Medication Unit Review

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Yes

  No

  N/A

• * Required

  Yes

  No

  N/A

• Email *

Drug Storage, Labeling, Security

• Medication Cart

  Yes

  No

  N/A

• Discontinued medications are NOT available for administration *

  Yes

  No

  N/A

• Mark only one oval

  Yes

  No

  N/A

• Medications are properly labeled (e.g., have expiration dates, etc) *

  Yes

  No

  N/A

• Mark only one oval

  Yes

  No

  N/A

• Medication vials are dated when opened, when appropriate *

  Yes

  No

  N/A

• Mark only one oval

  Yes

  No

  N/A

• Medications are locked and secure (including those needing to be destroyed, if required by state regulation)

  Yes

  No

  N/A

• Mark only one oval

  Yes

  No

  N/A

• External medications are separated from internal medications *

  Yes

  No

  N/A

• Mark only one oval

  Yes

  No

  N/A

• Medications are properly protected from light and humidity, and stored at

  Yes

  No

  N/A

• appropriate temperature

• Mark only one oval

  Yes

  No

  N/A

Drug Storage, Labeling, Security

Medication Room

• Mark only one oval

  Yes

  No

  N/A

• Temperature logs are maintained for medications including vaccines and are in

  Yes

  No

  N/A

• appropriate temperature range

  Yes

  No

  N/A

• Mark only one oval

  Yes

  No

  N/A

• Medications are properly labeled (e.g., have expiration dates, etc) *

  Yes

  No

  N/A

• Mark only one oval

  Yes

  No

  N/A

• Medications are locked and secure (including those needing to be destroyed, if required by state regulation)

  Yes

  No

  N/A

• Mark only one oval

  Yes

  No

  N/A

• Automatic dispensing cabinets are working properly (if applicable) *

  Yes

  No

  N/A

• Mark only one oval

  Yes

  No

  N/A

• Controlled substances are properly and securely stored, per regulation *

  Yes

  No

  N/A

Controlled Substances

• Mark only one oval

  Yes

  No

  N/A

• Controlled substance inventory is reconciled according to facility procedures *

  Yes

  No

  N/A

• Mark only one oval

  Yes

  No

  N/A

• Controlled substance documentation is accurate and complete *

  Yes

  No

  N/A

• Mark only one oval

  Yes

  No

  N/A

• Controlled substances are destroyed in a timely manner, or per regulation as

  Yes

  No

  N/A

• applicable

  Yes

  No

  N/A

• Mark only one oval

  Yes

  No

  N/A

• This content is neither created nor endorsed by Google

  Yes

  No

  N/A