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Controlled Substances
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Megan Brashear, CVT, VTS (ECC), discusses DoveLewis’ controlled drug policy and the steps taken before administering any controlled substances to a patient.
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Megan Brashear
CVT VTS(ECC)
Enrolled: 07/2011
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Who is responsible for drawing up controlled substances for surgery? Do you follow the same process?
Hi Rick, yes we follow the same process for surgery. The anesthetist will log and receive any pre-meds and induction meds and if anything additional is needed intra-op will call out and have those logged and drawn as well. The vast majority of our surgeries are emergency and we are not usually doing more than one at a time. In a busy multi-surgeon surgical practice that department might have their own lockbox but we would manage it with the same rules as our ER and ICU boxes.
When logging the drug, is it the tech drawing up the drug that signs/initials that entry or the doctor Rx'ing it? Specifically referring to oral buprenorphine and other oral meds?
Hi Crystal! The person who initials the entry in the drug log book, is the person who draws up the medication. At DoveLewis, that is the CVT who is holding the key. This is our policy for all of our controlled substances including injectable, oral and topical medications.
Have you ever kept track of injectables by weight method?
Hi Cheri, We don't keep track by weight. I think this is a reasonable auditing method to consider though. We do estimates on daily counts +/- a hard count if a discrepancy is suspected. When we do hard count, we actually will use a syringe and needle to quantify measurements. This would come with a small quantity wasted due to hub loss, but it is likely the most accurate. I think that weighing bottles would be a good consideration if you were finding frequent discrepancies. I've actually heard of this method being used to quantify liquor amounts in bars. I'd love to hear more about it, if you are implementing this at your practice!