What must be included on a proof-of-use sheet for controlled substances?

The requirement for a proof-of-use sheet for controlled substances is critical for ensuring proper tracking and accountability of these medications. Specifically, the inclusion of date, time, patient name, dose, and healthcare provider's (HCP's) signature is essential. This information serves multiple purposes: it verifies that the controlled substance was administered at the right time, to the right patient, in the correct dosage, and under the authority of a qualified healthcare professional.

Collectively, these components help maintain a clear and accurate record for each administration event. This is important not only for regulatory compliance but also for patient safety and to prevent misuse or diversion of controlled substances.

In contrast, other options, while potentially relevant in a broader context of medical record-keeping, do not specifically address the critical elements that must be documented on a proof-of-use sheet. For instance, the pharmacy's address may be included in other documentation but is not necessary for the proof of use. Similarly, a patient's medical history or the type of medication dispensed are not required on this particular form, as they do not directly pertain to the administration record of the specific controlled substance in question.