Criterion 1.3.12.1 PA All medicines are stored in lockable storage The door to treatment room in Ensure all aspects including controlled drugs, however, the door to the which medication is stored is of medicines A medicines management system is room in the medical unit in which medication is repeatedly left open during management meet implemented to manage the safe and stored is observed to be open and unattended on the audit and is reported by the requirements appropriate prescribing, dispensing, multiple occasions during audit. The medication staff as an ongoing problem, of best practice administration, review, storage, trolley has liquid medications on the bottom shelf, and legislation. disposal, and medicine reconciliation The ambient temperature of including paracetamol elixir. There is a sign on the in order to comply with legislation, medication storage is not door reminding staff to shut it. The manager states protocols, and guidelines. monitored. correct closure of the door is an ongoing issue. 90 days Given the presence of clients with impaired mental Medication prescribing is of functioning, paediatric clients and visiting children an appropriate standards with continued vigilance is required to ensure some exceptions which are medication is secure. areas for improvement including: There is no facility for ambient temperature monitoring of stored medication. The manager - bracketing of dates of states ambient temperatures for stored medications prescriptions are not monitored. - of discontinuation of Review of medication charts shows group medication is not recorded bracketing of dates of prescriptions, dates of - recording of dose limits and discontinuation of medication is not recorded, indications for PRN recording of dose limits and indications for PRN medications medications, prescribing of Vitamin K and syntocinon administered in maternity care. Staff ate - prescribing of Vitamin K and interview note variable compliance with these syntocinon administered in requirements. maternity care. Weekly stocktakes are not reliably recorded Controlled drug - weekly including the measurement of liquids where the stocktakes are not reliably measuring device on the bottle does not provide an recorded including the accurate measure. It is recommended that ward measurement of liquids where stocks of controlled drugs are used rather than the measuring device on the clients own supply following admission. In bottle does not provide an maternity verbal orders from GPs are used for accurate measure. narcotic pain relief. Medicines reconciliation is not Medicines reconciliation is not competed in three of reliably completed on four clinical records on admission.
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 order to comply with legislation, protocols, and guidelines. PA All medicines are stored in lockable storage including controlled drugs, however, the door to the room in the medical unit in which medication is stored is observed to be open and unattended on multiple occasions during audit. The medication trolley has liquid medications on the bottom shelf, including paracetamol elixir. There is a sign on the door reminding staff to shut it. The manager states correct closure of the door is an ongoing issue. Given the presence of clients with impaired mental functioning, paediatric clients and visiting children continued vigilance is required to ensure medication is secure. There is no facility for ambient temperature monitoring of stored medication. The manager states ambient temperatures for stored medications are not monitored. Review of medication charts shows group bracketing of dates of prescriptions, dates of discontinuation of medication is not recorded, recording of dose limits and indications for PRN medications, prescribing of Vitamin K and syntocinon administered in maternity care. Staff ate interview note variable compliance with these requirements. Weekly stocktakes are not reliably recorded including the measurement of liquids where the measuring device on the bottle does not provide an accurate measure. It is recommended that ward stocks of controlled drugs are used rather than clients own supply following admission. In maternity verbal orders from GPs are used for narcotic pain relief. Medicines reconciliation is not competed in three of four clinical records on admission. The door to treatment room in which medication is stored is repeatedly left open during the audit and is reported by staff as an ongoing problem, The ambient temperature of medication storage is not monitored. Medication prescribing is of an appropriate standards with some exceptions which are areas for improvement including: - bracketing of dates of prescriptions - of discontinuation of medication is not recorded - recording of dose limits and indications for PRN medications - prescribing of Vitamin K and syntocinon administered in maternity care. Controlled drug - weekly stocktakes are not reliably recorded including the measurement of liquids where the measuring device on the bottle does not provide an accurate measure. Medicines reconciliation is not reliably completed on Ensure all aspects of medicines management meet the requirements of best practice and legislation. 90 days
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