Best Practices for Checking In Cycle Medications

👥 Who This Is For

Direct Support Professionals (DSPs), nurses, program directors

📘 What You’ll Learn

How to check in new medication cycles accurately and safely, including tips for identifying errors or concerns with Dispill, unit-dose, and bulk packaging.

🔄 When to Check In Meds

Every time a new cycle is delivered from Neighborhood LTC Pharmacy
As soon as possible after delivery to prevent missed doses or confusion
Ideally by the nurse or trained DSP responsible for medication oversight

How to Check In Dispill Packaging (Med Cup Packs)

Match the resident name on each card to the med storage area
Confirm the start date on the pack matches the date it’s intended to begin
Check each bubble pack for:
- Proper day/time slot labeling
- Medications that look correct and match what’s expected
- No missing or extra medications
Make sure all expected cards are present (AM, Noon, PM, Bedtime as needed)
If any meds were recently changed, confirm the changes are reflected in the new cycle

💡 Tip: Keep the previous cycle on hand until the new cycle begins, in case a dose is needed early or there’s an issue with the new pack.

How to Check In Unit-Dose Medications

Confirm each blister pack or card is clearly labeled with:
- Individual’s name
- Medication name, strength, and directions
- Packaging and expiration dates
Count the total quantity to make sure it matches what was ordered
Group medications by person and store in the correct med storage bin

⚠️ Caution: Unit-dose packaging separates each med into its own labeled card — be sure to check each card for accuracy, especially after med changes.

How to Check In Bulk Medications

Confirm each bottle, tube, or inhaler is labeled with:
- Resident’s name
- Medication name and strength
- Directions for use and expiration date
Count the number of items received and check that none are damaged or leaking
Check if the new med replaces an old one, or is a refill

📝 Note: Bulk medications include creams, liquids, inhalers, nasal sprays, and items not packaged in Dispill or unit-dose formats.

What to Do If You Notice an Issue

Do not administer any medication you’re unsure about
Call the pharmacy right away to clarify or report a concern
If a medication is missing or incorrect, Neighborhood LTC Pharmacy will help resolve it quickly
Document the issue according to your agency’s policy

🚨 Warning: Never adjust, remove, or swap meds between packs. This increases the risk of medication errors and violates compliance standards.

Important Reminders

Always check in meds before storing them
Double-check start dates and names to avoid mix-ups
Never assume the packaging is correct — a quick review can prevent serious errors
Notify your nurse or supervisor if you’re unsure about anything

💡 Tip: Designate a quiet, distraction-free area for checking in meds so you can focus without interruption.