accountability of controlled substance

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coolidge

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HI,
I am looking for examples of forms for controlled substance accountability.

Each drug would have its own sheet with the columns:
beginning inventory plus acquisitions minus administrations minus wastage minus return = balance on hand

Am I missing any columns?
Any suggestions for forms or examples of forms?
Thanks,
Bob Coolidge Pharm EMT-Int
 
You can easily create one using Microsoft Excel or Google Sheets. This is an example one that we use if/when our computer based logging system goes down.
Controlled Substances.jpg
 
coolidge said:
HI,
I am looking for examples of forms for controlled substance accountability.

Each drug would have its own sheet with the columns:
beginning inventory plus acquisitions minus administrations minus wastage minus return = balance on hand

Am I missing any columns?
Any suggestions for forms or examples of forms?
Thanks,
Bob Coolidge Pharm EMT-Int
Click to expand...
Signature blocks for two person integrity plus supervisor or pharmacist.
 
Old company: 1 page for each narcotic. Month and year at the top.
Date prefilled 31 days : Sign out (dispatcher), sign in (medic) Quantity, Sign out (medic) Sign in (dispatcher). Quantity
So Dispatcher checks it with 2nd dispatcher (if it isn't signed out to a medic for the day) towards the end of the shift. Line out 2nd set of signatures for that date.
--OR--
Dispatcher signs it out to the medic that signs it in to him/her self: they check quantities and write them in. Then at the end of the shift Medic signs them out (off him/her) and dispatcher signs them back in, with a quantity check again.
1 line per day.
 
johnrsemt said:
Old company: 1 page for each narcotic. Month and year at the top.
Date prefilled 31 days : Sign out (dispatcher), sign in (medic) Quantity, Sign out (medic) Sign in (dispatcher). Quantity
So Dispatcher checks it with 2nd dispatcher (if it isn't signed out to a medic for the day) towards the end of the shift. Line out 2nd set of signatures for that date.
--OR--
Dispatcher signs it out to the medic that signs it in to him/her self: they check quantities and write them in. Then at the end of the shift Medic signs them out (off him/her) and dispatcher signs them back in, with a quantity check again.
1 line per day.
Click to expand...
Thanks. Any problems that you have detected that afford diversion with that process?
 
Thanks, would you add anything else to improve accountability?
 
coolidge said:
Thanks. Any problems that you have detected that afford diversion with that process?
Click to expand...
I may be more tired than normal; but I don't know what you are trying to ask.

We never had issues with keeping track. Every narcotic box (locked metal box) was counted at least 1 time every day. Twice if it was signed out to a medic crew.
DEA came in for a surprise visit and they liked it.
Fire department did the same basic thing.

Here at my FT job we have a daily check on tag on the boxes, sign a form that we write in both tag numbers. 2 people.

1 time per month inventory is done with an assigned person (assigned by Base Commander, changes each month): full, open each box, hands on inventory. New tags to seal the boxes.
 
johnrsemt said:
I may be more tired than normal; but I don't know what you are trying to ask.

We never had issues with keeping track. Every narcotic box (locked metal box) was counted at least 1 time every day. Twice if it was signed out to a medic crew.
DEA came in for a surprise visit and they liked it.
Fire department did the same basic thing.

Here at my FT job we have a daily check on tag on the boxes, sign a form that we write in both tag numbers. 2 people.

1 time per month inventory is done with an assigned person (assigned by Base Commander, changes each month): full, open each box, hands on inventory. New tags to seal the boxes.
Click to expand...
Do you do a total reconciliation, for example of product purchased, administered, wasted and balance on hand, kind of like a running back account?
 
It is a government issued form;

This is what we use now.

My old company was just a Word form that had the Month and Year and Narcotic Box on the top. Down the left side was dates 1-31. Then Out: Dispatcher name/signature, medic Name/Signature, quantities, medic name/signature and Dispatch name signature In.
It has been too long I don't have a copy of it. But below is a version (it had lines around everything).

Month: ___________ year___________ box:_____, Narcotic
OUT: Dispatcher Name/Signature. Medic Name/signature: Quantity: IN: Medic Name/Signature, Dispatcher Name/Signature
1st:
2nd:
etc
etc
31st:
 

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