ASC Pharmacist Consultants Keeping you “in the know” in the asc industry Gregory Tertes, R.Ph. Pharmacist Consultant ASC Pharmacist Consultants, Inc. DEA Controlled Substances: Tracking and Diversion Prevention ASC Pharmacist Consultants Your partner for Safe Medication Solutions Diversion - Two Perspectives ASC Pharmacist Consultants Your partner for Safe Medication Solutions Potential Diverter DEA Agent
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DEA Controlled Substances - Progressive Surgical Solutions
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ASC Pharmacist Consultants
Keeping you “in the know” in the asc industry
Gregory Tertes, R.Ph. Pharmacist Consultant
ASC Pharmacist Consultants, Inc.
DEA Controlled Substances: Tracking and Diversion Prevention
ASC Pharmacist Consultants Your partner for Safe Medication Solutions
Diversion - Two Perspectives
ASC Pharmacist Consultants Your partner for Safe Medication Solutions
Potential Diverter DEA Agent
Order
Receive
Check into Safe
Move between Safe and Daily Stock
Check out to anesthesia
Waste in procedure
PACU
Check back into Daily Stock
Twice daily count
Expired
How do DEA Controlled Substances Work through our Facility?
ASC Pharmacist Consultants Your partner for Safe Medication Solutions
Fenta
nyl 5
0mg/m
l
Midazo
lam 2m
g/2ml
2 mlVi
alDiaz
epam
5mg T
ablet
Date Time Patient Name (Last, First)
Dose Out
Dose Give
nDose
Wasted Signature Co-Signature
Amount Brought Forward - Beginning Balance
Order
Receive
Check into Safe
Move between Safe and Daily Stock
Check out to anesthesia
Waste in procedure
PACU
Check back into Daily Stock
Twice daily count
Expired
How do DEA Controlled Substances Work through our Facility?
ASC Pharmacist Consultants Your partner for Safe Medication Solutions
Fenta
nyl 5
0mg/m
l
Midazo
lam 2m
g/2ml
2 mlVi
alDiaz
epam
5mg T
ablet
Date Time Patient Name (Last, First)
Dose Out
Dose Give
nDose
Wasted Signature Co-Signature
Amount Brought Forward - Beginning Balance
• Two Licensed Personnel • Not the same person ordering and receiving
• Ephedrine
Order
Receive
Check into Safe
Move between Safe and Daily Stock
Check out to anesthesia
Waste in procedure
PACU
Check back into Daily Stock
Twice daily count
Expired
How do DEA Controlled Substances Work through our Facility?
ASC Pharmacist Consultants Your partner for Safe Medication Solutions
Fenta
nyl 5
0mg/m
l
Midazo
lam 2m
g/2ml
2 mlVi
alDiaz
epam
5mg T
ablet
Date Time Patient Name (Last, First)
Dose Out
Dose Give
nDose
Wasted Signature Co-Signature
Amount Brought Forward - Beginning Balance
• Two Licensed Personnel
Order
Receive
Check into Safe
Move between Safe and Daily Stock
Check out to anesthesia
Waste in procedure
PACU
Check back into Daily Stock
Twice daily count
Expired
How do DEA Controlled Substances Work through our Facility?
ASC Pharmacist Consultants Your partner for Safe Medication Solutions
Fenta
nyl 5
0mg/m
l
Midazo
lam 2m
g/2ml
2 mlVi
alDiaz
epam
5mg T
ablet
Date Time Patient Name (Last, First)
Dose Out
Dose Give
nDose
Wasted Signature Co-Signature
Amount Brought Forward - Beginning Balance
• Have anesthesia verify what they checked out.
Order
Receive
Check into Safe
Move between Safe and Daily Stock
Check out to anesthesia
Waste in procedure
PACU
Check back into Daily Stock
Twice daily count
Expired
How do DEA Controlled Substances Work through our Facility?
ASC Pharmacist Consultants Your partner for Safe Medication Solutions
Fenta
nyl 5
0mg/m
l
Midazo
lam 2m
g/2ml
2 mlVi
alDiaz
epam
5mg T
ablet
Date Time Patient Name (Last, First)
Dose Out
Dose Give
nDose
Wasted Signature Co-Signature
Amount Brought Forward - Beginning Balance
•Complete controlled waste at the end of each procedure. (Not the end of the day.)
• Witness waste • Two licensed personnel
sign off on waste. • Secure sharps containers
Order
Receive
Check into Safe
Move between Safe and Daily Stock
Check out to anesthesia
Waste in procedure
PACU
Check back into Daily Stock
Twice daily count
Expired
How do DEA Controlled Substances Work through our Facility?
ASC Pharmacist Consultants Your partner for Safe Medication Solutions
Fenta
nyl 5
0mg/m
l
Midazo
lam 2m
g/2ml
2 mlVi
alDiaz
epam
5mg T
ablet
Date Time Patient Name (Last, First)
Dose Out
Dose Give
nDose
Wasted Signature Co-Signature
Amount Brought Forward - Beginning Balance
• Draw up syringes you will administer.
• Witness waste. • Two licensed personnel sign off on waste.
• Secure sharps containers.
Order
Receive
Check into Safe
Move between Safe and Daily Stock
Check out to anesthesia
Waste in procedure
PACU
Check back into Daily Stock
Twice daily count
Expired
How do DEA Controlled Substances Work through our Facility?
ASC Pharmacist Consultants Your partner for Safe Medication Solutions
Fenta
nyl 5
0mg/m
l
Midazo
lam 2m
g/2ml
2 mlVi
alDiaz
epam
5mg T
ablet
Date Time Patient Name (Last, First)
Dose Out
Dose Give
nDose
Wasted Signature Co-Signature
Amount Brought Forward - Beginning Balance
• Double check anesthesia logs to count sheets.
• Verify anesthesia tally. • Have anesthesia verify
what they checked in.
Order
Receive
Check into Safe
Move between Safe and Daily Stock
Check out to anesthesia
Waste in procedure
PACU
Check back into Daily Stock
Twice daily count
Expired
How do DEA Controlled Substances Work through our Facility?
ASC Pharmacist Consultants Your partner for Safe Medication Solutions
Fenta
nyl 5
0mg/m
l
Midazo
lam 2m
g/2ml
2 mlVi
alDiaz
epam
5mg T
ablet
Date Time Patient Name (Last, First)
Dose Out
Dose Give
nDose
Wasted Signature Co-Signature
Amount Brought Forward - Beginning Balance
• Two licensed staff count open and close inventory
• Look both ways
Order
Receive
Check into Safe
Move between Safe and Daily Stock
Check out to anesthesia
Waste in procedure
PACU
Check back into Daily Stock
Twice daily count
Expired
How do DEA Controlled Substances Work through our Facility?
ASC Pharmacist Consultants Your partner for Safe Medication Solutions
Fenta
nyl 5
0mg/m
l
Midazo
lam 2m
g/2ml
2 mlVi
alDiaz
epam
5mg T
ablet
Date Time Patient Name (Last, First)
Dose Out
Dose Give
nDose
Wasted Signature Co-Signature
Amount Brought Forward - Beginning Balance
• Reverse Distributor • Waste on site:
• DEA Form 41 • Render “non-retrievable”
Gregory Tertes, R.Ph. ASC Pharmacist Consultants, Inc. 248 3rd Street, Suite 606 Oakland, CA 94607 510-710-3640 [email protected]
ASC Pharmacist Consultants Your partner for Safe Medication Solutions
ASC Pharmacist Consultants
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