{"ref":"GA-HSP-MED-02","title":"Controlled Substances in the Home: Management and Disposal","category":"Clinical tasks","summary":"Sets the Agency’s written policy for the management and disposal of controlled drugs in the patient’s home: giving and discussing this policy when controlled drugs are first ordered, safe storage and counts, when Agency staff may dispose of a patient’s controlled substances under federal law, how disposal is done, witnessed and recorded, facility residents, and suspected loss or diversion.","inShort":["When a controlled drug is first ordered, give the family our controlled drug notice, explain it, and record that you did.","Keep controlled drugs locked and counted. Nurses count Schedule II drugs at each visit.","Trained nurses may dispose of a patient’s controlled drugs at home after death or when expired, with a witness.","Never take a patient’s drugs away from the home.","Record the drug, dose, route, amount, time, date and method of every disposal.","Aides and volunteers never count or dispose of controlled drugs. Report missing drugs to the nurse the same day."],"primaryCitation":"42 CFR §418.106(e)(2)","citations":["Ga. Comp. R. & Regs. 111-8-37-.21(1), (2)(e)","Ga. Comp. R. & Regs. 111-8-37-.06(1)(b)","O.C.G.A. §16-13-20 et seq."],"federalCitations":["42 CFR §418.106(e)(2)","21 U.S.C. §822(g)(5)","21 CFR Part 1317","42 CFR §418.106(c)(2)(ii), (e)(3)"],"surveyorAsks":["Show me where this patient’s record documents that your controlled drug policy was given and discussed when controlled drugs were first ordered.","When may your staff dispose of a patient’s controlled substances, and who has completed your disposal training?"],"forms":[{"ref":"GA-HSP-MED-02-A","title":"Controlled Substances in the Home: Patient and Family Notice"},{"ref":"GA-HSP-MED-02-B","title":"Controlled Substance Disposal Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §418.106(e)(2))","5. When a Controlled Substance Is First Ordered","6. Keeping Controlled Substances Safe in the Home","7. When Agency Staff May Dispose of Controlled Substances","8. How Disposal Is Done","9. When Disposal Is Declined or Not Allowed","10. Patients in Facilities","11. Suspected Loss, Misuse or Diversion","12. Disposal Training","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"ga-hospice","state":"Georgia","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}