person can miss mistakes, so the dual presence provides accountability and a clear audit trail.