Dealing with and recording a medication incident
Service providers are responsible for monitoring patterns of medication incidents and errors.
This responsibility includes reporting errors to the relevant medical practitioner, ensuring the advice of the medical practitioner is followed in addressing an error, documenting any errors on the resident’s medication records and ensuring processes are in place to minimise the risk of continued or future errors.
where the medical practitioner’s advice or instruction involves a change to the original
medication schedule, the advice or instruction is expected to be in writing.
where it cannot be provided in writing, it should be verbally confirmed by the medical
practitioner with either the service provider or staff member. A second service provider
staff member should repeat the instruction back to the medical practitioner for
accuracy, and request confirmation from the medical practitioner in
writing as soon as
written record of the verbal advice from the
medical practitioner should be made as soon
as possible by staff members in the
resident’s medication record and in staff
communication notes used within the service. If
a new prescription is required, the medical
practitioner’s oral instruction must be to the
pharmacist who will be dispensing the