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Administering Medications

Administering Medications. DRUG LOG. System has been effective in reducing widespread diversion of these drugs into the illicit market. Controlled substances are classified into 5 classes according to their use or abuse potential Schedules I – V

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Administering Medications

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  1. Administering Medications

  2. DRUG LOG

  3. System has been effective in reducing widespread diversion of these drugs into the illicit market. • Controlled substances are classified into 5 classes according to their use or abuse potential • Schedules I – V • Records must be kept for 2 years of received substances and outgoing substances

  4. Where are they kept • They must be in a securely locked substantially constructed cabinet or safe • Must be in a DOUBLE locked container that can not be picked or moved. • Usually access is limited to one or two people • IF SUSBTANCES ARE LOST-it MUST be reported to the DEA AND LOCAL POLICE

  5. Receiving Drugs • You need to enter: • Date received • Invoice # • Supplier’s Name • Quantity Received in mL’s • Quantity on Hand in mL’s • Total Quantity Received & On Hand • Your initials +/- comments

  6. Ketamine – Large BottleSchedule III #3 #4 #5 #6

  7. A New Shipment Has Arrived • You have just received 4 bottles of Ketamine 100mg/mL (10 mL vials) • You need to log them into inventory before you can use them • Invoice Number – KRO4861 • You have a bottle currently in working stock: • Bottle #2 has 4 mL’s

  8. Placing Into Working Stock • Each bottle should be labeled with an individual number – (Easier) – Numerical Order • YOU SHOULD NEVER HAVE 2 BOTTLES IN WORKING STOCK AT THE SAME TIME • When you finish a bottle the end balance should be ‘0’ • Then open next bottle • When you open a new bottle – You log: • Date opened • NEW BOTTLE # ____ • Balance in Bottle • THEN ON THE NEXT LINE

  9. LOGGING OUT DRUGS • YOU NEED TO ENTER: • The date used • Patient Name and Client Name • Complete Address (clinic’s) • Reason for selling, Dispensing, Administering, Disposal • Amount Drawn up • Balance Left in the Bottle • Your Initials • *** Each dose drawn up needs to be logged individually.***

  10. Draw Up Drugs & Log Them You need to draw up ketamine for a patient: Remember your balance on hand from “receiving data” – should be logged “Frampton” owned by Jack Harris is coming in for a Mass Removal today, “Frampton” is needing 5.5 mL IV. Step 1 – Draw up remaining of previous balance & log

  11. Buprinex – Small Bottle (1mL each)Schedule III # 20 #21 #22 # 23 #24 #25

  12. There is no bottles of Buprenex open or available • “Daffy” Jackson needs 1.2 mL of Buprenex for her OHE. • “Muffy” Pickles needs 0.45 mL of Buprenex given in 5 doses for her post of Ear Flush pain medications.

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