Pediatric Crash Cart Drug Weight Band Label Verification

Inspection template for verifying pediatric crash cart weight-band drug dosing labels are current, legible, and aligned with the approved Broselow or equivalent reference.

Inspection Details

• Cart identifier recorded
  Enter the pediatric crash cart or code cart identifier, location, or asset tag.
• Inspection date and time recorded
• Current approved reference identified
  Document the current approved Broselow tape, weight-band chart, or facility-approved equivalent used for verification.

Weight-Band Label Accuracy

• All weight-band drug dosing labels match the current approved reference
  Verify each visible weight-band drug dosing label against the current approved pediatric dosing reference.
• No outdated or superseded weight-band labels present
  Confirm labels from prior versions, obsolete color bands, or retired dosing references have been removed.
• Weight-band labels are correctly placed for the corresponding dosing range
  Confirm each label is attached to the correct drawer, compartment, or medication grouping for the intended weight band.
• Weight-band labels are complete for all required pediatric ranges
  Verify the cart includes the full set of required weight-band labels used by the facility's pediatric emergency protocol.

Legibility and Physical Condition

• Weight-band labels are legible at normal viewing distance
  Confirm text, color coding, and dosing information can be read quickly without lifting or removing the label.
• Labels are intact and securely affixed
  Check for peeling, tearing, fading, water damage, smudging, or loose adhesive.
• Labels are free of obstruction
  Ensure labels are not blocked by tape, supplies, cart accessories, or other posted information.

Cart Readiness and Standardization

• Cart uses the facility-approved pediatric dosing system
  Verify the cart is standardized to the approved Broselow or equivalent pediatric emergency dosing system.
• Reference materials are available and current
  Confirm the current dosing reference or quick guide is available with the cart or in the designated location.

Corrective Actions and Signoff

• Deficiencies documented with corrective action
  Record any non-conformance, replacement action, relabeling, or escalation to pharmacy, nursing leadership, or materials management.
• Inspector signature