I screened historical topics but am not finding what I am looking for so will bring back the topic of patient own medications for hospital setting.

1) Does your organization allow for patients to bring in their own controlled substances for hospital setting (when not on formulary)?
2) If so, how are these handled? Do patients sign anything to state that they are handing over their CS for hospital use? Are they stored in an automated dispensing cabinet or in a locked med drawer? Is a daily count completed?

We are revising our patient home med policy and wanted to see what others were doing in regards to destruction of patient home meds. Please let me know which process you follow and I will summarize for the group.

Process #1
• Do you destroy the meds a certain number of days after admission (e.g. 30 days) regardless of if the patient is still in the hospital?
• If this is your process how do you ensure the meds do not get destroyed for those patients that are still in house after the cutoff date?
• What challenges have you had with this process?

Does anyone currently have a Hospital at Home program? If so can you share how you handle patient own medication orders (labeling, checking integrity, etc.).