/depts/,/depts/uwhealth/,/depts/uwhealth/ambulatory-education/,/depts/uwhealth/ambulatory-education/ambulatory-emergency/,/depts/uwhealth/ambulatory-education/ambulatory-emergency/resources/,

/depts/uwhealth/ambulatory-education/ambulatory-emergency/resources/UW-Health-Emergency-Med-Tray-Audit-.pdf

20180122

page

100

UWHC,UWMF,

Learning and Development,

Departments & Programs,UW Health,Ambulatory Education,Ambulatory Emergency,Resources

Med Tray Only Audit

Med Tray Only Audit - Departments & Programs, UW Health, Ambulatory Education, Ambulatory Emergency, Resources




Worksheet Only-not a medical record document. DO NOT SCAN

UW Health Emergency Med Tray Audit (BLS) Clinic: Month/Year:
*keep on file for 3 years





Manager’s Corrective Action Plan (in needed) _________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________



Date Time Action Taken Signature



















Pharmacy -- Bi-annual Medication Tray exchange Additional Medication Tray exchange
February check ________ Expiration Date ___________ Signature __________ Additional check ______ Expiration date _______ Signature ____________

August check ________ Expiration Date ___________ Signature __________ Additional check ______ Expiration date _______ Signature ____________