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This is Rosa

Rosa has a heart condition - Ventricular Tachycardia and Patent Foramen Ovale

She is Prescribed Nadolol 60mg which she takes 3x 20mg before bed

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This is Mohammed

Mohammed has recently been diagnosed with a significant and painful ear infection.

He is prescribed Amoxicillin, 500mg tablets 3 times a day

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This is Fatima

She has a Diagnosis of Tourette's.

She is prescribed Aripiprazole oral solution 10ml which she takes once a day

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This is Fatimas Aripiprazole you have collected from the pharmacy. Please use this to update your central medication log and transcribe onto the relevant MAR sheet.

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This is Mohammeds Amoxicillin you have collected from the pharmacy. Please complete the central medication register and the relevant MAR sheet.

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Now that you have completed the necessary checks on Mohammed’s MAR sheet, you are ready to administer his medication. Using the comments section, provide a detailed, step-by-step guide outlining the full administration process. Your response should clearly describe each stage — from retrieving the medication from secure storage to administering it to Mohammed — in line with protocols and procedures, health and safety demonstrating safe practice at every step including using the 3 dot method.

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This is Roas Nadolol youve collected from the pharmacy, please update the central medication log and transcribe onto the relevant MAR sheet.

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Once Mohammed’s medication has been administered and recorded on the MAR sheet, there are several important steps that must still be completed to ensure safe practice, proper documentation, and the wellbeing of the young person.

Using the comments section, list all of the tasks and checks you would carry out immediately after administration. Consider what needs to happen in relation to storage, documentation, security, and the young person themselves. Be as detailed as possible, following protocol and best practice — without missing any key steps

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Now that you have completed the necessary checks on Fatima’s MAR sheet, you are ready to administer her medication. Using the comments section, provide a detailed, step-by-step guide outlining the full administration process. Your response should clearly describe each stage — from retrieving the medication from secure storage to administering it to Fatima in line with protocols and procedures, health and safety demonstrating safe practice at every step including using the 3 dot method.

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Now that you have completed the necessary checks with Rosa on her MAR sheet, you are ready to support her with administering her medication. Using the comments section, provide a detailed, step-by-step guide outlining the full administration process. Your response should clearly describe each stage — from her retrieving the medication from secure storage to administering it to herself — in line with protocols and procedures, health and safety demonstrating safe practice at every step including using the 3 dot method.

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You have taken Mohammed to the GP due to concerns about an ongoing ear infection. He has been taking Amoxicillin, but following examination, the doctor has now prescribed Otic (ear drop) medication due to the severity and persistence of the infection. The medication is to be administered directly into the ear twice daily. However, on returning to the home, you realise that yourself and some of the current staff on shift are not trained or assessed as competent in administering ear drops. Additionally, the child has expressed that, due to his faith and cultural values as a Sikh, he prefers any medical procedures involving touch near his head or turban to be carried out by male staff where possible. He has always been supported with sensitivity around this and usually finds medical appointments distressing if this preference isn’t respected. The medication needs to be started as soon as possible, but there are no trained male staff available on shift today. What would you do?

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Once Fatima’s medication has been administered and recorded on the MAR sheet, there are several important steps that must still be completed to ensure safe practice, proper documentation, and the wellbeing of the young person. Using the comments section, list all of the tasks and checks you would carry out immediately after administration. Consider what needs to happen in relation to storage, documentation, security, and the young person themselves. Be as detailed as possible, following protocol and best practice — without missing any key steps

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Once Rosas medication has been self administered and recorded on the MAR sheet, there are several important steps that must still be completed to ensure safe practice, proper documentation, and the wellbeing of the young person. Using the comments section, list all of the tasks and checks you would carry out immediately after administration. Consider what needs to happen in relation to storage, documentation, security, and the young person themselves. Be as detailed as possible, following protocol and best practice — without missing any key steps

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Fatima has been prescribed Aripiprazole in oral liquid form as part of her treatment plan for Tourette’s Syndrome. She is gradually working towards self-administration, in line with her placement plan and risk assessment. Currently, she is approved to independently draw up her own medication into an oral syringe, under staff supervision. This is part of a plan to promote her independence and give her a greater sense of control over her health. Today, during her evening medication routine, the child successfully draws up the correct dose into the oral syringe and takes this. However, in an unexpected moment triggered by a tic, she lifts the medication bottle to her mouth and takes a drink directly from it, before staff can intervene. This has never happened before, and it poses a significant risk. She appears unaware of the seriousness of the incident and becomes confused and upset when staff attempt to explain what happened. There is no clear indication of how much medication, if any, she may have consumed beyond the prescribed dose. What would you do?

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Rosa has a serious health condition that requires consistent and carefully monitored medication. She also has learning needs, but over time has developed a strong, independent routine around self-administering her medication with minimal support. This routine has become an important part of her daily structure and emotional regulation. Recently, following a medical review, her medication has been changed to a new type that is essential to managing her condition safely. However, the new medication is completely different to what she is used to — including changes in the name, colour, shape of the tablet, packaging, and the time of day it must be taken. Since the change, she has become distressed and anxious, repeatedly saying the new medication is “wrong.” Despite reassurance and explanation, she has refused to take it, believing it is a mistake. This has now resulted in missed doses, raising concern due to the importance of maintaining consistent treatment for her condition. What would you do?

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Evidence-based recommendations for the health and social care sector, developed by independent committees, including professionals and lay members, and consulted on by stakeholders.

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Find guidance, advice and information for health, public health and social care professionals.

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60.00 - POLICY - Administration of Medication

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60.00 - POLICY - Administration of Medication

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62.00 PROCEDURE - Medication Error Procedures ALL SERVICES

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62.01 - Medication Error - Suggested Actions 19 12 2018