This document contains a monthly audit of medication administration entries from March 2022 through October 2022. It shows percentages of correct documentation of date/time, patient name, in/out times, and other criteria like legible writing and signatures. Notes indicate an order for new stamps, a need to reinforce legible handwriting with new staff, and areas for ongoing staff education around proper documentation of medication fridge temperatures and checking/signing processes. Overall there was steady improvement over the months in accuracy of documentation.
This document contains a monthly audit of medication administration entries from March 2022 through October 2022. It shows percentages of correct documentation of date/time, patient name, in/out times, and other criteria like legible writing and signatures. Notes indicate an order for new stamps, a need to reinforce legible handwriting with new staff, and areas for ongoing staff education around proper documentation of medication fridge temperatures and checking/signing processes. Overall there was steady improvement over the months in accuracy of documentation.
This document contains a monthly audit of medication administration entries from March 2022 through October 2022. It shows percentages of correct documentation of date/time, patient name, in/out times, and other criteria like legible writing and signatures. Notes indicate an order for new stamps, a need to reinforce legible handwriting with new staff, and areas for ongoing staff education around proper documentation of medication fridge temperatures and checking/signing processes. Overall there was steady improvement over the months in accuracy of documentation.
*Reinforce Neat Handwriting* - Improvement seen in pt full name documentation in DD re new staff of the same.
- Poor compliance writing "Checked and Correct", most writi
red pen. - ongoing poor hand writing. - Educate staff on how to check and document medication f and document. Stamp Used Legible name written x 2 RN Discard Entry Dose Included 60% 37% 10 10 21% 23% 3 3 67% 11% 17 17 68% 38% 8 8 35% 60% 7 7 57% 73% 5 5 63% 62% 3 3 38% 76% 5 5