Medication Pass Audit - ageiahealthservices.net

Medication pass Audit Medication Assistant: _____. Date: _____ Time: _____ State: _____. NOT DELEGATIONS*. OBSERVATION MET MET CBG. 1. Medication room door closed and locked (OR)? Cart and narcotic bin locked Resident Name: at all times when MA not within visual sight and arm's reach of the cart (WA)? _____. 2. Hands washed prior to beginning of the Medication pass ? pass /Fail 3. Medications pre-popped after all previous medications given (OR)? No pre- popped medications in cart (WA)? SQ Injection (OR). 4. Different forms of medications kept separate in cart? Name: _____. 5. Has this Medication Assistant signed the current MAR (not applicable to pass /Fail communities that utilize E-MAR)? 6. Preparation and assistance with administration of medications done in SQ Insulin Injection accordance with the 5 rights? (OR/WA): 7. Each Medication sheet initialed according to Community procedure and state Name: regulations?

Medication Pass Audit Medication Assistant: _____ Date: _____ Time: _____ State: _____

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