Narcotic Treatment Programs
Best Practice Guideline
TABLE OF CONTENTS
MESSAGE FROM THE ADMINISTRATOR
PREFACE
ORGANIZATION OF THE GUIDELINES
ACKNOWLEDGMENTS
PART1. REGISTRATION
- Key Elements of the Registration Process
- Other Sources of Information
PART 2. ORDERING MEDICATION
- Completing and Submitting the Order Form
- Establishing and Maintaining an Ordering System
- Emergency Orders
- Procedures When an Order Form is Available
- Procedures When an Order Form is Not Available
PART 3. RECEIVING MEDICATION
- Designating NTP Personnel
- General Procedures
- Identification of Discrepancy/Damage to a Shipment
PART 4. DISPENSING/ADMINISTERING MEDICATION
- Using Automated Dispensing Pumps for Liquid Medication
- Manufacturer's Instructions and Technical Assistance
- Cleaning and Storing Equipment
- Calibrating the Equipment
- Maintaining and Replacing Tubing
- Using Computer Software for Dispensing/Related Recordkeeping
- Training in the Use of Software
- Addressing System Emergencies
- Other Recommendations and Requirements
PART 5. DISPOSAL OF MEDICATION
- Spillage and Accountable Loss
- Spillage of Individual Patient Dose
- Accountable Losses
- Disposal of Liquid or Solid Medication
PART 6. RECORDKEEPING
- Records for Compounding Controlled Substances
- Compounding for On-Site Use
- Compounding for Off-Site Use
- Requirements for an Inventory
- Receipts
- Dispensing Records
- Computer Software Requirements for Maintaining Dispensing Records
- Reporting Theft and Loss of Controlled Substance Medication
- Issues Related to Reporting Theft and Loss
- DEA Form-106 (Report of Theft or Loss of Controlled Substances)
- DEA Accountability Investigations
- Maintaining Complete and Accurate Records
PART 7. SECURITY
- DEA Security Regulations
- Security of Controlled Substance Stocks
- Safes, Steel Cabinets, or Vaults
- Alarm Systems
- Accessibility of Controlled Substances
APPENDICES
A. ANSWERS TO FREQUENTLY ASKED QUESTIONS
B. FORMS 37
C. DEA INVESTIGATIONS: REQUIRED DOCUMENTATION
D. DEA DIVERSION FIELD OFFICES
BACK COVER
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