appendix g medication audit tool

8/18/2019 Appendix G Medication Audit Tool

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Medication Audit Tool

Competencies Evidence Met/Unmet N/A Indentified gaps

Are MAR Charts completed in Black ink?

Are MAR charts current (in date)?

Are MAR charts legible?

Are MAR Charts signed?

Are all medicines details on the MAR Chart,including prn?

Are the MAR charts initialled every timemedicines are administered?

Are the MAR Charts initialled every time aClient declines medication?

Are the MAR Charts initialled every time theClient does not receive the drug because itis not available?

Does the MAR Chart contain specialinstructions or speciic drugs !hereappropriate?

Does the MAR chart have clear e"planationor any process other than taken i#e#


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declined?

Are all MD$ bo"es clearly labelled?

Are all tablet bottles and blister packs clearlylabelled?

Do medicine containers and MD$ sho!special instructions or speciic drugs !hereappropriate?

Are all eye drops labelled clearly on both thebottles and bo"es?

Are all creams and ointments labelled clearly

on both the tubes%&ars and bo"es?

Are all creams and ointments clearly dated!hen opened?

Are all other topical preparations clearlylabelled on the bo" and on the tube%tubs?

's there a patient inormation lealet availableor each medication?

's inormation available or each medication

M'M$ or B* books?

Are stocks o medicines%appliances auditedbeore ordering prescriptions?


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+rescriptions are checked against orderbeore sending or dispensing?

Dispensed medicines%appliances arechecked against those reuested and thosecurrently prescribed?

's stock rotated and e"piry dates checked?

Are ne! stocks o medicine%appliancesreceived recorded?

Are remaining stocks o current medicationcarried or!ard onto ne! MAR Chart?

's there a clear process or !hat to do imedicines are missing and cannot be ound?

's there a process or obtaining medicationsand supplies out o hours?

Are medicines stored correctly, locked in adra!%cupboard?

' stored centrally are the cupboards bigenough !ith a secure lock?

's access to the locked drug cupboardslimited to named sta members?

Are topical medicines, dressing-s, appliancesand MD$ stored separately in suitably si.ed


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cupboards?

' drug trolleys are used are they !ellconstructed and large enough to storeindividual clients medicines separately?

Can the drug trolley be either locked to a!all or locked in a cupboard !hen not inuse?

's the drug trolley in good repair?

's there a rerigerator or storing medicines?

's there a record o the ridge being cleanedor derosted regularly?

Check the ridge temperature log, is itcomplete and are all temperatures !ithin the/01 degree range?

Do sta kno! !hat to do i the ridgetemperature is outside the /02degree range?

's the ridge used to store non0medicines?

Are medicines only administered romcontainers supplied and labelled rom the

pharmacy%dispensing doctor?'s there a robust system or identiyingclients? (+hoto, visual, response to verbalkno!n name, name, D3B)


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Does each member o sta administeringmedicines kno! !hat each medicine is or?

Are all sta administering medication a!are

o any special precautions or instructions?

Do sta kno! !hat side eects to look or?

's there a process or managing productrecalls?

4hat are the processes or medicationadministration or s!allo!ing diiculties?

's consent obtained rom residents or stato administer medicines?

Are cultural and moral belies o clientsconsidered !hen administering medication?

Are clients assessed and revie!s as to theirability to continue sel0medicate?

' clients need support to sel0administer, isthe level o support reuired documented inthe clients care plan?

Are controlled drugs stored centrally? 'stored centrally, is there an approved securecontrolled drug cupboard or cabinet used or CDs only?


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's the register kept correctly0 runningbalances that are reconciled regularly inblack pen?

Are keys held by designated persons only?Records kept and signed?

's the controlled drug register bound !ithnumbered pages?

Are records o receipts, administration anddisposal o Controlled drugs completely?

's a second signature reuired on MAR chart!hen Controlled drugs are administered?

Are controlled drugs disposed o correctly?

5as the disposal o medicines procedurebeen ollo!ed?

Do records sho! the date o disposal,reason or disposal, name and strength omedicine, uantity removed and !ho themedicine !as or?

Do the records sho! the name o the

member o sta !ho arranged the disposal?

Are disposed medications stored separate tocurrent medication?


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Are un!anted medicines disposed opromptly?

Are medicines kept or 6 days in the event o

a client-s death?

Does member o sta understand 7homelyremedies7?

's there a process or getting advice onhomely remedies rom a doctor, nurse orpharmacist?

Does the home have a detailed protocol orminor ailments available to sta, clients andrelatives?

's there record o purchase, administrationand disposals o homely remedies?

Does the client have regular medication rom8+? 5ave they been documented?

Does the member o sta understand covertadministration o medication policy?

's the client receiving covert medication?

Are all the reuired multi0disciplinedocuments in place to support this?


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Does the support plan clearly document theneed or covert medication?

Are there regular revie! dates on covert

administration?

Medication trolley is prepared !ith stock

Cupboard clean and organised

9ocked !hen unattended

5ands !ashed prior to and ateradministering medication

8loves !orn !hen applying topicalmedication

Medication keys kept on person

4ater available clean or each individual

Cups available


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Medication aids available i#e# pill pots, oralsyringes, pill crushers#

Communication !ith client clear and relevant

Clients identiied i#e# photo, name,documents

Client-s right to decline accepted

+rivacy and dignity maintained

Medication administered in a person centredmanner

Client in correct place, correct position to aidprocedure, medication administered !ithincorrect time scales

MAR chart read

Medication correctly dispensed rombottle%packet%blister pack into clearcontainer, adopting non touch approach

9iuid medication poured at eye level

9iuid bottle top cleaned beore putting lidon


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'nhaler mouth pieces cleaned

Client oered clean !ater to rinse mouth

ater use o inhaler

Medication checked, right person, rightdoes, right route etc

' sta administering medication ensuremedication s!allo!ed beore !alking a!ayand signing as taken

*luid oered to client to support medication

:nsure MAR chart is signed in black penimmediately ater being taken and not beorebeing taken

' controlled medication t!o sta ollo!edprocess and both signed# :nsure correctcount o medication beore and ater

:nsure bound log or controlled medicationis signed

Medication errors reported immediately

Any medication declined is documented andi dispensed ollo! returns procedure,ensure correct coding and clear e"planation!ritten as to !hy it !as declined or spoiled


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All +R medication ollo!ed correctly anddocumented

Did member o sta clearly e"plainmedication to client?

Did member o sta ans!er all uestionsrom client?

Does the !orker have a good understandingo the medication policy?

5as the !orker completed medicationtraining?

5as the !orker checked that the medicationis due and that it has not been given?

5as the !orker checked the dosage on themedication chart making sure they havemeasured or counted out the correctdosage?

5as the medication been dispensed in theappropriate medication euipment ormeasured

's the !orker a!are o the arrangements inplace or the sae storage o medication!ithin the individual lat % home ordesignated area !ithin the unit?


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5as the !orker checked that the medicationis due and that it has not already beengiven?

5as the individual been identity been

veriied#

New Starters All ne! sta should carry out satisactorily at least our practical assessments or administering medication beore being assessedas competent, sta must also attend the one day theoretical session#

Annual Competence All sta must complete to a satisactory standard a practical competence assessment#

appendix g medication audit tool

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