Monthly Medication Area & Storage Inspection Checklist

Inspection Date

Date

Hour MinutesAM/PM Option

Unit: ____________________

Inspector Name

Security

Rows	Yes	No	Notes
Door of Medication Room is locked
Only authorized personnel have key access to Medication Room
The Medication room, Medication cart, crash cart, Medication cabinet & refrigerator are organized, clean and uncluttered
The carts, cupboard & refrigerator are free of staff food / other items (Not medication)

Temperatures

Rows	Yes	No	Notes
Room temperature is kept at (59-86º F) 15-25º C Range
Medication refrigerator is kept at (36-46º F), 2-8º C Range
Functioning thermometer in refrigerator
The room temperature logbook is available (Must include actions taken if out of acceptable range)
The room temperature is logged daily (Must include actions taken if out of acceptable range)
The refrigerator temperature logbook is available (Must include actions taken if out of acceptable range)
The refrigerator temperature is logged daily (Must include actions taken if out of acceptable range)

Labeling and Storage

Rows	Yes	No	Notes
Medications are properly labeled in the refrigerator & medication cabinet
Medication label contains medication name and expiration dates
Medication label are clean and legible
All near-expire medication in the refrigerator & medication cabinet are highlighted
All multi-doses medications (Vials, Bottles, …) are labeled & dated when opened
No unauthorized medications present
Refrigerator medications are only stored in refrigerator
Expiration dates are found on all medications
There are no excess quantities of medications (verify no overabundance)
Is the medications cart or medication cabinet in need of repair?
No expired medications present
No contaminated nor deteriorated drugs found
No Sample medications are available in the Medication Area
No patient own medications are available in the Medication Area or beside the patient bed (Must include actions taken if out of accept)
Signs (High alert & Hazardous) are available and attached to High alert & Hazardous storage locker & Narcotic safe
Narcotic & controlled substances Safe is locked
External/Internal medications are separated
Medication & Supplies are separated
Discontinued medications have been returned to pharmacy or are set aside to be returned within 24 hours.
LASA medication are separated in the medication cabinet (Not in the same shelf)
High alert medication cabinet is locked and the sign is available

Crash Cart, Emergency Boxes & Ambulance Medication Bag

Rows	Yes	No	Notes
Crash Cart is locked
The list of crash cart medication is attached and expiry dates are available and
No expired medication in the crash cart
Near-expire medications in the crash cart are highlighted
The serial no. of the lock is the same as in the last time crash cart checked and closed by the pharmacy
The layout of the crash cart & the guidelines (Adult & Pediatric) of diluted crash cart medication are updated & attached to the crash cart
Emergency boxes are locked & no out-of-date medication available in it
Ambulance emergency bag is locked & no out-of-date medication available in it

Reference Information (Nurses & Doctors)

Rows	Yes	No	Notes
References are accessible and known for the staff
Nurses and doctors are able to search medication information using references (Inspector must check the staff doing it)
The Updated Hospital Formulary is accessible and known by the staff (Inspector must check the staff doing it)
Therapeutic Antibiotics is accessible and known by the staff (Inspector must check the staff doing it)

Policies & Lists (Nurses & Doctors)

Rows	Yes	No	Notes
The unit have an updated lists (High alert, LASA, Hazardous, Multi-Dose stability, not crushed medication list & List of medication that increase risk of fall)
The unit must have an updated guidelines for Dilution of medication (Adults, Pediatrics and Neonates)
The updated floor stock list is available in the medication room
Staffs know how to print and fill Medication Error form (staffs must be interviewed)
Staffs know how to print ADR form (Nurses) and fill it (Doctors)
High Alert Medication are Highlighted in the (MAR) Medication Administration record (Observation must done)
All medication orders in the (MAR) are written in a scientific name only (Inspector must check the patients’ files & actions taken if out of accept)
Nurses knew how to deal with high alert medication
High alert medication orders in (MAR) are signed by 2 nurses after administration to the patient
Staff members are aware of the pharmacy Policies and Procedure manual, and the manual is readily available to them.

Preparation

Rows	Yes	No	Notes
Staff knew about aseptic technique and hand hygiene
Staff knew how to dilute a medication
Preparation table is clean and disinfected
Mortar & Pill Crusher used to crash medication are clean and disinfected
All medication prepared in the unit are labeled with the patient’s name, file number, date of prepared and the staff ID

Inspection time end

Date

Hour MinutesAM/PM Option

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Comments and Descriptions

Action Taken

Follow-up

Type a question

Inspector Name

Signature

Nurse Name

Signature*