Medication Administration –
Observation Checklist
Name: _______________________________
Date: ________________________
Location: ____________________________
Successful
Completion
Skill
Gathers necessary equipment / supplies
Keeps prepared medication and medication book together
Observes the SIX RIGHTS throughout administration
Right Person, Right Medication, Right Dosage, Right Time, Right Route,
Right Documentation
Follows the THREE CHECKS: Compare MAR sheet to prescription
label (before pouring), re-check (as pouring), check again (as return to
storage).
Administers properly prepared medication to proper person.
Ensures medication is swallowed
Completes documentation immediately
Returns supplies to medication cupboard
Locks medication cupboard as necessary
Adheres to good aseptic techniques before, during and after
administering medications (hand washing, cross contamination)
Shows regard for personal safety and safety of others (co-workers &
individuals)
Appropriately handles interruptions
Demonstrates care for individuals’ safety and comfort
Exhibits working knowledge of abbreviations
Checks every MAR for every person
Completion of WRITTEN Test (with 90 % accuracy):_________________________
Comments: _____________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Signatures:
Date:
____________________________
____________________________
Manager Observing
Employee
____________________________
____________________________
Office Use Only:
□ New Employee
Original: Personnel File
□ Probation Extension
□ Medication Retraining
Assistance
Required