Fentanyl patch chain of custody

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Karen Thompson
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Joined: 05/03/2009 - 02:30
Fentanyl patch chain of custody

Does anyone require chain of custody documentation for fentanyl patches at the end of each nursing shift? We recently had an event where an RN noticed a patient's patch was missing. It is unknown how long the patch had been off, or where it went. I was thinking about how we require 2 RNs document the volume of continuous infusions of controlled substances that remain at each change of shift. Should there be some type of acknowledgment each shift that the patch is still there?