What is a Narcotic? What are they? How do narcotics get their classifications? Narcotics get their name by using the chemical type of their active ingredients. They may also be categorized by the way they treat a particular medical condition. Narcotics are categorized based on their potential risks for abuse, rather physical or psychological, or harm they can bring to an individual. They are medications that are strictly controlled and regulated by the government.
CI -CV
In 1970 the FDA (Food and Drug Administration) released the following schedules under the CSA (Controlled Substance Act). The DEA (Drug Enforcement Administration) regulates controlled substance through a “closed system” for legitimate manufactures, distributors and
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CURES
CURES (Controlled Substance Utilization Review and Evaluation System) is a data base
used for C II - C IV controlled substance prescriptions, that are dispensed in California serving
the public health (https://oag.ca.gov/cures). This system is committed to the decrease of
medication drug abuse and the deviation without disturbing legitimate medical practice or patient
care. One of the most major concerns about narcotic medications are their uses as recreational
drugs and not used for medical purposes. Access to CURES is limited to only license personal such as licensed prescribers and licensed pharmacies. The patients must be under direct care of a
provider to seek these types of medications.
Laws
The California law requires that any controlled substance medication (C II – C V) to
acquire and use tamper-resistant prescription forms. These forms can only be ordered from state
approved security printers. If a prescription pad gets lost or stolen it must be reported
immediately to local law enforcement and the DOJ (Department of Justice)/ CURES
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All must be on the prescription or it is not a valid prescription.
The pharmacy is then accountable for all of the prescriptions to have the things listed
above but also the following, federal controlled substance registration number, pharmacy
prescription number, license number, NDC (National Drug Code) number of the controlled
substance being dispensed, quantity of the controlled substance dispensed, the ICD-9 (diagnosis
code) if available, date the prescription was issued, and date the medication was dispensed
(https://www.pharmacy.ca.gov/consumers/prescribe_dispense).
Because controlled substances are among the most addictive and abused types of drugs,
severe regulating is required. The first offense of possessing an illegal controlled substance
can lead up to seven years in prison or a $50,000 fine. Selling narcotics is against the law and is
prohibited. Penalties will depend on the amount in possession at the time and the conditions that
accompany the
A prescription can be identified as legally authorised written instruction by a prescribing officer to a pharmacist to dispense medication.
* All medication should be recorded and signed for by the receiving pharmacist and a proper record maintained in-house.
There are several types of medication, each has a purpose and function needed for their administration via the different routes.
a.) The Medicine act 1968 -governs the manufacture & supply of medicines. This requires that the local pharmacist or dispensing doctor is responsible for supplying medication. He or she can only do this on the receipt of a prescription from an authorised person eg a doctor.
Non care setting - Medications are often stored and administered in a variety of non-health care settings. These settings include: primary and secondary schools, Child day care centres, Board and care homes, Jails and prisons. In all these settings, employees frequently are responsible for handling and administering prescription and over-the-counter medications to clients or residents. Some organizations may employ licensed health professionals to directly manage the medication administration process. However, many of these settings have no licensed health professionals involved. Where medications are stored and administered to individuals, written policies and procedures should address the following: Acquisition of medications (e.g., from parents, caregivers, pharmacies), Specification of which personnel are allowed access to medications and allowed to administer medications to students, clients or residents, Labelling and packaging of medications managed for students, clients
The nurse must verify the physician’s medication order, including the dose and time, and then the pharmacy is responsible for their own checks and balances via the BCMA system in order to complete the dispensing phase of the medication (Gooder, 2011). The nurse enters the BCMA system with a login and password and is able then to see a list of the virtual due list for a specific patient. The computer on wheels is then taken to that patient’s room and the five rights of medication administration begin. As nurses, we are taught to use the five rights of drug administration are (1) right patient (2) right medication (3) right dose (4) right route and (5) right time. By scanning the barcode on the patient’s hospital identification band, the nurse then asks for the patient to verbally state their name and date of birth, which can be verified by the nurse on the virtual due list and then choses the medication that are due for administration at that time. The medication is dispensed and the nurse is able to scan the barcode on the medication, the scanning triggers the automatic documentation of the medication given (Kelly, 2012).
Provider status is a wonderful idea, pharmacists getting paid for things that they do. However, pharmacists must be allowed
* The National Technical Information Service, Drug Enforcement Agency or Controlled Substance Registration, as confirmation that the doctor is authorized to write prescriptions
There is no question that the alarming rate of deaths related to opioid overdose needs to be addressed in this county, but the way to solve the problem seems to remain a trial and error approach at this point. A patient is injured, undergoes surgery, experiences normal wear and tear on a hip, knee or back and has to live with that pain for the rest of their life or take a narcotic pain medication in order to improve their quality of life and at least be able to move. The above patients are what narcotic pain medications were created for, a population of people that use narcotic pain medications for fun is what is creating a problem. Narcotics are addictive to both populations, however taking the narcotic for euphoric reasons is not the intention of the prescription that the physician is writing. The healthcare system needs to find a way to continue to provide patients that experience chronic pain with the narcotics that work for them while attempting to ensure the Drug Enforcement Agency (DEA) doesn’t have to worry about a flood of pain pills hitting the streets by granting access to the population with a substance abuse problem.
A pharmacist must check any medication that is administered to a patient. This is the
The Controlled Substances Act (CSA) gives certain bodies or individuals such as research scientists, pharmacies, doctors and manufacturers the legal right to access controlled substances.
If convicted for possession without intent to distribute, you face a prison sentence of no more than three years; and a fine no less than $5,000. Possession with intent to distribute is a much heftier penalty. Minimum of 10 years in prison up to a life sentence, and a fine of up to $4,000,000. The penalties for this drug are handled with extreme
Narcotics also known as “opioids” are defined as “a drug or other substance affecting mood or behavior and sold for nonmedical purposes, especially an illegal one” (http://www.foundationsrecoverynetwork.com/what-are-narcotics-and-why-are-they-addictive/ ). Narcotics are also defined as “any drugs that full the senses and commonly become addictive after prolonged use” (http://legal-dictionary.thefreedictionary.com/Drugs+and+Narcotics). A narcotic is a type of drug that is prohibited, used in violation of government restriction.
Since states are responsible for providing medical licenses, each state has a slightly different legal definition for the practice of medicine. Sometimes, care that some might deem unauthorized practice of medicine are legal even when performed by unlicensed people
An application in the prescribed form “accompanied by a prescribed format should be made to the licensing authority appointed by the state government for the grant or renewal of a license to sell, stock or exhibit for sale or distribute drugs(87)“.