Get the free CONTROLLED SUBSTANCE LOG. 24f-Controlled Substance Log - Sample Form
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CONTROLLED SUBSTANCE LOG MEDICATION NAME: ___PROVIDERS NAME___DOSE (mg/ml mg/tab): ___PROVIDERS DEA NUMBER ___ORIGINAL QUANTITY (ORIGINAL NUMBER OF DOSES): ___ OUTPATIENT NAMEDISPENSED/GIVEN QUANTITY
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How to fill out controlled substance log 24f-controlled
How to fill out controlled substance log 24f-controlled
01
Obtain a copy of the controlled substance log 24f-controlled form.
02
Fill in the date and time of each instance of controlled substance use.
03
Record the name and title of the person administering the controlled substance.
04
Document the name of the controlled substance being administered.
05
Note the quantity of the controlled substance used.
06
Include the name of the patient receiving the controlled substance.
07
Obtain the patient's signature or initials acknowledging receipt of the controlled substance.
Who needs controlled substance log 24f-controlled?
01
Healthcare facilities and providers who administer controlled substances need to maintain a controlled substance log 24f-controlled.
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What is controlled substance log 24f-controlled?
Controlled substance log 24f-controlled is a log used to track the use, distribution, and disposal of controlled substances in a healthcare facility.
Who is required to file controlled substance log 24f-controlled?
Healthcare facilities that handle controlled substances are required to file controlled substance log 24f-controlled.
How to fill out controlled substance log 24f-controlled?
Controlled substance log 24f-controlled must be filled out by recording details such as the date, time, quantity, and reason for each controlled substance transaction.
What is the purpose of controlled substance log 24f-controlled?
The purpose of controlled substance log 24f-controlled is to ensure accountability and proper tracking of controlled substances to prevent diversion and abuse.
What information must be reported on controlled substance log 24f-controlled?
Information such as the date, time, quantity, patient name (if applicable), reason for use, and individual responsible for the transaction must be reported on controlled substance log 24f-controlled.
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