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Independent Review of the Management of Controlled Drug Use in ...

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and pharmacy from which <strong>the</strong> drug was obta<strong>in</strong>ed are also recorded <strong>in</strong> <strong>the</strong><br />

CDRB.<br />

Only partially used or damaged Schedule 2 controlled drugs are destroyed at<br />

ward level. This is documented <strong>in</strong> <strong>the</strong> ward CDRB and witnessed by two<br />

registered nurses. All o<strong>the</strong>r controlled drugs are returned to pharmacy for<br />

destruction, us<strong>in</strong>g completed documentation <strong>in</strong> <strong>the</strong> controlled drug order book.<br />

The Nor<strong>the</strong>rn Trust has four sites us<strong>in</strong>g controlled drugs that do not have a<br />

pharmacy onsite and transport to <strong>the</strong>se sites is carried out <strong>in</strong> l<strong>in</strong>e with<br />

legislative and best practice requirements. All controlled drugs are returned to<br />

pharmacy for destruction.<br />

In <strong>the</strong> South Eastern Trust <strong>the</strong>re are five sites us<strong>in</strong>g controlled drugs that do<br />

not have an onsite pharmacy. Transport to <strong>the</strong>se sites is carried out <strong>in</strong> l<strong>in</strong>e<br />

with legislative and best practice requirements.<br />

On delivery, <strong>the</strong> order is checked by two registered nurses, details recorded <strong>in</strong><br />

<strong>the</strong> ward CDRB, and <strong>the</strong> new stock added to <strong>the</strong> exist<strong>in</strong>g balance.<br />

Only small amounts <strong>of</strong> controlled drugs should be destroyed at ward level.<br />

All destruction must be documented <strong>in</strong> <strong>the</strong> controlled drug record book and<br />

witnessed by two registered nurses. Both persons should sign <strong>the</strong> controlled<br />

drug record book, stat<strong>in</strong>g <strong>the</strong> amount destroyed and <strong>the</strong> date <strong>of</strong> destruction.<br />

In <strong>the</strong> Sou<strong>the</strong>rn Trust, <strong>the</strong>re are three sites us<strong>in</strong>g controlled drugs which do<br />

not have an onsite pharmacy and transport to <strong>the</strong>se sites is carried out <strong>in</strong> l<strong>in</strong>e<br />

with legislative and good practice requirements.<br />

On receipt on <strong>the</strong> ward <strong>the</strong> delivery is checked that <strong>the</strong> correct drug, quantity<br />

and strength have been supplied. The controlled drugs register is <strong>the</strong>n<br />

completed and witnessed by a second member <strong>of</strong> staff.<br />

All unused and out-<strong>of</strong>-date controlled drugs are returned.<br />

In <strong>the</strong> Western Trust, <strong>the</strong>re are four hospital sites us<strong>in</strong>g controlled drugs that<br />

do not have a pharmacy, and transport to <strong>the</strong>se sites is carried out <strong>in</strong> l<strong>in</strong>e with<br />

legislative and best practice requirements.<br />

On receipt <strong>of</strong> controlled drugs, which are transported <strong>in</strong> locked conta<strong>in</strong>ers, two<br />

designated staff members check that <strong>the</strong> correct drug and quantity <strong>of</strong> drug has<br />

been supplied. An appropriate entry is made <strong>in</strong> <strong>the</strong> ward CDRB and signed<br />

by both staff members.<br />

All unused or out-<strong>of</strong>-date controlled drugs are returned to <strong>the</strong> pharmacy for<br />

destruction.<br />

All trusts have robust auditable processes <strong>in</strong> place for <strong>the</strong> transport and return<br />

<strong>of</strong> controlled drugs from those sites which do not have a pharmacy.<br />

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