Controlled Substance Rules
Controlled substances must be stored here
What is a locked, limited-access cabinet?
A one-time drug given immediately
What is a STAT order?
FIRST action after discovering a medication error
What is assess the patient?
“P” in PINCH
What is Potassium?
OTC medications require this before administration in a facility
What is a provider’s order?
When a narcotic is dropped or contaminated, this must happen
What is two nurses sign and document the incident?
A medication given based on patient need and nurse judgment
What is a PRN order?
After assessing the patient, this must be done
What is notify the healthcare provider?
“I” in PINCH
What is Insulin?
OTC medications are risky in elderly patients because of this
What is drug interactions?
At shift change, this is done to verify narcotics
What is a count with one nurse from each shift?
A medication given until discontinued
What is a standing order?
This report must be completed after an error
What is an incident report?
“N” in PINCH
What is Narcotics (opioids)?
Illegal transfer of narcotics for personal use
What is drug diversion?
If the narcotic count is incorrect, the nurse risks this
What is being held accountable or accused of falsifying records?
A medication ordered for one specific time only
What is a single-dose order?
The purpose of an incident report
What is to identify causes and prevent future errors?
“C” in PINCH
What is Chemotherapy drugs?
Two signs that suggest drug diversion
What are unrelieved pain and incorrect narcotic counts?
When wasting a controlled substance, this is REQUIRED
What is two nurses witnessing and signing the waste?
This type of order requires the nurse to assess BEFORE giving
What is a PRN order?
This organization is NOT notified for routine medication errors
What is The Joint Commission?
“H” in PINCH
What is Heparin (anticoagulants)?
When narcotic count discrepancy cannot be resolved, notify these
What are pharmacy and nursing administration?