When dispensing controlled drugs to a patient in the hospital, it’s important to include the following information in the drug logbook (Fig. 4.2):
The logbook should be maintained with bound pages containing sequentially printed page numbers. This type of system, unlike that of a three-ring binder, makes it hard to alter any information that would render the record an untrustworthy document.
Computer systems with software that allows minimal editing of entries and uneditable notes of any changes made to preexisting entries can also be used to legally document controlled substances. These systems should not allow any deletions or alterations of records without the traceable fingerprint of such acts.