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Office of School HealthCONTROL SUBSTANCE COUNT SHEET Student Name: ___DOB: ___/___/___Name of Medication: ___ Dosage: ___ Route: ___ Frequency: ___ AMT: On Hand Used RemainingStaff SignatureWitnessDateTime__/__/_____:___am/pm#_________________/__/_____:___am/pm#_________________/__/_____:___am/pm#_________________/__/_____:___am/pm#_________________/__/_____:___am/pm#_________________/__/_____:___am/pm#_________________/__/_____:___

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How to fill out controlled-substance-count-sheet

01

Obtain the controlled substance count sheet from the designated secure location.

02

Write down the date and time at the top of the sheet.

03

Fill in the name of the controlled substance being counted.

04

Record the starting balance of the controlled substance in the appropriate column.

05

Document any withdrawals or administrations of the controlled substance as they occur.

06

Record the ending balance at the end of the counting period.

07

Sign and date the sheet to verify the accuracy of the count.

08

Store the completed sheet in the designated secure location.

Who needs controlled-substance-count-sheet?

01

Healthcare professionals who are responsible for administering controlled substances.

02

Facilities that are required to maintain accurate records of controlled substances for regulatory purposes.

03

Pharmacists who need to track the usage of controlled substances in their inventory.

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What is controlled-substance-count-sheet?

A controlled-substance-count-sheet is a document used to record the inventory of controlled substances within a facility, ensuring that all substances are accounted for and securely managed.

Who is required to file controlled-substance-count-sheet?

Those who handle controlled substances, including pharmacies, hospitals, and research facilities, are typically required to file a controlled-substance-count-sheet.

How to fill out controlled-substance-count-sheet?

To fill out a controlled-substance-count-sheet, one should accurately record the quantity and type of each controlled substance on hand, along with any discrepancies or notes regarding inventory.

What is the purpose of controlled-substance-count-sheet?

The purpose of the controlled-substance-count-sheet is to promote accountability and compliance with regulatory standards for the handling and storage of controlled substances.

What information must be reported on controlled-substance-count-sheet?

The controlled-substance-count-sheet must report the names and quantities of controlled substances, their respective schedules, and any entries or changes made during the inventory period.

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