Poisons Control Pla Audit

• Document No.

• POISONS CONTROL PLAN AUDIT

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

LOCATION OF DOCUMENTS

• Have standard operating procedures for the purchase, storage, recording, use, near misses and incidents of scheduled poisons been documented for your area?

  Yes

  No

  N/A

• Are standard operating procedures for your area available to relevant staff to use as a reference document?

  Yes

  No

  N/A

• Are records being kept in relation to the purchase of scheduled poisons as per the DCH poisons control plan?

  Yes

  No

  N/A

SECURITY

• Has there been misappropriation of scheduled poisons by external (eg. burglars) or internal (eg. staff, contractors) individuals.

  Yes

  No

  N/A

SCHEDULE 8 POISONS

• Have S8 poisons been stored in a locked drug safe with key retained in a combination lock key safe?

  Yes

  No

  N/A

• Besides medical practitioners, registered nurses and the Manager of Clinical Programs, Service Access and Health Information, has anyone else been given the key safe combination?

  Yes

  No

  N/A

SCHEDULE 4 POISONS

• Are S4 poisons kept locked to prevent unauthorised persons' access at all times except when it is necessary to open it to carry out essential operations as per the DCH poisons control plan?

  Yes

  No

  N/A

• Has there been unauthorised access of S4 poisons?

  Yes

  No

  N/A

SPECIAL STORAGE FACILITIES

• Have emergency drugs stored on crash carts been accessed by unauthorised individuals?

  Yes

  No

  N/A

ADMINISTRATION BY A NURSE

• Were S4 and/or S8 poisons administered by a nurse in accordance with regulation 47?

  Yes

  No

  N/A

RECORDS OF PREPARATION, USE, TRANSFER WITHIN AND BETWEEN PREMISES, ADMINISTRATION AND DISPOSAL OF S4, 8 OR 9 POISONS

• Are records being kept for at least 3 years as per the DCH poisons control plan?

  Yes

  No

  N/A

• Are records for S8 poisons being validated ie. recorded and checked by two staff members?

  Yes

  No

  N/A

STAFF TRAINING

• How have staff who have access to permitted scheduled poisons been trained on the standard operating procedure for their discipline?

  Yes

  No

  N/A

• Have any staff reported the detection of misappropriation of scheduled poisons?

  Yes

  No

  N/A

• Were any incidents reported in accordance with the DCH Incident Reporting Policy and Procedure?

  Yes

  No

  N/A

SUPPLY OF MEDICATIONS

• Were all supplied medications by a medical practitioner labelled and recorded in Medical Director?

  Yes

  No

  N/A

WASTE DISPOSAL

• Was waste material containing scheduled poisons disposed of in an appropriate manner?

  Yes

  No

  N/A

• Were S8 or 9 poisons destroyed in accordance with the requirements of the Regulations?

  Yes

  No

  N/A

FOLLOW UP

• Does anything in the DCH poisons control plan require modification or investigation? Please outline details below.

  Yes

  No

  N/A

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