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Opioid Stewardship & Controlled-Substance Diversion Audit

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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

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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?

Opioid Stewardship & Controlled-Substance Diversion Audit 체크리스트 전체 다운로드

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