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The Controlled Substance Count Sheet is used to track the administration and inventory of controlled substances in a residential nursing setting.
You need to enter the name of the medication, dosage, and date of administration in the designated fields.
Record the number of new pills received in the '# of new pills rec’d' column on the sheet.
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Yes, this document is governed by Policy # 5.1.1 related to Residential Nursing.
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Any controlled substance loss (significant or not), must be reported to the California Board of Pharmacy within 14 calendar days from the date of loss for losses due to licensed employee theft (pursuant to Business and Professions Code, 4104), or 30 calendar days (pursuant to California Code of Regulations, Title 16,
If there is a discrepancy in the narcotics count when you come on duty, notify the unit manager and/or the director of nursing, and file an incident report as required by your facilitys policy. Retain a nurse attorney or attorney immediately if you are notified that you are under investigation for missing narcotics.
each time the medication is given, fill out the next line on the count sheet with date, time, name of person administering, number on hand, number given, and number remaining. i. staff on and staff off count the medication to verify that it is the same amount as the last entry in the number remaining column.
When a nurse discovers that the narcotic count is incorrect while obtaining a medication from the narcotic area, the appropriate action would be to recheck the count with another nurse to confirm the discrepancy. If the discrepancy is confirmed, the nurse should document the issue and immediately notify the supervisor.
At change of shift, an off going and an oncoming RN shall count the medications in the Narcotic Cabinet for any discrepancies. Any discrepancies must be resolved and appropriately documented prior to any licensed staff leaving the unit.

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