Monthly Medication Audit V3

• Site conducted

  Select

• Completed on

  Date

• Completed by

Storage

• Are all medications locked away securely?

  Yes

  No

• Are medication storage boxes/containers in good working order? (If not, must they be replaced?)

  Yes

  No

• Are all medication labels fully legible?

  Yes

  No

• Do all labels have a clear opened date recorded?

  Yes

  No

• Is there a clear expiration date after opening for medications with a limited duration of use?

  Yes

  No

• Are internal/oral medications stored separately from external medications (e.g. creams/ointments)?

  Yes

  No

• Is the temperature of the cabinet/room monitored and recorded daily, with evidence of action taken if it exceeds 25˚C?

  Yes

  No

Storage

• Are all cabinets securely fitted to an external wall?

  Yes

  No

• Are all cabinets in suitable condition and kept clean?

  Yes

  No

• Are all medications locked away securely?

  Yes

  No

• Are medication storage boxes/containers in good working order? (If not, must they be replaced?)

  Yes

  No

• Are all medication labels fully legible? (If not, must they be returned and replaced?)

  Yes

  No

• Are all medications clearly and unambiguously labelled (e.g. no ‘as directed’ instructions)?

  Yes

  No

• Do all labels have a clear opened date recorded?

  Yes

  No

• Is there a clear expiration date after opening for medications with a limited duration of use?

  Yes

  No

• Are internal/oral medications stored separately from external medications (e.g. creams/ointments)?

  Yes

  No

• Is the temperature of the cabinet/room monitored and recorded daily, with evidence of action taken if it exceeds 25˚C?

  Yes

  No

• Are fridge temperatures (max and min) recorded daily, with evidence of action taken if they fall outside the 2-8˚C range?

  Yes

  No

Storage

• Are all cabinets securely fitted to an external wall?

  Yes

  No

• Are all cabinets in suitable condition and kept clean?

  Yes

  No

• Are all medications locked away securely?

  Yes

  No

• Are medication storage boxes/containers in good working order? (If not, must they be replaced?)

  Yes

  No

• Are all medication labels fully legible? (If not, must they be returned and replaced?)

  Yes

  No

• Are all medications clearly and unambiguously labelled (e.g. no ‘as directed’ instructions)?

  Yes

  No

• Do all labels have a clear opened date recorded?

  Yes

  No

• Is there a clear expiration date after opening for medications with a limited duration of use?

  Yes

  No

• Are internal/oral medications stored separately from external medications (e.g. creams/ointments)?

  Yes

  No

• Is the temperature of the cabinet/room monitored and recorded daily, with evidence of action taken if it exceeds 25˚C?

  Yes

  No

• Are fridge temperatures (max and min) recorded daily, with evidence of action taken if they fall outside the 2-8˚C range?

  Yes

  No

Storage

• Are all cabinets securely fitted to an external wall?

  Yes

  No

• Are all cabinets in suitable condition and kept clean?

  Yes

  No

• Are all medications locked away securely?

  Yes

  No

• Are medication storage boxes/containers in good working order? (If not, must they be replaced?)

  Yes

  No

• Are all medication labels fully legible? (If not, must they be returned and replaced?)

  Yes

  No

• Are all medications clearly and unambiguously labelled (e.g. no ‘as directed’ instructions)?

  Yes

  No

• Do all labels have a clear opened date recorded?

  Yes

  No

• Is there a clear expiration date after opening for medications with a limited duration of use?

  Yes

  No

• Are internal/oral medications stored separately from external medications (e.g. creams/ointments)?

  Yes

  No

• Is the temperature of the cabinet/room monitored and recorded daily, with evidence of action taken if it exceeds 25˚C?

  Yes

  No

• Are fridge temperatures (max and min) recorded daily, with evidence of action taken if they fall outside the 2-8˚C range?

  Yes

  No

Storage

• Are all cabinets securely fitted to an external wall?

  Yes

  No

• Are all cabinets in suitable condition and kept clean?

  Yes

  No

• Are all medications locked away securely?

  Yes

  No

• Are medication storage boxes/containers in good working order? (If not, must they be replaced?)

  Yes

  No

• Are all medication labels fully legible? (If not, must they be returned and replaced?)

  Yes

  No

• Are all medications clearly and unambiguously labelled (e.g. no ‘as directed’ instructions)?

  Yes

  No

• Do all labels have a clear opened date recorded?

  Yes

  No

• Is there a clear expiration date after opening for medications with a limited duration of use?

  Yes

  No

• Are internal/oral medications stored separately from external medications (e.g. creams/ointments)?

  Yes

  No

• Is the temperature of the cabinet/room monitored and recorded daily, with evidence of action taken if it exceeds 25˚C?

  Yes

  No

• Are fridge temperatures (max and min) recorded daily, with evidence of action taken if they fall outside the 2-8˚C range?

  Yes

  No

Storage

• Are all cabinets securely fitted to an external wall?

  Yes

  No

• Are all cabinets in suitable condition and kept clean?

  Yes

  No

• Are all medications locked away securely?

  Yes

  No

• Are medication storage boxes/containers in good working order? (If not, must they be replaced?)

  Yes

  No

• Are all medication labels fully legible? (If not, must they be returned and replaced?)

  Yes

  No

• Are all medications clearly and unambiguously labelled (e.g. no ‘as directed’ instructions)?

  Yes

  No

• Do all labels have a clear opened date recorded?

  Yes

  No

• Is there a clear expiration date after opening for medications with a limited duration of use?

  Yes

  No

• Are internal/oral medications stored separately from external medications (e.g. creams/ointments)?

  Yes

  No

• Is the temperature of the cabinet/room monitored and recorded daily, with evidence of action taken if it exceeds 25˚C?

  Yes

  No

• Are fridge temperatures (max and min) recorded daily, with evidence of action taken if they fall outside the 2-8˚C range?

  Yes

  No

Storage

• Are all cabinets securely fitted to an external wall?

  Yes

  No

• Are all cabinets in suitable condition and kept clean?

  Yes

  No

• Are all medications locked away securely?

  Yes

  No

• Are medication storage boxes/containers in good working order? (If not, must they be replaced?)

  Yes

  No

• Are all medication labels fully legible? (If not, must they be returned and replaced?)

  Yes

  No

• Are all medications clearly and unambiguously labelled (e.g. no ‘as directed’ instructions)?

  Yes

  No

• Do all labels have a clear opened date recorded?

  Yes

  No

• Is there a clear expiration date after opening for medications with a limited duration of use?

  Yes

  No

• Are internal/oral medications stored separately from external medications (e.g. creams/ointments)?

  Yes

  No

• Is the temperature of the cabinet/room monitored and recorded daily, with evidence of action taken if it exceeds 25˚C?

  Yes

  No

• Are fridge temperatures (max and min) recorded daily, with evidence of action taken if they fall outside the 2-8˚C range?

  Yes

  No

Storage

• Are all cabinets securely fitted to an external wall?

  Yes

  No

• Are all cabinets in suitable condition and kept clean?

  Yes

  No

• Are all medications locked away securely?

  Yes

  No

• Are medication storage boxes/containers in good working order? (If not, must they be replaced?)

  Yes

  No

• Are all medication labels fully legible? (If not, must they be returned and replaced?)

  Yes

  No

• Are all medications clearly and unambiguously labelled (e.g. no ‘as directed’ instructions)?

  Yes

  No

• Do all labels have a clear opened date recorded?

  Yes

  No

• Is there a clear expiration date after opening for medications with a limited duration of use?

  Yes

  No

• Are internal/oral medications stored separately from external medications (e.g. creams/ointments)?

  Yes

  No

• Is the temperature of the cabinet/room monitored and recorded daily, with evidence of action taken if it exceeds 25˚C?

  Yes

  No

• Are fridge temperatures (max and min) recorded daily, with evidence of action taken if they fall outside the 2-8˚C range?

  Yes

  No

Storage

• Are all cabinets securely fitted to an external wall?

  Yes

  No

• Are all cabinets in suitable condition and kept clean?

  Yes

  No

• Are all medications locked away securely?

  Yes

  No

• Are medication storage boxes/containers in good working order? (If not, must they be replaced?)

  Yes

  No

• Are all medication labels fully legible? (If not, must they be returned and replaced?)

  Yes

  No

• Are all medications clearly and unambiguously labelled (e.g. no ‘as directed’ instructions)?

  Yes

  No

• Do all labels have a clear opened date recorded?

  Yes

  No

• Is there a clear expiration date after opening for medications with a limited duration of use?

  Yes

  No

• Are internal/oral medications stored separately from external medications (e.g. creams/ointments)?

  Yes

  No

• Is the temperature of the cabinet/room monitored and recorded daily, with evidence of action taken if it exceeds 25˚C?

  Yes

  No

• Are fridge temperatures (max and min) recorded daily, with evidence of action taken if they fall outside the 2-8˚C range?

  Yes

  No

Ordering and Receiving Medication

• Are medicines received from the pharmacy on time for day one of a new cycle?

  Yes

  No

• Does the home have a written procedure in place to ensure medication is ordered on time for day one of the new cycle?

  Yes

  No

• Is there evidence that medication is checked and signed for upon arrival?

  Yes

  No

Reconciliation

• Is the medication reconciliation for all individuals accurate and up to date?

  Yes

  No

• Is there evidence of accurate stock levels and balances being carried forward?

  Yes

  No

Disposal of Medication

• Have all returned medications been collected as required?

  Yes

  No

Management of Controlled Drugs

• Are controlled drugs managed in a way that ensures the safety of residents, staff, and visitors, and mitigates the risk of abuse?

  Yes

  No

Procedures & Protocols

• Is there an up-to-date medication policy in place?

  Yes

  No

• Is there a written procedure in place for obtaining medication out of hours, and are relevant staff aware of this?

  Yes

  No

• Is there a written procedure in place for instigate medication ordering on time for day one of new cycle?, and are relevant staff aware of this

  Yes

  No

• Is there a homely remedy policy in place, specifying which medications can be given to whom, and has it been reviewed and signed by a GP within the last 12 months?

  Yes

  No

Training

• Are all medication competency assessments up to date?

  Yes

  No

• Is all medication-related training in date?

  Yes

  No

Recording

Recording

• Do all Medication Administration Records (MARs) identify allergies?

  Yes

  No

• Are MARs complete with no gaps?

  Yes

  No

• Are MARs current and updated monthly?

  Yes

  No

• Do all medicines on the MAR clearly state the name of the drug, dosage, and drug form?

  Yes

  No

• Do the directions on the MAR match the medication labels?

  Yes

  No

• For variable and PRN medication, do MAR entries show the exact dose given?

  Yes

  No

• Are all manual entries/amendments on the MAR sheets double-signed?

  Yes

  No

• Do the directions on the MAR match the prescription label directions (cross-referenced with Atlas CMR)?

  Yes

  No

• Is there a PRN protocol in place for all PRN medication, reviewed within the last 12 months?

  Yes

  No

• Is there a list of side effects available for each service user’s medication?

  Yes

  No