NNI QT- Narcotic Inspection Audit Tool

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Clean/Tidy

  Yes

  No

  N/A

• Decluttered

  Yes

  No

  N/A

• Fridge cleaning log sheet available

  Yes

  No

  N/A

• Room cleaning logsheet available and updated (housekeeping)

  Yes

  No

  N/A

• No expired medications

  Yes

  No

  N/A

• Medications cassettes labeled with MRN and patients' name

  Yes

  No

  N/A

• Fridge cleaning log sheet (updated)

  Yes

  No

  N/A

• Multidose vials labeled with High Alert Medication Sticker, timed and dated when it was open

  Yes

  No

  N/A

• Narcotic/Controlled cabinet double locked

  Yes

  No

  N/A

• Endorsement of Narcotic/Controlled medication using the NARCOTIC/CONTROLLED LOGBOOK

  Yes

  No

  N/A

• Nurse incharge and receiving nurse signed the endorsement in the NARCOTIC/CONTROLLED LOGBOOK upon completion of stock endorsement

  Yes

  No

  N/A

• Cassettes in fridge labelled with High Alert Medication Stickers

  Yes

  No

  N/A

• Medication room is locked

  Yes

  No

  N/A

• Updated Narcotic list with expiry dates

  Yes

  No

  N/A

• Narcotic key is with SIC/SM

  Yes

  No

  N/A

• Trash Bin not full

  Yes

  No

  N/A

• Sharps container 3/4 full

  Yes

  No

  N/A

• Updated High Alert Medication list posted

  Yes

  No

  N/A

• Updated Look Alike/Sound Alike (LASA) posted

  Yes

  No

  N/A

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