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VTHT 1217 Ch 16
powerpoint presentation
| Question | Answer |
|---|---|
| What is the DEA? | Drug Enforcement Agency; lead agency for domestic enforcement under the US Dept of Justice |
| What is a DEA license? | allows a physician or veterinarian to be either a prescriber or dispenser of controlled substances; must be posted and visible and is required to practice unrestricted veterinary medicine |
| What is a controlled substance? | any drug with a high abuse potential; opiates, barbituates, hallucinogens and amphetamines; regulated to prevent abuse |
| How are controlled substances prescribed? | in writing, verbal or electronic |
| What is the controlled substances act? | Federal US drug policy which the manufacture, importation, possession, use and distribution of certain substances is regulated |
| How many schedules of controlled substances are there? | 5; I, II, III, IV, V |
| Who decides which substances are added or removed from each schedule? | DEA (drug enforcement agency) and FDA (Food and Drug Administration) |
| How are controlled substances stored? | Behind 2 locks; cabinet must be bolted to the wall; limited access by personnel |
| How do we identify a controlled substance? | The label will have a "C" with a roman numeral (one of the 5 schedules) |
| What is a Schedule I drug? | highest abuse potential; no current accepted use in US; LSD, GHB, Heroin, ecstacy, peyote; marijuanna |
| What is a Schedule II drug? | high abuse potential; accepted use in US (with severe restrictions); 30 day supply with no refills with a written script; hydrocodone, hydromorphone, morphine, fentanyl, methadone. codiene, oxycodone, |
| What is a Schedule III? | moderate to low potential for abuse; Current accepted use in US; 30 day supply, refill 5 times within 6 months, written or verbal rx; ketamine, anabolic steroids, products with <90mg codeine per dosage unit |
| What is Schedule IV? | low potential for abuse; current accepted use in US; 30 day supply, refill 5 times within 6 months; Tramadol, alprazolam, carisoprodol, clonazepam, diazepam, midazolam, ambien, butorphanol, phenobarbital |
| What is Schedule V? | lowest potential for abuse; current accepted use in US; 30 day supply, must be 18 years old with an ID and name entered in database; |
| What drugs should be controlled? | Propofol/Diprivan and PPA (Proin) |
| What is a controlled substances log? | perpetual inventory balance system |
| True or False: A controlled substances log is not required by federal law. | False |
| Describe the rules for a controlled substances log | Must be a bound book. A new book must be used every year with an individual log for each drug. Schedule I and II must have a separate log. Logs should be kept for 2 years |
| How often should inventory control be done? | It should be maintained monthly with a final inventory control at the end of the year. |
| What info is required for a controlled substance log? | Drug name and concentration, client and patient name, client address, date, amount dispensed, initials of dispensing vet and team member that filled Rx, balance on hand, intended purpose |
| Where should discrepancy's be reported? | DEA, PD and state board of pharmacy |
| What amount of discrepancy should be reported? | >3% |
| What is the purpose of log books? | Organization, record keeping, reference, some logs are required by law in some states and AVMA/AAHA require logs |
| Are Radiology logs required for digital machines? | No |
| What does a radiology log contain? | Pt name, client name, date, anatomical area, position, measurement, settings, initials and additional section for releasing x-rays to client - date, client name, pt name, destination, initials, date of return and initials again |
| What is in a surgery/anesthesia log? | used for reference, record keeping, controlled substance inventory. contains: date, client name, pt name, procedure, length of anesthesia use, drugs administered, and initials |
| What is DEA form 106 used for? | to report drug loss or theft |
| DEA form 222 is used to: a. register a doctor for a DEA license b. Report lost CSs c. Order Schedule II CSs d. Order Schedule IV CSs | c. Order Schedule II CSs |
| True or False: Logs can be stored with CSs | False |
| A reverse distributor: a. sells CSs to veterinary hospitals b. incinerates expired CSs c. both of the above d. none of the above | b. incinerates expired CSs |
Created by:
kcrabtree507
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