Get the free Loss of Controlled Substances BORP Reporting Form - mass

THE BOARD OF REGISTRATION IN PHARMACY REPORT OF LOSS OF CONTROLLED SUBSTANCES Pursuant to the Board s regulations at 247 CMR 6.02(10), registrants are required to report the loss of a significant

How to fill out loss of controlled substances

How to fill out loss of controlled substances:

1. Start by gathering all necessary information and documentation related to the loss of controlled substances. This may include incident reports, patient information, details of the controlled substance(s) involved, and any other relevant information requested on the form.
2. Begin filling out the loss of controlled substances form by providing your personal information and contact details. This may include your name, job title, department, and contact number.
3. Proceed by providing the date and time of the incident or discovery of the loss. Be as accurate as possible to ensure proper documentation.
4. Next, specify the location where the loss occurred or where the controlled substances were discovered missing. Include any relevant details about the storage area or facility.
5. Describe the circumstances surrounding the loss or discovery. Include details such as how the incident was noticed, any suspicious activities or behaviors observed, and any steps taken to investigate or mitigate the situation.
6. List the specific controlled substances that were lost or found to be missing. Include the quantity, dosage form, strength, and any other relevant details to accurately identify the substances involved.
7. If applicable, provide information about any patients who may have been affected by the loss or potential diversion of controlled substances. Include their names, medical record numbers, and any actions taken to ensure their safety and well-being.
8. Finally, sign and date the form to certify the accuracy of the information provided. If other individuals are required to sign the form, ensure that all necessary signatures are obtained.

Who needs loss of controlled substances?

1. Healthcare professionals who work in facilities or organizations that handle controlled substances, such as hospitals, pharmacies, clinics, and research institutions.
2. Individuals responsible for the management, storage, and distribution of controlled substances, including pharmacists, nurses, physicians, and other authorized personnel.
3. Regulatory agencies and authorities that oversee the handling and dispensing of controlled substances, such as the Drug Enforcement Administration (DEA) in the United States or similar organizations in other countries.

In conclusion, filling out a loss of controlled substances form requires attention to detail, accurate documentation, and adherence to relevant guidelines and regulations. This process ensures that any loss or potential diversion of controlled substances is properly reported and addressed, promoting patient safety and the integrity of controlled medication distribution.

For pdfFiller’s FAQs

What is loss of controlled substances?

Loss of controlled substances refers to any situation where a controlled substance is misplaced, stolen, or otherwise unaccounted for.

Who is required to file loss of controlled substances?

Any individual or entity licensed to handle controlled substances, such as pharmacists, healthcare providers, and manufacturers, is required to file a report of loss of controlled substances.

How to fill out loss of controlled substances?

The report of loss of controlled substances should be filled out completely and accurately, including details of the substance, quantity lost, date of loss, and any pertinent circumstances.

What is the purpose of loss of controlled substances?

The purpose of filing a loss of controlled substances report is to maintain accurate records of controlled substances, identify any patterns of loss or theft, and comply with regulatory requirements.

What information must be reported on loss of controlled substances?

The report of loss of controlled substances must include details such as the type of substance lost, quantity, date of loss, location, and any relevant circumstances.

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