How does SeniorCRE run the controlled-substance shift count and narcotic destruction record?
Controlled substances must be counted at every shift change and reconciled to the eMAR; wasted doses require a witness and a documented destruction. On paper, the count is signed late, the discrepancy on Tuesday is noticed Friday, and the DEA-style audit pulls a trail with gaps. Diversion sometimes hides in those gaps for months.
Detail
Each shift-change count runs on screen against the eMAR\u2019s administration record, signed by both outgoing and incoming nurse on the device. Any discrepancy — count off by one, missing waste signature, time-stamp anomaly — opens an immediate investigation workflow with the DON named. Destruction events capture both witnesses, the substance, the amount, the reason, and the disposal method. Quarterly DEA self-inspections render from the same record.
Controlled-substance discrepancies surface at the shift they happen, not days later. Audit-grade destruction records exist for every event. Diversion patterns become detectable instead of suspected.
Key points
- PointClickCare eMAR
- MatrixCare eMAR
- Omnicell
- Pharmacy partners
https://seniorcre.com/workflows/compliance/controlled-substance-shift-count