Run Controlled Substance Medication Count and Reconciliation Log — Free

Inspection Details

Inspection date and time recorded critical (required)

School site and health office identified critical (required)

Inspector name and role recorded critical (required)

Medication storage location identified critical (required)

Controlled Substance Receipt and Inventory Setup

Receipt documentation matches medication name, strength, dosage form, and quantity received critical (required)

Yes No N/A

Original count at receipt documented by authorized staff critical (required)

Medication label and prescription/order information verified against student record critical (required)

Yes No N/A

Controlled medication entered into count log upon receipt critical (required)

Yes No N/A

Unused or partial doses from prior supply documented separately

Yes No N/A

Daily Count Reconciliation

Physical count matches expected balance for each controlled medication critical (required)

Yes No N/A

Count performed at required interval and after each administration or removal critical (required)

Yes No N/A

Count verified by second authorized staff member when required by policy critical (required)

Yes No N/A

Discrepancies, if any, documented with medication name, expected count, actual count, and variance

Administration, return, or waste entries reconcile to remaining balance critical (required)

Yes No N/A

Storage Security and Access Control

Controlled medications stored in a locked cabinet or secure container critical (required)

Yes No N/A

Access limited to authorized personnel only critical (required)

Yes No N/A

Keys, codes, or access credentials controlled and not shared inappropriately critical (required)

Yes No N/A

Storage area protected from unauthorized student access and tampering critical (required)

Yes No N/A

Administration, Returns, and Disposal

Each administered dose documented with date, time, dose, and initials critical (required)

Yes No N/A

Returned, refused, or unused doses documented and reconciled critical (required)

Yes No N/A

Expired, discontinued, or disposed medication documented with method, date, and witness critical (required)

Yes No N/A

Discrepancy Escalation and Sign-Off

Any unresolved count discrepancy escalated per school policy and documented critical (required)

Yes No N/A

Witness or second verifier signature captured when required critical (required)

Inspector signature captured critical (required)

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Run: Controlled Substance Medication Count and Reconciliation Log

Inspection Details

Controlled Substance Receipt and Inventory Setup

Daily Count Reconciliation

Storage Security and Access Control

Administration, Returns, and Disposal

Discrepancy Escalation and Sign-Off

Get your results