AGENCY: Department of Health and Human Services. Division of Substance Use and Mental Health. State Hospital

SERIES: 82091
TITLE: Controlled substance sheets
DATES: 1986-2015.
ARRANGEMENT: Numerical by drug number

DESCRIPTION: This is a record of controlled substances which are distributed to patients on the unit. This sheet accompanies the box of drugs to the unit. The unit nurse fills in the date, time, ward number, patient's name, amount given, amount remaining, and nurse's signature. The top of the sheet has the medication name, strength, total quantity, prescription number, date dispensed from the pharmacy, and date returned to the pharmacy. When the box is empty and needs refilling, the sheet accompanies the box lid and is sent to the pharmacy. The pharmacist sends a new box of medication and a sheet to the unit when ordered.

RETENTION

Retain for 5 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 09/1988

FORMAT MANAGEMENT

Paper: Retain in Office for 5 years and then destroy.

APPRAISAL

Administrative Fiscal Legal

Retention is based on 21 CFR 1316.13 and will cover drug classifications I-IV.

PRIMARY DESIGNATION

Controlled

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