CS Drips: Why Every Handoff Counts in Spotting Diversion
04 March 2026

CS Drips: Why Every Handoff Counts in Spotting Diversion

Drug Diversion Insights with Terri Vidals

About

Controlled substance drips and PCA infusions present unique challenges when it comes to maintaining a clear chain of custody. One of the most overlooked vulnerabilities occurs during handoffs—when responsibility for these medications transfers between nurses or departments.

In this Diversion Insights Quick Take, we examine why consistent handoff practices are essential for both patient safety and diversion prevention.

Without proper documentation, volume verification, and sign-offs during shift changes or patient transfers, gaps can emerge that create confusion during audits and make it harder to identify true diversion events. These gaps can also place innocent staff under unnecessary scrutiny.

In this episode, we discuss:

• Why chain-of-custody matters for controlled substance drips and PCAs• The role of volume checks and dual sign-offs during handoffs• How poor handoff practices create blind spots in diversion monitoring• Why clear documentation protects both patients and healthcare professionals• Practical steps to strengthen protocols and improve audit clarity

Whether you're a nurse, pharmacy leader, diversion specialist, or healthcare administrator, strengthening handoff practices is a critical step toward building a more effective diversion prevention program.


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