Audit

Medication Storage

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There are no outdated medications.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.

Medication labeling

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).

Prescriptions

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.

Documentation

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.

Miscellaneous

Current drug references are available to staff e.g. Nurse Drug Reference, online drug reference.

DEA permits are available and current.

Actions

Discussion/recommendations:

Manager is emailed the monthly report, include name

Audit done by:
Pharmacist review
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.