Medication Incident Report

A form for medication errors, near misses, refusals with risk and adverse reactions.

Preview of the first page of Medication Incident Report
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Client group
Registered NDIS providers: directors, quality and compliance staff, house and team leaders.
Practice setting
Registered NDIS providers, including supported independent living homes.
Format
Templates and planning tools
Details
A4 PDF, printable
Pages
3
Editable version
Word (.docx), for Plus members
Demographics
Practitioners
Age groups
Practitioners and teams
Access
Plus members
Resource code
PP-NDIS-138
Version
1.0

Higher-risk topic: use this resource only within your training, supervision and organisational procedures.

About this resource

The Core Module expects workers to know what to do after a medication incident. This form walks through the immediate response, the people contacted, the type of error and what will change. Add the incident to your Incident Register.

Purpose

A form for medication errors, near misses, refusals with risk and adverse reactions.

Who it is for

Primary profession: NDIS providers and support coordinators. Also relevant for disability support workers, positive behaviour support practitioners.

Client or participant group: Registered NDIS providers: directors, quality and compliance staff, house and team leaders.

Practice setting: Registered NDIS providers, including supported independent living homes.

Suggested uses

  • Day-to-day records for a registered provider
  • Audit evidence that a process is used in practice
  • Induction and team training

Instructions for practitioners

  1. Add your organisation's name and details, and delete what does not apply.
  2. Show workers how and when to use it, and where completed copies are stored.
  3. Complete it at the time, in plain and respectful language.
  4. Check a sample regularly and add any improvements to your Continuous Improvement Register.

Accessibility considerations

Clear tables with room to write. The Word version can be filled in on screen.

Scope and limitations

An editable template and practical record. It is not legal advice and does not by itself show that a provider meets the NDIS Practice Standards. Check it against the current Practice Standards, NDIS rules, your registration groups and your state or territory's laws, and adapt it to how your service really works.

Higher-risk topic: use only within your training, supervision and organisational procedures.

Research basis

The Core Module expects records that clearly identify each participant's medication and dose, workers who understand effects, side effects and what to do after an incident, and secure storage accessed only by trained workers. National guidance sets out principles for managing medicines in the community. The NDIS incident management rules require registered providers to record, respond to and learn from incidents, keep incident records for 7 years and notify the NDIS Commission of reportable incidents within set timeframes: most within 24 hours of key personnel becoming aware, with a further report within 5 business days.

What is included

A 3-page printable A4 PDF, including a practitioner notes page with the research basis (version 1.0).

Originality

Original Practitioner Plus content: wording, activity structure, layout and icons were created for this resource. No third-party worksheets, illustrations or text were reproduced. Written for Practitioner Plus from the NDIS Practice Standards and NDIS rules listed in the research basis; no third-party template was used. It is not an NDIS Commission form.

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