Proposed Residential Care Medication Chart Sector Feedback Questions

Anupdated draft medication chart building on the feedback received previously and sector experiences is being piloted in seven sites. In addition, views are sought on the proposed chart’suseabilityand underlying processes from:

  • Aged Residential Care (ARC) providers and staff
  • general practitioners
  • community pharmacists
  • District Health Boards (DHBs) and staff
  • sector representative groups
  • other interested parties.

Your views are important to us and we invite you to participate.

We welcome views from individuals and organisations.

The Residential Care Medication Chart and Process Explained document contains information on the updated design and underlying processes in more detail.

Please ensure that your response is received no later than5pm on 11 June 2013. You can send your response by one of these methods:

  • Complete the online form at
  • Email this completed form to
  • Fax this completed form to 04 567 8571.

If you have any queries regarding this form please contact David Mitchell at

All responses will be treated confidentially and a summary report on responses received will be available on the Commission’s website at the end of feedback exercise.

Information about you and your organisation

This will help us with the analysis of the feedback received.

Your job role or title:
Your organisation name:

How would you describe your organisation? (please tick the most appropriate box)

Aged residential care facility

General practice

Community pharmacy

DHB

Sector representative group

Professional college and/or society

Other stakeholder (please specify)

Are you making this submission

As an individual

On behalf of an organisation

Your views on the proposed residential care medication chart

1.Looking at the proposed residential care medication chart design, please indicate whether each section of the chart meets your medication management needs by ticking the appropriate box and providing comments on why.

  1. Front Sheet

Yes

No

Comments
  1. Printed Chart

Yes

No

Comments
  1. Medicines Order

Yes

No

Comments
  1. Verbal Order

Yes

No

Comments
  1. Signing Sheet for packed medicines

Yes

No

Comments
  1. Signing Sheet for non-packed medicines or PRN administration

Yes

No

Comments

2.Medicine images have been included on the Printed Chart as a safety feature, do you agree that the images are a safety feature?

Yes

No

Comments

3.Is the way that the medicine dose has been split into dosage form, strength and strength units understandable? If no, please suggest an alternative format.
Below is an example of a completed medicine line.

Yes

No (please suggest an alternative format below)

Suggest alternative format

4.Should the Signing Sheet include a summary medicines list with details of dose and frequency?

Yes

No

Comments

5.Would you support the inclusion of a comments field for each administration block on the Signing Sheet to allow staff to record events such as missed doses or residents refusing to take one of the required medicines? Below is an example of the comments field.

Yes

No

Comments

6.Would you use thisproposed chart?

Yes (go to question 8)

No (go to question 7)

7.What would need to change for you to use it?

Your views on the proposed medication charting process

8.Looking at the proposed medication charting process, are there any steps missing?If yes, please detail missing or different steps.

Yes

No

Detail missing or different steps

9.How different are the following proposed steps from your current medication charting process? (please tick the most appropriate box):

Very Different / Different / Similar / Very similar / Identical / Don’t know / N/a
1. Prescriber reviews the resident
2. Prescribing decisions
3. Stop instructions recorded on the Printed Chart
4. New medicines and changed doses recorded on the Medication Chart
5. Printed Chart and Medicines Order sent to Pharmacy
6. Prescriptions and Printed Chart generated
7. Printed Chart and prescriptions sent to the prescriber
8. Medicines prepared and Signing Sheet generated
9. Prescriptions and updated Printed Chart checked and signed by the prescriber
10. Signed Printed Chart sent to Care Facility
11. Medicines and Signing Sheet sent to the Care Facility
12. New signed Printed Chart added to the residents record to replace existing Printed Chart and Medicines Order
13. Medicines checked against resident’s Medication Chart
14. Medicines administered against resident’s Medication Chart
Please detail any significant differences to your current process

10.If this was the finalised process for medication charting, what challenges do you see to introducing this process?

11.Would you use thisproposed process?

Yes (go to question 13)

No (go to question 12)

12.What would need to change for you to use it?

Further comments

13.Do you have any further comments about the proposed Residential Care Medication Chart or process?

Thank you for taking the time to respond

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