Medication Audit

• Conducted on

  Date

• Team Name

  Select

• Clients Name

• Prepared by

• Location
  Address

Facility Medication

• All medications are in the original packaging?

  Yes

  No

  N/A

• Individual medication in blister pack or bottles?

  Yes

  No

  N/A

• Eye drops opened are dated/ not expired?

  Yes

  No

  N/A

• Medication in the cupboard/ folder are current and not expired?

  Yes

  No

  N/A

• Medication being stored in cupboard/ drawer/folders is below 25 degrees in temperature?

  Yes

  No

  N/A

• Medications required to be in a fridge is sealed and within the 2-4 degrees temperature range?

  Yes

  No

  N/A

Individual PRN Usage.

• Documentation of when PRN medication is given?

  Yes

  No

  N/A

• Documentation of what symptoms the PRN is given for?

  Yes

  No

  N/A

• An entry in the progress notes indicating effectiveness of PRN?

  Yes

  No

  N/A

Individual Regular Medication.

• The prescription and the blister pack are aligned with a signed and dated medication signing sheet?

  Yes

  No

  N/A

• The prescription is in the medication folder and within 3 months of being prescribed?

  Yes

  No

  N/A

• Allergies are documented?

  Yes

  No

  N/A

• Bowel motions documented three times per week?

  Yes

  No

  N/A

• Specimen client signature written on the medication signing sheet?

  Yes

  No

  N/A

• All entries are signed by person giving the medication and signed by client?

  Yes

  No

  N/A

• Antibiotics given for full course with no gaps in the medication signing sheet?

  Yes

  No

  N/A

Individual Self- Supervising of medication

• Was the medication storage area secure and locked?

  Yes

  No

  N/A

• The plan of days being self-supervised and when staff check progress?

  Yes

  No

  N/A

• The client only has medication for the supply of medication that aligns with self-supervising plan?

  Yes

  No

  N/A

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