Reading 10 Flashcards
When considering Controlled Substances, what are some of the ways to help with reducing thief?
- Putting C-II to V all together on the shelf
- Put in a safe or locked container
- C-I MUST be locked up
Mainly C-III to V in mixed with non-controlled and C-II in a safe
What type of safe must be used for the C-I or IIs, especially within a practitioners office>
- Steel Cabinet equivalent to a U.S. Government Class V Security Container
When employing people, who are some of the people we CANNOT employ?
- Convicted Felons [related to controlled substances]
- Someone that has had there registration revoked, deined or surrenedered
Someone arressted NOT felon, misdemeanor, felon UNRELATED to controlled substances CAN be employed
What are some of the interview questions that you can ask that pertains to security?
- Crimes related to controlled substances [convicted or misdemeanor]
- Taken controlled substance thats not yours
How long should record and reports be kept?
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- 2 years from the inventory date
What are some of the prescription storgae methods?
- Two-file
- Three-file
What is a Three-File System?
- C-II in ONE file and C-III, IV, V in a SECOND file and non-controlled in a THIRD file
What is a two-file system?
- C-II in ONE file and the rest in a SECOND file
When using a Two-File System, was are two ways that help make prescriptions readilty available?
- Red-C: 1in high, stamped in lower right [shows it was filed?]
- Within the computer system [should identity Dr. name, patient name, drug, date filled]
What Central Recordkeeping?
- DEA allowing records to be keeping at a central location
- Must noifty the DEA first tho [exact location, name, address, DEA #, Type of Registration, is the central location manual or computer?]
Could start within 14 days unless told so by the DEA
What are three things that cannot be stored Centrally?
- CANNOT store; executed order forms [DEA form 222], Inventories, or Prescriptions
What is the way that we can order C-III, IV, V contrlled substances?
- Same as non-controlled
- Invoice MUST have; date, controlled substance
What is the way that we can order C-II contrlled substances?
- DEA Form 222
- OR with a prescription [If no 222]
Who is able to order off of the DEA Form 222?
- By that who signed the MOST RECENT registration paper work
- Unavailable = give agency by power of attorney
Can have more that one person POA’d
What is the way that we are able to obtain an order form?
- Submit an order to DEA form 222a [done as part of registration]
- Additional forms are done the same way OR contant local DEA office
What are some of the pre-printed things on a DEA form 222 and what should you do if they are messed up?
- Pre-printed: Order from #, Name, Address, Registration #, Activites, Schedules they can handle
- Errors: Send back to DEA then get new ones
How do we execute an order form?
- 20 lines: One thing per line
- Purchasers ONLY provide name of drug, strength, number of packages
NO NDC because that is what your going to have to get
What is the way that we file an order form?
- Supplier adds DEA # and completes form [includes NDC, number of packages, date completed]
- Supplier keeps OG DEA 222 then sends a copy to the DEA by the end of the month
What is the process of Partailly filling an order?
- Cant complete order; can patrially fill then supply balance within 60 days
- After 60 days, Order invalid
What is the process of endorsing a order?
- ALL OR NOTHING
- If endoring; must be complete within 60 days
- Endorsee does all paper work then
What happens if the supplier finds an unaccepted or defective order form?
- Forms that are imcomplete, erasure/alteration, not prepared must snd the DEA 222 back to the purchaser
What happens when an order form is voided or canceled as part of an order?
- Supplier crosses out items and printes “cancelled”
- Purchaser can cancel by contacting supplier by mail, fax, or email
What are the two type of lost or stolen order forms?
- Unfilled: lost in the mail or before filled [MUST make new DEA 222 exactly the same as before]
- Unused: notify immediately; Known, must give form # & Unknown, must give date
What is the way that we are able to use electronic order forms?
- HAVE to get a Digital Certificate [need for CSOS]
- Also need 9-digit code, registration #, supplier address/DEA #, date, product, amount
Forward to DEA within 2 days
What are some of the important inventory dates?
- Initial: 1st do it
- Official: ALL controlled substance on hand
- Last: Non-controlled to controlled
- Final: When going out fo business
Official is completed EVERY 2 YEARS
What are some of the methods of taking inventory?
- At open or close
- OPEN: recieved/dispensed NOT counted for
- CLOSE: recieved /dispensed COUNTED for
For what controlled substance should you give exacts counts for and which should not?
- C-I & II: EXACT
- C-III, IV, V: ESTIMATE only if bottle < 1000 units
GREATER then 1000 units have to give exact counts
What is the calculation for finding out inventory of controlled/non-controlled substances after a robbery?
- Biennial inventory [open or close] +
- Received -
- Dispensed, Distributed, Returned, Lost, Stolen, Destoryed -
- On hand amount
