To minimize delays, submit the supporting documentation along with the complaint. A subpoena will be issued for specific records related to the complaint.
|Complaint||Documents Needed for the Investigative Process|
|Positive drug screen done for cause or random||The laboratory report, chain of custody form, and the confirmation report. Documentation that formed the basis of the “cause” for the drug screen.|
|Suspected controlled substance theft or diversion; Failure to account for controlled substances||The Physician’s Orders, the MAR (please copy both sides if paper), the Nurse’s Notes, the Controlled Drug Administration Record if separate from MAR, and dispensing record (Automated system or paper record) for every suspected occasion.|
|False documentation or charting||Provide the document that was falsified. Please do not highlight the fraudulent entry. In cases wherein an act or procedure should have been charted but was not, please provide the document to show the absence of the proper chart entry.|
|Please ensure that written statements are properly identified as to author and are legible. An accompanying cover letter summarizing the documents described should also identify the witnesses by full name, address, and job title.|
|Documentation||These cases may vary somewhat according to the facility as well as the circumstances. Documents likewise may vary in title but serve the same basic function as the generic titles used in practice. Include a summary of what the documentation issues are related to the complaint.|