• Medication Inspection Assessment: Patient Care Areas

  • Conducted on

  • Prepared By:

  • Area of Inspection

Crash Carts

  • Locked upon inspection

  • Lock number matches number in book?

  • Are all medications currently in date?

  • Attach picture of outdated item

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

  • Attach photo of inappropriately stored medication

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

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


  • Are all medications currently in date?

  • Please attach photo of outdated medication

  • Controlled substances properly secured?

  • Are there outdated narcotic medications?

  • Did you remove them and return to EIB bin?

  • 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


  • Is the REFRIGERATOR clean and non cluttered?

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


  • 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.


The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.