Audit

Crash Carts

Locked upon inspection

Are all medications currently in date?

Lock number matches number in book?

Is there a second crash cart?

Locked upon inspection? If not, please take a photo of the unlocked drawers.

Lock number matches lock number in book. Please attach a photo if incorrect.

OMNICELL

Are all medications currently in date?

Please attach photo of outdated medication
Please attach a photo of the Crash cart sheet

Please specify location of OMNICELL

Is the OMNICELL clean and non cluttered? If no, attach photo.

Please take a picture of the OMNICELL

Are all medications in the OMNICELL currently in date? If no, attach photo of expired item/product.

Please attach photo of expired product.

Check box to verify you have checked both paper and label dispenser.

Check box to verify you have cleaned the screen, scanner and keyboard with PDI wipes.

Does the OMNICELL appear undamaged? If no, please take a photo of damaged equipment.

Please take a photo of the damage to the OMNICELL

Is there a second OMNICELL

Please specify location of OMNICELL

Is the OMNICELL clean and non cluttered? If no, please attach photo of cluttered/dirty OMNICELL

Please attach photo of dirty/cluttered OMNICELL.

Are all medications in the OMNICELL currently in date? If no, attach photo of expired item/product.

Please attach photo of expired item/product.

Check box to verify you have checked both paper and label dispenser.

Check box to verify you have cleaned the screen, scanner and keyboard with PDI wipes.

Does the OMNICELL appear undamaged? If no, Please take a photo of damaged equipment.

Please take a photo of the damaged OMNICELL
REGRIGERATOR

Is the REFRIGERATOR clean and non cluttered?

Please attach a photo of the dirty/cluttered REFRIGERATOR.

Is the REFRIGERATOR absent of all food/drink?

Please attach a photo of the food/drink in the refrigerator.

Is there a second REFRIGERATOR?

Please specify the location of the second REFRIGERATOR.

Is the REFRIGERATOR clean and non cluttered?

Please attach a photo of the dirty/cluttered OMNICELL.

Is the REFRIGERATOR absent of food/drink?

Please take a photo of the food/drink.

Please specify the location of the refrigerator.

SERVIDORS (IF APPLICABLE)

Are the SERVIDORS clean and non cluttered?

Please specify room numbers of dirty/cluttered SERVIDORS and/ or attach photo.

Are the SERVIDORS locked upon inspection?

Please document unlocked room #'s of SERVIDORS.

Other cabinets/drawers/locked areas that need to be inspected

Are the medications/supplies locked upon inspection

Please attach photo

Are all medications currently in date? Please attach photo of dates on supplies/ medications

Medication/supply pictures
OVERALL INSPECTION GRADE

PLEASE SIGN
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.