Medication Inspection Assessment: Patient Care Areas

• Medication Inspection Assessment: Patient Care Areas

• Conducted on

  Date

• Prepared By:

  Select Megan Vandergriend Hannah Milenkovich Brandon Piatt Josh VanDeKreeke Austin Ketter Brent Milow Colleen Powers Ashley Hamilton Kathy Mersch Samantha Bettin

  • Megan Vandergriend
  • Hannah Milenkovich
  • Brandon Piatt
  • Josh VanDeKreeke
  • Austin Ketter
  • Brent Milow
  • Colleen Powers
  • Ashley Hamilton
  • Kathy Mersch
  • Samantha Bettin

• Area of Inspection

  Select ED Radiology and Radiology Shelf in Rx LABOR C-Section TPN Metro cart LABOR 2 HIGHRISK PACU PRE-OP Crash cart cabinets/ supply bins Carousel 1, Shelves 1-5 Carousel 1, Shelves 6-9 Carousel 2 IV Room Freezer Narcotic Vault Oral Compounding Room UD Refrigerator AWS refill cart 4E 4W 5E 5W NURSERY NICU 3 EAST NICU 3WEST OR & STABLE OR 1 AWS OR 2 AWS OR 3 AWS OR 4 AWS OR 5 AWS OR 6 AWS OR 7/ IVF AWS

  • ED
  • Radiology and Radiology Shelf in Rx
  • LABOR
  • C-Section
  • TPN Metro cart
  • LABOR 2
  • HIGHRISK
  • PACU
  • PRE-OP
  • Crash cart cabinets/ supply bins
  • Carousel 1, Shelves 1-5
  • Carousel 1, Shelves 6-9
  • Carousel 2
  • IV Room
  • Freezer
  • Narcotic Vault
  • Oral Compounding Room
  • UD Refrigerator
  • AWS refill cart
  • 4E
  • 4W
  • 5E
  • 5W
  • NURSERY
  • NICU 3 EAST
  • NICU 3WEST
  • OR & STABLE
  • OR 1 AWS
  • OR 2 AWS
  • OR 3 AWS
  • OR 4 AWS
  • OR 5 AWS
  • OR 6 AWS
  • OR 7/ IVF AWS

Crash Carts

• Locked upon inspection

  Yes

  No

  N/A

• Lock number matches number in book?

  Yes

  No

  N/A

• Are all medications currently in date?

  Yes

  No

  N/A

• Attach picture of outdated item

  Media

• Are all medications stored appropriately to maintain product stability and integrity (refrigeration, light protection)?

  Yes

  No

  N/A

• Attach photo of inappropriately stored medication

  Media

• Crash cart log sheet signed daily by nursing to verify locks integrity?

  Yes

  No

  N/A

• Please attach a photo of the Crash cart sheet(s)

  Media

OMNICELL

• Are all medications currently in date?

  Yes

  No

  N/A

• Please attach photo of outdated medication

  Media

• Controlled substances properly secured?

  Yes

  No

  N/A

• Are there outdated narcotic medications?

  Yes

  No

  N/A

• Did you remove them and return to EIB bin?

  Yes

  No

  N/A

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

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

REGRIGERATOR

• Is the REFRIGERATOR clean and non cluttered?

  Yes

  No

  N/A

• Please attach a photo of the dirty/cluttered REFRIGERATOR.

  Media

SERVIDORS (IF APPLICABLE)

• Are the SERVIDORS clean and non cluttered?

  Yes

  No

  N/A

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

• Are the SERVIDORS locked upon inspection?

  Yes

  No

  N/A

• Please document unlocked room #'s of SERVIDORS.

OVERALL INSPECTION GRADE

• Excellent

  Good

  Fair

  Poor