We have an Omnicell secure vault. I run a restock report daily and order CII-V, and when they come in a pharmacist checks them agains the invoice and then I put them into the vault.
I do all the CS orders manually right now. We have a walk in vault and I do a CII order by hand every Monday. I write out the 222 and my boss signs it. They RPh on evenings checks the drugs in when they come in the next day and puts then in stock. The techs record everything received and dispensed manually in a binder. We are SO behind the times.
We just completed the CSOS application and sent it in to the DEA. We have also just cut a PO for PYXIS CII Safe. Hopefully, I will be doing less writing soon.