Pharmacy Consultant Monthly Drug Regimen Review

Inspection template for documenting the consultant pharmacist's monthly chart review, identifying medication-related irregularities, and capturing physician notification and response.

Review Details

• Review month and year documented
• Consultant pharmacist name and credentials documented
• Facility/unit or resident census covered by the review documented
• Review completed within the monthly review cycle
• Source records available for review

Medication Regimen Review Findings

• Indication, dose, route, and frequency are appropriate
• Duplicate therapy, drug-drug interaction, or contraindication identified
• Allergy or adverse drug reaction risk reviewed against current orders
• Medication without clear indication, excessive duration, or unnecessary continuation identified
• Laboratory monitoring or therapeutic drug monitoring is current for applicable medications

Irregularities and Recommendations

• Number of irregularities identified
• Each irregularity documented with medication, issue, and clinical concern
• Pharmacist recommendation documented for each irregularity
• Urgent or high-risk findings escalated immediately

Physician Notification and Response

• Physician or prescriber notified of significant irregularities
• Date and time of notification documented
• Method of notification documented
• Physician response documented
• Follow-up action or order change documented

Documentation, Sign-Off, and Follow-Up

• Review note is legible, complete, and filed in the chart or designated record
• Outstanding issues assigned for follow-up
• Corrective actions tracked to closure
• Inspector signature completed