Get the free Domiciliary Medication Administration Record Request Form

Domiciliary Medication Administration Record Request Form Service Users Name Address D.O.B. GP Surgery Address Telephone Initial Contact details ........................................ Team Contact

How to fill out domiciliary medication administration record

How to fill out domiciliary medication administration record:

1. Begin by writing the patient's name and identification number at the top of the record.
2. Record the date and time of medication administration in the appropriate columns.
3. Write down the name of each medication that needs to be administered.
4. Include the dosage and any specific instructions for each medication.
5. Tick or mark the appropriate box to indicate whether the medication was given orally, topically, intravenously, or by any other route.
6. Note down any observations or side effects observed after administering the medication.
7. If the medication is not administered for any reason, provide an explanation in the "Reason for non-administration" column.
8. Sign and date the record to verify that you have filled it out accurately.

Who needs domiciliary medication administration record:

1. Patients who receive medications at home instead of a healthcare facility may require a domiciliary medication administration record.
2. Home healthcare providers, such as nurses or caregivers, who administer medications to patients in their own residences often use this record.
3. Family members or individuals responsible for managing a patient's medication regimen may also benefit from maintaining a domiciliary medication administration record to ensure proper documentation and tracking of medications administered at home.

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What is domiciliary medication administration record?

Domiciliary medication administration record is a document that records the medication administered to a patient in a home or domiciliary setting.

Who is required to file domiciliary medication administration record?

Healthcare professionals such as nurses or caregivers who administer medication to patients in a domiciliary setting are required to file domiciliary medication administration record.

How to fill out domiciliary medication administration record?

Domiciliary medication administration record should be filled out accurately by documenting the date, time, medication administered, dosage, route of administration, and any adverse reactions.

What is the purpose of domiciliary medication administration record?

The purpose of domiciliary medication administration record is to track and monitor the medication administered to patients in a home or domiciliary setting to ensure their safety and well-being.

What information must be reported on domiciliary medication administration record?

Information such as date, time, medication administered, dosage, route of administration, any adverse reactions, patient's name, and signature of the healthcare professional administering the medication must be reported on domiciliary medication administration record.