Policy and Training

Has the CW completed the approved training on Medication Management?

Has the CW read the QCS Policies on Medication Management?

Can the CW evidence the policies have been read?

Does the CW have access to the QCS System to review the policies?

Preparation and Infection Control

Did the CW wash their hands before starting any Medication Administration and did they take correct hygiene measures throughout (e.g. gloves when applying creams)?

Did the CW wash their hands before starting any Medication Administration and did they take correct hygiene measures throughout (e.g. gloves when applying creams)?

Did the CW take measures to ensure they were not going to be interrupted or distracted as far as possible?

Consent, Mental Capacity Assessment and Best Interest

Before preparing or administering the medication, did the CW check the Care Plan to review the level of medication support required?

Before preparing or administering the medication, did the CW/RN obtain the Service User's consent?

If consent was not obtained, was this part of a documented Care Plan and procedure for this Service User and did the CW check for best interest decision paperwork?

If consent wasn’t obtained, is the CW satisfied that the correct procedures have been followed in the best interests of the Service User?

Selection and Preparation of Medication

Before selecting, preparing or administering any medication, did the CW/RN read the MAR chart correctly?

Did the CW check whether a dose had already been administered or if the medication had been stopped?

If any directions are unclear or illegible on the MAR chart, did the CW take appropriate steps to check the instructions?

Did the CW use the 6 Rights of Medication?

Was the medication selected checked against the correct MAR chart including checking the Service User’s name on the drug label and MAR chart?

If the directions on the MAR chart differed from those on the label, did the CW take the appropriate steps to satisfy themselves as to the correct dose to be given?

Was the correct medication and dose selected at the correct time? Was consideration given to timing in terms of food or other directions on the label?

Was the medication prepared per directions and information on the MAR chart or any accompanying procedure or Care Plan?

Did the member of staff use the appropriate measure for any doses of liquid medication (e.g. oral syringe, graduated measuring cup)?

Administration of Medication

Did the member of staff check the records to see how the individual prefers to take their medication or demonstrate that they knew this information and administer the medication accordingly?

Did the CW offer information, support, and reassurance throughout to the Service User in a manner that promotes dignity, independence and is appropriate to their needs and concerns?

Was the medicine administered correctly and a glass of water offered where appropriate?

Please place a tick next to the Medicine Types you have witnessed being administered

Tablets/ Capsules

Inhaler Devices

Nose Drops

Transdermal Patches

Liquids

Eye Drops

Nasal Sprays

Creams/Ointments

Sachets /Powders

Ear Drops

Administration of Medication

Was the security of all medication maintained throughout? e.g. Medication not left on the bedside table, medication trolley locked when staff not present?

Did the CW visually witness the individual taking all their medication?

If the medication was not taken, was the appropriate advice sought and documented including checking information in the Care Plan if appropriate?

If the medication was not taken, was it dealt with as outlined in the Medication Administration Policy?

Record Keeping

Did the member of staff sign the MAR chart immediately after the medication was administered?

If the medication was not given, was the correct code entered on the MAR chart?

If the medication is a controlled drug, did the CW ask a trained colleague to witness the entire procedure and sign the CD Register?

If the Medication was a variable dose drug, was it given and recorded properly and other records checked prior to administration if required?

Were the MAR charts returned to the proper place after the medication round?

Stock Control

Did the member of staff check that there was sufficient stock in place to complete future medication rounds?

If there are shortages in medication noted, did the CW take appropriate action to ensure the stock was replaced?

Was all medication returned to the secure storage area once the medication round was completed and placed tidily?

Ordering, Receipt and Disposal of Medication

Does the CW record any medication received into the home in a timely fashion using the correct documentation?

Does the CW record any medication received into the home in a timely fashion using the correct documentation?

Is any out of date medication or medication no longer required recorded on the appropriate documentation and stored securely, clearly separated from ‘in use’ medication until it can be safely disposed of following local procedures?

Storage

Is the CW aware of the correct storage conditions for medicines and where to find this information?

Is the CW aware of the correct temperature range for the medication fridge and how to use the thermometer?

Does the CW fill in the fridge temperature records correctly?

If new medication is received is the stock put away so that older supplies are used first?

Non-Prescribed Medication

Is the CW aware of what action to take if a Service User wants to take over the counter medication?

Is the CW aware of what to do if a person living at the home has a minor ailment?

If a non-prescribed medication was administered, was this from the original container as purchased and was the dose offered within the directions given on the packaging?

If a non-prescribed medication was administered did the CW/RN record this correctly on the MAR chart?

Accessing Advice and Information

Does the CW know who to contact if they need advice on medication?

Is the CW aware of the information sources held at the home, particularly patient information leaflets which should be available for the Service User and staff?

Please record any discussions held with CW

Feedback to CW

Following the Medication Administration Competency Assessment, the CW has been assessed as:

Actions/Expectations:

Enter text above for actions/expectations.

Signature of CW:

Job Role:

Signature of Assessor:

Job Role:

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.