Information
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Document No.
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Audit Title
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Conducted on
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Prepared by
Drug Control and Storage
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Single use vials discarded after one use.
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All drugs on unit are locked and secure (check entire unit and carts for unsecured medications).
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No food or any unauthorized medication or products is in the refrigerator or Pyxis.
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Medication area or room is clean, neat, and well organized.
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Drugs are NOT left unsecured on top of carts or counters or in pneumatic tubes
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Medications in locked carts are properly labeled with patient identifier (check 2 cart)
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Medications to be returned to pharmacy are in the authorized location.
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Medication area is HIPAA compliant
Controlled Drugs
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Discrepancies are cleared off of ADC per shift
Emergency medications
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Crash cart locked and in date with next expiring date posted. Add crash cart number.
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Crash Cart Numbers:
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Paralytic agents (rocuronium and succinylcholine) are present, if appropriate)<br><br>
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Crash cart red lock is pulled securely to prevent unauthorized access.
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Emergency kits, if available, or in date
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Emergency kit numbers:
Pyxis
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Pyxis medications are in date (check Pyxis report and the 3 samples)<br>
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Pyxis refrigerators are clean, organized, and free of frost or ice.
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Pyxis med station should be neat, clean, and functioning properly.
Pharmacy Tasks
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Reconcile patient specific meds in tower and refrigerator
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Check for any short dated meds to remove or rotate
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Clean keyboard and tops to cabinets with disinfectant
Technician or designee completing inspection
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Date and time of inspections
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Technician or designee
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Add media
Nursing Director or designee
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Forwarded to nursing director or designee
Pharmacy Director or designee
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Reviewed
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Select date
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Followup:
