Transcript Narcotic and Controlled Substances Management

Narcotic and Controlled
Substances Management
Policy Update 2012
Narcotic and Controlled Substances
 The LHSC Narcotic and controlled Substances
Management Policy has been revised following
recommendations from the ISMP report and
Accreditation in the fall of 2011
 The primary goals of the Narcotic and Controlled
Substances Management Policy are:
 To provide a clear process for the management of
these medications
 To ensure consistent and safe practices while
dispensing, administering, storing and disposing of
narcotics and controlled substances.
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Narcotic and Controlled Substances
Key Highlights
 Patient’s own narcotics and controlled substances
section added
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LHSC discourages the use of patient’s own narcotics
whenever possible
This section outlines the process for safely managing
narcotics and/or controlled substances that are
brought into hospital by a patient
 Management of wastage
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Clearly defines how to manage wastages in all areas
Addition of how to render/dispose of small and large
amounts of narcotics in a safe manner
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Narcotic and Controlled Substances
Key Highlights
 Area Leadership responsibility
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Detailed roles and responsibility including periodic
audits and reviews to ensure proper management of
narcotics and controlled substances in their area.
 Increased focus on AEMS reporting
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Highlights the importance of completing an AEMS
report and the identification of appropriate situations
to complete the report
Roles and responsibilities of different health care team
members in AEMS reporting.
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Narcotic and Controlled Substances
Key Highlights
 Shift count process
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Clearly outlines the process for shift count, who must
complete the count, when a new disposition record is
required, and steps to follow if there is a discrepancy
with the count
 Documentation of narcotics and controlled
substances
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A more thorough and safe approach to documentation
has been outlined. Meant to address ongoing
challenges in areas of legibility, thoroughness and
timely completion of this document.
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Narcotic and Controlled Substances
Reminders
 Document clearly and legibly on both the MAR and
the narcotic disposition record.
 Narcotic cupboard keys are still to be counted with
each shift change count and documented as per unit
practice
For any questions or concerns contact:
 Unit leadership
 Pharmacy/unit pharmacist
 Nursing professional practice
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Narcotic and Controlled Substances
Questions?
 Contacts
 Nursing Professional Practice
OR
 Pharmacy
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