Medication Area

Medication area or room is clean, neat, and well organized.

Ensure that only currently prescribed medications are present. Returns discontinued and unusable medications to pharmacy for credit or disposal.

All medication are within their expiration or beyond-use dates (check cabinets).

All medications to expire within the next 2 calendar months (exception: short dated items) are removed.

Medications to be returned to pharmacy are in the authorized location.

All drugs on unit are secure (check entire unit and carts).

Acudose or Pyxis surface area are cleaned (dust removal) during unit inspection.

Medications in locked carts are all properly labeled with patient identifier (check-3 carts).

Insulin pens have patient specific labels-random audit

Insulin pens are in baggy for infection control -random audit

Controlled Drugs

Discrepancies are cleared off of ADC


The thermometer monitoring the medication refrigerator is working properly with the alarm set to "On". The temperature range on the digital thermometer is set to 35-47 degrees.

Refrigerator exception log is available and properly dated

Medication refrigerator is free of food/drinks and non med items. If present, these are removed and manager of the unit is immediately contacted.

Temperature is within 36 and 46 degrees F.

Refrigerator is FREE of significant ice buildup that needs to be addressed.

Emergency medications

Emergency drugs (Rocuronium and Succinycholine) are available and properly labeled (High Alert).

Crash cart lock number is the same as documented on tag

Crash cart locked and in date with next expiring date posted. Add crash cart number.

Crash cart red lock is pulled securely to prevent unauthorized access.

Unit specific kits or carts in date (ED:STEMI kits ; RAD: contracts kits, stress kit; LD: blue bell cart x 2; OR-hyperthermia kit; CSEC-hyperthermia)
Record date to expire in comment section if available.


There were no significant nursing management issues.

There are NO followup issues.

Manager is emailed the monthly report, include name

Audit done by:
Pharmacist review
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.