what we have is a monthly medication audit that is done by th manager that goes through all the basics like,
Is there an easey to read policy in place that is understandable to all staff who administer medication.
- Is the medication locked away in a cupboard in the medication room, are the trolleys secured to the wall, are they cleaned inside monthly outside daily.
- Are mar charts organised in a file, legeable, in black ink, written entries signed by two staff, do they have all the residents particulars i.e. name date of birth allergies (are the allergies highlighted) is there a iformation card including a photo at the front of each residents mars.
- Are all boxes, creams, eye drops, ointments dated on the day of opening and discarded at the correct time.
- Are the fridge temp and room checked between 10am and 4pm and within the correct temps.
- Are there care plans relating to PRN meds and creams and are these backed up with body maps and pain assessment tools.
- Are errors reported and documented and medical advice sought.
The list goes on but thats a few i can remeber without reading it.
Then there are other audits of ordering,recipet, administering, disposal and iformation
so for us because we use the boots MDS system atm still our audits are ordering using the boots ordering form from the back of the mars, on book in day your documenting how much you recieve, your signing the mar chart to say youve given the medication , at the end of the cycle your book out the returns on the MARS and in the returns book, any information needed to ensure safe administration between staff can be recorded on the back of the drug chart and you can keep a tally of any "overstock" medication you have generally PRNS in the carry forwards box on the MARS and we do that before the first meds round of the new cycle.
A mediation round is observed twice a week ensuring we
- Wash our hands
-Collect the correct equipment MARS ect
- Administer medication according to the MAR chart and dispensing label in the correct way
- Ensure correct storage of medication whilst doing the round ( We are not allowed in our home to leave blister packs on top of the trolley. so we have to take them out flip to the right persons meds then put them back into the trolley and secure the trolley. we also have to close the mars book each time but using a ruler to secure the page to ensure confidentiality.)
-then afterwars ensure correct storage of medication.