How should an ASC manage medication security and controlled substances?

• A. Open storage with unrestricted access.
• B. No documentation of administration.
• C. Secure locked storage with restricted access; dual-control for dispensing; accurate inventory and reconciliation; proper documentation of administration and wastage; compliance with DEA/state regulations; secure disposal.
• D. Disposal only at end of month.

Answer: (C)

Controlling medications in an ASC hinges on preventing diversion through strict storage, access controls, and thorough recordkeeping. Store controlled substances in a secure locked area with access limited to authorized personnel, and use dual-control for dispensing so that two qualified people verify removals. Maintain an accurate inventory with regular reconciliation to detect discrepancies promptly, and document every administration and any wastage so there is a clear, auditable trail. Compliance with DEA and state regulations ensures the facility meets legal requirements, while secure disposal handles any unused or waste material in a traceable and compliant manner. This combination protects patients and staff, supports accountability, and reduces the risk of loss or theft. Open storage or lack of documentation creates opportunities for diversion and makes audits impossible, while disposing of substances only at the end of the month bypasses proper waste procedures and regulatory expectations.