Think Your Narcotics Protocols Are Airtight: Put Your ASC to the Test

Every Ambulatory Surgery Center knows narcotic diversion is a risk. What often gets overlooked is how preventable it really is. Strong protocols protect not only your inventory but also your staff, patients, and reputation. 

To help you evaluate where you stand, we’ve created a Narcotics Security Checklist that breaks down the essentials of storage, access, tracking, and response. Use it as a quick scorecard to see if your systems are truly airtight or if there are gaps that need immediate attention. 

1. Storage Security 

Are your narcotics always stored in a lockable medicine box or cabinet that is tamper-evident? Do you use unique user logins and monitor access? Facilities that cut corners here invite risk. 

Why it matters: Secure storage is the first barrier between your medications and diversion. If you cannot say with certainty who accessed which drug and when, your protocols are vulnerable. 

2. Access Control 

Controlled substances should only be in the hands of authorized staff. That means promptly revoking credentials when roles change and requiring clear chain of custody for all narcotics. 

Why it matters: Weak access control is like leaving the door open. Digital tools ensure accountability by linking every transaction to an individual. 

3. Inventory Management 

Are you still relying on paper logs or spreadsheets? A medication tracking system with real-time reporting is no longer optional. It automatically records each transaction, updates your medication inventory log, and flags discrepancies immediately. 

Why it matters: Manual counts create blind spots. Automated, real-time tracking closes them. 

4. Staff Training and Awareness 

Annual training, scenario-based drills, and clear SOPs ensure your team knows what diversion looks like and how to respond. 

Why it matters: Technology is powerful, but staff are your first line of defense. Empower them to act. 

5. Disposal Procedures 

Secure, documented disposal with a witness is essential. Without a reliable log, you are leaving compliance to chance. 

Why it matters: Regulators pay close attention to how you handle waste. Your audit and compliance software should track every step. 

6. Incident Response 

Even the best systems are tested. When something goes wrong, do you have a protocol for reporting, investigating, and updating policies? 

Why it matters: A fast, documented response prevents repeat issues and shows regulators you take diversion seriously. 

The Bottom Line 

If your ASC cannot confidently check these boxes, it is time to act. Diversion costs more than medication. It costs trust, compliance, and patient safety. 

MedServe delivers everything you need in one solution: a lockable medication box, an automated medication tracking system, real-time reporting, and integrated audit and compliance software. 

Turn your gaps into strengths.  

Let’s talk about how MedServe can help your ASC stay secure, compliant, and ready for anything.