*DISCLAIMER: Pre-mixing controlled drugs as cocktails is considered compounding. Please refer to CFR Title 21, Chapter 2 to ensure you are DEA compliant. VetSnap is a logging platform only, and is not liable for the misuse of controlled drugs*
Cocktails
- Within Create Inventory, select “Create Controlled Inventory Item” and “Add Item Manually”, unless there is already an inventory item within their PIMS for the cocktail
- The name of the Inventory Item should be the name of the cocktail they are creating, for example: “DKT"
- Now, under each of the controlled drugs used to create the cocktail, the amount of the drug will need to be accounted for
- If using 10 mls of Ketamine, under Ketamine navigate to “Manage Containers” and select edit for the container they will be using
- Select make an adjustment
- Adjust balance down for 10 mls
- Within the comment section: “using to create DKT container # ___”
- Repeat steps for other ingredients used to create the cocktail.
- *Be sure to change the status of containers used to “finished” under manage containers if you use an entire container
- Next, under manage inventory, restock for DKT
- Enter in the entire quantity of the bottle (for example, if 10 mls of Dexmedetomidine, 10 mls of Ketamine, and 10 mls of Butorphanol, the quantity will be 30 mls)
- Add in container number
- Input “N/A” for the lot number, invoice number, and NDC number
- Comment: “house made bottle of DKT created from Ketamine container # ___, Butorphanol container #___”
- The container will then need to be opened, and when the container is used, create a log under the “DKT” tab for the amount of drug drawn from the bottle.
*All log entries made under the cocktail drug will have to be manually archived, and any invoices manually ignored unless invoiced out for exactly the same cocktail quantity*
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