Card Set Information
Why CONTROLLED SUBSTANCES are Most heavily regulated drugs?
Because of their high abuse potential
Controlled Substance is being moniter by which Government Adminstrations?
Closely monitored by the
Drug Enforcement Administration (DEA)
Controlled Drugs & Substance Act, 1970?
Regulate the administration, manufacturing, distribution and dispensing of drugs that have been found necessary to control
Enforced by Drug Enforcement Administration (DEA)
Consists of five (5) classifications (Schedules) of
No accepted medical use in U. S.
High abuse potential
Lysergic acid diethylamide (LSD)
Needs prescription; no refills
High abuse potential
Container must have warning label
Schedule II examples?
methylpheniamide (Ritalin, Concerta)
Less abuse potential than those in Schedule I &II
May lead to psychological or physical dependence
Androgens & anabolic steroids
Empirin/codeine #3, #4, Fiorinal, Tylenol/codeine
Schedule IV? and examples
Low abuse potential compared to drugs in S. III
Widely used in practice
temazepam (Restoril) (sedative-hypnotic)
Schedule V? and Examples?
Products containing small amounts of controlled substances
Low physical or psychologic dependence
May be dispensed without prescription but with some restrictions (depends on state)
Robitussin with codeine (Robitussin A-C)
diphenoxylate and atropine (Lomotil)
Nurses may NOT have controlled substances in their possession unless which of the following conditions is met?
1.The nurse is giving them to the patient for whom they are ordered
2.The nurse is the individual designated responsible for the control of the supply of medications of a unit
3.The nurse is the patient for whom a physician has prescribed the medication
How Nurses Handling controlled Substances?
Do Inventory at each shift change
Verify all drugs delivered to unit
Inspect all items for signs of tampering
Visually check each drug thoroughly prior to administration
REPORT ALL DISCREPANCIES OR SIGNS OF TAMPERING TO THE NURSE MGR/SUPERVISOR, PHARMACY AND SECURITY DEPARTMENT
Nurses Handling controlled substances
The controlled substances
will be counted each shift by 2 RNs
who accepts the keys is RESPONSIBLE for
a correct count
At all times the
NARCOTIC KEYS must be maintained in an unbroken chain of custody
Nurses Handling Controlled Substances
wasted by having a second RN witness
disposal into the sink drain. This is then recorded on the narcotic record
Staff RNs can obtain narcotics from pharmacy with
Patient discharged on a Schedule II drug or Schedule IV Benzodiazepine,
the physician must complete an OFFICIAL NEW YORK STATE PRESCRIPTION Form.
Alcohol and controlled substances?
NEVER go together