controlled substances

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Controlled Substances Karen Janiga, MS Radiation Safety Officer Janette De La Rosa Ducut, Ed.D. Training Manager Wendy Scott Controlled Substances Program Manager

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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.

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Page 1: Controlled Substances

ControlledSubstances

Karen Janiga, MSRadiation Safety Officer

Janette De La Rosa Ducut, Ed.D.Training Manager

Wendy ScottControlled SubstancesProgram Manager

Page 2: Controlled Substances

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

Page 3: Controlled Substances

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

Page 4: Controlled Substances

Introduction

Controlled SubstancesFollow regulations the manufacture, possession, and use of chemicals that have varying degrees of addictive and medicinal properties.

4

Page 5: Controlled Substances

Introduction

Controlled SubstancesPrevent unauthorized use of analgesics, anesthetics, euthanasia, or steroids.

Analgesics Euthanasia

Anesthesia

Steroids

Alcohol Tobacco Caffeine Chocolate

5

Page 6: Controlled Substances

Introduction

What do you think?Which has a higher potential for abuse?

Tylenolwith Codeine

ValiumRohypnol(“roofies”)

Robitussin A-C

ViewDEA website

6

Page 7: Controlled Substances

Introduction

Incorrect

Try Again

7

Page 8: Controlled Substances

Introduction

What do you think?Which has a higher potential for abuse?

Tylenolwith Codeine

ValiumRohypnol(“roofies”)

Robitussin A-C

ViewDEA website

8

Page 9: Controlled Substances

Introduction

Correct.Tylenol with Codeine has a higher potential for abusebecause it is a habit forming opiate.

Tylenolwith Codeine

9

Page 10: Controlled Substances

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

10

Page 11: Controlled Substances

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

11

Page 13: Controlled Substances

Introduction

Narcotic? N = No Y = Yes

Schedule

13

Page 14: Controlled Substances

Introduction

What do you think?Which can be used to manufacture

controlled substances?

Phosphorus HydrocortisoneIodine Advil ®

ViewDEA website

14

Page 15: Controlled Substances

Introduction

Incorrect

Try Again

15

Page 16: Controlled Substances

Introduction

What do you think?Which can be used to manufacture

controlled substances?

Phosphorus HydrocortisoneIodine Advil ®

ViewDEA website

16

Page 17: Controlled Substances

Introduction

Correct!Iodine can be used to illegally manufacturethe controlled substance methamphetamine.

IodineIodine Methamphetamine

17

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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

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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

19

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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

23

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Page 25: Controlled Substances

25

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

Page 26: Controlled Substances

CSUA

DEA Registration

Limit your possession of controlled substances

Use only as authorizedby the CSUA

26

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CSUA

Controlled Substances Use Authorization (CSUA)Review the conditions / restrictions for use.

27

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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

29

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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

30

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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

31

Page 32: Controlled Substances

UCBCSUA

ApplicationSubmit a Project Registration FormAccess online at the EH&S website

Go to http://www.ehs.berkeley.edu/healthsafety.html 32

Page 33: Controlled Substances

UCBCSUA

ModificationsSubmit a Project Registration Update FormAccess online at the EH&S website

Go to http://www.ehs.berkeley.edu/healthsafety.html 33

Page 34: Controlled Substances

CSUA

NEXT

Berkeley Los Angeles

San Diego

Irvine

Riverside

San Francisco

Davis

Merced Santa Barbara

Santa Cruz

Review campus-specific CSUA requirements

34

Page 35: Controlled Substances

UCICSUA

ApplicationSubmit a CSUA FormAccess online at the EH&S website

Go to http://www.ehs.uci.edu/programs/occhlth/control.html

35

Page 36: Controlled Substances

CSUA

NEXT

Berkeley Los Angeles

San Diego

Irvine

Riverside

San Francisco

Davis

Merced Santa Barbara

Santa Cruz

Review campus-specific CSUA requirements

36

Page 37: Controlled Substances

UCRCSUA

ApplicationSubmit a CSUA FormAccess online at the EH&S websiteRenew every 3 years

Go to http://ehs.ucr.edu/controlledsubstances 37

Page 38: Controlled Substances

CSUA

NEXT

Berkeley Los Angeles

San Diego

Irvine

Riverside

San Francisco

Davis

Merced Santa Barbara

Santa Cruz

Review campus-specific CSUA requirements

38

Page 39: Controlled Substances

UCSDCSUA

ApplicationManage through CSUA OnlineAccess in the “My Research Safety” portalRenew every year

Go to http://ehs.ucsd.edu/myresearchsafety 39

Page 40: Controlled Substances

UCSDCSUA

40

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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

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UCSCCSUA

ApplicationSubmit a CSUA FormAccess online at the EH&S website

Go tohttp://ehs.ucsc.edu/lab_research_safety/controlled_substances.php

42

Page 43: Controlled Substances

CSUA

NEXT

Berkeley Los Angeles

San Diego

Irvine

Riverside

San Francisco

Davis

Merced Santa Barbara

Santa Cruz

Review campus-specific CSUA requirements

43

Page 44: Controlled Substances

UCSFCSUA

ApplicationSubmit a CSUA FormAccess online at the EH&S website

Go to http://or.ucsf.edu/ehs/7662-DSY/7663-DSY.html 44

Page 45: Controlled Substances

CSUA

NEXT

Berkeley Los Angeles

San Diego

Irvine

Riverside

San Francisco

Davis

Merced Santa Barbara

Santa Cruz

Review campus-specific CSUA requirements

45

Page 46: Controlled Substances

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

46

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48

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

Page 49: Controlled Substances

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

52

Page 53: Controlled Substances

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

53

Page 54: Controlled Substances

Storage site controls and security

Incorrect

Try Again

54

Page 55: Controlled Substances

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

55

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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

Page 57: Controlled Substances

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

Page 58: Controlled Substances

Storage site controls and securityEquipment

Padlocks: Ensure screws or bolts are inaccessibleDrawers: Assign top drawer to use as storage, if possible.

Not acceptableAcceptable 58

Page 59: Controlled Substances

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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Page 61: Controlled Substances

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

61

Page 62: Controlled Substances

Storage site controls and security

Incorrect

Try Again

62

Page 63: Controlled Substances

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.

63

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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

64

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Storage site controls and security

Incorrect

Try Again

65

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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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Page 68: Controlled Substances

68

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

Page 69: Controlled Substances

Orders, Delivery, and ReceiptOrdering

Restrict activities to authorized personnelSubmit requests to Purchasing department

CSUAAuthorized Personnel

• Janette Ducut

• Russell Vernon

•Karen Janig

69

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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

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OrdersSorry

Information is not available for that campus

NEXT

71

Orders, Delivery, and Receipt

Berkeley Los Angeles

San Diego

Irvine

Riverside

San Francisco

Davis

Merced Santa Barbara

Santa Cruz

Page 72: Controlled Substances

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

77

NEXT

Berkeley Los Angeles

San Diego

Irvine

Riverside

San Francisco

Davis

Merced Santa Barbara

Santa Cruz

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UCSDOrders, Delivery, and Receipt

ApplicationManage through CSUA OnlineAccess in the “My Research Safety” portal

Go to http://ehs.ucsd.edu/myresearchsafety 78

Page 79: Controlled Substances

UCSDOrders, Delivery, and Receipt

79

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UCSDOrders, Delivery, and Receipt

80

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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

82

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UCSD

ReceiptPlace in locked storage

unit immediately 83

Page 84: Controlled Substances

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

Page 85: Controlled Substances
Page 86: Controlled Substances

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

Page 87: Controlled Substances

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

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Use Log Binder

Use Logs and Biennial Inventory

90

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92

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

Page 93: Controlled Substances

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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95

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

Page 96: Controlled Substances

Disposal

Berkeley Los Angeles

San Diego

Irvine

Riverside

San Francisco

Davis

Merced Santa Barbara

Santa Cruz

Review campus-specific disposal requirements

96

Page 97: Controlled Substances

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

Page 98: Controlled Substances

Disposal

Use Log

Document disposal on Use Log

Retain for 3 years

98

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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

99

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100

Disposal

Obtain a label from the Online Tag Program (OTP) before beginning your work.

Page 101: Controlled Substances

Go to the EH&S website at www.ehs.ucr.edu

Click on Waste Pickup

101

Page 102: Controlled Substances

Click on Hazardous Waste

102

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Go to http://otp.ucop.edu

103

Page 104: Controlled Substances

Login with your Username & Password and click on Login

104

Page 105: Controlled Substances

Click on Createa New Tag

105

Page 106: Controlled Substances

Enter information into the fields

106

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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

108

Page 109: Controlled Substances

Click on theClick Here link

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Page 110: Controlled Substances

Verify accuracy of information

Note the tracking number assigned

Print the label

Affix to container

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Click onMain

111

Page 112: Controlled Substances

Click on theChecked items ready for disposalbutton to notify EH&S that your waste is ready to be picked up

112

Page 113: Controlled Substances

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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115

Store until the container reaches the fill line.

DisposalContaminated Sharps

Do not exceed fill line

Page 116: Controlled Substances

DisposalReview campus-specific ordering requirements

116

NEXT

Berkeley Los Angeles

San Diego

Irvine

Riverside

San Francisco

Davis

Merced Santa Barbara

Santa Cruz

Page 117: Controlled Substances

UCSD

Use Log

Document disposal on Use Log

Retain for 3 years

117

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UCSD

Disposal

Dispose unused controlled substances by contacting EH&S

Deface label and discard empty containers into regular trash Deface label of

empty containers

118

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119

Store in approved sharps container

DisposalContaminated Sharps

Page 120: Controlled Substances

120

Store until the container reaches the fill line.

DisposalContaminated Sharps

Do not exceed fill line

Page 121: Controlled Substances

DisposalReview campus-specific ordering requirements

121

NEXT

Berkeley Los Angeles

San Diego

Irvine

Riverside

San Francisco

Davis

Merced Santa Barbara

Santa Cruz

Page 122: Controlled Substances
Page 123: Controlled Substances

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

Page 124: Controlled Substances

Diversion and Loss Reporting

Diversion

Prevent using a controlled substances obtained legitimately for illegitimate purposes.

Report suspicious activity (confidentially, if needed)

124

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Diversion and Loss Reporting

Loss reportingContact EH&S or UCPD by dialing 9-11

125

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Diversion and Loss Reporting

Audits andInspections

Provide access to records

Review adequacy of security measures

126

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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

Page 129: Controlled Substances

Illicit activities and RepercussionsCriminalActivity

129

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133

Page 134: Controlled Substances

Questions and Answers

Controlled SubstancesProgram Manager

Email [email protected] Call (951) 827-5528Visit http://ehs.ucr.edu/controlledsubstances

134

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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

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137

For more information

ehs.ucr.edu

951 827 5528

[email protected]

Page 138: Controlled Substances

To receive credit for this courseplease complete the test

Test

138

TakeTest

Page 139: Controlled Substances