Controlled Substances in the Home: Management and Disposal Policy
This is the Agency's written controlled substance disposal policy under MCL 333.21418 and R 325.45367(1). It sets out how controlled substances are kept safe in the home, the copy and offer to discuss given within 5 days of admission, the offer to help with disposal when a drug is no longer needed, when the patient revokes and at the time of death (within 72 hours), who may help (an RN or LPN employed by the Agency), witnessing by another competent adult, disposal only in the patient's private home, and what is recorded.
About this policy
- Policy number
- MI-HSP-MED-02
- Version
- 1.0
- Main rule
- MCL 333.21418
- Library
- Michigan hospice · 59 policies
- Category
- Clinical tasks
- Sections
- 21
In short
- Within 5 days of admission, give the patient or family a copy of the controlled substance disposal policy and offer to talk it through. Record it.
- Only an RN or LPN employed by the Agency may help dispose of controlled substances, and only in the patient's home.
- Another competent adult must witness every disposal.
- Offer help when a drug is no longer needed, when the patient revokes hospice, and at the time of death (within 72 hours).
- Record whether the offer was accepted or refused, and the drug, dose, route, quantity, date, time and method.
- Never take a patient's medicine out of the home.
What's inside
21 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (MCL 333.21418; Mich. Admin. Code R 325.45367(1))
- 5. What Michigan Requires This Policy to Contain
- 6. Within 5 Days of Admission
- 7. Keeping Controlled Substances Safe in the Home
- 8. When the Agency Offers to Help With Disposal
- 9. How Disposal Is Done
- 10. What Is Recorded
- 11. When the Family Declines Help
- 12. Suspected Loss, Misuse or Diversion
- 13. Disposal Training
- 14. Responsibilities
- 15. Records and Compliance Monitoring
- 16. Staff Training
- 17. References
- 18. Related Policies and Forms
- 19. Approval
- 20. Revision History
An inspector may ask
- Show me the copy of your controlled substance disposal policy that patients receive, and where you recorded giving it within 5 days of admission.
- Who may help families dispose of controlled substances, and how are they trained?
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