Information

  • Document No.

  • Site/ Location

  • Conducted on

  • Auditor

  • Team Leader

  • Coordinator

GENERAL

  • Was the medication cupboard / cabinet locked?

  • We're the keys for the medication cabinet placed and found in the designated area?

  • Are the medication charts/ folder clean and tidy?

  • Does The folder that contains medication charts has a contents list and the contents are in the appropriate order?

  • Are the plastic chart holders clean, not broken and contain the clients name?

  • Are the folder that contains the medication blister packs clean and in a good state?

  • Evidence of any NON-CONFORMITIES.

Medication Chart

CHART COVER

  • Are all the details on the medication chart cover completed?

  • Evidence of any NON-CONFORMITIES.

SHORT TERM MEDICATIONS

  • Are the short term medications clearly identifiable with clients name, D.O.B etc?

  • Have All spare short term medication that have been completed and ceased by the doctor have been taken back to the pharmacy for disposal?

  • On the medication charts, are short term medications ordered in the correct section..."short term orders"?

  • Have all short term medications been ceased by the doctor when completed?

  • Have all short term medication been signed?

  • Evidence of any NON-CONFORMITIES.

Regular Medication

REGULAR MEDICATIONS

  • Is the clients name and D.O.B. clearly identifiable and recorded?

  • Is there a current and clear photo of the client on their Webster packs?

  • Does the packed medication match the Doctors orders in the medication charts?

  • Have the doctors orders in the medication chart been signed and dated?

  • Have all ceased regular medications been signed off and dated by the doctor?

  • Are all non packed medications easily identifiable on the medication charts?

  • Are all non packed medications in date?

  • Have all regular medications been signed for?

  • Evidence of any NON-CONFORMITIES.

PRN Medication

PRN MEDICATIONS

  • Are there individual containers that are clearly identifiable to store PRN medications?

  • Are all PRN medications in date?

  • Are all PRN medication placed in individual containers?

  • Evidence of any NON-CONFORMITIES.

PRN Register

PRN REGISTER

  • Is there a PRN register for all PRN medications?

  • Are all PRN medications logged into the PRN register?

  • Are all clients PRN tablets checked weekly?

  • Evidence of any NON-CONFORMITIES.

Other Information

OTHER

  • Is there any additional information that needs to be added to this audit?

  • Evidence of any NON-CONFORMITIES.

Conformities

CONFORMITIES

  • How many NON-CONFORMITIES are in this audit

  • Additional Information

ACTION TO REMEDY NON-CONFORMITIES

  • Are there any Actions to Remedy Non-CONFORMITIES?

  • Due By

  • Persons Responsible

SIGNATURE OF AUDITOR

  • Add signature

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