It behooves every hospital corpsman to
thoroughly understand the responsibility concer-
ning the custody and handling of controlled
substances and other drugs and to be familiar with
the regulations and laws pertaining to them.
Although MANMED, chapter 21, specifically
assigns custodial responsibility for controlled
substances, alcohol, and dangerous drugs to a
commissioned officer and more specific control
to the Nursing Service, you, as a hospital corps-
man, are held responsible for:
All controlled substances and other drugs
entrusted to you.
Their proper administration: the right drug
at the right time to the right patient in the
Their proper security. All controlled
substances and other drugs are to be kept
under lock and key. Neither keys nor drugs
are ever entrusted to a patient.
Hospital Corps personnel are held accountable
for all quantities of drugs entrusted to them. Exer-
cise great care to prevent the loss or unauthorized
use of drugs. No drug will be administered
without proper authority. In addition, U.S. Navy
Regulations distinctly forbids the introduction,
possession, use, sale, or other transfer of mari-
juana, narcotic substances, or other controlled
Although all drugs are to be treated with
respect, certain groups require special handling
and security measures. Controlled substances are
those drugs listed in the Comprehensive Drug
Abuse Prevention and Control Act of 1970, and
alcohol. Schedules of controlled substances are
established by this act. Products may migrate be-
tween schedules and new products may be added.
These changes will be promulgated by the Navy
Materiel Support Command in the Medical and
Dental Materiel Bulletin.
Controlled drugs are controlled substances,
plus any additional drug product designated for
control by an appropriate military authority.
Accountable controlled substances and drugs
are all items listed on schedules I, II, narcotic
schedule III medications, non-narcotic schedule
III medications, schedule IV and V, or other
legend drugs that appropriate authority in the
chain of command deem necessary for accoun-
tability procedures. The schedules of drugs will
be discussed later.
Poisonous drugs, chemicals, and similar
substances are classified as dangerous drugs.
Drugs of a powerful nature that may be mistaken
for other drugs because of their appearance will
be kept in containers of distinctive color, size, or
shape in a special section wherever drugs are
stored. In addition,
the following specific
safeguards will be enforced:
All dangerous poisons are to be indicated
by appropriate poison labels.
Caustic acids such as glacial acetic, sulfuric,
nitric, concentrated hydrochloric, or oxalic
acids will be stored in appropriate con-
tainers and not issued to wards or
Methyl alcohol (METHANOL) (for use by
medical activities) will be accounted for and
issued by the supply division in the same
manner as other controlled substances.
Methanol will not be stored, used, or
dispensed by the pharmacy, ward, or out-
patient treatment facility.
MANUAL OF THE MEDICAL
For all intents and purposes, MANMED,
chapter 21, directs precise measures to be taken
to ensure the proper control and custody of
controlled substances, controlled drugs, and ac-
countable controlled substances and drugs. The
Comprehensive Drug Abuse Prevention and Con-
trolled Act of 1970 established five schedules
dependent upon a drugs potential for abuse,
medical usefulness, and degree of dependency, if
abused. The following schedules are provided:
Schedule I substancesMaximum abuse
potential with little or no accepted medical
usefulness (i.e., heroin, marijuana, LSD).
Schedule II substances-High abuse poten-
tial and accepted medical usefulness; abuse
leads to severe psychological or physical
dependence (i.e., morphine, meperidine,
amphetamines, pentobarbital). Prescrip-
tions for any of these substances MAY
NOT be refilled.