Explain DEA controlled substance storage, inventory, and reporting requirements in an ASC?

• A. Store securely in a locked, separate cabinet; maintain daily inventory and reconcile discrepancies; restrict access; document administration and disposal; report theft or loss per DEA/state rules; compliant recordkeeping.
• B. Store in an unlocked drawer.
• C. Inventory once a year.
• D. No reporting for theft.

Answer: (A)

Controlled substances in an ASC must be kept under tight control to prevent diversion and ensure a clear, auditable trail from receipt to disposal. The best approach is to store these meds in a securely locked, dedicated cabinet or area, separate from non-controlled medications, with access limited to authorized staff. An ongoing inventory is essential—conducted daily or in real time—and any discrepancies should be investigated and reconciled promptly so missing meds don’t go unnoticed. Documenting every administration and every disposal creates a complete paper trail that supports accountability and regulatory inspection readiness. If a theft, loss, or significant discrepancy occurs, it must be reported to the DEA and state authorities following their required timelines and procedures. Proper disposal of controlled substances should be recorded, typically using approved forms, and the organization must maintain all related records for the legally required retention period. These elements—secure storage, ongoing inventory and reconciliation, restricted access, thorough administration and disposal documentation, and timely reporting and compliant recordkeeping—together meet the regulatory expectations and promote safety and accountability in the ASC.