Only those who have completed these steps can have access to Pyxis
What is a Pyxis Confidentiality Authorization/Access Form and Education Process
100
When using CSOS, this type of person is responsible for notifying the facility's drug supplier that the facility will place orders electronically for C-II controlled substances
What is the CSOS Coordinator
100
This percentage of all OR cases, including a representative sample for each anesthesia practitioner, must be completed monthly
What is ten (10) percent
100
Where available, Pharmacy, Risk Management, Hospital Security, Administration, CNO, ACNO, Nursing Leadership, ECO and Human Resources make up what team
What is the Multidisciplinary Medication Diversion Team
100
This form is used to report theft of significant loss to the DEA and BOP
What is the DEA 106 Form
200
This is the time frame in which patient owned controlled substances should be discarded post discharge if cannot be returned to the patient
What is 30 days
200
When executing a triplicate DEA Form 222, this copy goes to the DEA
What is Copy 2
200
This many independent checks must be completed before dispensing a controlled medication kit to Anesthesia
What is two (2)
200
This department is responsible for auditing employees that fall within the Rx Diversion Index of 3-3.9 while this department is responsible for auditing employees that are >=4
Who are Nursing and Pharmacy
200
The prescribing of these types of orders are prohibited (i.e. 1-2 tabs)
What are range orders?
300
When not utilizing an ADC, this task must be performed at the end of each shift
What is count and reconciliation of all controlled substances stored in that area
300
There are two methods to monitor ordering and receiving of controlled substances. One is to check off all DEA Form 222 (e222) numbers on the Wholesaler Customer Narcotic Purchase Record against inventory. The other is this
What is randomly select three deliveries per month and
(1) confirm DEA 222 documentation,
(2) match units received as documented by invoice and receiving personnel on DEA Form 222 and
(3) match units received against inventory
300
This documentation must be on the label of any medications syringe drawn up in preparation of next surgical case
What is
(1)name of medication,
(2)strength,
(3)quantity,
(4)diluents and volume,
(5)date and time
300
This feature should be turned on each Pyxis device for any time a controlled substance is accessed
What is blind count
300
Inventories of all controlled substance medications located in Pyxis must be completed this often
What is weekly
400
These should only be stored in a place accessible by individuals with POA
What are Blank DEA 222 Forms
400
Each person that is granted a POA and signs up for CSOS privileges will be sent their password by this method
What is U.S. Mail
400
When the physician's DEA number has expired, this is the only time they are permitted to use the Hospital's DEA number when prescribing controlled substances
What is never
400
This report should be reviewed daily to ensure existence of a valid corresponding order
What is the Medication Override Report
400
For hospitals, this person is the DEA Registrant
Who is the CEO
500
This is the proper process for expiring an individual out of Pyxis
What is access user profile, place expiration date, remove all areas of access, change user template from active to inactive
500
When selling or transferring controlled substances to another facility, all of these requirements must be documented
What is drug name, dosage form, strength, quantity, date transferred, names addresses and DEA registration numbers of parties involved in the transfer or sale
500
This process is completed at the time a physician initially requests privileges at a hospital
What is primary source verifications of DEA registration and state controlled substance registration
500
MDT monthly minutes must consist of these elements
What are
(1) attendees,
(2) documentation of algorithm requirements,
(3)recap of individual diversion issues since the last monthly meeting
500
Compliance Alert#28, in March 2009, the DEA changed its stance on locum tenens to this
What is regardless of days worked in a state, one must have an in state license and DEA registration to prescribe controlled substances