1. Medication Education Module 3
Drug Loss
Trainer Preparation
Copies of PowerPoint handout
Print p. 2 “Objectives” to test staff knowledge before & after
the training.
(Use as your training documentation.)
Copies of corresponding MAP Policy 10-7
The lost tablet may or may not prompt a Drug Control Program inspection team site visit, whose focus is primarily on the security of countable meds and related documentation. If a visit is scheduled the tool the DCP inspector uses is located at

2. Objectives 1. Which meds are reportable? 2. Who do I report to?
3. Where do I document?
What I know about lost (missing) medication before the training: 1. 2. 3. 4.
What I learned about lost (missing) medication after the training:
4. Is a lost med a med occurrence?

3. Reportable Drug Losses
Include
All prescription meds Schedules II-VI and
Written prescriptions
As a Supervisor you may want to let staff know of your internal reporting system if “over the counter meds” are reported as missing.
OTCs that are missing are not reported to DPH.

4. Drug Loss A drug loss is not a med occurrence
Unless the med is due and there are no meds available to administer due to the loss
If this is the case, staff must report to both the:
-MAP Consultant for a recommendation since no med was available to give and a med occurrence is submitted via HCSIS
-Drug Control Program due missing meds and drug incident report form is faxed to DPH/DCP

5. Security-Inventory-Record Keeping
If the count is incorrect
The assigned Certified staff (along with witness) notify the Supervisor
Supervisor conducts an investigation
DCP notified
Depending on the severity of the case may also contact
Massachusetts State Police Diversion Investigative Unit
Local police department

6. Count Sheet Scenario
Page 11
This scenario demonstrates when the count is incorrect in a blister pack, the math documentation in the count book is correct, all medications appear to be administered and documented as ordered but a tablet is missing.
The Certified staff who discovered the discrepancy should immediately contact their Supervisor and document what happened on the count sheet. The Supervisor should immediately review and document if the lost tablet cannot be accounted for and notify DPH using a DPH Drug Incident report form. DPH will provide an “intake number” assigned to the reported loss.
12/20/yr 7am There are only 5 Ativan 0.5mg tabs. Karen Mason, Supervisor notified Reggie Newton
12/20/yr 7:45am Drug Incident form completed. DPH notified. 5 tabs Karen Mason

7. Shift Count Sheet Scenario
12/20/yr 7:00a When counting there is an Ativan 0.5mg tablet missing. Karen Mason, Supervisor notified. See count sheet page number Reggie Newton
This is an example of how to record an incorrect count due to a missing medication.
12/20/yr 7:45am All Ativan prior to today appear to be given and documented as prescribed. One Ativan 0.5mg tab is missing. Drug Incident form completed. DPH notified. See count sheet p Karen Mason

8. Reporting
Drug Control Program (DCP) is notified by the first business day after discovery
Drug Incident Report Form (DIR) is completed and faxed to the DCP

9. Drug Incident Report The DIR form is located at:

10. Questions