Which actions help ensure compliance with controlled substances regulations in PA practice?

• A. Possessing DEA registration but not enforcing schedule-specific rules
• B. Verifying DEA registration, enforcing schedule-specific rules, monitoring for diversion, maintaining detailed records, and conducting audits
• C. Ignoring diversion
• D. Delegating all controls to the PA

Answer: (B)

Compliance with controlled substances regulations requires a multi-layered approach: confirm valid DEA registration and apply the schedule-specific controls, actively monitor for diversion, maintain meticulous records of prescribing, dispensing, inventories, and disposals, and conduct regular audits to spot discrepancies and ensure policy and law are followed. In PA practice, this framework is supported by state-specific requirements and tools like the PDMP to track controlled substance use. Merely possessing DEA registration doesn't ensure proper enforcement of scheduling rules, and ignoring diversion or handing off all controls to one person undermines accountability and safety.