Connecticut Administrative Code › Title 21a - Consumer Protection › 262 - Minimum Security and Safeguard Requirements for Storage and Handling of Controlled Substances › Section 21a-262-9 - Hospital patient care areas, hospital nursing stations, other hospital drug storage locations, chronic and convalescent nursing homes, rest homes with nursing supervision, children's nursing homes, and areas and locations within correctional and/or juvenile training facilities, youth service facilities, mentally retarded facilities, and any other location other than pharmacies, hospital clinical laboratories, satellite pharmacies, or drug rooms, wherein drugs are stored, prepared, or dispensed not specifically referred to in section 21a-262-1 through section 21a-262-10 inclusive

Current through July 10, 2024
(a) Schedule II Controlled Substances in
			 small amounts not exceeding the quantity necessary for efficient operation kept
			 at any specific individual area or location shall be stored in a locked
			 substantially constructed nonportable and immobile metal cabinet or metal
			 container within another separate locked enclosure. Keys shall not be the same
			 for each of these locks and such keys shall be kept on two separated key rings
			 or holders. Not more than one set of keys for the schedule II controlled
			 substance cabinets shall be available to nonsupervisory personnel.
(b) At the beginning of each work period or
			 shift, a nurse must be assigned responsibility for the security of schedule II
			 controlled substance stock. Such responsibility shall be assumed by each said
			 nurse who shall prepare a signed inventory indicating each kind and quantity of
			 schedule II controlled substance received, the time and date received, and from
			 whom received. This responsibility shall not be transferred or assigned to
			 another nurse or person during the course of each work period or shift unless
			 another signed inventory transferring responsibility is first prepared. For
			 systems regulated under subsection (h) of this section, the requirements of
			 this subsection shall be extended to include schedule III, IV and V controlled
			 substance stock in addition to schedule II controlled substance
			 stock.
(c) Schedule III, IV, V
			 Controlled Substance Stock in small amounts not exceeding the quantity
			 necessary for normal efficient operation of each individual unit shall be
			 stored with Schedule II Controlled Substances in compliance with security
			 measures as required per Section 21a-262-9(a) or separately from other drugs
			 and/or substances in a separate secure locked nonportable immobile
			 substantially constructed cabinet or container. Access to such cabinet or
			 container shall be limited to a minimum number of personnel essential for
			 efficient operation.
(d) Schedule
			 III, IV, V Controlled Substance Stock in small quantities intended for
			 emergency use only, may be stored within an emergency drug kit or on emergency
			 crash carts equipped with disposable locking or sealing devices, provided
			 adequate security measures for such controlled substance stock are maintained
			 and required record-keeping procedures are complied with.
(e) The same security requirements shall
			 apply for controlled substances obtained pursuant to individual patient(s)
			 prescriptions as for stock controlled substances as outlined under this section
			 21a-262-9
			 inclusive. Controlled substances obtained pursuant to such individual
			 patient(s) prescriptions shall not be used for any other patient(s) and when no
			 longer required for the intended specific individual patient, shall be securely
			 kept and safeguarded until properly disposed of.
(f) In cases involving Unit Dose or
			 experimental, trial, new, or innovative drug distribution procedures, the
			 Commissioner of Consumer Protection may approve of other controlled
			 substance(s) security safeguards for a specific time period, in lieu of any
			 required by section
			 21a-262-1 through
			 section
			 21a-262-10
			 inclusive, on an individual basis after evaluating each such drug distribution
			 procedure. Such approval may be extended indefinitely by said Commissioner upon
			 such successful completion of the trial period. If approval is not given by
			 said Commissioner prior to the implementation of any such drug distribution
			 procedure, controlled substance security requirements as outlined in section
			 21a-262-1 through
			 section
			 21a-262-10
			 inclusive shall apply.
(g) Where
			 unwanted partial or individual doses of Controlled Substances are discarded by
			 nursing personnel, a record of each such destruction must be made indicating
			 the date and time of each such destruction; the name, form, strength, and
			 quantity of Controlled Substance destroyed; the signature of the nurse
			 destroying the Controlled Substance, and the signature of another nurse who
			 witnesses such destruction. In other than hospital locations, an authorized
			 person may witness such destruction.
(h) In cases involving distribution of an
			 individual patient's controlled substance medication by means of the use of
			 mobile medication carts within chronic and convalescent nursing homes, and rest
			 homes with nursing supervision, the following security safeguards shall be
			 approved in lieu of any required by section
			 21a-262-9(a)
			 and (c); except that compliance with this subsection shall not be required of a
			 facility using a mobile medication cart system previously approved for use in
			 that facility by the commissioner of consumer protection. Compliance with this
			 subsection by facilities with previously approved systems shall be in lieu of
			 the requirements of such previously approved systems.
(1) Mobile medication carts shall be of
			 substantial construction and shall incorporate the following security features:
(A) A separate, lockable, non-removable
			 drawer or compartment for storage of all controlled substances,
(B) The key which locks the controlled
			 substance drawer or compartment shall be different from the key(s) to all other
			 locking devices on each cart and such keys shall not be interchangeable between
			 carts within the same facility, and
(C) Locking mechanism(s) which will secure
			 the entire contents of the cart without requiring the use of a key;