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CONTROLLED SUBSTANCES DIVERSION REPORT FORM CSP@BU.EDU / Phone: 6176384510 / Fax: 6176388822 Instructions: This form must be completed in the event that a discrepancy in the amount of Controlled Substances
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How to fill out controlled substances diversion report

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How to fill out a controlled substances diversion report:

01
Obtain the necessary form: First, you need to obtain the controlled substances diversion report form. This form is typically available from the appropriate regulatory authority or agency responsible for monitoring controlled substances.
02
Provide personal information: The report usually requires you to provide your personal information, including your name, address, contact information, and any relevant identification numbers.
03
Document the details of the incident: You will need to provide a detailed account of the incident in which controlled substances were diverted. This includes information such as the date, time, and location of the incident, as well as a description of what occurred and any individuals involved.
04
Specify the controlled substances involved: Clearly list the specific controlled substances that were involved in the diversion. Include the names of the drugs, their quantities, and any identifying numbers or codes if applicable.
05
Describe the circumstances and impact: Explain the circumstances surrounding the diversion, including how the substances were diverted, any relevant actions or activities that took place, and the potential impact this diversion may have had on patient care or public safety.
06
Provide supporting documentation: Attach any relevant supporting documentation to the report, such as photographs, witness statements, or any other evidence that may substantiate the diversion incident.
07
Sign and submit the report: Once you have completed the report, sign it to affirm the accuracy and truthfulness of the information provided. Then, submit the report to the appropriate regulatory authority or agency as instructed.

Who needs a controlled substances diversion report?

01
Healthcare professionals: Healthcare professionals who handle or have access to controlled substances, such as doctors, nurses, pharmacists, and healthcare facility administrators, may need to fill out a controlled substances diversion report if they suspect or witness any diversion incidents.
02
Law enforcement agencies: In certain cases, law enforcement agencies may require individuals who discover or are involved in a controlled substances diversion to complete a report to aid in their investigation and enforcement efforts.
03
Regulatory authorities: Regulatory authorities responsible for overseeing the handling and use of controlled substances, such as the Drug Enforcement Administration (DEA) in the United States, often require individuals and organizations to file controlled substances diversion reports for compliance purposes and to ensure the proper handling of these substances.
It is important to note that the specific requirements for submitting a controlled substances diversion report may vary depending on the jurisdiction and governing laws. Therefore, it is crucial to consult the relevant regulations and guidelines to ensure compliance with the reporting obligations.
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The controlled substances diversion report is a document that tracks the illegal distribution or use of controlled substances.
Healthcare providers who handle or dispense controlled substances are required to file the report.
The report can be filled out electronically or on a paper form provided by the appropriate regulatory agency.
The purpose of the report is to monitor and prevent the diversion of controlled substances for illicit purposes.
The report must include details on the quantity and type of controlled substances involved, as well as any suspicious activity.
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