Administering Medications

DRUG LOG

• System has been effective in reducing widespread diversion of these drugs into the illicit market.

• Controlled substances are classified into 5 classes according to their use or abuse potential

• Schedules I – V– Records must be kept for 2 years of received

substances and outgoing substances

Where are they kept

• They must be in a securely locked substantially constructed cabinet or safe

• Must be in a DOUBLE locked container that can not be picked or moved.

• Usually access is limited to one or two people• IF SUSBTANCES ARE LOST-it MUST be reported

to the DEA AND LOCAL POLICE

Receiving Drugs• You need to enter:–Date received– Invoice #– Supplier’s Name–Quantity Received in mL’s–Quantity on Hand in mL’s– Total Quantity Received & On Hand– Your initials +/- comments

Ketamine – Large BottleSchedule III

#3 #4 #5 #6

VTI HOUSTON Page # 12

4669 Southwest Freeway

Houston, Tx 77027

KETAMINE 100mg/mL

Drug Name / Concentration

Date Invoice # Supplier Name & DEA # Quantity Received Quantity on

Hand Total Quantity Initials

1/8/2010 LTN976 MWI 2 bottles (20mLs) 0.0 mLs 20mLs KRW

A New Shipment Has Arrived

Placing Into Working Stock

LOGGING OUT DRUGSYOU NEED TO ENTER:◦The date used◦Patient Name and Client Name ◦Complete Address (clinic’s)◦Reason for selling, Dispensing,

Administering, Disposal◦Amount Drawn up◦Balance Left in the Bottle◦Your Initials◦*** Each dose drawn up needs to be

logged individually.***

Draw Up Drugs & Log ThemYou need to draw up ketamine for a patient:

Remember your balance on hand from “receiving data” – should be logged

“Frampton” owned by Jack Harris is coming in for a Mass Removal today, “Frampton” is needing 5.5 mL IV.

Step 1 – Draw up remaining of previous balance & log

VTI HOUSTON Page # 11

4669 Southwest Freeway

Houston, Tx 77027

KETAMINE 100mg/mL

Drug Name / Concentration

Date Patient Reason for Usage Amount Drawn Amount Remaining Initials

CONTINUE FROM PAGE 10 5.5 mL KRW

11/22/2009 400 NEUTER 3.0 mL 2.5 mL KRW

12/1/2009 599 OHE 2.5 mL EMPTY KRW

12/5/2009 NEW BOTTLE # 2 10 mL KRW

12/8/2009 698 NEUTER 4.0 mL 6.0 mL KRW

12/22/2009 100 NEUTER 2.0 mL 4.0 mL KRW

VTI HOUSTON Page # 11

4669 Southwest Freeway

Houston, Tx 77027

KETAMINE 100mg/mL

Drug Name / Concentration

Date Patient Reason for Usage Amount Drawn Amount Remaining Initials

CONTINUE FROM PAGE 10 5.5 mL KRW11/22/2009 400 NEUTER 3.0 mL 2.5 mL KRW12/1/2009 599 OHE 2.5 mL EMPTY KRW

12/5/2009 NEW BOTTLE # 2 10 mL KRW12/8/2009 698 NEUTER 4.0 mL 6.0 mL KRW

12/22/2009 100 NEUTER 2.0 mL 4.0 mL KRW

7/14/2010Frampton,

Harris Mass Removal 4.0 mL Empty KRW

7/14/2010 NEW BOTTLE # 3 10 mL KRW

7/14/2010Frampton,

Harris Mass Removal 1.5 mL 8.5 mL KRW

Buprinex – Small Bottle (1mL each)Schedule III

# 20 #21 #22

# 23 #24 #25

• There is no bottles of Buprenex open or available

• “Daffy” Jackson needs 1.2 mL of Buprenex for her OHE.

• “Muffy” Pickles needs 0.45 mL of Buprenex given in 5 doses for her post of Ear Flush pain medications.

BUPRINEX Drug Name / Concentration

Date Patient Reason for Usage Amount Drawn Amount Remaining Initials