CONTROLLED SUBSTANCE PROGRAM Flashcards
Who is responsible for the oversight
of the controlled substance program and must review and sign all controlled substance inventories.
CO
_______________is recognized as the ship’s Controlled Substance Custodian. As a result, the MDR will maintain custody of all controlled substances that are authorized for shipboard use. Accountability of these controlled substances will be maintained in the form of a working stock log and periodic inventories.
The ship’s MDR
When there is no pharmacy tech assigned to the ship who is the Working Stock Custodian?
IDC
Can the Working Stock Custodian be the Bulk stock custodian or be a member of the CSIB?
No
Working stock
All records must be maintained for how long?
3 years
Who trains the bulk stock custodian and the CSIB Members?
Working stock custodian
The Bulk Stock Custodian will be a
_________ appointed in writing with responsibilities delineated by the current __
commissioned officer, CO
Can the Bulk Stock Custodian be a member of the Controlled Substance Inventory Board
no
Bulk stock records will be
maintained for ______ .
3 years
What form is the
combination change envelope
SF 700
The Bulk Safe and Working Stock Safe shall have their combination changed immediately upon turnover, suspicion of compromise, and periodically _________.
every six months
Prescriptions for controlled substances SHALL NOT be issued by an IDC while in their homeport, unless __________________________
an emergency situation exists and treatment will be delayed
A person receiving a controlled substance will not normally be returned to duty for a period of ___ after the last medication
8 hours
A ______________is the only form and method authorized to prescribe and dispense outpatient medications. The form will be prepared, dated, have the quantity, strength, prescription number and signature of dispenser
DD Form 1289
Units shall procure and/or dispense ONLY the controlled substances on the AMAL specific to their platform. Exceptions to this provision must be granted in writing by _________________
the applicable TYCOM Force Surgeon
The written AMAL waiver granting authorization shall be maintained with the ______ records.
bulk stock
What letter is used as a prefix for controlled substance prescriptions.
“C”
Additionally, patients will acknowledge receipt of the drug on……
the back of the prescription
If the patient is incapacitated how is acknowledgement obtained?
the person administering the medication and a witness will sign the back stating the recipient was incapable of signing
______responsible for the accounting of all controlled substances through conducting periodic inventories.
CSIB
CSIB shall be composed of at least ____ members; two must be ______ and the third may be enlisted E-7
or above
three, commissioned officers
More CSIB members may be appointed
at the discretion of the __.
CO
A minimum of ____ CSIB members must be present to conduct a CSIB inventory with the exception of ships/units with an assigned crew of less than 100.
three
When can one commissioned officer and one Chief Petty Officer may constitute the board and conduct the CSIB inventory
Ships with crew of 100 or fewer
Periodicity of CSIB inventory
quarterly
within 30 days of a transaction
Any loss of controlled substances must be reported immediately to the ___ and _____.
ISIC and TYCOM
DEA form 106
Report of
Theft of Controlled Substances
DEA form 106 original and 3 copies to where?
-one copy to the nearest DEA office
-one copy to BUMED,
-one copy to the nearest field representative of the NCIS
DD Form 200
Financial Liability of Property Loss
______approval must be received prior to destruction of any controlled substances
CO
A minimum of _____ CSIB members, including the Senior CSIB Member, must be present to at time of destruction.
three
Each CSIB member must sign as witness to destruction on the _____
DD Form 200.
Fractional medications are defined as
an unused portion of a medication
fractional medications that shall be……
wasted and not returned to the working stock
Platforms with Medical Officers. Any unused portion of medication must be wasted/destroyed by _________ or one HCP and the ship’s Pharmacy Technician and documented on the NAVMED 6710/1.
two licensed healthcare professionals (HCP)
Platforms with IDCs as Senior Medical Department Representatives. Any unused
portion of medication must be wasted/destroyed in the presence of ________ and documented on the NAVMED 6710/1 with forms filed behind NAVMED 6710/5 in the working stock binder.
one CSIB member
Wasted meds are documented on what forms
documented on the NAVMED 6710/1
