Guide
Medication management audit guide
Medication is a recurring source of inspection findings and notifiable incidents. A monthly audit covering these areas catches most problems while they are still administrative rather than clinical.
MAR charts and records
Check for handwritten entries that are signed and witnessed, gaps without a code, correct use of codes, allergies recorded, and photographs and identifying details present where required.
Storage and temperature
Medication storage should be secure and within recommended temperature ranges, with fridge and room temperatures recorded daily and action taken on out-of-range readings.
Controlled drugs
Balance checks against the register, two signatures where required, secure storage, and a clear destruction and return process with records.
PRN and variable doses
Every PRN medicine should have a protocol saying what it is for, the dose range, the minimum interval and what to do if it does not work. Records should show why a dose was given and its effect.
- PRN used for distressed behaviour reviewed as potential restrictive practice
- Variable doses recorded with the actual amount given
- Time-critical medicines given within their window
Competency and training
Staff administering medication should have completed training and a practical competency assessment, reassessed at the interval your policy sets and after any error.
Errors, ordering and stock
Errors should be recorded, investigated, notified where required and analysed for themes. Ordering, receipt, carry-over stock and returns should reconcile, since stock discrepancies often reveal missed doses.
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