WEEKLY MEDICATION CHECKLIST

• Name of Site

  Select

• Conducted on

  Date

• Conducted By

• Residents Name

• MAR chart Start Date

  Date

Medication

• Is Service User on prescribed medication?

  Yes

  No

  N/A
Prescribed Medication

• Medication Name

• Dosage of Medication

• Is this a controlled drug?

  Yes

  No

  N/A

• Is there a controlled drug book in situ for this medication?

  Yes

  No

  N/A

• Date of last entry on controlled drug book?

  Date

• Is this medication on the MARS sheet?

  Yes

  No

  N/A

• Has this medication been recently prescribed?

  Yes

  No

  N/A

• When was it prescribed?

  Date

• Does the Service User have any PRN or any “if/as required” medication?

  Yes

  No

  N/A
PRN Medication

• Medication Name

• Dosage of Medication

• Is this a controlled drug?

  Yes

  No

  N/A

• Is there a controlled drug book in situ for this medication?

  Yes

  No

  N/A

• Date of last entry on controlled drug book?

  Date

• Is this medication on the MARS sheet?

  Yes

  No

  N/A

• Has this medication been recently prescribed?

  Yes

  No

  N/A

• When was it prescribed?

  Date

• Is there a PRN Protocol for this medication?

  Yes

  No

  N/A

• Does the PRN Protocol list when the PRN was administered to the Service User?

  Yes

  No

  N/A

• Does the PRN Protocol give details of the result of give Service User PRN?

  Yes

  No

  N/A

• In your opinion is the PRN effective?

  Yes

  No

  N/A

Weekly MAR check

• Have all handwritten entries or charts prepared , been checked for accuracy and signed by a second trained person? (ideally from a copy of a prescription, dispensing token, or labeled medicine)

  Yes

  No

  N/A

• Are all current prescribed medicines listed on the MAR chart? (Check against repeat list from GP surgery)

  Yes

  No

  N/A

• Is the administration of all regular medication accounted for? (signatures confirmed administration code & no gaps for the regular medicines on the Mar chart)

  Yes

  No

  N/A

• Have all details of special administration requirements been placed on the MARS?

  Yes

  No

  N/A

Medication File Check

• Is there an up-to-date photo of the service user?

  Yes

  No

  N/A

• Is there an up-to-date list of allergies in medication file?

  Yes

  No

  N/A

• Is PRN Protocol for each medication in the file?

  Yes

  No

  N/A

• Have all the medications identified above have an information sheet to tell Carers about the usage and effect of the drug?

  Yes

  No

  N/A

• Are medicines with a reduced expiry date after initial opening annotated with a date of opening? (e.g., eye drops, some liquidmedicines)

  Yes

  No

  N/A

• Is a pharmacy label attached to all prescribed medicines?(if on outer box only, ensure this is not disposed of)

  Yes

  No

  N/A

• Does the stock remaining tally with the quantity on the MAR chart(i.e., stock received + any stock remaining minus the quantity administered so far)

  Yes

  No

  N/A

Weekly Checklist Summary

• Are there any Issue identified by weekly check

  Yes

  No

  N/A

• Action plan to be address issues identified in weekly medicine check

• By Whom

• Date Completed

  Date