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Premier Medical Group Narcotic Count Sheet free printable template

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Type here Narcotic Count Sheet Month Year Daily Narcotic Administration Records DATE TIME PATIENT NAME MD NAME RN DOSE Fentanyl 100MCG/2ml Demerol 50mg/2ml Testopel 75mg/1 Versed 2mg/2ml WASTE LINE MED SIGNATURE WITNESS 5/11/15 AM Count MFinkRN/RGermanoRN To Anesthesia Dr Santi M Fink RN 3pm Return from Anesthesia 5pm 8AM 11AM John Smith Dr Krumholtz 11 05AM Dropped 1 testopel on floor RGermanoRN/M FinkRN RGermanoRN 2PM Inventory Added 5PM - LINE 7 MED Testopel 75MG SIGNATURE RGermanoRN...
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How to fill out narc count sheets form

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How to fill out Premier Medical Group Narcotic Count Sheet

01
Begin by entering the date at the top of the sheet.
02
List the patient's name and identification details.
03
Record the specific narcotics being counted in the designated columns.
04
Fill in the quantity of each narcotic on hand.
05
Note any discrepancies in the count if applicable.
06
Sign and date the sheet after completing the count.
07
Submit the completed sheet to the designated authority for record-keeping.

Who needs Premier Medical Group Narcotic Count Sheet?

01
Healthcare providers handling controlled substances.
02
Pharmacies that dispense narcotic medications.
03
Medical staff involved in inventory management of narcotics.
04
Regulatory bodies conducting audits of narcotic usage.
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People Also Ask about premier narcotic sheet

If another staff is present, the count should be witnessed. If any narcotic count is off, staff must contact Incident hotline and write incident report immediately.
Measuring the does of liquid medicine Mix-ups are frequent between milligrams (mg)—the dose of the medicine—and milliliters (mL)—the volume of medicine to measure out.
◦ 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.
Examples of Schedule V substances include: cough preparations containing not more than 200 milligrams of codeine per 100 milliliters or per 100 grams (Robitussin AC®, Phenergan with Codeine®), and ezogabine.
Liquid medications should be measured using either a syringe, medication cup or special medication spoon.Procedure ½ teaspoon = 2.5 mL. 1 teaspoon = 5 mL. 1 tablespoon (or 3 teaspoons) = 15 mL.
Schedule IV Schedule IV drugs, substances, or chemicals are defined as drugs with a low potential for abuse and low risk of dependence. Some examples of Schedule IV drugs are: Xanax, Soma, Darvon, Darvocet, Valium, Ativan, Talwin, Ambien, Tramadol.

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The Premier Medical Group Narcotic Count Sheet is a documentation tool used to track and verify the inventory of narcotics in medical facilities, ensuring that all medications are accounted for and discrepancies are addressed promptly.
Healthcare professionals, such as nurses and pharmacists, who handle or administer narcotics are typically required to file the Premier Medical Group Narcotic Count Sheet to maintain compliance with regulatory guidelines.
To fill out the Premier Medical Group Narcotic Count Sheet, record the current inventory of narcotics, including their names, quantities, and any discrepancies. Ensure all entries are signed and dated by the responsible personnel at the time of counting.
The purpose of the Premier Medical Group Narcotic Count Sheet is to ensure accurate tracking and accountability of narcotic medications, helping to prevent misuse, loss, or theft while adhering to legal and regulatory requirements.
The information that must be reported on the Premier Medical Group Narcotic Count Sheet includes the drug name, dosage, quantity on hand, date and time of count, signatures of the individuals conducting the count, and any noted discrepancies.
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