Inspect the following areas below. For any area not meet 1 point will be assigned. Goal it to have 0 points
Date of Inspection:
Points Area to Audit Comments
Medication Room:
Overall Clean & Organized
Temperature Logs complete (Room/Med Fridge/ Food Fridge)
E-Kits locked sealed/Re-ordered
Medication Fridge/Freezer
Locked
Clean/organized
Temperature in Range
No expired Medications
Mediations dated when opened
Food Fridge/Freezer
Clean/Organized
Items labeled and dated
Nursing Station:
Overall Clean & Organized
No food or drink at station
Glucometer Quality Check complete
Crash Cart stocked and clean
Medication Chart:
Overall Clean & Organized
No expired Medications
Eye drops/Insulin/Inhalers/nasal spray etc. labeled/dated
Different Routes stored separately
Sharps container not above fill line
Change of Direction stickers used
Total Points
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