Specific results for criterion corrective actions are required Where a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there is a message data to display” instead of a table, then no corrective actions were required as a result of this audit. “no Criterion with desired outcome Attainment Audit Evidence Audit Finding Corrective action Rating required and timeframe for completion (days) Criterion 1.2.9.1 PA Low Morning and afternoon shift document the The shift do not Ensure that the time of time that progress notes are written, document the time progress entry is documented for all Information is entered into the however the night shift only document notes are written. progress notes. consumer information ‘nocte’. management system in an accurate and timely manner, 90 days appropriate to the service type and setting. Criterion 1.3.12.1 PA Low The prescribing of medications is completed The signing sheet identified Ensure household on the medication chart by the GP. The the resident had remedies are prescribed as A medicines management system medication charts were legible and signed Ural sachets required or a verbal GP is implemented to manage the by the GP. All required’ medications which were not prescribed order is taken and ‘as safe and appropriate prescribing, had indications for use. One resident on the medication sheet. recorded. dispensing, administration, review, a household remedy, which storage, disposal, and medicine was not prescribed required’. There ‘as reconciliation in order to comply was no evidence of a GP verbal order. 30 days with legislation, protocols, and guidelines.
Specific results for criterion corrective actions are required Where a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there is a message “no data to display” instead of a table, then no corrective actions were required as a result of this audit. Criterion with desired outcome Attainment Rating Audit Evidence Audit Finding Corrective action required and timeframe for completion (days) Criterion 1.2.9.1 Information is entered into the consumer information management system in an accurate and timely manner, appropriate to the service type and setting. PA Low Morning and afternoon shift document the time that progress notes are written, however the night shift only document ‘nocte’. The shift do not document the time progress notes are written. Ensure that the time of entry is documented for all progress notes. 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 Low The prescribing of medications is completed on the medication chart by the GP. The medication charts were legible and signed by the GP. All ‘as required’ medications had indications for use. One resident a household remedy, which was not prescribed ‘as required’. There was no evidence of a GP verbal order. The signing sheet identified the resident had Ural sachets which were not prescribed on the medication sheet. Ensure household remedies are prescribed as required or a verbal GP order is taken and recorded. 30 days
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