Prescribing controls

The contractor s SSAHP for Site C contained task- and operation-specific hazard analyses and safety and health procedures that covered general operations, but they were not specific enough for prescribing control methods and PPE for each job task. The plan identified some safety hazards for each operation but did not describe SOPs for protecting employees from these hazards. The SSAHP did, however, contain personnel and equipment decontamination procedures used at the site. 

Take the action in accordance with the prescribed control procedures. 

Introduction The chemical processing industry relies on many types of instrumented systems, e.g., the basic process control systems (BPCSs) and safety instrumented system (SIS). The BPCS controls the process on a continuous basis to maintain it within prescribed control limits. Operators supervise the process and, when necessary, take action on the process through the BPCS or other independent operator interface. The SIS detects the existence of unacceptable process conditions and takes action on the process to bring it to a safe state. In the past, these systems have also been called emergency shutdown systems, safety interlock systems, and safety critical systems. 

All packaging materials should be stored before use for production under prescribed controlled temperatures and relative humidity (e.g., 20°C 5°C and 50% RH + 10%). 

Haddox, J. David. Legal and Clinical Issues In Prescribing Controlled Substance. 18 July 2002. . 

For the most part, the DEA is on the lookout for doctors who are prescribing controlled substances illegally to people who have no medical need for them. Pharmacists and manufacturers of controlled substances are also monitored for suspected abuse of the CSA. Anyone who dispenses controlled substances and is found to be in violation of the CSA faces fines, imprisonment, or both. 

The extent of PyOM productions during organic matter burning depends largely on combustion intensity. With respect to vegetation fires, prescribed (controlled) fires... 

All barbiturates have the potential to be abused and cause addiction. Different barbiturates are designated as schedule II, III, and IV drugs, which means that all barbiturates require a prescription from a doctor or health care provider and the prescription must contain the doctor s DEA number. Physicians must obtain a special license to get a DEA number in order to prescribe controlled or addictive substances such as barbiturates. Doctors are very cautious about prescribing barbiturates to patients who have a history of drug abuse. 

Until recently, the numbers of individuals who may prescribe controlled drugs was fairly limited. However, with the onset of both supplementary and independent prescribing, the numbers of individuals who may prescribe controlled drugs has increased. 

It is good practice for prescribers not to prescribe controlled drugs for themselves or close family members unless in an emergency. 

Prescribers must be careful in prescribing controlled substances it has been held that a licensed physician who prescribes controlled substances outside the bounds of professional medical practice is no different from a drug pusher subject to prosecution under the Controlled Substances Act. (21 U.S.C.S. 841[a][l]). Criminal liability may extend to the prescribing of controlled substances. 

The position of the Drug Enforcement Administration (DEA) is that if a state recognizes the authority of a pharmacist to prescribe controlled substances, then the DEA will register pharmacists as midlevel practitioners. Spe-... 

Physicians must be authorized to prescribe controlled substances by the jurisdiction in which they are licensed and they must be registered with the DEA or exempted from registration as defined under the CSA. The number on the certificate of registration must be indicated on aU prescription orders for controlled substances. 

To be valid, a prescription for a controlled substance must be issued for a legitimate medical purpose by an individual practitioner acting in the usual course of his or her professional practice. An order that does not meet these criteria, such as a prescription issued as a means to obtain controlled substances for the doctor s office use or to maintain addicted individuals, is not considered a legitimate prescription and thus does not protect either the issuing physician or the dispensing pharmacist. Most states prohibit physicians from prescribing controlled substances for themselves it is prudent to comply with this guidehne even when not mandated by local law. 

In order to maintain strict adherence to GMP and to all manufacturing procedures and prescribed controls, it is advisable for a firm to designate an expert or a team of experts to conduct regular independent inspections of its overall production and control procedures. Such experts should be as independent as posable in their inspection of production and control procedures. 

Prescriptions may be issued by physicians, dentists, podiatrists, veterinarians, midlevel practitioners, and any other registered practitioner who is authorized to prescribe controlled substances by the jurisdiction in which the practitioner practices. The practitioner must be licensed with the DEA or must be recognized by the DEA as an exempt practitioner (i.e.. Public Health Service, Bureau of Prisons). 

A hospital s DEA number may be used by authorized practitioners who cannot obtain their own DEA number. An intern, resident, staff physician, or midlevel practitioner who is an employee of a hospital or other institution may use the hospital s DEA number to prescribe controlled substances provided the following circumstances are met ... 

Authority to prescribe controlled substances has been granted to the practitioner by the state that the practitioner is practicing in. 

Authorized to prescribe controlled substance by the jurisdiction in which the practitioner is licensed to practice... 

Licensed medical practitioner means a person who is licensed, certified, and/or registered, in accordance with applicable federal, state, local, or foreign laws and regulations, to prescribe controlled substances and other drugs. 

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