Mds014 - Monthly Medication Inspection Checklist - San Bernardino County (Page 2 of 2) in pdf

Mds014 - Monthly Medication Inspection Checklist - San Bernardino County Page 2

San Bernardino County

Department of Behavioral Health

MONTHLY MEDICATION INSPECTION CHECKLIST

Month: __________ Year: _________

REQUIREMENT REVIEWED

YES NO

COMMENTS

No expired medications present and no contaminated

nor deteriorated drugs found

No unauthorized medications present

Disposal container secured and ready for pickup, not

tampered

Medical waste vendor contacted, if container full

All open medication labeled

Sample medications recorded in and out

PAP medications recorded in and out

Medications received from Pharmacies recorded in and

out

All logs current

Appropriate level of medication and supplies (verify no

overabundance)

No expired medical supplies, if applicable

The following Clinic Medical Director or Medical Services designee has verified the aforementioned inspection was

conducted and affirms the document is accurate.

_____________________________________________

__________________________

Clinic Medical Director or Designee Signature

Date

MDS014 (rev. 6/14)

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Mds014 - Monthly Medication Inspection Checklist - San Bernardino County Page 2