AZ Controlled Substance DispensingAdministration Log free printable template

Camp LE s. National Drug. Code or. DEA Controlled. Substances Code. Number. Batch. Number. Name of Substance Strength. Form. Pkg. Qty. Number of Full. PKGs ... Collected Substances. Ex amp LE s. Returned.

How to fill out AZ Controlled Substance DispensingAdministration Log

How to fill out AZ Controlled Substance Dispensing/Administration Log

1. Start with the date at the top of the log.
2. Record the patient's name and identification number in the appropriate columns.
3. Enter the name of the controlled substance being dispensed or administered.
4. Document the dosage given and the form of the medication (e.g., tablet, injection).
5. Note the quantity of the substance dispensed or administered.
6. Include the time of administration or dispensing.
7. Sign the log with the name and title of the person who dispensed or administered the substance.
8. Ensure to double-check for completeness and accuracy before submission.

Who needs AZ Controlled Substance Dispensing/Administration Log?

1. Healthcare providers who dispense or administer controlled substances.
2. Pharmacies that distribute controlled medications.
3. Hospitals and clinics that manage pain management or substance abuse treatments.
4. Regulatory compliance officers ensuring adherence to state laws.

People Also Ask about

What items are recorded in a controlled substance log?

Besides the “bound” requirement, the logbook must be maintained by the DEA registrant and include at a minimum all of the following information: drug name, container size, strength of medication, bottle number, date of dispensation, explanation of use, lot number (if available), expiration date, amount added to logbook

What is a DEA Form 41?

DEA Form 41 is a mandatory requirement to be completed by all DEA registrants that destroy controlled substances, in ance with 21 U.S.C. 827.

Which DEA form is used to dispense a controlled substance?

(b) Any person with an active registration that is authorized to order schedule I and II controlled substances is entitled to obtain a DEA Form 222, which will be supplied at any time after the DEA registration is granted.

What information is needed on the dispensing log?

Actual Name of Controlled Substance, Form, Quantity, Strength; ▪ Number of Units or Volume of Finished Form Dispensed; ▪ Name, Address of the Person to Whom It Was Dispensed; ▪ Date of Dispensing.

What information is required on a dispensing label?

date of dispensing; name of the medicine; directions for use of the medicine; precautions relating to the use of the medicine.

What is a dispensing log?

Prescription dispensing logs give a snapshot of your pharmacy's prescription operations.

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What is AZ Controlled Substance Dispensing/Administration Log?

The AZ Controlled Substance Dispensing/Administration Log is a record-keeping document used to track the dispensing and administration of controlled substances to ensure compliance with state and federal regulations.

Who is required to file AZ Controlled Substance Dispensing/Administration Log?

Healthcare providers and facilities that dispense or administer controlled substances, such as pharmacies, hospitals, and clinics, are required to file the AZ Controlled Substance Dispensing/Administration Log.

How to fill out AZ Controlled Substance Dispensing/Administration Log?

To fill out the AZ Controlled Substance Dispensing/Administration Log, include the date of dispensing or administration, patient information, drug name, dosage, quantity, prescriber’s information, and the signature of the person dispensing the medication.

What is the purpose of AZ Controlled Substance Dispensing/Administration Log?

The purpose of the AZ Controlled Substance Dispensing/Administration Log is to maintain accurate and detailed records of controlled substances to prevent misuse and ensure accountability in their distribution and use.

What information must be reported on AZ Controlled Substance Dispensing/Administration Log?

The information that must be reported includes the date, patient’s name, drug name, dosage, quantity dispensed, prescriber’s details, and the signature of the dispensing individual.