DHSV Medication Safety Audit for Dental Practices

• Document No.

• DHSV Medication Safety Audit for Dental Practices

• Client / Site

• Conducted on

  Date

• Prepared by Marrianne Beaty

• Location
  Address

• Personnel

MEDICATION SAFETY SUPPORT SYSTEMS

• Is there a medication safety policy in place?

  Yes

  No

• Are Dentists instructed to use this policy?

  Yes

  No

• Is there access to current Therapeutic Guidelines - Oral and Dental (2012)?

  Yes

  No

• Is there access to current MIMS or similar?

  Yes

  No

• Is there access to the National Prescribing Service?

  Yes

  No

• Do Dentists have a current prescriber and provider numbers?

  Yes

  No

• Are all Dentists registered with AHPRA?

  Yes

  No

• Do all Dentists have an individual scope of clinical practice tailored to their individual role and responsibilities?

  Yes

  No

HEALTH RECORDS

• Is a complete (best possible) patient medical and medication history taken for new patients?

  Yes

  No

• Are medical and medication histories updated and recorded annually?

  Yes

  No

• Are known allergies and adverse drug reactions recorded in the patient history?

  Yes

  No

• Are any prescribed medications recorded in the medical history?

  Yes

  No

PRESCRIBING AND SUPPLYING MEDICATIONS

• Are prescriptions written in the Dentist's own handwriting?

  Yes

  No

• Are prescriptions for Schedule 4 and Schedule 8 medications written for single supply only (i.e. no repeat on prescription)?

  Yes

  No

• If medications are supplied to the patient, are they supplied by the Dentist only?

  Yes

  No

  Not applicable

• If dispensing, the Dentist ensures that the container is labeled with the patient's name, date of transaction, drug name, strength and form, wording "Keep out of reach of children" and directions for use?

  Yes

  No

  Not applicable

• Are records ever erased or deleted?

  Yes

  No

• Is information given to patients regarding possible side effects of taking the medication?

  Yes

  No

• Are medications stored in accordance with the Victorian legislative requirements? (i.e. have you passed the audit by the Poisons' Control Unit as part of your Poisons Control Plan?)

  Yes

  No

• Are medications stored in accordance to their Material Safety Data Sheet (MSDS) or manufacturers instructions?

  Yes

  No

STORAGE

• Are Schedule 4 medicines stored in lockable overnight storage?

  Yes

  No

• Is the key for the Schedule 4 drug cupboard held by a Dentist?

  Yes

  No

• Are Schedule 8 medicines stored appropriately? (i.e. stored only with other Schedule 8 drugs and held in a 10mm steel locked safe that is fixed to a wall)

  Yes

  No

  Not applicable

• Is the key to the Schedule 8 safe held by the Senior Dentist?

  Yes

  No

  Not applicable

• Are Schedule 8 medicines administered or supplied, accurately recorded in a separate record in addition to the patient record?

  Yes

  No

  Not applicable

• Is action taken to ensure stock is used within the expiry date?

  Yes

  No

• Does the clinic practice stock rotation on a regular basis?

  Yes

  No

• Stock is not "over ordered"

  Yes

  No

• Expiry date is checked before dispensing

  Yes

  No

DISPOSAL

• Are unused, expired or unwanted Schedule 4 medications disposed of appropriately?

  Yes

  No

• Disposed of in a designated bin in a secure area?

  Yes

  No

  Not applicable

• Returned to supplier?

  Yes

  No

  Not applicable

• Picked up by a designated collector?

  Yes

  No

  Not applicable

• Returned to local pharmacy?

  Yes

  No

  Not applicable

• Are unused, expired or unwanted Schedule 8 medications disposed of appropriately?

  Yes

  No

  Not applicable

• Destruction of Schedule 7 medications is recorded and both participants sign the register?

  Yes

  No

  Not applicable

• Destruction of any Schedule 8 medications is witnessed by a pharmacist, other dentist or medical practitioner?

  Yes

  No

  Not applicable

• Is medication information communicated with patients/carers, either verbally or by the provision of fact sheets?

  Yes

  No