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Distribution system for controlled substances in the operating room

E McClure-Zola, R J Cipolle, D E Zaske

    American Journal of Hospital Pharmacy
    |May 1, 1981
    PubMed
    Summary
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    A new hospital operating room system enhances accountability and accessibility for controlled substances like Valium, Innovar, and Sublimaze. This improved drug distribution method ensures better management of medications during surgical procedures.

    Area of Science:

    • Anesthesiology
    • Pharmacology
    • Hospital Administration

    Background:

    • Traditional floor stock methods for controlled substances in operating rooms present challenges in accountability and accessibility.
    • The need for a more secure and efficient drug distribution system was identified.

    Purpose of the Study:

    • To describe a novel drug distribution system for controlled substances in a hospital operating room setting.
    • To address issues of accountability and accessibility associated with previous drug management methods.

    Main Methods:

    • Implementation of small, lockable narcotic cases containing a shift's supply of specific controlled substances (Valium, Innovar, Sublimaze).
    • Nurse anesthetists sign out cases from the pharmacy, assuming responsibility for contents until return.

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  • Administration records are maintained by the nurse anesthetist, with discrepancies triggering automatic incident reports and investigations.

    • Main Results:

    • The new system improved the drug distribution process within the operating room.
    • Enhanced accountability and accessibility of controlled substances were achieved.

    Conclusions:

    • The described narcotic case system offers a more secure and efficient method for managing controlled substances in the operating room.
    • The system is easily adaptable for implementation in other healthcare institutions.