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Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne, Safety Specialist II, EHS Environmental Health & Safety

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Page 1: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Controlled Substance Training

Environmental Health & SafetyDeona Willes, Deputy Director, EHS

Dan Shapiro, Director, Office of ComplianceVivek Dharne, Safety Specialist II, EHS

Environmental Health & Safety

Page 2: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

What are Controlled Substances?

Controlled Substances (CS) are chemicals identified by the U. S. Drug Enforcement Agency (DEA) as having a high potential for illicit abuse and are therefore strictly regulated.

Page 3: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Controlled Substances Schedules

Schedule Medical Use/ Value

Potential for abuse Examples

I None High Heroin, LSD, Marijuana

II Medium High

Cocaine, Pentobarbital (Nembutal), Ritalin, Methamphetamine, Oxycodone, Fentanyl, Hydromorphone

III Medium MediumKetamine, Buprenorphine, Phendimetrazine, Aanabolic, Euthanasia (Euthasol)

IV High Medium Diazepam, Lorazepam, Midazolam

V High Minimum Codeine®, Ezogabine

Page 4: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

CS’s Commonly Used at USC• Schedule II

- Pentobarbital (Nembutal)• Schedule III

- Ketamine (Ketaset)- Buprenorphine (Buprenex)- Euthasol

• Schedule IV- Phenobarbital (Luminal)

*Halothane, Isoflurane, & Xylazine are not CS’s

Page 5: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Research Advisory Panel of California (RAPC) (Schedule I and II)

• DEA Website: http://oag.ca.gov/research

• Authorized Investigator must separately obtain RAPC approval for any research involving Schedule I drugs, human subjects research with Schedule II drugs, or any research for the treatment of drug abuse

• Authorized Researcher must provide EHS with a copy of all application materials and a copy of the RAPC’s approval

Contact EHS for assistance if you intend to conduct research with Schedule I.

Page 6: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Authorized Investigator

Responsibilities:• Comply with Federal, State and USC requirements• Obtain CSA for Schedule II-V CSs• Ensure all users adhere to CS requirements• Keep CSs in a secured area• Complete CS training• Maintain all required documents • Coordinate waste management with EHS • Report loss immediately to EHS/DPS

Page 7: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Page 8: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Page 9: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Step 1. PI Obtains a DEA License

• Obtain Individual DEA Registration• DEA: http://www.deadiversion.usdoj.gov/drugreg

/

• Memo w/ Instructions – 9/17

Page 10: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

How to Complete DEA Form 225Section 1 – Applicant Identification

1. Insert your name as the applicant.

2. Under “Place of Business”, use the address of the primary lab in which you will be using CS’s.

3. Provide your Social Security Number, not a tax identification number.

Environmental Health & Safety

Page 11: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

How to Complete DEA Form 225 (con’t).

Section 2 – Business ActivityFor business activity, select “Researcher w/Sched II-V.”

IMPORTANT NOTE: Applications for research use of Schedule I Controlled Substances (e.g., heroin, LSD, peyote, methaqualone) require a separate DEA registration, as well as authorization from the Research Advisory Panel of California (RAPC).

Environmental Health & Safety

Page 12: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

How to Complete DEA Form 225 (con’t).

Section 3 – Drug Schedules• Select all options corresponding to Schedules III-V. • If you use sodium pentobarbital, also select “Schedule II N (Non-Narcotic)”

and check the box to request official order forms to purchase schedule II controlled substances.

• Do not provide any information in the “Manufacturers Only” section.

Environmental Health & Safety

Page 13: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

How to Complete DEA Form 225 (con’t.)

Section 4 – State Licenses• There is no state controlled substance registration program in California. • If you are applying via U.S. mail, insert “N/A” to the right of “State License

Number” and proceed to Section 5. • If you are applying on-line:

– Type “Not applicable” for the State License Number.– Select “California” as the State of Issuance.– Select an expiration date after the date you are submitting your registration.

Environmental Health & Safety

Page 14: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

How to Complete DEA Form 225 (Con’t.)

Section 5 – LiabilityAnswer each question in this section truthfully. As indicated, provide an explanation for any “yes” answers.

Controlled Substance Program

Environmental Health & Safety

Page 15: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

How to Complete DEA Form 225 (Con’t.)

Section 6 – Exemption From Application Fee

Leave this section blank. As a private university, USC and its researchers are not exempt from the application fee.

Environmental Health & Safety

Page 16: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

How to Complete DEA Form 225 (con’t.)

Section 7 – Method of Payment

Insert your method of payment. If the DEA registration is needed to perform the scope of work and is permissible under the terms of a grant or external funding mechanism, then grant or other external funds may be used for payment. If the registration does not satisfy this requirement, the expense may be charged to a departmental unrestricted account.

Environmental Health & Safety

Page 17: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

How to Complete DEA Form 225 (con’t.)

Section 8 – Applicant’s Signature• If you are applying via U.S. mail, sign and date the form.

• If you are applying on-line, type your name in the “e-Signature” box where indicated.

Environmental Health & Safety

Page 18: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

How to Complete DEA Form 225 (con’t.)

Section C – Schedule and Drug Codes

• If you are applying via U.S. mail, check all drug codes you handle.

• If you are applying on-line, this section is not required.

Environmental Health & Safety

Page 19: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Step 2: PI obtains

authorization from EHS to

use Controlled Substance

Page 20: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Step 2. PI obtains authorization from EHS to use Controlled Substances

• Submit the following: Form A – “CSA Application”

Form A-I – “Authorized Users and Locations”

• EH&S staff currently meeting with labs

Page 21: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Step 3: Order

controlled substances

via eMarket

Page 22: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Step 3: Options to buy Controlled Substances via eMarket

Environmental Health & Safety

Page 23: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Option 1: Forms

Page 24: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Select “Controlled Substance Request Form” (Research Only)

Environmental Health & Safety

Page 25: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Controlled Substances Request Form

Environmental Health & Safety

Page 26: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Page 27: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Option 2: Non-Catalog form

Environmental Health & Safety

sPI information and lab location

Page 28: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Attachments: MWI - Due

Diligence FormDEA registration

Environmental Health & Safety

Page 29: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Option 3: Catalog Punchout

Environmental Health & Safety

Page 30: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Page 31: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Page 32: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

DEA License # required

Environmental Health & Safety

Page 33: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Schedule II - Additional Requirement

Form 222 www.deadiversion.usdoj.gov/faq/dea222.htm

• Directly submitted to vendor

• Must submit a copy to EHS with purchase request

• Supplier Identification required

Page 34: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Ordering Form 222

Page 35: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Page 36: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Step 4: EH&S

Reviews and Approves

Order

Page 37: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

• All requisitions via eMarket will be routed for approval to EHS (Sch III to V).

• Form 222 (Sch II) – Submit a copy to EHS• EHS will approve only if

– PI has valid DEA registration – PI has valid CSA authorization with EHS– Controlled substances matches with the protocol– Requisition has PI/end user and location listed

Environmental Health & Safety

Step 4: EHS Reviews and Approves CS order

Page 38: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Step 5: Lab Receives CS Order

Page 39: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Step 5. Delivery of CS Order to Lab• Controlled Substance will be directly delivered

to the lab by vendor

• Usage log form should be generated by the lab to keep track of usage and disposal.

• Log form is available on the EHS website.

• PI is responsible for all the controlled substance present in this lab and for usage records.

Page 40: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Physical Security/Storage

• Implement access control to deter theft/diversion

• All security measures and devices must be approved by EHS

• Only Authorized Investigators and Authorized Users may have access

Page 41: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Physical Security / Storage

• Schedule III-V: Maintain in locked, substantially-constructed cabinet w/o wheels

• Schedule I-II: Keep in locked safe, vault or steel cabinet attached to building structure, within lockable room

• Must separate Schedule I-II drugs and their records from Schedule III - V drugs/records

Page 42: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Physical Security/Storage

• EHS must approve storage locations

• Maintain controlled substances in original containers

• Any diluted CS mixtures must be labeled and locked up

Page 43: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Inventory

• Maintain accurate records of all CSs on hand

Usage log/ Disposal form

• Conduct and maintain Annual inventory – Form E

• EH&S will review Annual inventory during inspection

• Strict enforcement

Page 44: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Usage Log

Each CS container has its own ID # and Usage Log

Each time a CS is removed from original container … record it immediately!

Physical amount in container should match the Usage Log AT ALL TIMES

Page 45: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Schedule II• Register

– DEA registration – EHS: Obtain CSA

• Ordering: – Form 222– EHS needs a copy

• Storage: Locked safe, vault or steel cabinet

Schedule III – V• Register

– DEA registration – EHS: Obtain CSA

• Ordering: – eMarket– EHS approval

• Storage: Locked substantially constructed cabinet w/o wheels

Page 46: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Step 6: Waste

Disposal

Page 47: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

• PI can dispose empty vial in trash after defacing the label Usage log should be kept in lab for inspection for 3 years

after disposal of vial

• For expired drugs EHS will coordinate disposal of CS’s and containers Completed Usage Log must accompany expired or unused CS

Usage Log signed by Authorized Investigator or User

• Contact EHS for questions regarding CS waste

Step 6: Waste Disposal

Page 48: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Transferring a Controlled Substance

• CS transfer allowed between two CSA’s

• EHS approval required prior to transfer

• “Transfer of CS” form - Contact EHS

Page 49: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Theft or Loss

• Notify EHS at 323-442-2200

• Phone Call DPS at

− UPC: 213-740-4321

− HSC: 323-442-1200

• EHS will conduct an investigation• EHS will assist with submission of all

necessary documents to DEA

Page 50: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Monitoring

• Annual EHS Inspection • Possible random and unannounced

inspections by EHS.• DEA may audit at any time, unannounced• EHS will review:

− Adequacy of security− Usage logs / Disposal records− Authorized Users

Page 51: Controlled Substance Training Environmental Health & Safety Deona Willes, Deputy Director, EHS Dan Shapiro, Director, Office of Compliance Vivek Dharne,

Environmental Health & Safety

Contact Information

• Environmental Health & Safety: (323) 442-2200

• email: [email protected]

• DPS: (213) 740 4321 or (323) 442-1000

• DEA: http://www.justice.gov/dea/index.htm

• Office of Compliance: (213) 740-8258