Healthcare Facility Compliance 12 items
Opioid Stewardship & Controlled-Substance Diversion Audit
Audit of controlled-substance security, reconciliation, waste, and diversion-monitoring controls alongside an opioid stewardship program.
DEA 21 CFR 1301TJC LD.04.03.13CMS 42 CFR 482.25
Free PDF · enter your email to download.
Security & Storage
- Are Schedule II-V controlled substances stored in a securely locked, substantially constructed cabinet or automated dispensing cabinet? *
- Is access to controlled substances limited to authorized personnel with unique credentials? *
- Is a biennial controlled-substance inventory conducted and maintained per DEA requirements? *
Reconciliation & Waste
- Is controlled-substance dispensing reconciled against administration and waste records on each shift? *
- Is partial-dose waste witnessed and co-signed by a second licensed person? *
- Are discrepancies investigated and resolved within a defined timeframe? *
Diversion Monitoring
- Is a multidisciplinary diversion prevention/response program established with defined roles? *
- Are automated dispensing cabinet analytics or diversion-detection software used to identify anomalous access? *
- Is loss or theft of controlled substances reported to the DEA on Form 106? *
Prescribing Stewardship
- Are opioid prescribing guidelines and multimodal analgesia protocols in place? *
- Is the state prescription drug monitoring program (PDMP) queried per requirements before prescribing? *
- Is naloxone availability and patient/family education provided where indicated?
Download the full Opioid Stewardship & Controlled-Substance Diversion Audit checklist
Get it as a clean, printable PDF — free.