Ordering of Medication for Care Homes

Good Practice Guidance for Care Homes Observation of Medication Administration Sheet

Staff Name: Position:

Staff qualifications: Date: Care Home Name: Observed by: Name of resident receiving medication (initials only): Medication type(s) / administration techniques observed as administered (Please tick box when observed). Note that all administration techniques used within the service should (if possible) be observed during this assessment Dispersible / Cream / Soluble/ Sachet or Oral tablet Oral liquid Inhalers ointment / gel / Effervescent powder patch tabs Observed (please tick) Used correctly? Y N Y N Y N Y N Y N Y N Invasive e.g. Eye, ear, nose Ear or nasal Scalp Enteral feed BGM, Covert or drops/ spray application (PEG) suppository / crushed ointment catheter Observed (please tick) Used correctly? Y N Y N Y N Y N Y N Y N

Please Tick Did the Staff Member? Yes No N/A &/or Comments Wash hands before commencing? Use appropriate hand hygiene at the point of patient contact, e.g. wear gloves if physically handling medication or service user (e.g. administering creams, eye/ear/nose drops)? Check identity of service user? Did staff member make reference to the individuals MAR chart photo or pen picture to aid identification? Correctly identify medication and confirm that MAR chart Instructions match those on MDS &/or meds container label Check any administration details on MAR chart / service user support plan? (E.g. take with food, take 1 hour before food or specific preferences etc). Confirm that the service user was willing and able to receive the medication before opening packets? Extract correct dosage (e.g. correct no. of tablets, correct liquid dosage)? If liquid medication measured, was correct measuring device used, e.g. oral syringe / 5ml pharmacy spoon etc. If “PRN” medication was resident asked if this was required? If dose variable (e.g. 1 or 2) was this offered/given correctly? Offer medication to the service user, with a drink of water if appropriate? Did carer supervise resident until all medication taken? Sign MDS record only once medication has been taken? Record appropriately if medication not taken, and why? Observation of Administration Sheet. NHS Tees Guidance (KTHS). March 2012. Review Feb. 2014 Record “PRN” medication correctly Lock away medication and records and leave the area in an orderly fashion? Additional Comments

Observation of Administration Sheet. NHS Tees Guidance (KTHS). March 2012. Review Feb. 2014