Medication Administration Technician -- Competency Checklist

Name______

Scoring: O = outstanding S = satisfactory I = improvement needed N/A = Not Applicable

Note: Variables are to be reviewed and assessed according to facility policy/procedure and the individual’s assigned job duties and/or job description.

Variable / Finding / Comments
Accurately completes count of controlled substances (if applicable) at start of shift with off-going nurse.
Oral [PO]. Medications
Washes hands before beginning
Maintains security of medications on cart or counter
Compares medication label to Administration Record and verifies before and after pouring med, checks allergies and expiration date
Verifies resident identification
Informs resident of intent to administer medications and provides instructions where necessary
Takes vital signs where indicated
Administers medication at correct time
Administers medication in correct dosage
Maintains security of medications on cart or counter
Demonstrates awareness of instructions (e.g. shake well, do not crush).
Pours liquids at eye level and measures accurately. Uses appropriate syringe to draw up smaller amounts of liquid med
Stays with resident while medication is consumed
Records initials on MAR
Eye drop Administration
Checks expiration date
Checks bottle against MAR before administering
Washes hands before administration
Verifies resident identification
Informs resident of intent and provides instructions, provide tissue if needed
Administers drops into lower eye sac
Administers correct number of drops
Administers drops to correct eye
Administers drops at correct time
Washes hands after administration
If using multiple medications waits appropriate time between administration of each drop/medication
Initials / Signs MAR
Metered Dose / Inhalers
Washes hands before administration
Checks inhaler against MAR before administering
Verifies resident identification
Informs resident of intent and provides instructions.
Shakes container well.
Positions the inhaler properly in front of resident’s mouth or uses spacer
Waits one minute between puffs
Administers inhalant at the correct time
Administers correct number of puffs to resident
Washes hands following administration
Documents administration in MAR
Washes hands before administration
Insulin Administration
Checks expiration date on insulin vial.
Checks vial against orders in MAR.
Rolls insulin to mix without generating bubbles
Draws correct dose of insulin and checks again against order.
Uses gloves.
Selects appropriate site.
Cleanses site appropriately.
Injects at 45 degree angle
Does not recap and discards properly in sharps box.
Records site of administration and initials in MAR.

Comments / recommendations for training (optional):

Signature of Supervisor ______Date______

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