narcotics

Question 1

Controlled drug & substances act

Answer 1

• Federal low

- Scheduling or drugs (control) specific rule for how they’re manufactured & stored, some have potential for tissues

Question 2

Schedule 1

Answer 2

heroin, opium, morphine, oxycodone etc

Question 3

schedule 2

Answer 3

synthetic cannabinoids

Question 4

scheduler 3

Answer 4

some hallucinogenic or stimulates or anesthetics, ritalin

Question 5

schedule 4

Answer 5

benzodiazepines, testosterone, barbiturates

Question 6

Schedules 1, 2, 3

Answer 6

illegal to possess unless for a specific reason

Question 7

scheulde 1, 2, 3, 4

Answer 7

illegal to traffic sell administer etc.

Question 8

How long are record kept for

Answer 8

at least 2 years

Question 9

Person in charge must

Answer 9

report any discrepancy to the ministry of health within 10 days of discovery

Question 10

Controlled drugs in the care environment

Answer 10

• Laws are enacted through policy
• VIHA specifies who can prescribe, handle administer controlled drugs
• sets guidelines for how to document, store & transport
• Mariuana for medicinal has separate policy

Question 11

Marijuana for medical purposes

Answer 11

1) according to insitution
2) Nurses may be authorized to administer cannibis oil or fresh ( not died) to a client who has a prescription
3) VIHA - pt may use one supply with valid prescription. IT’s their property

Question 12

VIHA Narcotics & controlled drug storage

Answer 12

-Pharamcy approves storage locations, inspected annually, secure not public

Question 13

Manual narcotic cupboards

Answer 13

• leys must be either locked up or carrie day a nurse
• nurses count keys
• must return immediate
• lost keys will be reported & lock will be replaced within 24 hours

Question 14

access codes

Answer 14

changed every 6 months

Question 15

automated dispensing cabinets

Answer 15

should be used if available

Question 16

What is perpetual inventory

Answer 16

always documenting the amount left

-must match exactly

Question 17

oral narcotic fluid

Answer 17

10ml discrepancy is okay

Question 18

How many nurses count

Answer 18

2 at shift change or before

Question 19

Wastage

Answer 19

1) Partially used or non-reusable medications are put in designated containers that cannot be retrieved, syringes dispelled
2) Fentanyl patches: document removal, fold in half & into sharps container
3) all wastage must be witnessed & cosigned by REGULATED professionals

Question 20

Student role

Answer 20

• do not have access to narcotics
• nurse who is supervising must witness the preparation & administration & co sign the record
• students don’t accept stock from pharmacy
• students do not perform narcotic counts
• students do not sign wastage

Question 21

report discrepancies

Answer 21

immediately

Question 22

after dispensing a narcotic

Answer 22

use the record to document pt. name & date & med & dose & signature

Question 23

Meds cannot be disposed of in

Answer 23

ink, toilet or garbage, viles never left they’re gone in liquid

Question 24

Controlled drugs

Answer 24

doesn’t require perpetual count but does need total count each time tis removed

Question 25

Returns within clinical area

Answer 25

must be witnessed by 2 liscendsed staff of pharmacy assistant

Question 26

can by physically brought back to pharmacy

Answer 26

by nurse only, don’t sent in tube

Question 27

What is a blind count

Answer 27

required on automated dispensing cabinet, when the quantity is not shown & has to manly imputes

Question 28

Theft

Answer 28

when loss suggest it is not due to a minor event

Question 29

Who is responsible for discrepancy

Answer 29

person who found it & the manager

• locate the error by end of shift
• recount, recheck, check with all nurses,
• unable to find by 2 shifts they contact pharmacy site coordinator
• pharmacy site coordinator will create a health canada report & submit it to the director. This info is required within qo days of loss
• meeting with staff
• theft is reviewed& decided if they’ll ask police