Nursing Home Medication Administration Checklist

Nursing Home Medication Administration Checklist

Date:                               

Name:

Room Number:

Date of Birth:

Welcome to the Nursing Home Medication Administration Checklist. This tool ensures safe and accurate medication administration. Simply tick the boxes as each task is completed, adhering to facility protocols for efficient and effective care delivery.

Task

Completed

Notes/Comments

Resident Identification and Verification

Confirm resident's identity using two identifiers (e.g., name and date of birth).

  • Yes

  • No

Cross-reference identification with the resident's medical record.

  • Yes

  • No

Medication Order Verification

Review physician's medication order.

  • Yes

  • No

Verify medication name, dosage, route, frequency, and administration time.

  • Yes

  • No

Check for any allergies or contraindications.

  • Yes

  • No

Medication Preparation

Gather necessary supplies.

  • Yes

  • No

Prepare medication according to the prescription and facility protocols.

  • Yes

  • No

Label medication if required by facility policy.

  • Yes

  • No

Administration Process

Administer medication at the scheduled time.

  • Yes

  • No

Verify the resident's willingness and ability to take medication.

  • Yes

  • No

Administer medication using the correct route (e.g., oral, topical, injectable).

  • Yes

  • No

Document administration details (e.g., date, time, dosage, route) on the resident's medication administration record (MAR).

  • Yes

  • No

Monitoring and Observation

Monitor resident for any adverse reactions or side effects.

  • Yes

  • No

Assess vital signs if necessary.

  • Yes

  • No

Document any observed reactions or changes in the resident's condition.

  • Yes

  • No

Resident Education and Counseling

Provide information to the resident and/or family regarding medication purpose, dosage, and potential side effects.

  • Yes

  • No

Offer counseling on medication adherence and management.

  • Yes

  • No

Documentation and Communication

Record medication administration details accurately on the MAR.

  • Yes

  • No

Communicate any concerns or changes in medication status to the healthcare team.

  • Yes

  • No

Document any missed doses or medication refusals.

  • Yes

  • No

Follow-Up and Quality Assurance

Conduct regular audits to ensure compliance with medication administration protocols.

  • Yes

  • No

Review incident reports and address any medication errors promptly.

  • Yes

  • No

Implement corrective actions as needed to improve medication administration processes.

  • Yes

  • No

Disposal of Medications

Dispose of expired or unused medications according to facility policy and regulatory guidelines.

  • Yes

  • No

Document medication disposal appropriately.

  • Yes

  • No

Training and Competency Assessment

Provide ongoing training and education to nursing staff on medication administration procedures.

  • Yes

  • No

Conduct competency assessments to ensure staff proficiency in medication administration.

  • Yes

  • No

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