For the non-pharmacy folk: Schedule 2 drugs are the heavy hitters (Oxycontin, Percocet, Ritalin and many others with high abuse potential) that pharmacies are required to keep an exact count of. Every month we are required to count our inventory and make sure it reconciles exactly with the record of prescriptions dispensed, which are individually logged throughout the month.) Other bloggers have lamented how a Schedule 2 prescription used to be a rarity --- now, we shovel them out in buckets.
One of the pharmacies I cover occasionally has constant trouble with these counts. Some are over the expected amount and some are under. There's no real pattern to either the amounts or the drugs affected. Now, ordinarily this is how many a pharmacy employee has been caught stealing, but this is a small staff --- no turnover, long-term capable employees and honestly there's really no suspicion of diversion here (I know it sounds naive, but trust me on this.) In addition, most of these discrepancies are solved and found to be the result of error --- miscounts, addition or subtraction errors in the log, brand-name/generic mix-ups, prescriptions dispensed but not logged, new inventory received but not logged in correctly, etc. The mistakes appear to caused primarily by people in a hurry, as is the usual state of pharmacy.
There are a few that are never solved, though. It takes so much time, effort and teeth-gnashing to figure out the discrepancies -- there's always a little nervousness and finger-pointing and frustration involved, because it is a big deal and no one wants any cloud of suspicion hanging over them.
And then it came to me to ask out in the blogosphere if anyone out there has a good system going that keeps those Schedule 2 counts pristine? Other than counting the damn things on a daily basis?