Lesson L3-5 · authored fragments (docs/43)
Primary review content — the AI-avatar narration, in order.
Now — what if you make a mistake? You signed the wrong cell, or you started to sign for the wrong medication. First, don't panic — mistakes get fixed, and there's a right way to do it. On a paper MAR, here's the one thing that's never allowed: you do not hide the original. No white-out. No scribbling it out until you can't read it. No tearing the page out. The record has to keep showing what actually happened, mistake and all. The way you correct it is simple: draw a single line through the wrong entry — thin enough that anyone can still read what was underneath — then put your initials and today's date next to that line, and then sign the correct cell. Old entry still readable, correction signed and dated, right cell now signed. (Note for your trainer: the exact correction marks your APD program wants are being confirmed — the rule that never changes is: never erase, hide, or destroy the original.)
Some homes chart on a screen instead of paper — that's an electronic MAR, an eMAR. Two quick things change. First, corrections: you don't draw a line on a screen. You use the system's own edit button, because the eMAR quietly keeps a record of every change and who made it. Second, and this is the big one: every MAP has their own login, and your login is your signature. You never sign in as someone else. You never let someone else use yours. When you chart a dose under your login, you are saying 'I gave this' — so sharing a login is exactly like signing your name on a dose you never gave, or letting someone sign yours. Keep your login yours. (Note for your trainer: the exact eMAR login rule for your APD program is being confirmed — but the safe habit is the same everywhere: your login, your doses, never shared.)
Okay — you set up the header. You filled in your legend row. Your resident just swallowed her morning dose. So what's left? The last of the seven Rights: Right Documentation. That means you sign for the dose you just gave. It sounds like the easy part. It's actually the step that gets missed the most, because it's the step you do while everything else on the floor is pulling at you. In this lesson we do one thing and do it right: sign one normal dose. Three words to carry with you all shift — right cell, right initials, right now.
Here's rule one, and it's the whole point of this lesson: you sign that cell immediately after your resident swallows. Not before she takes it — signing early says she got a dose you haven't watched go down. And not at the end of your shift, when you sit down to 'catch up' on all the charting at once. Right after the swallow. Here's why it matters so much for your resident. Say you don't sign it now, and then the phone rings, or another resident needs you. When the next MAP looks at the MAR, that cell is blank. A blank cell means one thing to her: this dose was never given. So she gives it. Now your resident has had it twice. Signing that cell right away is what stops a double dose. Your memory is also sharpest in that moment — so if anything happened, like your resident only took half, this is when you capture it. Right now, the instant she swallows.
Rule two: use the same initials you wrote in your legend row at the bottom of the MAR. The same letters, in the same order. Not a nickname, not a shortcut, not just a checkmark. Why does it have to match? Because your initials in that cell are your signature — they're the proof that you, a validated MAP, gave that exact dose. Months from now, if anyone asks 'who gave this?', they run their finger from the cell down to the legend and find your name. If the initials in the cell don't match any legend row, the record traces to nobody. So: the dose you gave gets your initials — the same ones as your legend row — every single time.
One more rule that covers all of this. If you're ever unsure — which cell is the right one, or whether that entry sitting there is yours or someone else's — stop. Ask your supervisor before you put pen to paper. Here's the reason: a blank cell can still be filled in correctly. A cell that's already signed wrong has to be corrected, dated, and explained. The first is easy; the second is a mess. So when you're not sure, you don't guess — you ask first, then sign. Asking is never the wrong move.
Look at the front of the MAR. It's a grid. Going down the side are your resident's medications and the times they're due. Going across the top are the days of the month. Find the row for the medication and time you just gave, then run your finger across to today's day. Where that row and that column cross — that one little box — is the cell where your initials go. One dose, one cell. Nowhere else. (Note for your trainer: we're calling it the "day-and-time cell" here — the exact name printed on your APD form is being confirmed, so use the box your form points you to.)
24 of 24 critical claims are verified_by: null (Gate-2 SME sign-off pending → preview only, production-blocked under the Rule-3.6 waiver). · runtime budget: 5:00
# Concept mirror — MA.L3-5.A (Charting a Routine Dose)
> **MIRROR / NOTES ONLY.** The authoritative concept entry is **docs/42 §E, `MA.L3-5.A`**
> (Instructional Domain Model). This file is the local traceability ledger + decision queue for the
> derived-asset bundle; if it ever disagrees with docs/42, **docs/42 wins** (docs/43 §22 authority flow).
| Field | Value |
|---|---|
| `concept_id` | `MA.L3-5.A` |
| `competency_id` | `C-3.5` (⇄ `C-2.8` Right Documentation, `MA.L3-1.F` Document Immediately, `C-3.4` MAR Header & Legend Setup) |
| `lesson_ids` | `[L3-5]` + cross-cutting (every administered scheduled dose is charted this way, on every route) |
| `clinical_risk` | **High** → ≥90% KC mastery, spaced repetition; a wrong cell is a **coachable flag, NOT a force-fail** (docs/42 §E field 12; §H) |
| `medication_error_prevented` | A blank/late cell that reads as a missed dose to the next MAP (→ double-dose re-give), or wrong-cell initials that misattribute the dose to the wrong day/time |
| `sme_status` | `in_review` |
| `apd_traceability_status` | **partial** — immediately-after rule + form cell-grid/legend + MAR-DM 2a/b sourced; three open anchors (`TODO(source-L35-1..3)`) + one `[Waiver360-added]` framing |
## Rule-3.6 author-ahead waiver (recorded 2026-07-05)
The concept is `in_review`, not `approved`. Per docs/42 §I.1 / docs/43 §4, this bundle is authored
**ahead of concept approval under a Rule-3.6 waiver** as part of the Oral Route build (Phase 1 — the
MAR Simulator normal-dose charting behavior). Consequence: **every fragment in this bundle is
`sme_status: "draft"`, preview-flag only, and production-publish-blocked** until (a) the concept reaches
`approved` and (b) a Gate-2 SME sign-off is recorded in `content_revisions.sme_signoff_*`.
## Source ledger (projects into `payload_json.sources`)
- `curriculum_source`: "APD BMA Module 1 s71 (document on the MAR immediately after giving each client their medication; checkpoint Mod1 v4/v5 Q1) + APD Form 65G-7.008 A (front-page (day, time) cell grid + signature legend) + APD MAR practical exam charting order (MAR-DM step 2a/b, Don Montana normal-dose charting)"
- `form_reference`: "APD Form 65G-7.008 A (MAR)"
| # | Claim | Tag | Source | verified_by |
|---|---|---|---|---|
| C1 | A scheduled dose is charted by placing the MAP's **legend initials** in the correct cell **immediately after the client swallows** — never before the swallow, never at end of shift | `[APD]` | Mod1 s71; checkpoint Mod1 v4/v5 Q1 (keyed "immediately after the client swallows"); MAR-DM step 2a/b | null |
| C2 | The MAR front page is a grid — medication/time rows × day columns — and the cell where a row meets a column is where the initials go | `[APD]` (grid) / term **`[Needs Owner Review]`** | Form 65G-7.008 A cell grid; the working term **"(day, time) cell"** (vs. "administration cell" / "dose cell") is unconfirmed — **`TODO(source-L35-1)`** | null |
| C3 | The initials placed in the cell must be the **same initials as the MAP's signature-legend row** (not a nickname); that is the trace back to who gave the dose | `[APD]` | Form 65G-7.008 A signature legend; Mod1 s71 (⇄ MA.L3-4.A; exact legend column labels deferred to MA.L3-4.A `TODO(source-3)`) | null |
| C4 | A mistaken paper-MAR entry is corrected **in place** — the original stays readable; never erased, whited-out, scribbled over, or torn out. The specific method (single line through + initial + date, then sign the correct cell) is a common healthcare-documentation convention | `[Needs Owner Review]` (if APD silent → `[Waiver360-added]`) | Common documentation convention **not confirmed against an APD source** — **`TODO(source-L35-2)`** | null |
| C5 | On an eMAR, corrections use the system's edit function; and each MAP charts under **their own login** — credentials are person-specific and never shared | `[Needs Owner Review]` | Unconfirmed against an APD source — **`TODO(source-L35-3)`**, overlaps the still-open L3-1 SRC-16 | null |
| C6 | A blank/late cell **reads as a missed dose** to the next MAP and can lead to a **double dose (re-give)** | `[Waiver360-added]` | Instructional rationale for the immediately-after rule — not APD-verbatim | null |
## Rule-3.6 waiver note — lockable vs. non-lockable keys
Per docs/42 §E field 13, the **KC answer keys rest on the immediately-after rule (Q1) and the
never-destroy-the-original / correct-in-place kernel (Q2)**. The Q1 key (**sign immediately after the
swallow**) is the [APD] Mod1 s71 rule and is **safe to lock** — it is the graded discriminator.
The **Q2 key is HELD**: its positive method (single line + initial + date) rides on the paper-MAR
correction rule still open as `TODO(source-L35-2)` ([Needs Owner Review], docs/43 §15). Q2 is authored
in `draft`, models the convention, but **grades only the safe kernel** (the original must stay readable /
the correction is made in place — the discriminator every distractor violates by white-out / scribble /
tear-out) and is **publish-blocked** until SME confirms APD alignment or badges the method
`[Waiver360-added]`. The **"(day, time) cell" term**, the **eMAR unique-login rule**, and the exact
positive correction marks are **not locked** into any narration answer or KC key: they ride as
`critical_claims[]` with `verified_by: null` + inline `TODO(source-N)`, and narration teaches them
**functionally** (plain-meaning) with an explicit trainer-note caveat until confirmed.
## Decision queue → owner / SME (Michele + Nicole)
1. **`TODO(source-L35-1)` — the "(day, time) cell" term.** Confirm the APD-aligned term against Form
65G-7.008 A (`(day, time) cell` vs. "administration cell" vs. "dose cell"). `[Needs Owner Review]`.
Narration uses a plain-meaning working term ("where the day column meets the time row") until confirmed;
no KC key grades on the term.
2. **`TODO(source-L35-2)` — the paper-MAR error-correction rule.** Confirm whether APD specifies
"single line through + initial + date" for a paper MAR, or is silent. `[Needs Owner Review]`. If APD is
silent, badge as `[Waiver360-added]` cross-industry documentation convention — **never as APD-required**.
**This item HOLDS the KC-L3-5-A-Q2 answer key** (Q2 grades only the never-destroy-the-original kernel
until this resolves). This is the one item that gates Q2 to production.
3. **`TODO(source-L35-3)` — eMAR unique-login / non-transferable credentials.** Confirm the APD
requirement that eMAR credentials are person-specific and non-transferable. `[Needs Owner Review]`.
**Resolve jointly with the still-open L3-1 SRC-16** (same underlying rule). Taught as a strong safety
practice with a caveat; the eMAR correction variant KC-L3-5-A-Q2B is deferred until this resolves.
4. **Confirm C6 framing** — is "a blank/late cell = a missed dose → double-dose risk" acceptable as
`[Waiver360-added]` instructional rationale for the immediately-after rule?
5. **Sim gating level** — confirm C-3.5 stays **High** (coachable flag on a wrong/blank/early cell), NOT a
force-fail. The legacy L3-5 plan proposed a ~95% manager-coaching threshold because every administered
dose passes through this behavior; confirm the exact spaced-repetition threshold (≥90% baseline vs. 95%).
## Patient-safety chain
Owner directive (2026-07-05): treat this as a patient-safety concept. The five links, specific to
**charting a routine dose**:
1. **Medication error prevented.** A **blank or late** (day, time) cell reads to the next MAP as a dose
that was **not given** — so your resident is handed the same medication a **second time (a double
dose)**; or **wrong-cell initials** attach the dose to the wrong day or time, so the record no longer
matches what your resident actually swallowed. Either way the paper stops telling the truth about what
is inside your resident.
2. **Why staff make this mistake (the real-world reason).** It is **not forgetting** — it is the
**interruption cascade plus the "batch it later" habit**. The instant your resident swallows, three
things pull at you at once: the phone buzzes, the next resident is waiting, someone spills a cup.
Charting feels like the one step that can safely wait, so a new MAP tells themselves they'll sign the
whole row later when it's quiet. That gap — between the swallow and the signature — is exactly where a
dose goes uncharted or the initials land in the wrong cell.
3. **How the lesson/transcript prevents it.** The narration names the cell (`l35-the-cell`), drills
**"right now, the instant your resident swallows"** and says the **double-dose consequence out loud**
(`l35-immediately-after`), locks the cell initials to the MAP's own legend row so the record traces to a
real person (`l35-same-initials-as-legend`), teaches the **correct-in-place** fix so a mistake is
repaired without destroying the record (`l35-correcting-an-error`), and closes with the **STOP-and-ask**
rule before pen touches paper (`l35-stop-and-ask`) — naming the "batch it later" pull out loud so the
learner catches it on their own shift.
4. **How the simulator reinforces it.** The MAR Simulator normal-dose charting behavior
(`mar-simulator--normal-dose-charting`) rings the cell **red as a coachable flag** when the learner
signs **before** the swallow, leaves the cell **blank**, or initials the **wrong** (day, time) cell;
correcting a mis-entry with the single-line-in-place method **clears the flag**. Because C-3.5 is
**High, not Critical**, this is a coach-and-retry loop — **not a force-fail** — but because every
administered dose passes through this behavior, a wrong-on-second-attempt surfaces on the manager
coaching queue.
5. **How the KC verifies mastery.** `KC-L3-5-A-Q1` (`mar_cell_sign`) verifies the learner **signs the
correct cell immediately after the swallow despite interruptions** — graded on the immediately-after
kernel ([APD] Mod1 s71, safe to lock), ≥90% (High). `KC-L3-5-A-Q2` (`mar_correction_sequence`) verifies
the learner **repairs a mis-entry in place without destroying the original** — graded on the
never-erase/white-out/scribble/tear-out kernel (the positive single-line method is modeled but its key
is **held** pending `TODO(source-L35-2)`). A wrong-on-second-attempt routes to manager coaching.
## Bundle contents (this concept)
- Concept mirror: this file.
- Transcript blocks: `l35-hook`, `l35-the-cell`, `l35-immediately-after`, `l35-same-initials-as-legend`,
`l35-correcting-an-error`, `l35-emar-unique-login`, `l35-stop-and-ask`.
- Knowledge checks (primary only; variants deferred): `KC-L3-5-A-Q1` (`mar_cell_sign`, VG-C3.5-001),
`KC-L3-5-A-Q2` (`mar_correction_sequence`, VG-C3.5-002). Deferred variants: `KC-L3-5-A-Q1B` (swap the
interrupt), `KC-L3-5-A-Q2B` (eMAR correction under your own login) — authored on concept approval.
- Exercise-type proposals (not built): `mar_cell_sign`, `mar_correction_sequence`.
- Sim rule: `mar-simulator--normal-dose-charting` (High — coachable flag, NOT force-fail).
- Storyboard frames referenced (aggregator assembles): `V-L3-5-01`, `V-L3-5-02`, `V-L3-5-03`, `V-L3-5-04`, `INF-06`.
> Lesson-level storyboard, video-meta, manifest, and README are owned by the later aggregation step,
> not this concept bundle.
Your resident just swallowed her 8:00 AM dose. Your phone is buzzing and two more residents are waiting in the dining room. Sign the dose you just gave: choose the cell, and choose WHEN you sign it.
Why: Right — right now, the instant she swallowed. The rule is 'immediately after the client swallows.' If you wait, a blank cell tells the next MAP the dose was never given, and she may give it again — a double dose. Sign it now, in today's cell, with your legend initials.
Error prevented: A blank/late cell read as a missed dose by the next MAP, leading to a double dose (re-give); or the dose never being charted at all.
Misconception: "Chart the whole row at end of shift" and "charting can wait until the floor is quiet."
You just realized you put your initials in the WRONG (day, time) cell on a paper MAR. What is the correct way to fix it?
Why: Right — correct it in place and keep the original readable. Draw a single line through the wrong entry, initial and date the correction, then sign the correct cell. The record has to keep showing what actually happened, so the original never gets hidden or destroyed.
Error prevented: A destroyed or hidden original entry — an unauditable record where no one can see what was actually charted, mistake and correction both.
Misconception: "White-out, scribble, or tear-out is how you fix a wrong entry" — the belief that a mistake should be hidden rather than corrected in place.
Entry: During a med pass in the MAR Simulator, the client swallows a scheduled dose; the learner must chart it by initialing the correct (day, time) cell.
Mastery: >= 90% across C-3.5 items with spaced repetition; NO force-fail on the charting behavior. Legacy L3-5 plan proposed a ~95% manager-coaching threshold — exact spaced-repetition threshold pending owner confirmation (see MA.L3-5.A decision queue #5).
Shot: MS Michele at the med cart, group-home kitchen behind; brand bug top-right. Cut to insert B-roll: a just-emptied dose cup and an open MAR with one blank cell in the current day column.
Camera: Open eye-level medium shot; slow push-in on 'the step that gets missed the most'; cut to the blank-cell insert on the mantra line.
Avatar: Michele on-camera for the framing; brief voiceover over the blank-cell insert; land 'right cell, right initials, right now' as three beats.
Visual: Frame charting as the last of the seven Rights (Right Documentation) and set the empty cell as the open question the lesson closes.
Animation: Chip types in one phrase at a time; the empty current-day cell pulses once.
Infographic: Reinforcement chip types in: 'Right cell - Right initials - Right now.'
Shot: Full-screen animated front-of-MAR grid; one medication/time row and today's day column highlighted, the single crossing cell lit.
Camera: Digital zoom from the whole grid down to the one lit cell; hold while narration traces row-across-to-column.
Avatar: Voiceover; Michele off-screen.
Visual: Make 'one dose, one cell, nowhere else' concrete by finding the cell where the row and the column cross.
Animation: The medication row highlights, then today's day column highlights, then the crossing cell lights; a soft 'one dose, one cell' caption fades in.
Infographic: Traveling finger/crosshair; working label near the cell reading 'day-and-time cell' with a small 'label being confirmed' footnote (never 'APD form term').
Shot: Two-clock split screen: left clock 8:02 AM (immediately after, green), right clock 3:00 PM end-of-shift (red); MAR grid inset showing the target cell.
Camera: Static split; on the 'double dose' beat, animate a second MAP arriving at the blank cell.
Avatar: Voiceover; slight lean-in on 'right after the swallow'.
Visual: Contrast good timing vs. catch-up-at-end-of-shift, then show the blank-cell -> second MAP -> double-dose chain as the reason.
Animation: Initials drop into the correct cell the instant the swallow completes; the two clocks flip good/bad; a second MAP figure walks to the blank cell and a '2x?' warning pulses (Waiver360-added rationale, badged).
Infographic: Green check on the 8:02 clock; red X on the 3:00 clock; a small callout 'blank cell reads as: dose not given'.
Shot: Full sample MAR page (reused from MA.L3-4.A INF-06); the signed cell at top, the signature legend strip at the bottom.
Camera: Vertical pan/link from the cell initials down to the matching legend row; highlight both ends.
Avatar: Voiceover.
Visual: Prove the cell initials are a signature: they must be the SAME initials as the MAP's legend row, so the dose traces to a person.
Animation: A cell initial resolves down a link line to its legend row; a mismatched initials example flashes then dims ('traces to nobody').
Infographic: Callout 'same initials as your legend row'; a rejected 'nickname / checkmark' example dims out.
Shot: Three-panel paper-MAR correction sequence: (1) wrong entry, (2) single line through + initial + date, (3) correct cell signed; the original stays readable throughout.
Camera: Slide panel-to-panel; hold on panel 2 while the 'never hide the original' rule is stated.
Avatar: Voiceover; reassuring on 'don't panic'.
Visual: Lock the never-destroy-the-original kernel first (white-out / scribble / tear-out all cross out), then MODEL the single-line method as the how (badged, not APD-required).
Animation: White-out / scribble / tear-out icons appear and get a red X; then the correction draws a single thin line, adds initial + date, then signs the correct cell.
Infographic: Top banner (locked): 'Never erase, hide, or destroy the original.' Lower caption (modeled, badged 'method being confirmed'): 'single line + initial + date, then sign the correct cell.'
Shot: eMAR screen: a login prompt, then a dose cell being signed under that login; an audit-trail line quietly logs 'edited by <this MAP>'.
Camera: Screen-capture style; highlight the login field, then the audit line.
Avatar: Voiceover; land 'your login, your doses, never shared'.
Visual: Two eMAR changes: corrections go through the system's edit function (it logs every change); and your login is your signature (person-specific, never shared).
Animation: Edit button pressed -> audit line appends who/when; a shared-login attempt flashes and is rejected.
Infographic: Callouts 'edit through the system' and 'your login = your signature'; a 'shared login' example gets a red X. Small footnote 'exact APD eMAR rule being confirmed'.
Shot: MS Michele on camera with a split-screen reference of the completed cell + legend; close on centered Michele for the sign-off with the disclaimer footer.
Camera: Return to medium shot; picture-in-picture the completed MAR; end centered for the close.
Avatar: Michele on-camera; calm close; re-land the mantra 'right cell, right initials, right now'.
Visual: Cover-all habit: if unsure which cell or whose entry, stop and ask before signing (a blank cell is easier to fix than a wrong-signed one) — Waiver360-added, badged.
Animation: Completed cell + legend slide together into one reference still; the mantra chip fades in; the disclaimer footer settles last.
Infographic: Closing chip 'Right cell - Right initials - Right now'; a 'when unsure, ask first' chip; disclaimer footer 'APD-aligned educational content. Not an APD-approved training program.'
Annotated front-of-MAR grid; one medication/time row and today's day column highlighted with the single crossing cell lit; built on APD Form 65G-7.008 A layout.
🖼 image prompt: Clean flat-vector medication administration record (MAR) grid, top-down; left side lists a synthetic client's medications and times (one row labelled 'Amlodipine - 8:00 AM' highlighted), top lists days of the month (one day column highlighted); the single crossing cell lit; a small working label 'day-and-time cell' with a subtle 'label being confirmed' footnote; neutral clinical palette, high legibility, synthetic content only, no logos, no real names. Layout faithful to a generic Florida APD MAR form. [APD] cell grid; [Needs Owner Review] TODO(source-L35-1) exact cell term.
🎬 video prompt: Sequential highlight: the medication row lights, then today's day column lights, then the crossing cell lights; a soft 'one dose, one cell' caption fades in; no camera move; transparent background. [APD]
Two-clock timing comparison (8:02 AM green vs 3:00 PM end-of-shift red) with a MAR cell inset; blank-cell -> second-MAP -> double-dose chain.
🖼 image prompt: Split composition: left an analog clock reading 8:02 with a green check and caption 'immediately after - correct'; right a clock reading 3:00 with a red X and caption 'end of shift - too late'; a small MAR cell inset between them; neutral clinical palette; synthetic content only. [APD] immediately-after rule; [Waiver360-added] double-dose framing (badged).
🎬 video prompt: Initials drop into the correct MAR cell the instant a swallow completes; the two clocks flip to green-check / red-X; then a second MAP figure walks to a still-blank cell and a '2x?' warning pulses over it, illustrating the double-dose risk; no real names. [APD]+[Waiver360-added] (double-dose framing badged as instructional rationale, not APD-verbatim).
Three-panel paper-MAR correction sequence; the original entry stays readable in every panel; white-out / scribble / tear-out shown as forbidden.
🖼 image prompt: Three side-by-side MAR cell panels: (1) a wrong entry, (2) a single thin line drawn through it with initials and a date beside it - the original still legible underneath, (3) the correct cell now signed; a top banner reading 'Never erase, hide, or destroy the original'; small icons of white-out, scribble, and a torn page each with a red X; neutral clinical palette; synthetic content only. [APD] never-destroy-original kernel; [Needs Owner Review] TODO(source-L35-2) the single-line method (badged 'method being confirmed', never 'APD-required').
🎬 video prompt: White-out / scribble / tear-out icons appear and each gets a red X; then a single thin line draws through the wrong entry, initials and today's date write in beside it (original still readable), and finally the correct cell is signed; no camera move. [APD]+[Needs Owner Review] (single-line method modeled but not locked).
eMAR unique-login screen: a login prompt, a dose cell signed under that login, and an audit-trail line logging who edited and when; a shared-login attempt rejected.
🖼 image prompt: Stylized eMAR interface: a login field, a highlighted dose cell being signed, and an audit-trail line reading 'edited by <this MAP> - <timestamp>'; callouts 'edit through the system' and 'your login = your signature'; a 'shared login' example crossed out; a small footnote 'exact APD eMAR rule being confirmed'; synthetic content only, no real credentials. [Needs Owner Review] TODO(source-L35-3) (eMAR person-specific login unconfirmed against APD; overlaps L3-1 SRC-16).
🎬 video prompt: An edit button is pressed and the audit-trail line appends who and when; then a shared-login attempt flashes and is rejected; land the caption 'your login, your doses, never shared'; no real credentials. [Needs Owner Review] TODO(source-L35-3).
Full sample front-of-MAR page (reused from MA.L3-4.A) showing a signed dose cell linked down to the matching signature-legend row; a mismatched-initials example that traces to nobody.
🖼 image prompt: Flat-vector full-page MAR: dose cells at top with one signed cell highlighted, a signature legend strip at the bottom with columns for printed name / signature / initials, one legend row highlighted, and a link line connecting the cell initials to that legend row; a faint rejected example showing a nickname/checkmark that matches no legend row; neutral clinical palette; synthetic content only, no real names; exact legend column labels left generic (deferred to MA.L3-4.A TODO(source-3)). [APD]
Hook reinforcement chip 'Right cell - Right initials - Right now' typed in one phrase at a time, over a blank-cell insert.
🖼 image prompt: Three-part caption chip reading 'Right cell - Right initials - Right now', each phrase on its own line, warm neutral background, high legibility, no faces, no logos. [Waiver360-added] reinforcement phrasing.
🎬 video prompt: Chip types in one phrase at a time ('Right cell', then 'Right initials', then 'Right now'); a blank MAR cell pulses once behind it; 2.5s; transparent background. [Waiver360-added]
Closing reference still: completed dose cell + matching legend row combined, with the mantra chip, a 'when unsure, ask first' chip, and the compliance disclaimer footer.
🖼 image prompt: Composited still: a completed MAR dose cell linked to its legend row; a chip 'Right cell - Right initials - Right now'; a second chip 'When unsure, ask first'; a footer reading 'APD-aligned educational content. Not an APD-approved training program.'; neutral clinical palette; synthetic content only. [Waiver360-added] chips + [APD] cell/legend.
Target runtime: 5:00 · 7 chapters · not rendered (url: null)
Learner is shown a rendered MAR grid (one medication/time row across day columns) after a dose was administered, with realistic interruptions displayed. The learner must (1) select the correct cell — today's day column on the administered row, with their legend initials — AND (2) choose the correct timing action (sign immediately after the swallow) from a set of deferral distractors. The graded discriminator is the timing decision (immediately-after); the cell-selection is checked and coached but the exact cell TERM is not key-matched (unconfirmed, TODO source-L35-1). Choosing a deferral action fires that action's rationale and routes to remediation.
Learner is shown a paper MAR with a mistaken entry (e.g. initials in the wrong day column) and must choose how to correct it from a set of options. The correct option preserves a readable original and corrects in place; the distractors hide or destroy the original (white-out, scribble, tear-out). The graded discriminator is 'the original stays readable / corrected in place'; the exact positive marks (single line + initial + date) are modeled on the correct option but held out of the graded key until TODO(source-L35-2) resolves. Choosing a destroy/hide option fires that option's rationale and routes to remediation.