Hospice Pharmacy Audit Checklist
Complete this checklist to assess and document hospice pharmacy process compliance.
Pharmacy Name
*
Date of Audit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Auditor Name
*
First Name
Last Name
Are medications stored securely and appropriately?
*
Yes
No
N/A
Are medication records accurate and up to date?
*
Yes
No
N/A
Is there proper documentation for controlled substances?
*
Yes
No
N/A
Are expired medications disposed of according to policy?
*
Yes
No
N/A
Is staff trained in pharmacy procedures and safety protocols?
*
Yes
No
N/A
Additional Comments
Auditor Signature
Submit Audit
Submit Audit
Should be Empty: