South West Medicines Management Training Scheme Post Course Assessment - Module 1 Item Log (Appendix 5) Assessment of Patient's Own Candidate Name……………………………………..Trust……………………………………….. Prescription Label Contents Quality/Other Intervention Approve or Candidates Checkers Error Item Patient Record error if Record error if Record if Record error or Reject/ initials/ initials/ Found no initials or Medicine Name & Strength Form found found found if Referral Other signature signature (see code) number (enter code) code) (enter code) found (I/R) (A/R/0) (enter code) 1 2 3 4 5 6 7 8 9 10 Error codes: 1. Prescription Errors 2.Label Errors 3. Contents Errors 4. Quality Problems There is no scope for error within this Medicine name Medicine name Identity of medicine Inappropriate container / closure module Medicine strength Medicine strength Medicine strength Medicine stored inappropriately Medicine form Medicine form Medicine form Damaged / deteriorated Frequency Directions Excess quantity Unclean Medicine not prescribed Additional warnings Expired contents Patients name Mixed tablets / brands Missing label Insufficient quantity
South West Medicines Management Training Scheme Post Course Assessment - Module 1 Item Log (Appendix 5) Assessment of Patient's Own Candidate Name……………………………………..Trust……………………………………….. Item no Patient initials or number Medicine Name & Strength Form Prescription Record error if found (enter code) Label Record error if found code) Contents Record if found (enter code) Quality/Other Record error if found (enter code) Intervention or Referral (I/R) Approve or Reject/ Other (A/R/0) Candidates initials/ signature Checkers initials/ signature Error Found (see code) 1 2 3 4 5 6 7 8 9 10 Error codes: 1. Prescription Errors Medicine name Medicine strength Medicine form Frequency Medicine not prescribed 2.Label Errors Medicine name Medicine strength Medicine form Directions Additional warnings Patients name Missing label 3. Contents Errors Identity of medicine Medicine strength Medicine form Excess quantity Expired contents Mixed tablets / brands Insufficient quantity 4. Quality Problems Inappropriate container / closure Medicine stored inappropriately Damaged / deteriorated Unclean There is no scope for error within this module
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