Information
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Document No.
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Site/ Location
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Conducted on
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Auditor
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Team Leader
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Coordinator
GENERAL
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Was the medication cupboard / cabinet locked?
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We're the keys for the medication cabinet placed and found in the designated area?
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Are the medication charts/ folder clean and tidy?
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Does The folder that contains medication charts has a contents list and the contents are in the appropriate order?
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Are the plastic chart holders clean, not broken and contain the clients name?
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Are the folder that contains the medication blister packs clean and in a good state?
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Evidence of any NON-CONFORMITIES.
Medication Chart
CHART COVER
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Are all the details on the medication chart cover completed?
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Evidence of any NON-CONFORMITIES.
SHORT TERM MEDICATIONS
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Are the short term medications clearly identifiable with clients name, D.O.B etc?
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Have All spare short term medication that have been completed and ceased by the doctor have been taken back to the pharmacy for disposal?
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On the medication charts, are short term medications ordered in the correct section..."short term orders"?
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Have all short term medications been ceased by the doctor when completed?
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Have all short term medication been signed?
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Evidence of any NON-CONFORMITIES.
Regular Medication
REGULAR MEDICATIONS
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Is the clients name and D.O.B. clearly identifiable and recorded?
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Is there a current and clear photo of the client on their Webster packs?
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Does the packed medication match the Doctors orders in the medication charts?
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Have the doctors orders in the medication chart been signed and dated?
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Have all ceased regular medications been signed off and dated by the doctor?
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Are all non packed medications easily identifiable on the medication charts?
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Are all non packed medications in date?
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Have all regular medications been signed for?
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Evidence of any NON-CONFORMITIES.
PRN Medication
PRN MEDICATIONS
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Are there individual containers that are clearly identifiable to store PRN medications?
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Are all PRN medications in date?
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Are all PRN medication placed in individual containers?
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Evidence of any NON-CONFORMITIES.
PRN Register
PRN REGISTER
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Is there a PRN register for all PRN medications?
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Are all PRN medications logged into the PRN register?
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Are all clients PRN tablets checked weekly?
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Evidence of any NON-CONFORMITIES.
Other Information
OTHER
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Is there any additional information that needs to be added to this audit?
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Evidence of any NON-CONFORMITIES.
Conformities
CONFORMITIES
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How many NON-CONFORMITIES are in this audit
- one
- two
- three
- four
- five
- six
- seven
- eight
- nine
- ten
- eleven
- twelve
- twelve plus
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Additional Information
ACTION TO REMEDY NON-CONFORMITIES
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Are there any Actions to Remedy Non-CONFORMITIES?
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Due By
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Persons Responsible
SIGNATURE OF AUDITOR
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