Information

  • Document No.

  • Conducted on

  • Location

  • Report Title

  • Visit Host

  • Epilepsy Nurse

  • Yes - If the item is 100% complete.
    No - If the item is less than 100% complete.
    All comments and answers will be verified by a member of the medical team.

Section 8: Medical and Health

  • 8.1) All hand written entries have been double signed, doses in hand written entries must be written in text and are legible.

  • 8.2) All medication given has been initialled?

  • 8.3) All entries on the back of the MAR chart have been completed to reflect all medication related incidents (E.g. Medication refused)

  • 8.30) Has the correct medication process been followed 100% of the time (E.g. medication errors)

  • 8.5) All entries on the back of the MAR chart have been completed to reflect PRN medication given.

  • 8.7) The stock take has occurred in the last medication cycle

  • 8.9) The cabinet is clean, tidy and in order, including external preparations being kept separately from oral medication

  • 8.10) The key/s to the medication cupboard/s is/are stored safely or kept on the designated person

  • 8.11) In the medication cupboard/s the SU sections are clearly labelled

  • 8.12) Medications are stored safely in the fridge

  • 8.13) Medication ID sheets are up to date and accurate

  • 8.14) If a SU is self medicating or following the self medication policy, the self medication assessment forms are complete.

  • 8.15) Bowel charts have been completed accurately where necessary

  • 8.16) An up to date bowel protocol is in place where required

  • 8.17) If used, the daily seizure chart correspond with the yearly chart

  • 8.18) Health Action Plans are in place, in date and on file for each identified service user

  • 8.19) There are accurate and up to date recordings on the weight chart if required.

  • 8.20) An up to date seizure protocol and current seizure document are in the emergency pack?

  • 8.21) The emergency pack medication is up to date and correct

  • 8.22) The emergency packs are stored in a suitable safe place that is easily accessible by staff

  • 8.23) The emergency packs have been checked weekly

  • 8.25) Seizure protocols are up to date

  • 8.26) Seizure protocols are formally reviewed on an annual basis

  • 8.27) All manuals are present on the service location

  • 8.28) All day/night time monitoring forms have been completed accurately including the accurate timings of the observations carried out.

  • 8.29) Epilepsy alarm checks have been carried out and recorded

  • 8.30) Other checks completed

Sign Off

  • Assessor

  • Host

  • Reviewed by

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