(a)

1. (1) There shall be a weekly count of all Schedule II, III, IV, and V controlled medications.
2. (2) This count shall be made by the person in charge of medications in the facility and witnessed by a nonlicensed employee who cosigns as a witness with the person in charge.
3. (3) This count shall be documented.

4. (4) This documentation shall include:

   1. (A) The date and time of the count; and
   2. (B) A statement as to whether or not the count was correct, and if it was incorrect, an explanation of the discrepancy.

(c)

1. (1) When loss, suspected theft, or an error in the administration of controlled drugs occurs, it must be reported to the administrator and an incident report filled out.
2. (2) Also, a copy of the form for reporting theft or loss of controlled substances should be mailed to the Division of Pharmacy Services and Drug Control of the Department of Health.
3. (3) All documentation must be retained in the facility as a permanent record.