controlled substances
DESCRIPTION
Introduction to secure use of controlled substances. Topics include: Introduction, CSUA, Storage site controls and security, Orders / Delivery / Receipt, Use Logs and Biennial Inventory, Transfers / Imports / Exports, Disposal, Diversion and Loss Reporting, and Illicit Activities and Repercussions. For use by the University of California only.TRANSCRIPT
ControlledSubstances
Karen Janiga, MSRadiation Safety Officer
Janette De La Rosa Ducut, Ed.D.Training Manager
Wendy ScottControlled SubstancesProgram Manager
2
1. Identify different types2. Obtain a CSUA3. Store and secure4. Order and receive5. Maintain use logs and biennial inventory6. Determine regulations for transfers, imports, and
exports7. Properly dispose8. Prevent diversion and report losses9. Prevent illicit activities
and identify repercussions
Objectives
3
Topics
1. Introduction
2. CSUA
3. Storage site controls and security
4. Orders, delivery, and receipt
5. Use logs and biennial inventory
6. Transfers, Imports, and Exports
7. Disposal
8. Diversion and Loss Reporting
9. Illicit activities and repercussions
Introduction
Controlled SubstancesFollow regulations the manufacture, possession, and use of chemicals that have varying degrees of addictive and medicinal properties.
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Introduction
Controlled SubstancesPrevent unauthorized use of analgesics, anesthetics, euthanasia, or steroids.
Analgesics Euthanasia
Anesthesia
Steroids
Alcohol Tobacco Caffeine Chocolate
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Introduction
What do you think?Which has a higher potential for abuse?
Tylenolwith Codeine
ValiumRohypnol(“roofies”)
Robitussin A-C
ViewDEA website
6
Introduction
Incorrect
Try Again
7
Introduction
What do you think?Which has a higher potential for abuse?
Tylenolwith Codeine
ValiumRohypnol(“roofies”)
Robitussin A-C
ViewDEA website
8
Introduction
Correct.Tylenol with Codeine has a higher potential for abusebecause it is a habit forming opiate.
Tylenolwith Codeine
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Schedules
I II III IV V
Introduction
Categorize intoSchedules I-V based on
Medical valuePotential for abusePotential for psychic, physical, or physiologic dependenceHarmful pharmacologic effectsContribution to public health risks
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IntroductionIdentify common examples of Schedules I-V
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
heroin marijuana
methamphetamine cocaine percocet
vicodin steroids
valium rohypnol
opium
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Introduction
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Introduction
Narcotic? N = No Y = Yes
Schedule
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Introduction
What do you think?Which can be used to manufacture
controlled substances?
Phosphorus HydrocortisoneIodine Advil ®
ViewDEA website
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Introduction
Incorrect
Try Again
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Introduction
What do you think?Which can be used to manufacture
controlled substances?
Phosphorus HydrocortisoneIodine Advil ®
ViewDEA website
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Introduction
Correct!Iodine can be used to illegally manufacturethe controlled substance methamphetamine.
IodineIodine Methamphetamine
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Schedules
I II III IV V
Introduction
Lists
I II
Listed ChemicalsPrevent illicit manufacture of
controlled substances (i.e., methamphetamines)
Hydrochloric acid
Cocaine18
Introduction
List IDirect precursors or catalysts
critical to manufacturingcontrolled substances
List IISolvents and common chemicals
that could be usedfor large scale manufacture of
controlled substances
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Schedules
I II III IV V
Introduction
Lists
I II
Precursor ChemicalsControl chemicals that may beused in the production of illegaldrugs (i.e., ecstasy).
Precursors
ExamplesSafrole | Piperonal | Isosafrole
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IntroductionControlled Substances Secure, record on Use Logs,and maintain Biennial Inventories for
1. Schedules I-V2. List I3. Precursor
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Topics
1. Introduction
2. CSUA
3. Storage site controls and security
4. Orders, delivery, and receipt
5. Use logs and biennial inventory
6. Transfers, Imports, and Exports
7. Disposal
8. Diversion and Loss Reporting
9. Illicit activities and repercussions
CSUA
DEA Registration
Limit your possession of controlled substances
Use only as authorizedby the CSUA
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CSUA
Controlled Substances Use Authorization (CSUA)Review the conditions / restrictions for use.
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CSUA
Controlled Substance Use Authorization (CSUA)Obtain before purchasing or possessingDeclare needs / purpose, storage location security measures, and authorized personnelUpdate regularly
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Authorized Personnel must:Complete criminal background check
Request for Live Scan Service formPersonnel screening (or disclosure) formIdentificationFingerprints
Complete trainingAdhere to proceduresand program elements
CSUA
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CSUA
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
Review campus-specific CSUA requirements
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CSUASorry
Information is not available for that campus
NEXT
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
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UCBCSUA
ApplicationSubmit a Project Registration FormAccess online at the EH&S website
Go to http://www.ehs.berkeley.edu/healthsafety.html 32
UCBCSUA
ModificationsSubmit a Project Registration Update FormAccess online at the EH&S website
Go to http://www.ehs.berkeley.edu/healthsafety.html 33
CSUA
NEXT
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
Review campus-specific CSUA requirements
34
UCICSUA
ApplicationSubmit a CSUA FormAccess online at the EH&S website
Go to http://www.ehs.uci.edu/programs/occhlth/control.html
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CSUA
NEXT
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
Review campus-specific CSUA requirements
36
UCRCSUA
ApplicationSubmit a CSUA FormAccess online at the EH&S websiteRenew every 3 years
Go to http://ehs.ucr.edu/controlledsubstances 37
CSUA
NEXT
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
Review campus-specific CSUA requirements
38
UCSDCSUA
ApplicationManage through CSUA OnlineAccess in the “My Research Safety” portalRenew every year
Go to http://ehs.ucsd.edu/myresearchsafety 39
UCSDCSUA
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CSUA
NEXT
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
Review campus-specific CSUA requirements
41
UCSCCSUA
ApplicationSubmit a CSUA FormAccess online at the EH&S website
Go tohttp://ehs.ucsc.edu/lab_research_safety/controlled_substances.php
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CSUA
NEXT
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
Review campus-specific CSUA requirements
43
UCSFCSUA
ApplicationSubmit a CSUA FormAccess online at the EH&S website
Go to http://or.ucsf.edu/ehs/7662-DSY/7663-DSY.html 44
CSUA
NEXT
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
Review campus-specific CSUA requirements
45
CSUA
State of CaliforniaOffice of the Attorney General
Obtain State authorization forresearch involving:
Schedule I (Animal) Schedule I or II (Human) Drug Abuse (Substances Abuse Treatment)
Go to http://ag.ca.gov
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Topics
1. Introduction
2. CSUA
3. Storage site controls and security
4. Orders, delivery, and receipt
5. Use logs and biennial inventory
6. Transfers, Imports, and Exports
7. Disposal
8. Diversion and Loss Reporting
9. Illicit activities and repercussions
Storage site controls and security
Controls and Security
Provide effective controls to guard against theft, prevent illegal drug use, and protect public from harm.
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Storage site controls and security
DO NOTShare facilitiesTransfer to another container
Valium
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Storage site controls and security
DO NOTShare facilitiesTransfer to another containerKeep other chemicals in the same unitStore in a corridor
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Storage site controls and security
What do you think?What is the best place tostore controlled substances?
Bottom drawer ofmetal filing cabinet
Locked roomor closet
Locked cabinet Locked Box
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Storage site controls and security
What do you think?What is the best place tostore controlled substances?
Bottom drawer ofmetal filing cabinet
Locked roomor closet
Locked cabinet Locked Box
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Storage site controls and security
Incorrect
Try Again
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Storage site controls and security
Correct!
Locked cabinets, inaccessible from above or below, are the best place to store controlled substances.
DO NOT store in portable safes or security boxes.
Locked cabinet
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Storage site controls and security
Schedule III – V
Storage UnitStore according to ScheduleLock at all timesKeep only controlled substancesand log booksAnchor to floor
Schedule I – II 56
Storage site controls and security
Schedule III – VSchedule I – II 57
Storage UnitStore according to ScheduleLock at all timesKeep only controlled substancesand log booksAnchor to floor
Storage site controls and securityEquipment
Padlocks: Ensure screws or bolts are inaccessibleDrawers: Assign top drawer to use as storage, if possible.
Not acceptableAcceptable 58
Storage site controls and securityAccess Control
Restrict access to authorized personnelKeep keys in physical custody
CSUAAuthorized Personnel
• Janette Ducut
• Russell Vernon
•Karen Janig
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Storage site controls and securityUse
ControlledSubstances
securely
Use only within your area
Keep controlled substances on campus
Return to storage when not in use 60
5% Barbital
MetalFiling Cabinet
Storage site controls and security
What do you think?Where can diluted mixtures be placed?
Waste containerin fume hood
TrashContainer
SteelLocked Box
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Storage site controls and security
Incorrect
Try Again
62
5% Barbital
MetalFiling Cabinet
Storage site controls and security
Correct!Place all controlled substances, including
diluted mixtures, in approved locked storage units when not in use.
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Storage site controls and security
What do you think?What is the proper disposal for needles
with controlled substances residue?
Recap needleand place in
locked storagePlace in
rigid containerBroken GlassDisposal Box
Dilute with waterand pour
down drain
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Storage site controls and security
Incorrect
Try Again
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Storage site controls and security
CorrectDispose of needles used
to inject controlled substancesinto rigid containers.
Avoid accidents! DO NOT recap.
Place inrigid container
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Topics
1. Introduction
2. CSUA
3. Storage site controls and security
4. Orders, delivery, and receipt
5. Use logs and biennial inventory
6. Transfers, Imports, and Exports
7. Disposal
8. Diversion and Loss Reporting
9. Illicit activities and repercussions
Orders, Delivery, and ReceiptOrdering
Restrict activities to authorized personnelSubmit requests to Purchasing department
CSUAAuthorized Personnel
• Janette Ducut
• Russell Vernon
•Karen Janig
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Orders, Delivery, and Receipt
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
Review campus-specific ordering requirements
70
OrdersSorry
Information is not available for that campus
NEXT
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Orders, Delivery, and Receipt
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
Orders, Delivery, and ReceiptUCR
Order using eBuy which you can access from your department’s SAA using EACS
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Orders, Delivery, and Receipt
Go to R’Space online at http://rspace.ucr.edu
Click on “Log in”
Enter your UCR NetIDand password
Click on “Log in”
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Orders, Delivery, and Receipt
Click on “Create Order”
Enter the following:User contactUser phoneOrder descriptionDescriptionUOM
Janette Ducut
Research
1 90 mg 9804 100.00 8.25 108.25 08/01/2007 Requested
(951) 827-5528
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Orders, Delivery, and Receipt
EH&SManufacturer You
DeliveryReceive email from EH&SEnsure Authorized Personnel is available
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Orders, Delivery, and Receipt
ReceiptPlace in locked storage
unit immediately
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Orders, Delivery, and ReceiptReview campus-specific ordering requirements
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NEXT
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
UCSDOrders, Delivery, and Receipt
ApplicationManage through CSUA OnlineAccess in the “My Research Safety” portal
Go to http://ehs.ucsd.edu/myresearchsafety 78
UCSDOrders, Delivery, and Receipt
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UCSDOrders, Delivery, and Receipt
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UCSDOrders, Delivery, and Receipt
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UCSD
EH&SManufacturer You
DeliveryReceive email from EH&SPickup by appointment ONLYEnsure Authorized Personnel brings UC identification
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UCSD
ReceiptPlace in locked storage
unit immediately 83
Orders, Delivery, and ReceiptReview campus-specific ordering requirements
84
NEXT
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
86
Topics
1. Introduction
2. CSUA
3. Storage site controls and security
4. Orders, delivery, and receipt
5. Use logs and biennial inventory
6. Transfers, Imports, and Exports
7. Disposal
8. Diversion and Loss Reporting
9. Illicit activities and repercussions
Use Logs and Biennial Inventory
Use Log
Document physical use, complete use and/or disposal.
Retain for 3 years
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Use Logs and Biennial InventoryBiennial Inventory
Declare every 2 years
Receive email and complete form
If necessary, deactivate CSUA if necessary
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Use Logs and Biennial Inventory
Use Log BinderMaintain all documentation
in a central filing system89
Use Log Binder
Use Logs and Biennial Inventory
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Topics
1. Introduction
2. CSUA
3. Storage site controls and security
4. Orders, delivery, and receipt
5. Use logs and biennial inventory
6. Transfers, Imports, and Exports
7. Disposal
8. Diversion and Loss Reporting
9. Illicit activities and repercussions
Transfers, Imports, and Exports
DO NOT SHAREor hand over to another person
DO NOT OBTAINor receive from
anyone other than EH&S
Transfers Imports Exports
DO NOT SHIPor transport, relocate, or
pass on to another facilityor off campus 93
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Topics
1. Introduction
2. CSUA
3. Storage site controls and security
4. Orders, delivery, and receipt
5. Use logs and biennial inventory
6. Transfers, Imports, and Exports
7. Disposal
8. Diversion and Loss Reporting
9. Illicit activities and repercussions
Disposal
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
Review campus-specific disposal requirements
96
DisposalSorry
Information is not available for that campus
NEXT
97
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
Disposal
Use Log
Document disposal on Use Log
Retain for 3 years
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Disposal
Disposal
Dispose unused controlled substances as hazardous waste with EH&S
Deface label and discard empty containers into regular trash
Deface label of empty containers
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100
Disposal
Obtain a label from the Online Tag Program (OTP) before beginning your work.
Click on Hazardous Waste
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Go to http://otp.ucop.edu
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Login with your Username & Password and click on Login
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Click on Createa New Tag
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Enter information into the fields
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Enter the words Controlled Substanceand the full chemical name (no abbreviations)
Ensure numbers add up to 100
Check the hazard class(es)
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Click onSave and Print Tag
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Click on theClick Here link
109
Verify accuracy of information
Note the tracking number assigned
Print the label
Affix to container
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Click onMain
111
Click on theChecked items ready for disposalbutton to notify EH&S that your waste is ready to be picked up
112
Your waste should now be listed in the “Containers Ready for Disposal” section.
NOTE: Your waste will not be picked up until it is listed here.
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Store in approved sharps container
DisposalContaminated Sharps
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Store until the container reaches the fill line.
DisposalContaminated Sharps
Do not exceed fill line
DisposalReview campus-specific ordering requirements
116
NEXT
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
UCSD
Use Log
Document disposal on Use Log
Retain for 3 years
117
UCSD
Disposal
Dispose unused controlled substances by contacting EH&S
Deface label and discard empty containers into regular trash Deface label of
empty containers
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119
Store in approved sharps container
DisposalContaminated Sharps
120
Store until the container reaches the fill line.
DisposalContaminated Sharps
Do not exceed fill line
DisposalReview campus-specific ordering requirements
121
NEXT
Berkeley Los Angeles
San Diego
Irvine
Riverside
San Francisco
Davis
Merced Santa Barbara
Santa Cruz
123
Topics
1. Introduction
2. CSUA
3. Storage site controls and security
4. Orders, delivery, and receipt
5. Use logs and biennial inventory
6. Transfers, Imports, and Exports
7. Disposal
8. Diversion and Loss Reporting
9. Illicit activities and repercussions
Diversion and Loss Reporting
Diversion
Prevent using a controlled substances obtained legitimately for illegitimate purposes.
Report suspicious activity (confidentially, if needed)
124
Diversion and Loss Reporting
Loss reportingContact EH&S or UCPD by dialing 9-11
125
Diversion and Loss Reporting
Audits andInspections
Provide access to records
Review adequacy of security measures
126
128
Topics
1. Introduction
2. CSUA
3. Storage site controls and security
4. Orders, delivery, and receipt
5. Use logs and biennial inventory
6. Transfers, Imports, and Exports
7. Disposal
8. Diversion and Loss Reporting
9. Illicit activities and repercussions
Illicit activities and RepercussionsCriminalActivity
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Questions and Answers
Controlled SubstancesProgram Manager
Email [email protected] Call (951) 827-5528Visit http://ehs.ucr.edu/controlledsubstances
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136
1. Identify different types2. Obtain a CSUA3. Store and secure4. Order and receive5. Maintain use logs and biennial inventory6. Determine regulations for transfers, imports, and
exports7. Properly dispose8. Prevent diversion and report losses9. Prevent illicit activities
and identify repercussions
Summary
To receive credit for this courseplease complete the test
Test
138
TakeTest