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Guidance to JHU Investigators on Storage
and Record-keeping for Drugs Scheduled under the Controlled Substances
Act [1]
Licenses to obtain and use in research drugs that have been
scheduled by the Drug Enforcement Agency (DEA) under the Controlled
Substances Act (CSA) Regulations are issued to individual investigators. Compliance
with CSA regulations is the responsibility of the license holder. The
regulations (21CFR, Part 1300) can be found at http://www.usdoj.gov/dea/agency/csa.htm. License
holders are subject to audits by the DEA, which may be preceded
by an unannounced visit for the purpose of arranging the time
of the audit with the license holder.
The JHU Animal Care and Use Committee includes review of secure
storage and record-keeping for controlled substances
in the semi-annual inspections to assist JHU faculty in assuring
that these basic functions are being carried out in their laboratories.
[2] JHU
license holders should review the regulations to assure themselves
that they are meeting other regulatory requirements.
Secure Storage: The license application
will have specified the means by which the license holder will
assure secure storage of controlled substances. Laboratory members
who will make use of the controlled substances need to know the
storage and access requirements for the laboratory.
Security requirements are permitted to vary under the
CSA depending on the particular schedule of a compound (requirements
are highest for Schedule I and II compounds); quantity of controlled
substance handled; the type of location and the need for security
in such a location; the adequacy of key control and/or combination
locks; the extent of unsupervised public access; the procedures
for handling visitors, maintenance personnel, and other service
personnel; and the availability of security personnel. Thus
research laboratories at Johns Hopkins already are relatively
secure. The primary concern should be on preventing loss
or theft within the laboratory setting.
The stored controlled substances “shall be accessible
only to an absolute minimum number of specifically authorized
employees” (Part 1301.72 of the CSA regulations). The
registrant determines who those individuals are to be. There
are no paperwork requirements, however, on specification of those
individuals.
Record keeping: The records
for researchers need to contain the following information for each
drug received: name, form received (e.g., powder; liquid
with mg concentration per ml), the amount (e.g., total grams
of powder, number of milliliters per vial), number of containers
(e.g., two 10-gram bottles of powder, ten 3-ml vials) received
at once, the date of receipt, the name and address of the source
of the compound, and the registration (license) number of the
person from whom the drug was received if it was not received
from a commercial source.
Helpful Hint: Since shipments need to be accounted
for separately, it is useful to have a system for matching
the record to the containers for a particular shipment (e.g,,
put the lot number on the record sheet; put the date of receipt
on the bottle or package of vials).
The record of use of each drug needs to contain: number
of units (e.g., mg or ml) removed, purpose, date of removal,
and the “written or typewritten name or initials” of
the person who “dispensed” the drug. If the
drug is used to make up a stock solution, keep a record of amounts
dispensed from that stock and include the same pieces of information
in that record.
Records must be maintained at the "registered location," that
is., the address on the license. They must be kept readily
retrievable, but there is no specific requirement on exactly
where they must be kept.
References:
1. Approved
by the Animal Care and Use Committee: September 19, 2002 Revised
April 20, 2006.
2. The functions
are reviewed by our private accrediting agency Association
for Asessment and Accreditation of Laboratory Animal Care
International during their triennial site visit which is
the rationale for this review during semi-annual inspections.
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