Medication Administration Five Rights Audit

Bedside medication administration audit to verify the five rights: right patient, right drug, right dose, right route, right time, and documentation.

Audit Details

• Date and time of audit
• Unit / care area
• Medication administration observed
• Auditor name and role

Right Patient Verification

• Patient identity verified using two identifiers before administration
  Confirm the patient was identified using two approved identifiers before the medication was given.
• Medication administration record matched to the correct patient
  Verify the MAR/eMAR corresponded to the patient receiving the medication.
• Patient allergy status checked before administration
  Confirm allergy information was reviewed and no contraindication was overlooked.

Right Drug, Dose, Route, and Time

• Right drug verified against the medication order
  Confirm the medication selected matched the active order and label.
• Right dose verified before administration
  Confirm the administered dose matched the order and available formulation.
• Right route verified before administration
  Confirm the route used matched the medication order and formulation.
• Right time verified within the approved administration window
  Confirm the medication was administered within the facility-approved time window or documented as delayed per policy.
• Medication label and order were independently cross-checked at bedside
  Verify the medication label, dose, route, and time were cross-checked against the order at the point of care.

Documentation and Closeout

• Administration documented immediately after giving the medication
  Confirm the medication was documented in the MAR/eMAR promptly after administration.
• Required documentation elements completed
  Verify dose, route, time, and any required comments or follow-up notes were documented.
• Any variance, omission, or delay escalated per policy
  Confirm exceptions were reported to the appropriate clinician or supervisor according to policy.
• Auditor signature completed

Corrective Actions

• Deficiencies identified
• Corrective action / follow-up required