Medication Administration Competency Assessment

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
Respondent Full Name
First NameLast Name
Job Title / Role
Department / Unit
Assessor / Evaluator Name
First NameLast Name
Assessment Date
MonthDayYear
Date
Medication Administration Competency Items
Which 5 rights of medication administration are part of your assessment?
Other
What checks should be completed before administering medication?
Other
What is the best first step for hand hygiene before medication administration?
Rate the respondent's preparation and dosage verification skills
Which route and technique practice is most appropriate?

Rate performance across key medication administration competency areas

Rows	Not Demonstrated	Needs Improvement	Competent	Exceeds Expectations
5 rights of medication administration
Allergy and contraindication checks
Hand hygiene and infection control
Preparation and dosage verification
Correct route and technique
Documentation requirements
Response to medication error or near miss
Patient identification steps
Monitoring for adverse reactions
Scenario-based judgment

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