Medication storage areas are clean, neat, and well organized.
External use medications are stored separately from internal use medications.
No food products or lab specimens are stored near drugs.
Narcotics are in a secure storage area.
Narcotic cabinet is double locked.
Crash cart is locked.
Crash cart locks are stored in a locked cabinet.
Refrigerated Medications are stored in a refrigerator at 36 - 46 degrees F.
Medication refrigerator is used for medications only.
Medications are secured appropriately during and outside of hours of operation.
There are no outdated medications.
Anesthesia carts are locked when not in use.
Medication waste is disposed of according to policy.
No pre-drawn doses of medication or pre-drawn syringes are present.
All medications are labeled properly, preferably in the original manufacturer's package.
Opened multidose vials are labeled with the date the vial will expire (28 days after first use).
Tamper proof prescription pads are used.
Prescription pads are stored in locked cabinets away from patient access.
Pre-signed and/or post dated prescription pads are not used.
Refrigerator temperature log is complete and up to date.
Daily narcotic counts and balances agree.
Narcotic counts are done at the beginning and end of the shift.
Narcotic counts have 2 licensed nurse signatures, including waste of controlled medications.
Medication review is done in Admitting.
Medication reconciliation is done in DWA.
A file of recalled medications is maintained.
Adverse drug reactions are recorded on an Incident form and reviewed by the pharmacy consultant.
An Incident Report is completed in the event of a medication error, and reviewed by the pharmacy consultant.
Current drug references are available to staff e.g. Nurse Drug Reference, online drug reference.
DEA permits are available and current.
Manager is emailed the monthly report, include name