Drug diversion can be prevented by which of the following:
Narcotic counts are completed as infrequently as possible
Discrepancies are identified and reported diligently, at the end of each shift
A second RHP witnesses wastage and documents accordingly
Narcotic records and co-sign are only required when wastage occurs
The Correct Answer is C
A. Narcotic counts are completed as infrequently as possible: Infrequent counts increase the risk of drug diversion and make discrepancies harder to detect. Regular, consistent counts are necessary to maintain accountability and prevent unauthorized use of controlled substances.
B. Discrepancies are identified and reported diligently, at the end of each shift: Reporting discrepancies only at the end of the shift may delay intervention and compromise patient safety. Immediate identification and reporting of any irregularities is essential to prevent ongoing diversion.
C. A second RHP witnesses wastage and documents accordingly: Having a second healthcare professional witness the disposal or wastage of controlled substances ensures accountability, provides verification, and significantly reduces the risk of diversion. This practice aligns with regulatory standards for controlled medication management.
D. Narcotic records and co-sign are only required when wastage occurs: Limiting documentation to only wastage events undermines overall accountability. All administration and disposal of controlled substances require proper documentation and co-signature as part of legal and safety protocols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. In the client's room, in the bedside table drawer: Stock medications are generally not kept at the bedside unless the patient has a PRN supply for immediate use. Keeping medications in the room can lead to errors, misplacement, or unauthorized access, and does not align with standard medication storage protocols.
B. Locked in a separate area on the cart: While controlled substances are stored in locked compartments due to their potential for misuse, Colace (docusate sodium) is an over-the-counter stool softener and does not require special locking. Treating it like a controlled drug would be unnecessary.
C. In a common drawer on the cart, or Automatic Dispensing Unit: Stock drugs are usually stored in a common drawer of the medication cart or accessible via an Automated Dispensing Unit (ADU). This allows nurses to access frequently used medications efficiently while maintaining accountability and reducing delays in patient care.
D. In the fridge: Colace does not require refrigeration. Storing it in the fridge would be unnecessary and could complicate access, as only medications requiring cold storage should be kept refrigerated.
Correct Answer is C
Explanation
A. Incidents are overestimated, but it is good to be cautious: Drug diversion is a significant concern in healthcare settings, and underestimating its occurrence can compromise patient safety. Believing it is overestimated may lead to complacency and inadequate safeguards.
B. The risks to the provider who is diverting drugs is the main priority: While diversion has serious legal and professional consequences for the provider, the primary concern is the safety and well-being of the patient receiving care. Protecting patients from harm is always the priority.
C. The risks to the client is the main priority: Drug diversion can lead to incorrect dosing, missed medications, or administration of compromised drugs, directly jeopardizing patient safety. Ensuring the client receives the prescribed medication as intended is the central goal of diversion prevention.
D. Waste is usually documented accurately in situations where drug diversion have occurred: In cases of diversion, waste is often falsified or misrepresented. Accurate documentation cannot be assumed in such situations, which is why strict monitoring and double verification are required.
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