Criterion 1.3.12.1 PA Low Medicines management was Six monthly reviews and The pharmacist to implemented to manage the stocktake of the controlled complete six monthly A medicines management system is implemented to safe and appropriate drug register by a stock reviews of manage the safe and appropriate prescribing, prescribing, dispensing, pharmacist was not controlled drugs. dispensing, administration, review, storage, disposal, administration, storage, completed. and medicine reconciliation in to comply with disposal, and medicine legislation, protocols, and guidelines. reconciliation however this did 30 days not include six monthly reviews of controlled drugs by the pharmacist. Criterion 1.3.12.5 PA The service had two residents The RN’s complete Residents who Moderate who self-administer competency assessments medicines The facilitation of safe self-administration of medicines medicines. The medicines on the residents who are to have their by consumers where appropriate. that were self-administered by considered able to competency the residents were an inhaler medicines assessments signed off and Panadol for use when however the GP was not by the GP, RN’s to needed. The resident’s files signing off the complete checks to were reviewed for assessments. Registered ensure the residents competency assessments and nurses were not checking have taken their sign off by the GP, monitoring with the residents who medicines on each shift and documentation of medicines that and the residents to medicines administration and they have taken all have locked storage for storage of the medicines. medicines on each shift and their medicines. the residents did not have secure storage for their medicines. 30 days Criterion 1.3.3.4 PA Low Handover records were Continuity of care through Continuity of care requested for review to verify handover could not be through handover to be The service is coordinated in a manner that promotes continuity of care through the verified. demonstrated in written continuity in service delivery and promotes a team handover process for the records. approach where appropriate. residents who had an in-depth review of care completed on their files. Interview with the 30 days registered nurses confirmed that handover notes were destroyed after use and
Criterion 1.3.12.1 A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in to comply with legislation, protocols, and guidelines. PA Low Medicines management was implemented to manage the safe and appropriate prescribing, dispensing, administration, storage, disposal, and medicine reconciliation however this did not include six monthly reviews of controlled drugs by the pharmacist. Six monthly reviews and stocktake of the controlled drug register by a pharmacist was not completed. The pharmacist to complete six monthly stock reviews of controlled drugs. 30 days Criterion 1.3.12.5 The facilitation of safe self-administration of medicines by consumers where appropriate. PA Moderate The service had two residents who self-administer medicines. The medicines that were self-administered by the residents were an inhaler and Panadol for use when needed. The resident’s files were reviewed for competency assessments and sign off by the GP, monitoring and documentation of medicines administration and storage of the medicines. The RN’s complete competency assessments on the residents who are considered able to medicines however the GP was not signing off the assessments. Registered nurses were not checking with the residents who medicines that they have taken all medicines on each shift and the residents did not have secure storage for their medicines. Residents who medicines to have their competency assessments signed off by the GP, RN’s to complete checks to ensure the residents have taken their medicines on each shift and the residents to have locked storage for their medicines. 30 days Criterion 1.3.3.4 The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate. PA Low Handover records were requested for review to verify continuity of care through the handover process for the residents who had an in-depth review of care completed on their files. Interview with the registered nurses confirmed that handover notes were destroyed after use and Continuity of care through handover could not be verified. Continuity of care through handover to be demonstrated in written records. 30 days
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