Medication Room - Pharmacy Staff

Environment of Care Compliance


Which department are you completing this survey for?


Medication room is free of expired medications.
What medication was expired?

Refrigerated medications are stored in the refrigerator.
What medication was found outside the refrigerator?

Medications are stored securely in an ADC, medication room, approved locked cabinet, or medication cart until the time they are administered.
What medication was found unsecured and where?

Controlled substances are secured in a locked ADC (Omnicell) bin or Flex-Locked refrigerator.
What medication was found unsecured and where?

Cherry Syrup labeled with beyond use date (Expires 1 year after opening unless the manufacturer expiration date is less).
What element was missing?

Medication refrigerators/bins clean.
Please comment on findings.

Medication counter bins clean.
Please comment on findings.

Pharmacy delivery & return bins clean.
Please comment on findings.

Medication reference signage laminated/up to date/no visible tape.
Please comment on findings.

What is the medication room number?