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Veterinary Drugs Self-Inspection Checklist

Use this Vet Drugs Inspection Form to ensure that your hospital complies with the government's standards and requirements. All drugs and biologicals shall be maintained, administered, dispensed, and prescribed in compliance with State and Federal laws.
MaintainX
07/26/2022

Veterinary Drugs Self-Inspection Checklist

Use this Vet Drugs Inspection Form to ensure that your hospital complies with the government's standards and requirements. All drugs and biologicals shall be maintained, administered, dispensed, and prescribed in compliance with State and Federal laws.

    Clinic Name:

    OVMEB Registration #

    Address:

    City, St, Zip:

    Telephone:

    Managing Veterinarian:

    Signature:

    Click here to sign

    Date of Inspection:

    Does the outlet have written policies and procedures for drug security, acquisition, storage, labeling, disposal and record keeping?

    • Pass
    • Flag
    • Fail

    Does the outlet keep all drugs in a locked drug cabinet or drug storage area that denies access to unauthorized persons?

    • Pass
    • Flag
    • Fail

    Are controlled substances listed in schedules I, II, III, IV an V kept in a locked cabinet with access limited to persons authorized by the Managing Veterinarian?

    • Pass
    • Flag
    • Fail

    Does the outlet only acquire drugs from a supplier registered with the Oregon Board of Pharmacy?

    • Pass
    • Flag
    • Fail

    Name of supplier(s) and registration #(s):

    Are the invoices readily retrievable?

    • Pass
    • Flag
    • Fail

    Kept for 3 years?

    • Pass
    • Flag
    • Fail

    Are all outdated, damaged, deteriorated, misbranded, or adulterated drugs properly quarantined and physically separated until destroyed or returned to the supplier?

    • Pass
    • Flag
    • Fail

    Where are outdated, damaged, deteriorated, misbranded, or adulterated controlled drugs stored?

    • Pass
    • Flag
    • Fail

    Note: At the discretion of the veterinarian, outdated drugs may be dispensed as long as the client is informed and there are no fees charged for the drugs.

    Does the outlet store all drugs in appropriate conditions including temperature, light, humidity, sanitation, ventilation and space?

    • Pass
    • Flag
    • Fail

    How does the outlet ensure proper temperatures are maintained?

    Are all prescriptions properly labeled?

    Name of patient;

    • Pass
    • Flag
    • Fail

    Name or initials of prescriber;

    • Pass
    • Flag
    • Fail

    Name, address, and phone number of the clinic;

    • Pass
    • Flag
    • Fail

    Date of dispensing;

    • Pass
    • Flag
    • Fail

    Name and strength of the drug.

    • Pass
    • Flag
    • Fail

    Quantity dispensed;

    • Pass
    • Flag
    • Fail

    Directions for use;

    • Pass
    • Flag
    • Fail

    Manufacturer's expiration date, or an earlier date if preferable, after which the patient should not use the drug

    • Pass
    • Flag
    • Fail

    Cautionary information

    • Pass
    • Flag
    • Fail

    Does the veterinarian or their representative orally counsel the client concerning all new drugs prescribed, unless circumstances would render oral counseling ineffective?

    • Pass
    • Flag
    • Fail

    Are prescription drugs dispensed in a suitable container appropriately labeled for subsequent veterinary patient administration, to a client or other individual entitled to receive the prescription drug?

    • Pass
    • Flag
    • Fail

    Are Controlled substances and legend drugs dispensed, ordered or prescribed based on a VCPR?

    • Pass
    • Flag
    • Fail

    For all drugs Is a unique dispensing record maintained separately from the patient chart?

    • Pass
    • Flag
    • Fail

    Are records kept for a minimum of 3 years?

    • Pass
    • Flag
    • Fail

    Does the dispensing record contain?

    Name of patient

    • Pass
    • Flag
    • Fail

    Dose, dosage form, quantity dispensed

    • Pass
    • Flag
    • Fail

    Directions for use

    • Pass
    • Flag
    • Fail

    Date of dispensing; and

    • Pass
    • Flag
    • Fail

    Name of person dispensing the prescription

    • Pass
    • Flag
    • Fail

    Are Rabies vaccines administered only by an Oregon-licensed veterinarian, a Certified Veterinary Technician under direct supervision of an Oregon-licensed veterinarian, or a person authorized by the Oregon Public Health Veterinarian pursuant to OAR 333-019-0017?

    • Pass
    • Flag
    • Fail

    Inspector Comments:

    Printed Name and Title:

    Signature

    Click here to sign

    Date:

Source: MaintainX (Community Member)

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