Medication Security - Lock Box

Medication Lock Box Security Audit


Which department are you completing this survey for?


OCCUPIED ROOM: Medications are secured in the medication lock box.

Medications are prohibited from being stored inside or on top of the bedside cart.


OCCUPIED ROOM: Lock box is secured.

Door closed & locked.


OCCUPIED ROOM: Lock box does NOT contain controlled substances.

Controlled substances are prohibited from being stored in the medication lock box.


OCCUPIED ROOM: Medications within the lock box are current.

Medications are NOT expired. NOTE: Unlabeled medications are considered expired.


OCCUPIED ROOM: Medications and lock box are clean.

CLEAN EMPTY ROOM: Medications are removed upon patient transfer/discharge.

CLEAN EMPTY ROOM: Medication lock box is cleaned after patient transfer/discharge.