Opioid Diversion Prevention and Disposal Policy
This is the Agency's written policy on preventing the diversion of controlled substances containing opioids prescribed to its patients at home, required by ORC 3712.062(A) and attested to with each license renewal. It covers giving and discussing the policy before care, the diversion risk assessment, accurate counts and monitoring, investigating and reporting suspected diversion, the written request to relinquish opioids after death or when no longer needed, witnessed and documented disposal in one of the three ways the law allows, and reporting opioids that are not relinquished to local law enforcement.
- Policy number
- OH-HSP-MED-02
- Version
- 1.0
- Main rule
- ORC 3712.062
- Library
- Ohio hospice · 60 policies
- Category
- Clinical tasks
- Sections
- 22
In short
- Before hospice care starts, give the family the opioid policy, discuss it and get Form OH-HSP-MED-02-A signed.
- Count opioids at every nursing visit and record the count on Form OH-HSP-MED-02-B. Report any count that does not add up at once.
- Report any sign of drug diversion at once to the Administrator or the designee. Do not confront the family or search the home.
- After a death, or when an opioid is stopped, give the family the written request to hand over the remaining opioids (Form OH-HSP-MED-02-C).
- Dispose of the drugs in the home with a witness, in one of the three ways the law allows, and record every drug and amount right away.
- Never take drugs from the home. If opioids are not handed over, tell the Administrator the same day so they can be reported to local law enforcement.
What's inside
22 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (ORC 3712.062)
- 5. Before Hospice Care Begins
- 6. When a Controlled Substance Is First Ordered
- 7. Diversion Risk Assessment
- 8. Records, Counts and Monitoring
- 9. Signs of Suspected Diversion: Reporting, Investigation and Law Enforcement
- 10. After Death or When No Longer Needed: The Written Request
- 11. How Disposal Is Done
- 12. When Opioids Are Not Relinquished
- 13. Patients Living in Facilities
- 14. Disposal Training
- 15. Responsibilities
- 16. Records and Compliance Monitoring
- 17. Staff Training
- 18. References
- 19. Related Policies and Forms
- 20. Approval
- 21. Revision History
An inspector may ask
- Show me your written opioid diversion prevention and disposal policy. When was it given to and discussed with this family?
- Show me the diversion risk assessment and the opioid counts for this patient.
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