Unit Inspections (pharmacy)-Patient Care areas

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Medication Area

• Medication area or room is clean, neat, and well organized.

  Yes

  No

  N/A

• Ensure that only currently prescribed medications are present. Returns discontinued and unusable medications to pharmacy for credit or disposal.

  Yes

  No

  N/A

• All medication are within their expiration or beyond-use dates (check cabinets).

  Yes

  No

  N/A

• All medications to expire within the next 2 calendar months (exception: short dated items) are removed.

  Yes

  No

  N/A

• Medications to be returned to pharmacy are in the authorized location.

  Yes

  No

  N/A

• All drugs on unit are secure (check entire unit and carts).

  Yes

  No

  N/A

• Acudose or Pyxis surface area are cleaned (dust removal) during unit inspection.

  Yes

  No

  N/A

• Medications in locked carts are all properly labeled with patient identifier (check-3 carts).

  Yes

  No

  N/A

• Insulin pens have patient specific labels-random audit

  Yes

  No

  N/A

• Insulin pens are in baggy for infection control -random audit

  Yes

  No

  N/A

Controlled Drugs

• Discrepancies are cleared off of ADC

  Yes

  No

  N/A

Refrigerators

• The thermometer monitoring the medication refrigerator is working properly with the alarm set to "On". The temperature range on the digital thermometer is set to 35-47 degrees.

  Yes

  No

  N/A

• Refrigerator exception log is available and properly dated

  Yes

  No

  N/A

• Medication refrigerator is free of food/drinks and non med items. If present, these are removed and manager of the unit is immediately contacted.

  Yes

  No

  N/A

• Temperature is within 36 and 46 degrees F.

  Yes

  No

  N/A

• Refrigerator is FREE of significant ice buildup that needs to be addressed.

  Yes

  No

  N/A

Emergency medications

• Emergency drugs (Rocuronium and Succinycholine) are available and properly labeled (High Alert).

  Yes

  No

  N/A

• Crash cart lock number is the same as documented on tag

  Yes

  No

  N/A

• Crash cart locked and in date with next expiring date posted. Add crash cart number.

  Yes

  No

  N/A

• Crash cart red lock is pulled securely to prevent unauthorized access.

  Yes

  No

  N/A

• Unit specific kits or carts in date (ED:STEMI kits ; RAD: contracts kits, stress kit; LD: blue bell cart x 2; OR-hyperthermia kit; CSEC-hyperthermia)<br>Record date to expire in comment section if available.

  Yes

  No

  N/A

Actions

• There were no significant nursing management issues.

  Compliant

  Non-compliant

• There are NO followup issues.

  Compliant

  Non-compliant

• Manager is emailed the monthly report, include name

  Yes

  No

  N/A

• Audit done by:

  Sign

• Pharmacist review

  Sign