Convenient Care Clinic Self Assessment

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Convenient Care Clinic
Self Assessment

Instructions	Licensure and Insurance	HIPAA	Employee Training	Care Triage	Risk Management
Quality Improvement	Environment of Care	Infection Control	Patient Management	Documentation	Pharmaceutical Management

CRITERIA MEASURE	Met	Not Met	Comments	Refer to Department
Systems in place for emergency pharmaceutical dispensing
Patients receive at least two identifiers prior to medication administration
Pharmacy Technicians are always supervised
Unlabeled solutions or medications are discarded immediately
Original containers are retained for referencing
An accurate complete list of medications is compiled upon admission
New medication orders are compared to admission medications for duplications and potential interactions
Discharge medication orders are provided at the time of discharge
Demographic information includes at a minimum:
Patient's age
Known allergies
Patient's sex
Patient's current medications
Patient's diagnosis, co-morbidities
Lab values
Weight and height
Pregnancy status
Available drugs maintained on premises are determined by policy
Expressly excluded medication list is maintained
Expiration inspection is completed and documented according to hospital policy
The clinic has a policy and procedure for adding new medication to the hospital medication list
The clinic has a policy to address medication shortages and outages
The clinic has a policy to address medication during disasters
Medications are stocked and stored in secured rooms according to state and federal law
Disposal of expired and unused medication meets local, state and federal law
Staff is educated regarding look-a-like sound-a-like drugs
Special precautions are taken to distinguish look-a-like sound-a-like drugs
The clinic has a policy regarding generic and brand name drugs ordering and administration
Pediatric orders include weight dosing requirements
The clinic has a policy that addresses the safety and use of pharmacies