correct authority is notified that was reported to the police and a small fire in 90 days where required. the facility. Criterion 1.3.12.1 PA Moderate Clinical staff interviewed reported a clear and The medication fridge which Ensure that medication safe understanding of the procedures required to contains insulin does not management systems A medicines management ensure safe medicine management as described have temperature monitoring are implemented to system is implemented to in policy. This was verified during an observed occurring and is in very poor reflect safe and manage the safe and medication round. Medicines are reviewed, condition. appropriate prescribing appropriate prescribing, stored and disposed of in a manner which that reflects current dispensing, administration, Pro re nata (PRN) complies with legislation, protocols and legislation, protocols and review, storage, disposal, medications are identified on guidelines. guidelines and current and medicine reconciliation in each resident’s medication best practice. order to comply with Insulin is kept in a separate medication fridge in chart under the same legislation, protocols, and the kitchen but temperature monitoring does not section as regular guidelines. occur. medications. Nine residents 90 days have a separate PRN are three monthly medication computer instruction chart with generated prescriptions which the GP signs at information which does not the bottom for all listed medicines and then the consistently match the pharmacy generates a medicine chart and information on the signing sheets that correspond with what the GP medication chart. has requested. The pharmacy generated medicine sheet has all medications listed in one The general practitioner area and PRN medications are shown in the signs the bottom of each same section as regular medicines. Not all three monthly prescription medication instructions related to PRN and not for each medication. medications are consistent as the instructions on This does not constitute safe the resident medicine chart sometimes differs to or current accepted good what is stated on a separate instruction practice, nor is it in document related to the reason PRN medication accordance with the MoH is to be given. document Care ‘Medicine Guides for Residential Aged Care’ (page 14).
correct authority is notified where required. that was reported to the police and a small fire in the facility. 90 days 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 Moderate Clinical staff interviewed reported a clear and safe understanding of the procedures required to ensure safe medicine management as described in policy. This was verified during an observed medication round. Medicines are reviewed, stored and disposed of in a manner which complies with legislation, protocols and guidelines. Insulin is kept in a separate medication fridge in the kitchen but temperature monitoring does not occur. are three monthly medication computer generated prescriptions which the GP signs at the bottom for all listed medicines and then the pharmacy generates a medicine chart and signing sheets that correspond with what the GP has requested. The pharmacy generated medicine sheet has all medications listed in one area and PRN medications are shown in the same section as regular medicines. Not all medication instructions related to PRN medications are consistent as the instructions on the resident medicine chart sometimes differs to what is stated on a separate instruction document related to the reason PRN medication is to be given. The medication fridge which contains insulin does not have temperature monitoring occurring and is in very poor condition. Pro re nata (PRN) medications are identified on each resident’s medication chart under the same section as regular medications. Nine residents have a separate PRN instruction chart with information which does not consistently match the information on the medication chart. The general practitioner signs the bottom of each three monthly prescription and not for each medication. This does not constitute safe or current accepted good practice, nor is it in accordance with the MoH document ‘Medicine Care Guides for Residential Aged Care’ (page 14). Ensure that medication management systems are implemented to reflect safe and appropriate prescribing that reflects current legislation, protocols and guidelines and current best practice. 90 days
AuditSummary_PRMS_CommunicatePublish_000000970001.docx