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Medication Expiration and Expirable Supplies Check
Year
*
2024
2025
2026
2027
Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Date
Dexamethasone Inj
Expiration Date
Expiration Date
Depo-Medrol Inj
Expiration Date
Expiration Date
Zofran Inj
Expiration Date
Expiration Date
Toradol Inj
Expiration Date
Expiration Date
Promethazine Inj
Expiration Date
Expiration Date
Diphenhydramine Inj
Expiration Date
Expiration Date
Testosterone Inj
Expiration Date
Expiration Date
Sodium Bicarb Inj
Expiration Date
Expiration Date
Norflex Inj
Expiration Date
Expiration Date
B12 Inj
Expiration Date
Expiration Date
Solu Medrol Inj
Expiration Date
Expiration Date
Epinephrine Inj
Expiration Date
Expiration Date
Ammonia Inhalant
Expiration Date
Expiration Date
Lidocaine 1% Inj
Expiration Date
Expiration Date
Hydralazine Inj
Expiration Date
Expiration Date
Lidocaine 2% Inj
Expiration Date
Expiration Date
Marcaine Inj
Expiration Date
Expiration Date
Lidocaine with Epi Inj
Expiration Date
Expiration Date
Rocephin Inj
Expiration Date
Expiration Date
Turbersol Inj
Expiration Date
Expiration Date
Influenza Inj
Expiration Date
Expiration Date
Humulin Inj
Expiration Date
Expiration Date
Adacel Inj
Expiration Date
Expiration Date
Lorazepam Inj
Expiration Date
Expiration Date
Aspirin Tablet
Expiration Date
Expiration Date
Lidocaine Viscous Susp
Expiration Date
Expiration Date
Nitrostat Tablet
Expiration Date
Expiration Date
Ibuprofen Tabet
Expiration Date
Expiration Date
Clonidine Tablet
Expiration Date
Expiration Date
Ibuprofen Oral Soul
Expiration Date
Expiration Date
Zofran Tablet
Expiration Date
Expiration Date
Diphenhydramine Tablet
Expiration Date
Expiration Date
Acetaminophen Tablet
Expiration Date
Expiration Date
Diphenhydramine Oral Soul
Expiration Date
Expiration Date
Acetaminophen Oral Soul
Expiration Date
Expiration Date
Geri-Mox Oral Susp
Expiration Date
Expiration Date
Duoneb Inh Solution
Expiration Date
Expiration Date
Bacitracin
Expiration Date
Expiration Date
Albuterol Inh Solution
Expiration Date
Expiration Date
Silvadene
Expiration Date
Expiration Date
TOA
Expiration Date
Expiration Date
TOA
Expiration Date
Expiration Date
Ethyl Pinpoint Spay
Expiration Date
*
Nasal Canals
Nebulizer Kits
Checked Expiration Dates on Other Expirable Supplies?
(H2O2, Sterile H2O, Normal Saline, Other Wound Care Supplies, Etc.)
*
Yes
No - See Notes For Details
Expired medications disposed of properly?
*
Yes
No
Not Applicable
Notes
*
Date Check Performed
*
+
Signature of Nurse Performing Check
*
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