Medication Audit (Weekly)

Use this Weekly Medication Audit Checklist to track medication administration, MAR chart entries, stock levels, etc. to maintain safe, hygiene practices on a weekly basis. References: CQC Regulation 12 (Safe Care and Treatment), Regulation 9 (Person-Centered Care), Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, NICE Guidelines on Medicines Management, Care Act 2014, PAMS (Patient Administration Medication System) Audits, Data Protection Act 2018 (for handling personal and medical data related to MAR charts).

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Medication Audit (Weekly)

General Information

Medication Records And MAR Chart Accuracy

Stock Management And Medication Balancing

PRN Medication Protocol

Time-Sensitive And Variable Dose Medications

Non-Administration And Medication Refusal

Administration Of External Preparations And Homely Remedies

Audit Follow-Up

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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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Medication Audit (Weekly)

1. Total Number of Residents taking Medication

2. Total Number of Residents taking PRN

1. Are MAR charts completed correctly for all residents?

2. Are medication start and stop dates recorded on the MAR charts?

3. Is the medication dosage correctly recorded and aligned with the prescription?

4. Do the medicine labels match what is written on the MAR sheet?

5. Does the MAR match the record of current medications in the resident’s care plan?

6. Are handwritten entries signed and countersigned with the date?

7. Are reasons for non-administration of medications recorded and coded accurately?

8. Are drug allergies correctly recorded on the MAR charts?

9. Are there any gaps present on the MAR sheet, and have they been explained?

10. For variable doses, is the amount administered recorded appropriately?

11. Are signatures clear, legible, and can staff members be identified?

12. Handwritten additions are clearly written, signed, dated, and countersigned.

1. Is the quantity of medication received signed and dated?

2. Is the quantity of PRN (as needed) items noted?

3. Does the number of tablets left match the balance expected on the MAR?

4. Do all medicines have sufficient stock to last the next seven days?

5. Has the balance of PRN medications been updated, and does it match the expected amount?

1. Is the use of PRN (as needed) medications documented with reasons and outcomes?

2. Is there a PRN protocol in place, and are the reasons and outcomes of PRN medications recorded accurately?

3. Are PRN doses variable, and is the amount administered correctly recorded?

1. Are time-sensitive medications (e.g., Levothyroxine, Lansoprazole) administered at the correct times, and is the time recorded?

2. For time-specific medication, are the administration times consistent?

3. Is the amount administered for variable doses recorded appropriately on the MAR?

1. In any case where medication has not been administered, is the correct code used, and is an explanation provided on the reverse of the chart?

2. In cases where residents refuse to take their medication, is there evidence recorded in care or other records regarding further action to be taken?

3. Is medication refusal recorded, and is follow-up action documented in care notes?

1. Is the administration of all external preparations (e.g., creams, ointments) recorded and signed for?

2. Has the use of homely remedies been recorded appropriately?

1. Have actions from last week’s audit been completed?

2. If no, re-state the action here in the appropriate column and highlight as outstanding since the noted date.