Medication Competency Form Full Name(Required) First Post Date DD slash MM slash YYYY The assessments are an opportunity to identify with the member of staff any training needs and to ensure that the most recent good practice requirements are being followed. Most questions have a ‘yes/no’ response. Where a ‘no’ response has been selected this must be resolved by undertaking the appropriate training. The outcome of the assessment and any action points identified should be documented. The candidate must achieve competence in all assessed areas to successfully complete the assessment. Where competencies are not achieved support will be provided to attain the personal development required and a further training will be completed.COMPETENCY QUESTIONSHas the member of staff completed training on the safe handling of medicines? Yes No CommentsPreparation and HygieneDoes the care staff wash their hands before starting to administer any medication and follow appropriate hygiene measures throughout the medication round? Satisfactory Practice has been followed and it has been observed Not Satisfied CommentsDoes the care staff make sure that everything was properly prepared before starting the medication round, e.g., was there medication cups, jug of water, beakers etc. Satisfactory Practice has been followed and it has been observed Not Satisfied CommentsDoes the care staff know which medication required to administered.? Cross check with the MAR Chart and it has been observed Not Satisfied CommentsConsentBefore preparing or administering the medication does the care staff obtain the person’s consent? Yes, verbal consent has been obtained from the service user and it has been observed Not required Did not took the verbal consent CommentsIf consent was not obtained was this part of a documented protocol for this person, such as covert administration, and is the member of staff satisfied that the correct procedures have been followed in the best interests of the district nurse Covert Medication in place – which is in a written confirmation from the GP Covert Medication in place – which is in a written confirmation from other professionals Carer has followed the service user’s instructions Carer has followed family member’s instructions N/A CommentsSelection and Preparation of MedicationBefore selecting, preparing, or administering any medication does the care staff read the MAR chart accurately? Yes, Satisfactory checks has been carried out and it has been observed Not Satisfied with the steps CommentsBefore selecting, preparing, or administering any medication did the member of staff read the MAR accurately and check for relevant protocols? Yes, Satisfactory checks has been carried out and it has been observed Not satisfied with the steps CommentsWas the correct medication and dose selected at the correct time? Was consideration given to timing in terms of food or other directions on the label? Yes, Satisfactory checks has been carried out and it has been observed Not satisfied with the steps CommentsAdministration of MedicationBefore administering the medication, did the care staff check the seven rights? Right Person Right Medication Right Route Right Dose Right Date and Time Right Outcome / Documentation Right to Refuse CommentsCheck the dose on the MAR matches the dose on the pharmacy label, the external manufacturers packaging and the manufacturers blister pack? Achieved – carer has checked, before prompting the medication Not Achieved – carer has not checked, before prompting the medication CommentsLiquids administered correctly: – correct holding of the medication bottle, appropriate measure, medication dispensed correctly into measure without touching, rinsing of tot etc. Achieved – carer has followed the correct steps and it has been observed Not Achieved – carer has not followed the correct steps Achieved – client does not have the liquid medication in place; however, knowledge has been checkd with the care staff and they are aware of it. Not Achieved – client does not have the liquid medication in place, but the care staff was not aware what procedure needs to follow for the liquid medication. CommentsAny eye drops – did the care staff has added the 'Date Opened' label and date it if open new eye drops / ear drops etc? Achieved – carer has added the dates and followed the correct steps Not Achieved – carer has not followed the correct steps Achieved – client does not have the eye drops in place; however, knowledge has been checkd with the care staff and they are aware of it. Not Achieved – client does not have the eye drops medication in place, but the care staff was not aware what procedure needs to follow for the eye drops medication. CommentsThe client does not have the eye drops, so could not check, but asked for the knowledge and the care staff is aware for the procedure. The carer has explained is very well and I can confirm, that, it's been achieved.Was the medication administered correctly? Glass of Water or Other Fluid offered where appropriately Was a thickening agent used as per protocol Service User was in the Incline Position or in sitting position to swallow the medication effectively Carer did not followed the appropriate method Select AllCommentsDid the care staff visually witnessed that, the service user has swallow their medication? Yes No Not Sure CommentsPRN MedicationAny PRN medication needs to prompt to the client? Yes No Did the care staff followed the PRN Protocol – according to the MAR Chart? Achieved – Yes – satisfied checks has been carried out by the care staff Not Achieved – No – not satisfied with the checks Achieved – client does not have the PRN Medication in place, but the care staff were aware for the PRN Medication Protocol Not Achieved – client does not have the PRN Medication in place, but the care staff was not aware for the PRN Medication Protocol CommentsDid the care staff recorded the PRN Medication in the MAR Chart? Yes – accurately completed the MAR Chart No – not satisfied with MAR Chart Completion Achieved – client does not have the PRN Medication in place, but the care staff was aware for the PRN Medication recording in the MAR Chart. Not Achieved – client does not have the PRN Medication in place, and the care staff were not aware, how to record the PRN Medication in the MAR Chart. CommentsPrescribed CreamDid the care staff monitored / observed the skin integrity of the service user? Yes, observed while providing the personal care No – did not observed as the personal care was not involved No – did not observed while providing the care CommentsDoes the care staff observe the body map chart from the application and apply the cream appropriately? Yes, observed the body map chart No – did not checked the body map chart as the prescribed cream is not in place. However, question has been asked and the care staff is confident to complete the body map chart from the application and to apply the cream appropriately. No – as the personal care was not involve – carer did not checked the body map chart. Hoeever, questions has been asked and the care staff is confident to complete the body map chart from the application and to apply the cream appropriately. CommentsDid the care staff change the had gloves after applying the cream? Yes – observed during the visit No – did not change the gloves No – client does not have the prescribed cream in place, however, appropriate questions has been asked and the care staff is aware, they must have to change the hand gloves after applying the cream. No – client does not have the personal care involve in this care visit, however, appropriate questions has been asked and the care staff is aware, they must have to change the hand gloves after applying the cream. CommentsDid the care staff maintained the privacy and dignity while applying the cream? Yes No No – client does not have the prescribed cream in place, however, appropriate questions has been asked and the care staff is aware, they must have to maintain the privacy and dignity while applying the prescribed cream. No – client does not have the personal care involve in this care visit, however, appropriate questions has been asked and the care staff is aware, they must have to maintain the privacy and dignity while applying the prescribed cream. CommentsStock Control; Ordering Medication; Storage of MedicationHow did the care staff has stored the medication? Keep in cool and dry place Follow the pharmacy instructions to keep medication safe Keep medication away from direct sun-light Eye drops / ear drops – keep in the fridge below the 20 degree temperature Did not followed it. Select AllCommentsWhen the care staff to report to the office / family member / service uses to make sure enough medication is available for the service user? A Week Before – When opening the last blister pack When prompting the last medication CommentsKnowledge AssessmentWhat would you do if you administered medication to the wrong service user? Inform Senior or On-call Contact GP Contact to the Pharmacy or 111 Contact to 999 when there are any life threatening condition Inform service user and give reassurance Monitor service user Complete incident report Record in service users care notes and ensure discussed at handover Inform family/ relevant others No action needed Select AllWhat would you do if you found that previous medication had not been administered? Inform Senior or On-call Contact GP Contact to the Pharmacy or 111 Contact to 999 when there are any life threatening condition Inform service user and give reassurance Monitor service user Complete incident report Record in service users care notes and ensure discussed at handover Inform family/ relevant others No action needed What would you do if a service user declines medication? Follow any administration strategies as detailed in Health Action/ Care Plan (e.g. another staff member to support administration) Record declining of medication clearly on MAR chart Record declining of medication in daily log/care records and ensure discussed at handover The manager must be informed. They will make a judgement about whether to seek further advice from the pharmacist/G.P if declining medication may be immediately detrimental to individuals health. Consistent refusal of medication for a period of 72hours should be alerted to GP No action needed Select AllWhat would you do if you dropped the medication onto the floor/ground? Administer a replacement tablet from end of current blister pack or non-active blister pack if last dose in current pack Contact pharmacist/ GP surgery to arrange replacement medication Record that medication dropped on reverse of MAR chart Prepared the discarded medication for return to pharmacy using the appropriate recommended system provided by pharmacy Ensure information is discussed at handover No action needed Select AllScenario Based DiscussionYou are assisting a service user with their medication. The dosage marked on the blister pack/box is unreadable .You think it should be two (2) tablets three times a day. What would you do? Answered correctly Answered was not given correctly Do not give medication until advice has been sought. Contact GP if able to, to confirm the prescription and arrange issue of new prescription. Alert manager to issue. Record actions on incident form, reverse of MAR chart and in service user’s care plan if changes to prescription are confirmed. Record in professional contacts notes.Summary DetailsFurther space for assessor to record any other questions askedCandidate’s Comments:Summary of feedback to staff memberTrainee Name: First Date DD slash MM slash YYYY Carer Signature:Supervisor’s ConfirmationI can confirm that on this day, I assessed the trainee as Competent Not Competent Awaiting Further Evidence (Where competencies have not been met, the candidates and supervisor / line manager should be discussed on the topics which required improve or arrange an additional training session / reassessment in the workplace.)Supervisor's CommentsDisplays a robust comprehension of medications and adheres to safe medication practices consistently. Executes all medication-related responsibilities flawlessly, demonstrating expertise in assisting clients with their medication requirements.Action Plan Required? Yes No Action PlanFull Name First Date DD slash MM slash YYYY SignatureAudit SectionAny Action Required during Audit? Yes No Action PlanAudited By Full Name Date DD slash MM slash YYYY Signature
