South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-4 - Controlled Substances › Part 1900 - Handling and Administering Controlled Substances in Hospitals › Section 61-4.1900.1910 - Procedure in Case of Waste, Destruction, Contamination, etc

Current through Register Vol. 48, No. 6, June 28, 2024
(a) Aliquot part of
				solutions used for drugs: The nurse shall use the proper number of tablets or
				ampoules from nursing unit stock. The nurse shall record the number of tablets
				or ampoules used and the dose given in the proper columns of the controlled
				substances disposition sheet, in the automated storage machine, or in a
				hospital-specified format. The nurse shall properly dispose of that portion of
				the solution not used. The aliquot shall be witnessed and recorded by the
				witness according to hospital policy. This information must be readily
				retrievable by hospital staff.
(b)
				Prepared dose refused by patient or canceled by physician: When a dose of a
				controlled substance has been prepared for a patient but not used due to
				refusal by the patient or cancellation by the physician, or has been
				accidentally contaminated during the regular course of administering the drug
				to the patient for whom it has been ordered (e.g., blood aspirated into a
				syringe when beginning the administration of an intra-muscular medication) the
				nurse shall properly dispose of the solution, and record on the back of the
				disposition sheet, in the automated storage machine, or in a hospital-specified
				format the reason why the controlled substance was not administered. This
				information must be readily retrievable by hospital staff.
(c) Accidental destruction of controlled
				substance: When a solution, tablet, ampoule or substance is accidentally
				destroyed on a nursing unit, the person responsible shall indicate the
				accidental loss by writing "wasted; see waste report" on the line allowed for
				the record on the controlled substances disposition sheet, in the automated
				storage machine, or in a hospital-specified format. The responsible person
				shall record a complete report of the accident and sign the
				statement.
(d) Contaminated or
				broken hypodermic tablets and contaminated controlled substance solutions: When
				a controlled substance hypodermic tablet is contaminated or broken or a
				controlled substance solution is contaminated, the person responsible or the
				head nurse shall place the tablets, particles, or solution in a suitable
				container and label. The person responsible, or the head nurse, shall record on
				the disposition sheet, in the automated storage machine, or in a
				hospital-specified format the wastage. He or she shall write and sign a
				complete report, or document the situation electronically with an electronic
				signature. Regardless of which system is used, a witness shall co-sign the
				report. The container with the contaminated controlled substance shall be
				returned to the pharmacy or medication room. The pharmacist or person in charge
				of the medication room will receive it and note on the controlled substances
				disposition sheet covering the particular substance that it has been returned.
				The hospital shall properly dispose of the material.