• Medication Administration Competency Assessment

    Assess a healthcare worker’s ability to safely prepare, verify, and administer medications, and document any training or follow-up needs.

  • Respondent and Assessment Details

  • Assessment Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Medication Administration Competency Items

  • Which 5 rights of medication administration are part of your assessment?*
  • What checks should be completed before administering medication?*
  • What is the best first step for hand hygiene before medication administration?*
  • Which route and technique practice is most appropriate?*
  • Rate performance across key medication administration competency areas*
    Rows
  • What should be documented after medication administration?*
  • How should the clinician respond to a medication error or near miss?*
  • Which action best reflects safe patient identification before administration?*

  • Evaluator Comments and Training Follow-Up

  • Required remediation or refresher training
  • Final competency decision*
  • Should be Empty:
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