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Safety, Security, and Surveillance

Post Medical’s line of High Security Cabinets access controlled by single to multi-point locking systems are designed to protect against unauthorized cabinet access

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ASHP Recommendations

ASHP (2017). ASHP Guidelines on Preventing Diversion of Controlled Substances. AM J Health-Sys Pharm pgs 84-85
According to the ASHP, "Examples of risk points and methods of Diversion include waste and removal: controlled waste is removed from unsecured waste containers...Measures should be in place to ensure the integrity of Controlled Substances and the safety of personnel transporting Controlled Substances to offsite locations.  Secure, lockable and tamper evident delivery containers (ie carts, trays, or boxes) should be used...Key elements of CS storage and security include the following:
  • CS are stored in a locked and secured location (e.g., automated dispensing devices, safe, locked cabinet/drawer) at all times unless in the direct physical control of an authorized individual. When implementing or assessing facility and physical access controls, the security and safety of HCWs are taken into consideration.
  • Storing CS in transportable lock boxes or “fanny packs” is avoided. If used, such lock boxes follow the same requirements for storage, security, and chain of-custody controls as other inventory. Transportable lock boxes are not considered secure and are stored in a locked area accessible only to authorized personnel when not in use or otherwise unattended.
  • Lock-out times for electronic locks on carts (e.g., medication or anesthesia carts) containing CS are limited ”to the narrowest window of time that is appropriate for the particular setting.
  • There is a defined process to ensure that only authorized individuals have access to CS. Access to CS storage areas is minimized and limited to authorized personnel.
  • There is a complete assessment of all HCWs with access privileges to ensure that only those permitted to access have access (i.e., currently employed, temporary employees, or licensed independent practitioners with privileges), and removal of access privileges occurs immediately upon separation.
2014 HFM Magazine Neal Lorenzi Security Watch Wireless technology, multipurpose smart cards and Web-based solutions spur access control innovations_Page_1
Health Facilities Management Magazine

Wireless technology, multipurpose smart cards and web-based solutions spur access control innovations

Lorenzi, N. (2014). Security Watch Wireless technology, multipurpose smart cards and Web-based solutions spur access control innovations. Health Facilities Management Magazine.
2016 ASHP Guidelines on Pharmacy Services in Correctional Facilities_Page_1
ASHP

ASHP Guidelines on Pharmacy Services in Correctional Facilities

ASHP (2016). Guidelines on Pharmacy Services in Correctional Facilities. ASHP.
2018 AHIA Drug Diversion Prevention & Detection
Association of Healthcare Internal Auditors

Drug Diversion Prevention & Detection

Ahlstrom, J. (2018). Drug Diversion Prevention & Detection. AHIA.
ASHP Diversion Presentation_Page_01
ASHP

Controlled Substance Diversion: Active and Proactive Soltions

Fortier, C. ASHP Controlled Substance Diversion: Active and Proactive Solutions. ASHP.

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