Abstract: The present invention provides a system and method for medication administration monitoring including, in an embodiment, a smart imaging device (smart camera) positioned to monitor a treatment administration area and to provide image representative data of a treatment episode; an image processor, coupled to the smart imaging device, for processing the image representative data to identify medical supplies used during the treatment episode. The system further includes a storage processor for storing, in a record associated with the patient, data concerning the treatment episode comprising, the image representative data, associated data identifying medical supplies, data identifying a patient treated, and a time and date of the treatment episode.