Free Narcotic Log Template
Narcotic Log
The Narcotic Log is designed to meticulously record the dispensing and administration of controlled substances, ensuring compliance with legal regulations and preventing misuse or diversion. This log serves as a crucial tool for maintaining accurate inventory records, tracking patient usage, and detecting any discrepancies or irregularities in narcotic medication management.
Prepared by: [YOUR NAME]
Date: [DATE]
[YOUR COMPANY NAME]
Log Overview:
Date: [DATE]
Summary of Task: Tracking and administering narcotic medications.
|
Patient Name |
Medication Name/Dosage |
Healthcare Provider |
Date/Time of Administration |
|---|---|---|---|
|
John Smith |
Oxycodone 10mg |
Dr. Emily Johnson |
May 10, 2050 / 10:00 AM |
|
Mary Johnson |
Morphine 5mg |
Dr. Michael Lee |
May 10, 2050 / 11:30 AM |
|
David Rodriguez |
Fentanyl 25mcg |
Dr. Sarah Patel |
May 10, 2050 / 1:45 PM |
|
Sarah Thompson |
Codeine 15mg |
Dr. James Wong |
May 10, 2050 / 3:20 PM |
Additional Notes:
-
Document each transaction involving controlled substances, including dosage, patient information, and administering personnel.
-
Implement strict protocols for accessing and handling narcotic medications.
-
Conduct regular audits and reconciliations of narcotic inventory against log entries.
-
Ensure secure storage and disposal procedures by regulatory guidelines.
