NAC450B.481. Controlled substances: Record of usage; inventory.

     1. A record of usage must accompany the controlled substances used by a service or fire-fighting agency.

     2. Each time a controlled substance is administered to a patient, an entry must be made in the record. The entry must include the:

     (a) Date and time the medication was administered;

     (b) Name of the patient to whom the medication was administered;

     (c) Dose of medication administered;

     (d) Amount of medication wasted, if any;

     (e) Name of the ordering physician; and

     (f) Signature of the advanced emergency medical technician or registered nurse who administered the medication.

     3. Each time the responsibility for the controlled substances changes from one crew to another, an entry must be made in the record. The entry must include the date and time of the transfer, the current inventory upon transfer and the initials of each advanced emergency medical technician or registered nurse of the receiving crew.

     4. When the controlled substances are removed from service and stored, an entry must be made in the record indicating the date, time and current inventory at the time of transfer. The entry must also include the initials of each advanced emergency medical technician or registered nurse verifying the level of inventory of the controlled substances. When the controlled substances are returned to service, the initials of each advanced emergency medical technician or registered nurse on the receiving crew and the name of another advanced emergency medical technician or registered nurse must be entered in the record to verify the level of inventory of the controlled substances.

     5. Each service or fire-fighting agency shall conduct an inventory of all controlled substances monthly. The inventory must be verified by an entry in the record of controlled substances. The medical director of the service or fire-fighting agency or a person designated by the medical director who is authorized to possess a controlled substance shall verify the monthly inventory at least once every year and make an entry in the record of controlled substances verifying the inventory or noting any discrepancy.

     6. If any discrepancy is noted, the affected controlled substance must be removed from service until the discrepancy is resolved.

     (Added to NAC by Bd. of Health, eff. 8-1-91)