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SIGNATURE. DATE. RECEIVED. INVOICE×. QUANTITY. RECEIVED. DEFILED PRESCRIPTION×. QUANTITY. DISPENSED. CURRENT. INVENTORY. This is a sample form for use by pharmacies using a pharmacy system that

How to fill out controlled substance record sheet form

How to fill out Controlled Substance Inventory Log

1. Gather all necessary information about the controlled substances to be logged.
2. Obtain a blank Controlled Substance Inventory Log template or use a digital logging system.
3. Start with the date and time of the inventory.
4. Record the name of the substance, including its strength and form (e.g., tablet, liquid).
5. Note the quantity on hand for each controlled substance.
6. Enter the location where the controlled substance is stored.
7. Include the name of the person conducting the inventory.
8. Sign and date the log to verify accuracy.
9. Make sure to keep the log in a secure location and maintain confidentiality.

Who needs Controlled Substance Inventory Log?

1. Healthcare professionals who handle controlled substances, including pharmacists, nurses, and doctors.
2. Facilities such as hospitals, clinics, and pharmacies that store or administer controlled substances.
3. Regulatory agencies to ensure compliance with legal requirements for controlled substance handling.

People Also Ask about printable controlled drug log

Which information is recorded in a controlled drug logbook?

Besides the “bound” requirement, the logbook must be maintained by the DEA registrant and include at a minimum all of the following information: drug name, container size, strength of medication, bottle number, date of dispensation, explanation of use, lot number (if available), expiration date, amount added to logbook

What is narcotic log book?

The Narcotic Book provides a tamper-proof record system for your facility. Enter each individual patient's name in the index at the front of the book, then record every drug administered to that patient on the corresponding consecutively numbered page in the book.

Which DEA form must be used to document the destruction of a controlled substance?

Registrant Record of Controlled Substances Destroyed - DEA Form 41.

What is DEA form 22 used for?

The Drug Enforcement Administration (DEA), Office of Diversion Control, will accept requests from distributors that require a large volume of Order Forms (DEA Form 222) with the pin feed tracking left on the form. Order Forms are used for the distribution of a Schedule I or II controlled substance.

What is the purpose of DEA form 41?

Additionally, a DEA Form 41 must be used when destroying expired or unwanted controlled substances. So, it's imperative to select a government-approved reverse distributor for the destruction of expired or unwanted controlled substances.

What must the inventory of controlled substances include?

Actual Name of Controlled Substance, Form, Quantity, Strength; ▪ Number of Units or Volume of Finished Form Dispensed; ▪ Name, Address of the Person to Whom It Was Dispensed; ▪ Date of Dispensing.

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What is Controlled Substance Inventory Log?

A Controlled Substance Inventory Log is a record used by healthcare providers, pharmacies, and facilities to document the quantities of controlled substances they possess, including details about the receipt, distribution, and disposal of these substances.

Who is required to file Controlled Substance Inventory Log?

Pharmacies, healthcare facilities, and practitioners who handle controlled substances are required to file a Controlled Substance Inventory Log.

How to fill out Controlled Substance Inventory Log?

To fill out a Controlled Substance Inventory Log, one must record the name of the controlled substance, its dosage form, the quantity on hand, the date and time of the inventory, and the signature of the person conducting the inventory.

What is the purpose of Controlled Substance Inventory Log?

The purpose of the Controlled Substance Inventory Log is to ensure accountability, track the use and movement of controlled substances, and comply with legal and regulatory requirements.

What information must be reported on Controlled Substance Inventory Log?

Information that must be reported includes the name of the controlled substance, dosage form, strength, quantity on hand, date of inventory, location, and the signatures of those conducting and verifying the inventory.