Audit tool
Medicines storage audit
An audit of how medicines are stored and accounted for in a clinical area: general storage, refrigerated medicines and controlled drugs.
Fill it in online - free, no account needed. 27 questions.
What it is for
One visit, three areas: the medicines cupboard, the fridge and the controlled drugs record.
- Check storage, security and expiry dates
- Check the fridge temperature record
- Check the controlled drugs record against the stock
The full question list
1. Controlled Drug Storage
- CD cupboard is locked when not in use *
- CD cupboard key is held by designated nurse *
- CD register entries are complete and accurate *
- Running balance matches physical stock count *
- No discrepancies identified in the register *
2. General Medication Storage
- Medication room/cupboard is locked when unattended *
- Medications are stored at correct temperature (15-25C room temp) *
- No expired medications found in stock *
- Patient-specific medications are clearly labelled *
- Internal medications separated from external preparations *
3. Fridge Storage
- Fridge temperature is between 2-8C *
- Temperature log is completed daily *
- No food items stored in medication fridge *
- Fridge is clean and defrosted *
- Record current fridge temperature *
4. STORAGE & SECURITY
- Is the CD cupboard double-locked and secured to the wall? *
- Are CD keys held by the nurse in charge at all times? *
- Is the cupboard interior clean and well-organised? *
- Are fridge-stored CDs in a separate locked container? *
5. RECORD KEEPING
- Is the CD register complete with no gaps or alterations? *
- Are running balances calculated and correct? *
- Are two signatures present for every administration? *
- Are discrepancies documented and reported immediately? *
6. STOCK CHECK
- Does the physical stock match the register balance? *
- Are all CDs within their expiry date? *
- Are returns/destructions documented correctly? *
- Discrepancy notes (if any)
References
- Supports evidence for: The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, reg. 12(2)(g)
the things which a registered person must do to comply with that paragraph include ... the proper and safe management of medicines
Read the source - Supports evidence for: Joint Commission International Accreditation Standards for Hospitals, including Standards for Academic Medical Center Hospitals, MMU.03.00 (8th Edition)
AccrediMe is not affiliated with or endorsed by Joint Commission International (JCI). Standard identifiers are cited from JCI's published list; the standards themselves are JCI's and are not reproduced.
Read the source - Supports evidence for: Joint Commission International Accreditation Standards for Hospitals, including Standards for Academic Medical Center Hospitals, MMU.01.03 (8th Edition)
AccrediMe is not affiliated with or endorsed by Joint Commission International (JCI). Standard identifiers are cited from JCI's published list; the standards themselves are JCI's and are not reproduced.
Read the source - Supports evidence for: Storage, distribution and disposal of vaccines: the green book, chapter 3, Monitoring of the refrigerator temperature
Temperatures in the refrigerator must be monitored and recorded at least once each working day, and documented on a chart for recording temperatures.
Read the source
How the score works
The score is the share of scored questions that pass. N/A is left out of the score; text, dates and signatures are recorded but not scored. A completed template is a record of what you checked; it is not an inspection by a regulator or an accreditation body.