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Run: Crash Cart and Emergency Medication Check for Clinic

Use this crash cart and emergency medication check to verify that your clinic’s emergency response supplies are sealed, stocked, in date, and ready to use. I...

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Inspection Details

Inspection date and time recorded

Inspector name and role documented

Cart location and identifier confirmed

Record the clinic area, cart number, or cabinet ID so the inspected unit can be traced.

Cart Security and Accessibility

Tamper-evident seal intact and matches log record critical (required)

Verify the seal is unbroken and the seal number matches the documented inventory or inspection log.

Yes No N/A

Cart is immediately accessible and not blocked critical (required)

Cart must be reachable without moving furniture or equipment and should be accessible within seconds during an emergency.

Yes No N/A

Cart exterior clean, labeled, and in designated location

Confirm the cart is in the assigned clinic location, clearly labeled as emergency equipment, and free of visible contamination or damage.

Yes No N/A

Emergency Medications

All required emergency medications present critical (required)

Select all medications required by the clinic protocol that are present in the cart.

Emergency medications within expiration date critical (required)

Check every medication vial, ampule, inhaler, tablet pack, and prefilled syringe for expiration date compliance.

Yes No N/A

High-alert or controlled medications secured per policy critical (required)

If the clinic stores any high-alert or controlled emergency medications, verify they are secured, counted, and handled per facility policy.

Yes No N/A

Medication list and dosing reference available

A current emergency medication list, dosing guide, or quick reference card should be present in or attached to the cart.

Yes No N/A

Oxygen and Suction Readiness

Oxygen cylinder present and secured critical (required)

Confirm the oxygen cylinder is present, properly restrained, and not visibly damaged.

Yes No N/A

Oxygen pressure is within usable range critical (required)

Record the cylinder pressure gauge reading.

Oxygen delivery devices available critical (required)

Select all oxygen delivery devices present and ready for use.

Suction equipment present and functional critical (required)

Verify suction source, tubing, and collection container are present and operational.

Yes No N/A

Emergency Equipment and Supplies

Defibrillator or AED present and ready critical (required)

Confirm the defibrillator or AED is present, powered, and ready for use per manufacturer instructions and facility policy.

Yes No N/A

Batteries and pads within service life critical (required)

Check battery status indicators and electrode pad expiration dates or service life.

Yes No N/A

Airway and resuscitation supplies present critical (required)

Select all airway and resuscitation supplies present in the cart.

IV access and basic emergency supplies present

Select all IV and emergency support supplies present and usable.

Documentation and Corrective Actions

Deficiencies documented and escalated critical (required)

Any missing, expired, damaged, or nonfunctional item must be recorded and escalated according to the clinic's corrective action process.

Yes No N/A

Replacement or restock initiated for failed items

Confirm replacement requests, restocking, or maintenance notifications have been initiated for all failed items.

Yes No N/A

Inspector signature completed

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