
Regulatory bodies require healthcare organizations to establish and implement policies and processes that ensure medications are stored securely to prevent theft or diversion.
Many organizations utilize free-standing locked carts for medication storage. Our team has observed instances where these carts retain the manufacturer’s set code, and in some cases, the code is visibly displayed on the cart.
Although there is no specific regulatory requirement mandating that organizations change the manufacturer-set codes, leaving them unchanged poses significant risks, including drug diversion, theft, tampering, and potential citations for medication safety violations.
Recommended Actions
- Develop and enforce policies detailing how medication carts are secured and who is authorized to access them.
- Implement monitoring processes to verify cart integrity, such as incorporating medication cart checks into pharmacy and regulatory rounds.
Please contact us for questions or more information at 704-573-4535 or info@courtemanche-assocs.com.
Courtemanche & Associates specializes in Healthcare Accreditation and Regulatory Compliance Consulting Services. With over 30 years of being in business and 100+ years of healthcare experience amongst our consulting team, we are ready to assist with your accreditation and regulatory compliance needs.