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W <br />0 <br />JUN 13 2005 14:30 F <br />POLICY <br />TAMNLW6659 P.02/06 <br />r <br />Medications included in the Drug Enforcement Administration <br />(DEA) classification as controlled substances are subject to <br />special handling, storage, disposal, and record keeping in the <br />facilitK in accordance with federal and state laws and regulations. <br />1 _ The director of nursing is .responsible for the facility's compliance with <br />federal and state laws and regulations in the handling of controlled <br />medications. Only authorized licensed nursing and pharmacy personnel <br />have access to controlled medications. <br />2. When a dose of a controlled medication is removed from a container .for <br />administration but refused by the patient or not given for any reason, it is <br />not placed' back in the container. It is destroyed in the presence of two <br />licensed clinicians, and the disposal is documented on the accountability <br />record on the line representing that dose. The same process applies to the <br />disposal of unused partial tablets and unused portions of single dose <br />ampules and doses of controlled substances wasted for any reason. <br />3. Controlled medications remaining in the facility after a patient has been <br />discharged'for any reason, the order is:discontinued, or a medication has <br />expired, are disposed of in the facility, as directed by state laws, and <br />regulations, and/or the DEA. Appropriate records must be maintained. <br />4. In accordance with California regulations, all medications, including <br />controlled medications, will be disposed using appropriate <br />pharmaceutical waste procedures. They will not be flushed down sewer <br />or water drainage system. Controlled drugs will be rendered unusable <br />prior to plaCernent in pharmaceutical waste container.. <br />Ori, -anal ®ate. Revision Date: <br />031101/98 0311.512004 Canrrudted Medic ' <br />- Kerions - LITPp cal Page 6.39 <br />