Controlled Substances: Drug Control System and Disposal After Death
Sets the Agency’s drug control system for controlled substances in the home: the written policy given to and discussed with the patient and family when a controlled drug is first ordered, safe storage and counts, disposal of unused controlled substances in the home (for example leftover morphine or other opioids) at the time of death with family or caregiver permission by a trained hospice physician or nurse (with a social worker assisting if needed), the rule that staff and volunteers never remove drugs from the home, documentation, suspected diversion, and controlled drugs in the Agency’s own facility.
- Policy number
- FL-HSP-MED-02
- Version
- 1.0
- Main rule
- s. 400.6096, F.S.
- Library
- Florida hospice · 60 policies
- Category
- Clinical tasks
- Sections
- 20
In short
- When a controlled drug is first ordered, give the family the notice and talk it through.
- Count strong pain medicines at visits and report anything missing the same day.
- After a death, with a family member’s or caregiver’s permission, a trained nurse or physician disposes of controlled drugs in the home.
- Never take any medicine out of a patient’s home.
- Record the drug, dose, route, amount, time, date and how it was disposed of, and have the witness sign.
What's inside
20 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (s. 400.6096, F.S.; Rule 59A-38.004(3)(a)7., F.A.C.; 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 Assist in Disposal
- 8. How Disposal Is Done at the Time of Death
- 9. Suspected Loss, Misuse or Diversion
- 10. Controlled Drugs in the Agency’s Own Facility
- 11. Approval of the Drug Control System
- 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
An inspector may ask
- Show me your written policy on controlled drugs in the home and where this patient’s record shows it was given and discussed.
- Who may dispose of a patient’s controlled substances after death, and how is it documented?
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