Medium

Available on

Apple Android Windows

Hospital Inspection Form Mobile App

The Hospital Inspection Form mobile app includes a detailed hospital inspection and covers the following areas: permits and licenses, personnel, security, physical requirements and equipment, drug samples, emergency room(ER) dispensing, labeling of medications, unlicensed personnel, confidentiality, medications orders, emergency drug boxes, formulary management, purchasing pharmaceuticals, storage, inventory control procedures, investigational drugs, controlled substance, automated medication systems, outsourcing, quality insurance, nursing units and non-dispensing functions of pharmacists. GoCanvas allows you to copy and move apps to users you manage.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Hospital Inspection Form Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Hospital Inspection Form

  • Ico textbox

    Pharmacy Name-Doing Business As (DBA) or Trade Name

  • Ico textbox

    Street Address

  • Ico textbox

    Business Telephone Number

  • Ico textbox

    Business Fax Number

  • Ico textbox

    Pharmacy Permit Number

  • Ico date

    Expiration

  • Ico textbox

    CDS Registration Number

  • Ico date

    Expiration

  • Ico textbox

    DEA Registration Number

  • Ico date

    Expiration

  • Ico textbox

    Pharmacy Hours:

  • Ico date

    Inspection Date:

  • Ico textbox

    Arrival Time:

  • Ico textbox

    Departure Time:

  • Ico dropdown

    Type of Inspection:

  • Ico date

    Previous Date:

  • Ico checkbox

    If the pharmacy is not open 24 hours, policies and procedures are in place for emergency access t...

  • Ico checkbox

    The pharmacy orders, stocks, or dispenses controlled drugs.

  • Ico checkbox

    The Pharmacy performs Sterile Compounding.

  • Ico checkbox

    The pharmacy wholesale distributes to another pharmacy.

  • Ico checkbox

    The pharmacy wholesale distributes to a wholesale distributor.

  • Ico checkbox

    The wholesale distribution business exceeds 5% of the pharmacy annual sales.

  • Ico multiline

    Comments:

  • Ico textbox

    Name of Pharmacist/Manager who is charged with ensuring compliance with all applicable laws

  • Ico textbox

    Pharmacist Employee

  • Ico textbox

    License #

  • Ico date

    Exp Date

  • ...and More!

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