comprehensive and timely manner. Criterion 1.3.8.2 Evaluations are documented, PA Low There is no written six monthly Ensure written evaluations 60 HDS(C)S.2008 consumer-focused, indicate the evaluation in one hospital and one are completed six monthly. degree of achievement or rest home file. response to the support and/or intervention, and progress towards meeting the desired outcome. HDS(C)S.2008 Standard 1.3.12: Consumers receive medicines in PA Moderate Medicine a safe and timely manner that Management complies with current legislative requirements and safe practice guidelines. HDS(C)S.2008 Criterion 1.3.12.1 A medicines management PA Moderate 1) is no evidence of six monthly 1) Ensure the pharmacy 30 system is implemented to pharmacy audits of controlled drugs. complete a pharmacy audit manage the safe and 2) The standing order form does not of controlled drugs six appropriate prescribing, comply with Ministry of Health monthly. 2) Ensure the dispensing, administration, standing order guidelines 2012. 3) standing order form meets review, storage, disposal, and There is transcribing on three out of current guidelines 3) medicine reconciliation in order 10 PRN medication administration Transcribing is to cease. 4) to comply with legislation, forms. 4) The fentanyl patch is being Ensure correct protocols, and guidelines. signed when applied on the regular administration signing sheets oral medication signing sheet. There are used. 5) Ensure the GP are two signing sheets in place for signs for discontinued one resident on XXXX. One form is medications. 6) All PRN for three times a day and the medications prescribed pharmacy generated signing sheet is require an indication for use. for four times a day. 5) Two out of 10 medication charts did not have a GP signature for discontinued medications. 6) Nine out of 10 medications charts did not have an indication for use of PRN medications. Standard 1.4.6: Consumers are provided with PA Moderate HDS(C)S.2008 Cleaning And safe and hygienic cleaning and Laundry Services laundry services appropriate to the setting in which the service is being provided.
comprehensive and timely manner. HDS(C)S.2008 Criterion 1.3.8.2 Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the support and/or intervention, and progress towards meeting the desired outcome. PA Low There is no written six monthly evaluation in one hospital and one rest home file. Ensure written evaluations are completed six monthly. 60 HDS(C)S.2008 Standard 1.3.12: Medicine Management Consumers receive medicines in a safe and timely manner that complies with current legislative requirements and safe practice guidelines. PA Moderate HDS(C)S.2008 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 1) is no evidence of six monthly pharmacy audits of controlled drugs. 2) The standing order form does not comply with Ministry of Health standing order guidelines 2012. 3) There is transcribing on three out of 10 PRN medication administration forms. 4) The fentanyl patch is being signed when applied on the regular oral medication signing sheet. There are two signing sheets in place for one resident on XXXX. One form is for three times a day and the pharmacy generated signing sheet is for four times a day. 5) Two out of 10 medication charts did not have a GP signature for discontinued medications. 6) Nine out of 10 medications charts did not have an indication for use of PRN medications. 1) Ensure the pharmacy complete a pharmacy audit of controlled drugs six monthly. 2) Ensure the standing order form meets current guidelines 3) Transcribing is to cease. 4) Ensure correct administration signing sheets are used. 5) Ensure the GP signs for discontinued medications. 6) All PRN medications prescribed require an indication for use. 30 HDS(C)S.2008 Standard 1.4.6: Cleaning And Laundry Services Consumers are provided with safe and hygienic cleaning and laundry services appropriate to the setting in which the service is being provided. PA Moderate
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