WEEKLY Schedule of Medication Auditing Checks Example:



WEEKLY Schedule of Medication Auditing Checks Example:

|What to Check |Who by | When | Where to record/ report | Follow Ups needed |

|Check progress of any medication | | | | |

|which needs ordering/ has been | | | | |

|ordered. | | | | |

|SPOT Check 3 service user medication |Senior carer ? / |Eg Thursday pm late | | |

|records? |RGN/ |shift leader? | | |

|(Random or rotating from previous | |(specified , protected | | |

|week?) | |time) | | |

|Check MAR Chart signatures are: | | | | |

|up to date?– | | | | |

|no gaps? | | | | |

|No evidence of running out? | | | | |

|Explanations are appropriately on the| | | | |

|back as to why given/not given? | | | | |

|Signatures are in black ink. | | | | |

|Have any medications been missed? | | | | |

|MAR charts correspond with list of | | | | |

|current medication from GP (or ‘MED | | | | |

|1) / Prescriptions/ care plan | | | | |

|information? | | | | |

|Check MAR Charts correspond with | | | | |

|containers? | | | | |

|Is each medication in original | | | | |

|container, properly labelled ie with | | | | |

|pharmacy label? | | | | |

| Spot check -Does medication quantity| | | | |

|left in container accord with MAR | | | | |

|chart expectations?. | | | | |

|Are exceptional reasons/ explanations| | | | |

|given on back of MAR eg when not | | | | |

|given/ declined. | | | | |

|Check Medication ‘As required’ | | | | |

|criteria/protocol is sufficiently | | | | |

|detailed, individualised and up to | | | | |

|date. Ie clear re what is it for, | | | | |

|when to give – what intervals for | | | | |

|maximum dose, signs and symptoms that| | | | |

|it is needed, who can decide if it is| | | | |

|needed, what should be tried (before| | | | |

|PRN sedations).. Signed by GP/ | | | | |

|(RMN?)? | | | | |

|MAR chart instructions are clear ? | | | | |

|Any special Guidance- clear and | | | | |

|followed ? | | | | |

|Medication quantities are signed in | | | | |

|on MAR Chart? | | | | |

|Does each medication have in date | | | | |

|expiry date? | | | | |

|New medication is clearly recorded? | | | | |

|Photo of person is in file? | | | | |

|Risk Assessment for self | | | | |

|administration is in place? | | | | |

|Is there an in out signing in log for| | | | |

|medications if taken out on | | | | |

|trips/holidays/day services? Is it | | | | |

|used properly? | | | | |

|Has the GP reviewed the medication in| | | | |

|the last year? | | | | |

|Any evidence on MAR charts of running| | | | |

|out of medication? | | | | |

| Are codes used properly on MAR | | | | |

|charts? | | | | |

|Spot check Topical Creams and records|Eg PM shift leader| | | |

|– |Thursdays. | | | |

|Body map. MAR signatures up to date. | | | | |

|Explanation of what for and when | | | | |

|needed is clear in MAR chart/PRN | | | | |

|instructions | | | | |

|Photo of service user is in place on | | | | |

|file | | | | |

|Any covert medication has rigorous | | | | |

|guidance and evidence of Restrictive | | | | |

|practice procedure being followed – | | | | |

|clear evidence of agreements/ best | | | | |

|interests agreements. | | | | |

|Does the person have clear | | | | |

|explanation of medication and | | | | |

|administration agreement (ie who will| | | | |

|do?) | | | | |

|Is there a risk assessment for self | | | | |

|administration? Is self | | | | |

|administration promoted? (and | | | | |

|restrictive practice agreement if | | | | |

|removed)? | | | | |

|Is the persons’ level of support | | | | |

|needed with medication clear (eg | | | | |

|prompt, support, administer, | | | | |

|frequency of checks). | | | | |

|Has this been reviewed regularly? | | | | |

|Is self administration monitored in | | | | |

|accordance with agreements? | | | | |

|Quantities have been clearly signed |Check | | | |

|in on MAR chart | | | | |

|Are quantities double signed in | | | | |

|Are any alterations in medication | | | | |

|communicated effectively to staff (Do| | | | |

|staff know about them and are they | | | | |

|clearly recorded?) | | | | |

|Check topical cream charts are | | | | |

|completed appropriately? | | | | |

Are all medications stored safely and appropriately? Yes/ No

Is key security appropriate?

Are no smoking signs displayed?

Is there an in out log, used effectively for any day trips holidays/ outings?

Have any medications been missed?

Are any homely remedies agreed by the doctor clear & dated?

Are any homely remedies given for more than 2 days duration?

Additional Comments & Actions

Common problems to look out for:

Topical creams not being signed for / instructions not clear/ followed as to where, why and how often applied.

Gaps in signatures not followed up.

Lack of follow up or review of not given reasons/ not taken/ PRNs given regularly

MAR charts not corresponding with other lists of medications/ instructions

Medication needing special timing or days not being clearly recorded, missed, or given at the wrong time.

Medication running out eg 0 recorded (should be treated and investigated as an error)

Coding on MAR chart signatures used differently by different staff ie not fully understood.

Declining or not taking medication not being followed up.

WEEKLY Medication Audit Check Record:

|What Checked |Signature |Findings/Issues | Action taken | Follow Up/Other Action |

| |&date | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

|Check progress of any medication | | | | |

|which needs ordering/ has been | | | | |

|ordered. | | | | |

|SPOT Check 3 service user medication | | | | |

|records? | | | | |

|(Random or rotating from previous | | | | |

|week?) | | | | |

|Check MAR Chart signatures are: | | | | |

|up to date?– | | | | |

|no gaps? | | | | |

|No evidence of running out? | | | | |

|Explanations are appropriately on the| | | | |

|back as to why given/not given? | | | | |

|Signatures are in black ink. | | | | |

|Have any medications been missed? | | | | |

|MAR charts correspond with list of | | | | |

|current medication from GP (or ‘MED | | | | |

|1) / Prescriptions/ care plan | | | | |

|information? | | | | |

|Check MAR Charts correspond with | | | | |

|containers? | | | | |

|Is each medication in original | | | | |

|container, properly labelled ie with | | | | |

|pharmacy label? | | | | |

| Spot check -Does medication quantity| | | | |

|left in container accord with MAR | | | | |

|chart expectations?. | | | | |

|Are exceptional reasons/ explanations| | | | |

|given on back of MAR eg when not | | | | |

|given/ declined. | | | | |

|Check Medication ‘As required’ | | | | |

|criteria/protocol is sufficiently | | | | |

|detailed, individualised and up to | | | | |

|date. Ie clear re what is it for, | | | | |

|when to give – what intervals for | | | | |

|maximum dose, signs and symptoms that| | | | |

|it is needed, who can decide if it is| | | | |

|needed, what should be tried (before| | | | |

|PRN sedations).. Signed by GP/ | | | | |

|(RMN?)? | | | | |

|MAR chart instructions are clear ? | | | | |

|Any special Guidance- clear and | | | | |

|followed ? | | | | |

|Medication quantities are signed in | | | | |

|on MAR Chart? | | | | |

|Does each medication have in date | | | | |

|expiry date? | | | | |

|New medication is clearly recorded? | | | | |

|Photo of person is in file? | | | | |

|Risk Assessment for self | | | | |

|administration is in place? | | | | |

|Is there an in out signing in log for| | | | |

|medications if taken out on | | | | |

|trips/holidays/day services? Is it | | | | |

|used properly? | | | | |

|Has the GP reviewed the medication in| | | | |

|the last year? | | | | |

|Any evidence on MAR charts of running| | | | |

|out of medication? | | | | |

| Are codes used properly on MAR | | | | |

|charts? | | | | |

|Spot check Topical Creams and records|. | | | |

|– | | | | |

|Body map. MAR signatures up to date. | | | | |

|Explanation of what for and when | | | | |

|needed is clear in MAR chart/PRN | | | | |

|instructions | | | | |

|Photo of service user is in place on | | | | |

|file | | | | |

|Any covert medication has rigorous | | | | |

|guidance and evidence of Restrictive | | | | |

|practice procedure being followed – | | | | |

|clear evidence of agreements/ best | | | | |

|interests agreements. | | | | |

|Does the person have clear | | | | |

|explanation of medication and | | | | |

|administration agreement (ie who will| | | | |

|do?) | | | | |

|Is there a risk assessment for self | | | | |

|administration? Is self | | | | |

|administration promoted? (and | | | | |

|restrictive practice agreement if | | | | |

|removed)? | | | | |

|Is the persons’ level of support | | | | |

|needed with medication clear (eg | | | | |

|prompt, support, administer, | | | | |

|frequency of checks). | | | | |

|Has this been reviewed regularly? | | | | |

|Is self administration monitored in | | | | |

|accordance with agreements? | | | | |

|Quantities have been clearly signed | | | | |

|in on MAR chart | | | | |

|Are quantities double signed in | | | | |

|Are any alterations in medication | | | | |

|communicated effectively to staff (Do| | | | |

|staff know about them and are they | | | | |

|clearly recorded?) | | | | |

|Check topical cream charts are | | | | |

|completed appropriately? | | | | |

Are all medications stored safely and appropriately? Yes/ No

Is key security appropriate?

Are no smoking signs displayed?

Is there an in out log, used effectively for any day trips holidays/ outings?

Have any medications been missed?

Are any homely remedies agreed by the doctor clear & dated?

Are any homely remedies given for more than 2 days duration?

Other comments/ Actions

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