A Self-Assessment Guide for Health Care Organizations - IFC
A Self-Assessment Guide for Health Care Organizations - IFC
A Self-Assessment Guide for Health Care Organizations - IFC
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Measurable Element Look <strong>for</strong> Score Observations<br />
What is required<br />
How is this element<br />
assessed<br />
0 5 10 Why did you give this score<br />
4) A list of medications<br />
<strong>for</strong> prescribing and<br />
ordering is available and is<br />
appropriate to the<br />
organization’s mission,<br />
patient needs, and services<br />
provided.<br />
A <strong>for</strong>mulary or other document lists<br />
the medications available. ........................................................<br />
........................................................<br />
........................................................<br />
5) There is a process<br />
established <strong>for</strong> when<br />
medications are not<br />
available that includes a<br />
notification to prescribers<br />
and suggested<br />
substitutions.<br />
A policy/procedure describes the<br />
process to be followed when<br />
medications are not available, e.g.<br />
notification of physician,<br />
identifying alternatives.<br />
........................................................<br />
........................................................<br />
........................................................<br />
6) Medications are<br />
protected from loss or<br />
theft throughout the<br />
organization.<br />
A policy describes how medications<br />
are managed to prevent loss or<br />
theft.<br />
........................................................<br />
........................................................<br />
7) Medications are stored<br />
under conditions suitable<br />
<strong>for</strong> product stability.<br />
Observations made in areas where<br />
medications are kept show that<br />
medications are stored properly.<br />
The temperatures of refrigerators<br />
are monitored daily; range limits<br />
are listed, and staff know what to<br />
do when the temperature is out of<br />
range. The “first in/first out” rule is<br />
applied to avoid wastage due to<br />
expiration.<br />
........................................................<br />
........................................................<br />
........................................................<br />
........................................................<br />
8) Controlled substances<br />
are accurately accounted<br />
<strong>for</strong> according to applicable<br />
law and regulation.<br />
A log/record is kept <strong>for</strong> managing<br />
controlled substances. ........................................................<br />
........................................................<br />
9) Emergency<br />
medications are available<br />
in the units where they will<br />
be needed or readily<br />
accessible within the<br />
organization to meet<br />
emergency needs.<br />
During rounds, the emergency<br />
carts/boxes are found to be locked<br />
and the stocking sheets accurately<br />
completed.<br />
Adequate stocks of life critical<br />
medications are consistently<br />
maintained.<br />
........................................................<br />
........................................................<br />
........................................................<br />
........................................................<br />
<strong>IFC</strong> <strong>Self</strong>-<strong>Assessment</strong> <strong>Guide</strong> <strong>for</strong> <strong>Health</strong> <strong>Care</strong> <strong>Organizations</strong> 51