Monthly Medication Audit

• Unit

  NURSING (Blatch/som)

  REHAB (Chailey/ship)

  REHAB (Glynde)

• Date and Time

  Date

• Completed by

• Location
  Address

1. Clinic Room

• Are the keys to the clinic room separate from the main keys to the home and kept secure with staff at all times?

  Yes

  No

  N/A

• Are the medicine cupboards locked?

  Yes

  No

  N/A

• Is the medication room door locked when the room is not in use?

  Yes

  No

  N/A

• Are the room temperature records complete daily to demonstrate the room is maintained between 16-25 degrees centigrade?

  Yes

  No

  N/A

• Are refrigerator temperature records complete daily to demonstrate storage between 2-8 degrees centigrade?

  Yes

  No

  N/A

• Are refrigerators cleaned and well maintained

  Yes

  No

  N/A

• Is the room clean, tidy and free from unnecessary items?

  Yes

  No

  N/A

• Are appropriate hand washing facilities available, including hand gel on medication trolleys?

  Yes

  No

  N/A

• Are there suitable procedures in place for recording the disposal of medications?

  Yes

  No

  N/A

• Is the medicines waste box stored in a locked cupboard?

  Yes

  No

  N/A

• Is there an up to date monthly date checking matrix in place?

  Yes

  No

  N/A

2. Non-CD Medication

• Is the medicine cupboard clean and organised?

  Yes

  No

  N/A

• Sample 5 medications: Are medications in date?

  Yes

  No

  N/A

• Are medications stored in their original package?

  Yes

  No

  N/A

• Sample 5: Is the date of opening clearly stated for liquids, creams and other limited life medications?

  Yes

  No

  N/A

• Is there a record of each homely remedy administered?

  Yes

  No

  N/A

3. Controlled Drugs

• Is the CD cupboard locked and properly secured

  Yes

  No

  N/A

• Are the CD keys kept separately from the main drug keys and only accessible to authorised staff?

  Yes

  No

  N/A

• Have entries in the controlled drug register been made by 2 approved practitioners?

  Yes

  No

  N/A

• Sample 5 medications: Do levels of controlled drugs tally with the register?

  Yes

  No

  N/A

• Is there evidence of a weekly check of the controlled drugs?

  Yes

  No

  N/A

4. First Aid boxes

• Are first aid boxes located in an accessable site?

  Yes

  No

  N/A

• Are first aid boxes checked and a record maintained?

  Yes

  No

  N/A

5. MAR Chart review

• Are MAR charts available for all service users with an up to date photograph (unless service user declined consent for such)

  Yes

  No

  N/A

• Are there any gaps in the MAR charts? (missing signatures)

  No

  Yes

• Are running balances recorded on MAR charts

  Yes

  No

  N/A

• Sample 5 medications: Does the running balance recorded tally with the actual number of medication in the service users medication pod?

  Yes

  No

  N/A

• Is there an up to date signature sheet in the MAR folder?

  Yes

  No

  N/A

• Sample 5 service users: If as required medication is used, is there an explanation on the back of MAR or PRN protocol in place?

  Yes

  No

  N/A

6. Oxygen storage (complete if applicable)

• Is appropriate signage displayed on doors of all areas where Oxygen is stored?

  Yes

  No

  N/A

• Is oxygen stored in clinic room safely?

  Yes

  No

  N/A