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Control is exercised over 141 narcotic drugs , mainly natural products, such as opium and its derivatives, morphine, codeine and heroin, but also synthetic drugs, such as methadone and pethidine, as well as cannabis and coca leaf.
The medication is given on one shift, but must be counted on both shifts.
They are required to document the removal of the controlled substance on a controlled substance inventory form, document the time, date of the medication administra- tion on the medication administration record (MAR), and finally, document why the medication was given along with the effect of the medication in the
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.
✓ All controlled substances, including the ER narcotic kit and medications in the refrigerator, must be counted at each shift change. Both the oncoming and outgoing nurse should look at the card and the narcotic book to ensure accuracy.
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◦ The general standard of practice for documenting usage of liquid controlled medications is to record the starting volume from the label, record each dose administered, subtract the dose administered from the previously recorded volume, and record the remaining amount.
Controlled Drug (CD) prescription writing requirements: Patient name and address. Drug name. Dose (as directed on its own is not permitted) Formulation. Strength (where appropriate) Total quantity/dosage units of the preparation in both words and figures (for liquids, total volume in ml) Prescriber signature and address.
The Narcotic and Psychotropic Drugs must be stored in a separate cupboard with double lock and key II. The key of the locks should be kept in the hand of two different people III. Other than narcotic drugs, no items are permitted to be stored in the narcotic drug cupboard IV.
Verification System. Home Care Agencies should establish a two-person verification system for narcotic counts. Two staff members should participate in the count process at the beginning and end of the shift. The second staff member should sign the narcotics count sheet as a witness.
narcotic, drug that produces analgesia (pain relief), narcosis (state of stupor or sleep), and addiction (physical dependence on the drug). In some people narcotics also produce euphoria (a feeling of great elation).

narcotic count sheet