Ablecare Care Services - Medication Observation Record

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Purpose: These are the competencies necessary for performance practice. They supplement continuing education program's and meet minimum standards for Common Induction standards.

• To meet the competency standard, the employee must demonstrate proficiency in performing the procedures as evidenced by the specific criteria listed below.

Core Competencies:

• Standard precautions for infection control are applied

  Yes

  No

  N/A

• Medication records are available

  Yes

  No

  N/A

• Medication records are read and followed

  Yes

  No

  N/A

• Identity of individual to receive medication is checked

  Yes

  No

  N/A

• The service user's consent is obtained

  Yes

  No

  N/A

• Medication is selected and dispensed correctly

  Yes

  No

  N/A

• Medication is safely administered

  Yes

  No

  N/A

• The service user is checked as having taken medication

  Yes

  No

  N/A

• The service user's condition is monitored throughout (if adverse affects noticed, appropriate action is taken

  Yes

  No

  N/A

• Records are completed accurately and clearly

  Yes

  No

  N/A

• Medication is returned to its correct place for storage

  Yes

  No

  N/A

• Medication records are returned to their agreed place for storage

  Yes

  No

  N/A

• Refused medication is stored and recorded in accordance with policy (question if not observed)

  Yes

  No

  N/A

Outcome

• Is the observation conducted satisfactory

  Yes

  No

  N/A

• Comment on employee's competency:

• I can confirm that I have witnessed the named person complete all core competencies
  listed

• Signature of observer:

  Sign

• Signature of carer

  Sign