ME Patient Controlled Substance Destruction Log Form 2011-2025 free printable template

STATE OF MAINEOFFICEDEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION OF PROFESSIONAL AND OCCUPATIONAL REGULATION BOARD OF PHARMACY 35 STATE HOUSE STATION AUGUSTA, MAINE 043330035Patient Controlled

How to fill out ME Patient Controlled Substance Destruction Log

How to fill out ME Patient Controlled Substance Destruction Log Form

1. Begin by gathering all necessary patient information, including name, ID number, and date.
2. Enter the specific details of the controlled substance being destroyed, including the name, strength, and quantity.
3. Record the reason for destruction, such as expiration or unused medication.
4. Include the date and time of destruction.
5. Document the method of destruction employed, such as incineration or chemical treatment.
6. Have a witness present during the destruction process, if required, and ensure they sign the log.
7. Review the completed form for accuracy and completeness before submission.

Who needs ME Patient Controlled Substance Destruction Log Form?

1. Healthcare providers involved in the handling of controlled substances.
2. Pharmacies disposing of expired or unused medications.
3. Hospital administrators responsible for regulatory compliance concerning substance destruction.

People Also Ask about

What is a DEA form 106 used for?

Privacy Act Information for DEA Form 106: Section 301 of the Controlled Substances Act of 1970 (PL-513). PURPOSE: Report theft or loss of Controlled Substances.

Which DEA form must be used to document the destruction of a controlled substance?

Registrant Record of Controlled Substances Destroyed - DEA Form 41.

What is the purpose of DEA form 41?

Additionally, a DEA Form 41 must be used when destroying expired or unwanted controlled substances. So, it's imperative to select a government-approved reverse distributor for the destruction of expired or unwanted controlled substances.

What is DEA form 510 used for?

DEA Form 363 applies to new registration applications for narcotic treatment program registrations. DEA Form 510 applies to new registration applications for domestic chemical registrations.

What is DEA form 222 used for?

The Drug Enforcement Administration (DEA), Office of Diversion Control, will accept requests from distributors that require a large volume of Order Forms (DEA Form 222) with the pin feed tracking left on the form. Order Forms are used for the distribution of a Schedule I or II controlled substance.

What is DEA form 22 used for?

The Drug Enforcement Administration (DEA), Office of Diversion Control, will accept requests from distributors that require a large volume of Order Forms (DEA Form 222) with the pin feed tracking left on the form. Order Forms are used for the distribution of a Schedule I or II controlled substance.

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What is ME Patient Controlled Substance Destruction Log Form?

The ME Patient Controlled Substance Destruction Log Form is a document used to record the destruction of controlled substances that are no longer needed or have expired in a medical setting.

Who is required to file ME Patient Controlled Substance Destruction Log Form?

Healthcare providers, pharmacists, and facilities that handle controlled substances, including hospitals and clinics, are required to file the ME Patient Controlled Substance Destruction Log Form.

How to fill out ME Patient Controlled Substance Destruction Log Form?

To fill out the form, enter the date of destruction, the name and strength of the controlled substance, the quantity destroyed, the reason for destruction, and ensure signatures from authorized personnel are included.

What is the purpose of ME Patient Controlled Substance Destruction Log Form?

The purpose of the ME Patient Controlled Substance Destruction Log Form is to ensure proper documentation and accountability in the destruction of controlled substances, to prevent unauthorized use, and to comply with legal regulations.

What information must be reported on ME Patient Controlled Substance Destruction Log Form?

The information that must be reported includes the date of destruction, the name and strength of the controlled substance, the quantity destroyed, the reason for destruction, and the signatures of the personnel involved in the destruction.