PRESCRIPTION DISPENSING AREA INSPECTION CHECKLIST (DAILY)

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--- CLEANLINESS & SANITATION ---
[ ] Hand Soap Dispenser Level
[ ] Sanitizer Dispenser Level
[ ] Countertops Clean? (Yes, No)
[ ] Floor Clean and Dry? (Yes, No)
[ ] Notes on Cleaning (if any issues)
[ ] Trash Receptacles Emptied? (Yes, No)
[ ] Surface Disinfection Performed? (Yes, No)

--- DISPENSING COUNTER & WORK SURFACES ---
[ ] Surface Temperature (Fahrenheit)
[ ] Countertop Material Condition (Clean and Intact, Minor Scratches/Marks, Damage/Requires Repair)
[ ] Work Surface Cleanliness (Clean and Dry, Slightly Damp, Visible Residue/Requires Cleaning)
[ ] Notes on Surface Condition (if any)
[ ] Presence of Clutter/Debris (None, Minimal, Excessive - Requires Cleaning)
[ ] Organization of Dispensing Supplies (Well Organized, Somewhat Organized, Disorganized - Requires Adjustment)

--- PRESCRIPTION STORAGE & SECURITY ---
[ ] Temperature of Refrigerator/Cooler (Fahrenheit)
[ ] Temperature of Storage Room (Fahrenheit)
[ ] Security System Status (Active, Inactive)
[ ] Controlled Substance Log – Verified? (Yes, No)
[ ] Locked Storage Container Integrity (Intact, Compromised)
[ ] Last Controlled Substance Inventory Date
[ ] Comments/Notes Regarding Storage/Security

--- EQUIPMENT FUNCTIONALITY ---
[ ] Counter Scale Calibration Check (Last Calibration Date)
[ ] Temperature of Refrigerators/Cold Storage (in °F)
[ ] Temperature of Freezers (in °F)
[ ] Automated Dispensing Cabinet Functionality (Operational, Minor Issue, Malfunctioning)
[ ] Computer System/Software Functionality (Operational, Minor Issue, Malfunctioning)
[ ] Barcode Scanner Functionality (Operational, Minor Issue, Malfunctioning)
[ ] Any equipment issues or maintenance notes:

--- PATIENT CONFIDENTIALITY ---
[ ] Was patient information visible to unauthorized personnel at any point during dispensing? (Yes, No, N/A)
[ ] Were verbal prescription details discussed in an open area? (Yes, No, N/A)
[ ] Describe any instances where patient confidentiality may have been compromised (if applicable):
[ ] Were screens locked when unattended? (Yes, No, N/A)
[ ] Was proper disposal of documents (e.g., prescriptions, printouts) observed? (Yes, No, N/A)
[ ] Inspector Signature (Confirms review of Confidentiality Protocols)

--- REGULATORY COMPLIANCE ---
[ ] Last Controlled Substance Log Review Date
[ ] Temperature of Refrigerated Medications (Fahrenheit)
[ ] USP 797 Cleanroom Conditions Verified? (Yes, No, Not Applicable)
[ ] Record Keeping Compliance: (Prescription Logs Maintained, Controlled Substance Records Complete, Patient Profiles Accurate, Retention Policy Adhered To)
[ ] State Board of Pharmacy Updates Reviewed? (Yes, No)
[ ] Notes Regarding Regulatory Compliance Issues (If any)

--- SAFETY HAZARDS ---
[ ] Temperature of Refrigerated Medications (F)
[ ] Evidence of Pests (Rodents, Insects)? (Yes, No, Unsure)
[ ] Describe any observed spills or potential slip hazards.
[ ] Are fire extinguishers readily accessible and unobstructed? (Yes, No, N/A)
[ ] CO2 Monitor Reading (if applicable)
[ ] Record any observed damage to flooring, walls or fixtures that could be a hazard.

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