Medication Competency Checklist - Domiciliary Care

Medication competency assessment checklist for UK homecare providers: practical audit template for staff medication administration, covering safe handling, documentation and escalation.

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Medication Competency Checklist - Domiciliary Care



Training, Knowledge & Escalation

1. Has the member of staff completed approved medication training?


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2. Can the member of staff clearly explain the difference between prompting, assisting and administering medication?


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3. Can the member of staff accurately describe the 6 Rights of Medication?


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4. Can the member of staff explain the correct procedure for errors, refusals, missed doses and missing medication?


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5. Can the member of staff explain when and how concerns should be escalated, including if a person becomes unwell after medication?


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Care Plan, Consent & Responsibility

1. Has the member of staff checked the Care Plan to confirm whether the person self-administers, requires support or requires full administration?


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2. Has the level of medication support been confirmed before providing assistance?


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3. Was consent obtained before medication was administered and was refusal respected appropriately?


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4. If consent could not be obtained, was documented best interest decision-making followed?


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5. Has responsibility for ordering and storing medication in this home been confirmed?


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Preparation, Hygiene & Safe Handling

1. Were hands washed before and after medication administration?


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2. Were gloves worn when applying creams, ointments or patches?


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3. Was all required equipment prepared before medication was removed from packaging?


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4. Was medication handled using a no-touch technique where appropriate?


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5. Were reasonable steps taken to minimise distraction during medication administration?


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Accuracy Checks Before Administration

1. Was the correct person identified before preparing medication?


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2. Was the MAR checked before handling medication and was it confirmed that the dose had not already been given?


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3. Was the correct medication, dose, time and route confirmed against the MAR and pharmacy label?


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4. Were expiry dates checked and special instructions followed?


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5. Was any liquid medication poured at eye level using an appropriate measuring device?


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6. If instructions were unclear or conflicting, was clarification sought before administration?


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Safe Administration Technique

1. Was the person informed clearly about the medication being given and offered a drink where appropriate?


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2. Was oral medication observed to be swallowed before being recorded as taken?


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3. Was the inhaler technique supervised correctly and was the mouth rinsed if required?


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4. Was topical medication applied to the correct site using appropriate hygiene measures?


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5. Was privacy, dignity and person-centred communication maintained throughout?


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Recording & Documentation

1. Was the MAR signed immediately after medication was administered and never before?


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2. Were refusals, omissions and PRN medication recorded correctly with reason and effect where required?


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3. Were no MAR entries left blank?


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4. Were records returned to the agreed safe location after use?


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Storage, Stock & Disposal

1. Was medication stored safely in the agreed location within the home and kept secure where necessary?


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2. If refrigerated medication was present, was the fridge functioning and used appropriately?


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3. Was medication returned to safe storage immediately after administration?


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4. Was sufficient stock available for upcoming visits and were shortages reported promptly?


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5. Does the member of staff understand the correct process for ordering, transporting and returning medication for disposal, including not disposing of medication in household waste?


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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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